The NPM points out the great importance that regular outdoor exercise has for maintaining and promoting the physical and mental health of inmates. Inmates who have a special need for care due to advanced age or physical or mental illness must be enabled to spend time outdoors. If necessary, they should even be required to exercise outdoors. It may be necessary to change conditions so that even fragile or sick inmates can spend time outdoors (e.g. the need for toilet facilities nearby for incontinent inmates, barrier-free access to the yard, etc.).     Psychiatric and psychological care is part of health care and, as such, must be ensured by the institutions. Regular visits, in particular, should help prevent the physical and emotional neglect of longtime inmates. Inmates have the same right to care and nursing as persons who are at liberty. Older, fragile or sick persons must be enabled to spend time in the fresh air at regular intervals to maintain their health or promote healing. A few weeks after the case became known, the Federal Minister of Justice addressed the question of what arrangements are needed to make the detention of mentally ill offenders more humane and treatment-oriented. He deployed a working group to answer this question. The group was tasked with surveying the current state of detention of mentally ill offenders defining specific problem areas and making proposals for improvement from an organisational and legislative perspective. Working group set up The working group on reform includes high-ranking representatives of the Federal Ministry of Justice, the Federal Ministry of Health and the prison administration as well as experts and scientists with various specialisations. The Chairwoman of the Monitoring Committee for the Implementation of the Convention on the Rights of Persons with Disabilities and a representative of the NPM were also invited. All disciplines represented After discussions of principles at the plenary session, the working group divided into four sub-working groups. They developed reform proposals on the topics “Policy and Boundary Issues”, “Assessment” and “Correctional Practice”, which were then discussed at the plenary session. The NPM representative primarily participated in the sub-working group on Correctional Practice, which was, in turn, divided into seven sub-groups, which concerned themselves with the following topics: “Development and expansion of legal protection for patient’s rights“, “Quality assurance and monitoring as well as system-related scientific research“, “Avoidance of unconditional instructions“, “Control of the system for the detention of mentally ill offenders”, “Placement, treatment and care practices in correctional institutions and psychiatric hospitals”, “Improvements in the area of conditional release” and 89 Comprehensive evaluation