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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.
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