The medical superintendent also provides his/her opinion and an
assessment of the professional qualifications when the recruitment
agency for justice supporting staff hires physicians and contracts are
signed with medical consultants.
In addition to primary, incident-related professional supervision, the
medical superintendent audits and monitors the medical services in
the correctional institutions through the use of controlling measures.
The medical superintendent has begun to visit the correctional
institutions once a year. At the same time, random samples of the
entries and medical histories in the Electronic Patient Record Module
are verified at regular intervals.
Controlling
The NPM has also addressed the problem of the handling of
medicines. After their visits, the commissions have repeatedly criticised
the fact that medicines kept in stock (which are generally not
prescription medicines) are dispensed by non-medical personnel in
the correctional institutions.
Handling of medicines
In this regard, the Federal Ministry of Justice has stated that the
handling of medicines is the responsibility of the head of the medical
service. Under medical orders, dispensing and administering
medicines to inmates can only be delegated to senior medical and
nursing care employees – including in the absence of the head of the
medical service. There are currently no uniform standards in
connection with the dispensing of PRN medications by persons outside
of the medical service in correctional institutions that have no
permanent medical service head on site. This is because still there is
no definitive (statutory) provision from the Federal Ministry of Health.
The prison administration is intensively collaborating on such a
provision.
With regard to the language problems experienced by prisoners from
non-German-speaking countries during medical consultations, the
Federal Ministry of Justice was confronted with the observation of
Commission 2 (Wels correctional institution in December 2013) that the
use of court-certified interpreters could not be verified.
Medical consultations
only with a courtcertified interpreter
According to a statement from the Federal Ministry of Justice, the staff
of the Wels correctional institution has again been verifiably informed
that it must deploy court-certified interpreters to clarify medical
questions or findings, if there are language barriers.
Statutory implementation of the Office of the Medical Superintendent is necessary to provide
legal certainty.
A provision on who can dispense and administer what medicines to inmates and when
must be quickly developed.
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