Report on the Performance of Activities of the National Preventive Mechanism for 2015 2.1. Complaints filed by persons deprived of their liberty who are in the prison system Healthcare The quality of healthcare remains one of the most common reasons of complaints by persons deprived of their liberty. According to the records of the Central Office of the Prison System Directorate with the Ministry of Justice (hereinafter: COPSD), 19% of all the complaints filed to penal institutions in 2015 pertained to the provision of healthcare, which confirms the need for systematic and organizational changes in this field. A large share of the complaints still pertains to long waiting periods for physical therapy and to inadequate dental care. There is one complainant who had most of his teeth pulled out more than a year ago, in preparation for a dental prosthesis, which has not been made yet. Considering the fact that at meal time the complainant receives no other cutlery except the spoon, this creates major problems when eating. The prisoners have filed repeated complaints with regard to the manner of execution of security measures of compulsory psychiatric treatment and compulsory addiction treatment. Those of poorer financial status complain of the obligation of having to pay participation in the costs of treatment and medications, and in some cases even refuse to take medications or they reduce the dosages on their own, in an attempt to reduce the costs of treatment. There is one complainant who had most of his teeth pulled out more than a year ago, in preparation for a dental prosthesis, which has not been made yet. Considering the fact that at meal time the complainant receives no other cutlery except the spoon, this creates major problems when eating. Non-smokers continue to complain about being put in the same rooms with smokers against their will, constantly exposed to passive smoking. Recently, there have been attempts by penal institutions to separate the smokers from non-smokers where possible, but in case of prisoners on remand and misdemeanour offenders this is often impossible. The situation in the Prison Hospital, the penal institution to which persons deprived of their liberty who require medical treatment are sent to, where smoking is allowed in rooms in which prisoners who are sick spend most of their day, is unacceptable. Therefore, we still insist on protection against passive smoking, for example, by designating special rooms for smokers, which would be available to them for most of the day. One of constant sources of dissatisfaction among the prisoners as well as the reason for many complaints is the fact that prison physician still cannot issue referral slips and prescriptions for medications, with prisoners’ elected physicians doing that instead. Some of them never get to see the prisoners, so primary healthcare is de facto provided by the prison physician, and in agreement with him/her, the elected physicians write referral slips and prescriptions, which, as a rule, leads to much dissatisfaction among them, as well. In the beginning of 2015 there was an arrangement between the Ministry of Justice, Ministry of Health and Croatian Health Insurance Fund (CHIF) about finding organizational solutions that would enable prison 2