Annual report 2011: Spain’s National Preventive Mechanism of the situation and he or she calls the healthcare personnel from the CIS (a nurse), who assesses the situation. Most of the inmates interviewed were satisfied with the quality of the medical attention provided In the specific case of the Seville Incarcerated Mothers’ Unit, inmates consider the medical assistance received by the children to be good, but feel that the care they themselves receive could be better The confidential treatment of the inmates’ medical records at Fontcalent psychiatric prison hospital (Alicante) is particularly good The DGP and DGGC have launched an enquiry to determine why inmates are failling to attend medical appointments outside the prison 148  127.  As for the quality of the medical attention provided, despite criticisms regarding health care at nights, on weekends and on public holidays in the Castellón de la Plana prison, male and female inmates were generally positive in their remarks about the medical team at the facility. One woman inmate complained about an alleged lack of medical attention at the weekend when medical staff are on call, and about the psychiatric attention received. The forensic doctor participating as an independent expert in the inspection checked the woman’s claims against her medical record and found no evidence of the medical services’ failing to attend her. Interviews were also carried out with a number of inmates in the infirmary with different conditions. None of them had any complaints about the attention provided by the medical services, nor about the treatment they had received from nonmedical personnel. In Alcala de Guadaíra prison (Seville), the inmates generally consider the medical assistance they receive and their relationship with the medical staff to be good. As one inmate said: “They normally deal with you straight away. The medical services at this centre are quite effective”. At the psychiatric prison hospital in Fontcalent (Alicante), the inmates generally rated the professionalism of the doctors and nurses very highly (70% and a 90% respectively). The figures are similar with regard to their treatment and to their perception that they are being appropriately monitored for their condition (in both cases, 95% gave a positive score to nurses and 80% to doctors). The health care provided at Seville Incarcerated Mothers’ Unit includes promotion of healthcare education and public children’s health programmes and staff include a paediatrician, employed by the SGIP. The inmates generally consider the medical care received and the relationship with the staff as being very good in the case of the children, although they feel that there is room for improvement in the care for mothers. 128.  With regard to the observance of processes and aspects regarding medical records, at Alcala de Guadaíra prison (Seville) we observed that the protocols recommended by the Prison Institutions were followed. Two systems are used for recording data in clinical records: the SAMIT database (includes epidemiological data and other basic care information for each inmate); and the physical medical record (on paper) which consists of a folder and standardised forms. Another positive aspect is the confidentiality of the medical records in Fontcalent psychiatric prison hospital (Alicante). This is assured using a system of profiles and a program specially devised on a voluntary basis by a staff member at the hospital was very well rated by the psychiatrists on the inspection team. 129.  Following the inspection visits carried out at the prison during 2010 and 2011, we have learnt of the serious problem and grave consequences for the health of the inmates resulting from a lack of medical appointments for performing tests and consultations with specialists which cannot be performed in the medical modules of the facility and therefore have to be carried out externally. According   THE OMBUDSMAN OF SPAIN