CAT/OP/PRT/1/add.1 of safety, request otherwise. Medical records should be made available to the detainees and/or their legal representatives upon the detainees’ request. 63. Further, the Subcommittee recommends that the State party improve its training of medical personnel working in places of detention, particularly as regards international standards, including the Istanbul Protocol which is an indispensable tool in detecting, documenting, reporting and as such deterring torture and ill-treatment. 64. Regarding recommendations 90., 91. and 92., the parameters concerning the admission of newly arrived inmates are duly reflected on the Health Care Procedures Handbook approved on the 5 June 2009 and on the CEPMPL. Hence, those recommendations are followed by the DGRSP. 65. Accordingly, following the entry into a prison establishment, this circumstance is communicated to the clinical services by attaching a copy of the health documentation held by the inmate and, within 24 hours of its entry, he is subject to examination by the nurse on duty. If he/she considers that a medical examination is need, this fact is transmitted to the prison doctor or, when necessary, it must activate the emergency procedures, thus ensuring to inmates access to health care in conditions of quality and continuity identical to those that are assured to all citizens, as provided for in Article 32 (1) of the CEPMPL. The inmate's medical appointment shall be made within 72 hours of the prisoner's entry into the prison, except in emergency situations. It should be reiterated that these procedures are followed in all prison establishments. 66. Finally, it should be noted that the medical and nursing personnel working within the prison system, some of them working for private health care providers, is properly trained to recognize clinical situations resulting from ill-treatment. C. Prisons 67. The Subcommittee recommends that this practice be modified and the medications remain in a blister pack until they are administered in order to retain their properties and ensure hygiene. 68. Regarding the situation of Porto prison that has been flagged, the problems have been corrected. However, it should be underlined that the drug preparation rooms have both temperature and humidity controlled and the nurse that administers the medication confers it before it’s in taking. 69. The Subcommittee recommends that the State party improve the access of inmates to medical care, including specialized medical care, through better coordination with the aim of reducing waiting time for medical assistance to persons deprived of liberty. 70. Access of inmates to medical care is a main concern. Hence, the importance of Order No. 10091/2013, of 1st of August, which created, within the DGRSP, the "Competence Centre for Health Care Management", with responsibilities within the prisons’ health sector. This Centre integrates health technicians of the DGRSP and has led to a greater control and supervision of the clinical staff of private undertakings that work in prison establishments. 71. Regarding the excessive clinical staff turnover and the poor attendance of clinical personnel, as a strategic decision, it was determined to recruit civil servants, so that in internal mobility, they could take on functions in several prison establishments (ongoing implementation) in order to gradually reduce costs with human resources of private companies, thus stabilizing the excessive turnover, and significantly reduce dependence of private companies. 72. Thus, in 2017 recruitments procedures were initiated in order to recruit 45 nurses and 17 physicians. Additionally, in 2018, under the Programme of Extraordinary Regularisation of Precarious Working Contracts, 11 recruitment procedures were opened in the health sector and 55 contracts were thus regularised. 9

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