exercise facilities available for detainees held under restrictions were rather small, without any equipment and of an oppressive nature.
129.Particular attention needs to be paid to the outdoor exercise facilities, since for most of the detainees held under
restrictions this is the only time they can spend outside the cell. The SPT recommends that outdoor facilities available
for the detainees held under restrictions be enlarged and offer possibilities for adequate physical exercise.
5. Other issues
(a)Regime in remand prisons
130.During discussions with senior officials working in the remand prison visited, they noted that the high number of persons held
under restrictions and the low level of staffing made it difficult for them to organize the daily routines and run a less restrictive regime
for those detainees who were not subject to restrictions. In this respect the SPT recalls in particular the explicit provisions on the right
to association under section 3 of the Act on Treatment of Remanded and Arrested Persons and Chapter 3 section 1 of the Remand
Regulations.
131.Furthermore, due to lack of space it was difficult to accommodate persons held under restrictions in separate units
from those detainees not held under restrictions; they were, however, separated to the extent possible. Men and women
held under restrictions were also often held in same units. This was observed in practice in all remand prison visited.
This lack of space also contributed to the fact that the regime in remand prisons, in particular at Kronoberg, was more
restrictive than necessary. The SPT understands that the authorities are constructing a new remand prison in Sollentuna,
which is planned to be opened in 2010, and which would alleviate the existing situation. The SPT recommends that the
relevant authorities ensure that those remand prisoners not held under restrictions, and who could have a more open
regime, do so in practice. To this end, the SPT encourages the authorities to allocate the space available in a way that
detainees not under restrictions are not accommodated in the same units as those who are under restrictions.
(b)Healthcare in remand prisons
132.Under chapter 2, section 7 of the Remand Regulations, the medical personnel and the officer in charge shall be notified without
delay if a detainee bears symptoms of an illness or an injury. In an acute case the detainee shall be offered medical care immediately.
The delegation was informed by Kriminalvården that there were no prison hospitals as such in Sweden and, if necessary, the
detainees were hospitalized in public hospitals. Prisons provided out-patient care and there were nurses working in the institutions,
but no medical specialists worked in institutions on a full-time basis.
133.The officer in charge of the prisons in the Uppsala region informed the delegation that a nurse is working at remand prisons from
08.00 to 16.00 on a daily basis. A psychiatrist and a general practitioner work for two hours per week at Salagatan and three hours
at Blankahuset. During weekends they are on call. In a case of need, a prisoner will be transported to a public hospital. A similar
system was also in place at Kronoberg remand prison.
134.In all remand prisons visited, a detainee must submit an application if he/she wishes to be seen by a nurse or a doctor. This
information was also included in the information sheet on applicable rules. The nurse is entitled to give basic medication, and also
delivers medicine prescribed by a doctor. Certain prison staff is responsible for delivering medication during the weekends. Individual
doses, however, are prepared in advance by the nurse or the doctor.
135.Furthermore, the nurse working in the Salagatan Remand Prison noted that if a detainee is transferred from another prison,
his/her medical file is included in the documents, and in a case of a newcomer, a new file is opened. According to her, the medical file
of a detainee contains information on his/her medical history, the possible wish to be tested for HIV/AIDS and hepatitis, and
information on the screening of the risk of suicide.
136.From the interviews with the detainees the delegation concluded that access to a doctor upon request was not
problematic in practice. However, the SPT notes with concern that some of the detainees interviewed alleged delays in
having access to a doctor or to a hospital. The SPT recommends that the authorities ensure that the requests to see
health care personnel are met without delay.
137.As to care of persons in need of psychiatric or psychological assistance, the delegation noted with concern that staff
members in a remand prison visited by the delegation alleged that psychiatric hospitals in particular had a tendency to
return to remand prison detainees who, in their opinion, would still require more intensive medical attention than was
possible for the remand prison to offer. In SPT’s view, this practice may compromise the health and safety of the
detainee, as well as place staff without medical training under such a responsibility of care that they should not be
required to assume. The SPT recommends that the authorities ensure that the detainees requiring medical attention in a
hospital are not returned to the remand prison before it can be ensured that their state of health corresponds to the level
of care that the remand prison may offer.
(c)Staffing
138.The delegation observed that staff working in the remand prisons visited appeared to be attentive to the needs of detainees and
conscious about their responsibilities towards them. The professional attitude of staff contributed greatly to the management of the
daily routines in remand prisons and the general atmosphere was good in all establishments visited. The SPT notes with satisfaction
that many detainees interviewed by the delegation spoke very favourably about staff.
139.However, the SPT notes with concern that several senior officials reported that the cuts in the number of staff have reached the
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