Situation of deprivation of liberty in 2014 and account will be rendered of its result in the next Annual Report of the Ombudsman. 92. At the visits made in 2013 no relevant problems were detected in the transfers of inmates to external healthcare centres due to lack of police control to conduct them. According to the information furnished by the SGIP, at the three CPs which in 2012 had a larger percentage of loss of medical appointments a major reduction was achieved in losses of medical appointments: from 26.04% to 4.95% at the CP of Seville, of 23.11% to 0% at the Prison Psychiatric Hospital of Seville, and –slightly lower - of 29.01% to 24.42% at the CP of Jaén. Said improvement was verified at the visits to the CPs of Seville and Seville II. No problems were detected in transfers of inmates to external healthcare centres 93. The clinical records of the inmates are not yet computerised, so that it would be advisable to set up the electronic clinical record and its connection to the system of the relevant public networks of healthcare services, according to paragraph 91 of Annual Report 2012. It would be advisable to set up the electronic clinical record of inmates 94. The use of tele-medicine is as yet very limited at most CPs. At the Very limited use of telemedicine CP of Segovia, for example, it is only used to review electro-cardiograms, at CP Puerto I it was not used, so that it would be advisable to promote tele-medicine for medical consultations that so permit, to reduce the delay and displacement of inmates, in accordance with paragraph 88 of Annual Report 2012. 95. According to the information made available by the SGIP, one of the functions of the psychologists is to provide inmates with psychological assistance. Nevertheless, at certain visits it was observed that the ratio of inmates per professional renders it impossible to make psychotherapy consultations, which would be highly advisable given the high rate of mental health disorders among the prison population. 96. Likewise, at certain visits it was observed that the psychiatric assistance was insufficient for the number of inmates with psychiatric pathologies. At the visit to CP Seville II it was known that in November 2012 the agreement for cooperation existing between the SGIP and the Health Department of the Government of Andalusia, in the context of which specialists in psychiatry attended inmates with mental health pathologies, was terminated. Due to this, the Security and Justice Department of the Ombudsman’s Office instituted a proceeding ex officio with the SGIP, of which account was rendered in the 2013 Annual Report, which states that a new agreement was made in August 2013. Nevertheless, the necessary arrangements should be made for all CPs to have specialised psychiatric assistance with the adequate frequency. Thus, for example, at CP Puerto III (Cádiz) it was observed that the provision of medical practitioners specialised in psychiatry was insufficient –which was noted by the CPT at the visit made in 2011-, since only one psychiatrist provides assistance once per month for a population of 1,350 inmates. Accordingly, a Suggestion was made for said CP to provide psychiatric assistance with greater frequency. However, the SGIP rejected the Suggestion, on considering that the psychiatric assistance that is provided by the Servicio Andaluz de Salud (Healthcare Service of Andalusia) is sufficient. Psychological assistance to inmates Insufficient psychiatric assistance 95

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