the Public Defender’s recommendations that went in the PD’s 2013 Report to the Parliament. However, the quality control system, in a contemporary sense of this phrase, is not yet operational in the penitentiary healthcare system. We believe it is necessary to enhance the mechanism of controlling the implementation of civilian healthcare standards in the penitentiary system, to introduce an effective system for statistical data collection and analysis, to pay more attention to statistical analysis results in designing the penitentiary healthcare action plans, and to effectively manage the procurement process and evaluate its cost-effectiveness. The quality of penitentiary healthcare services should be assessed using pre-determined and relevant indicators. RECOMMENDATION TO THE MINISTER OF CORRECTIONS: •• Ensure that each penitentiary institution has adequate number of doctors and nurses so that healthcare services can be provided timely and adequately •• Ensure that invited doctors visit the penitentiary institutions at proper inter- vals to timely and adequately provide the required medical services; ensure timely provision of their consultations by neurologists, gastroenterologists and psychiatrists •• With a view of ensuring timely provision of healthcare services, in determin- ing a patient’s list number in the medical referrals electronic database, take into account the disease’s nature and dynamic of its development; incorporate this new principle in the Order of the Minister of Corrections No. 55 dated 10 April 2014 •• Amend the Order of the Minister of Corrections No. 55 dated 10 April 2014 so that only the Chief of the Medical Department of the Ministry of Corrections, after consulting with the Chairman of the Penitentiary Department on issues of security of patient transfer, is authorized to make decisions on transferring patients to both penitentiary medical facilities and civilian hospitals. •• Amend the Order of the Minister of Corrections No. 55 dated 10 April 2014 so that prisoners do not wait for their turn on the list if they had been incompletely examined in an outpatient clinic or had been examined but require additional examination shortly (a few days) after their visit to the clinic. •• Take all measures to enhance a mechanism for controlling the implemen- tation of civilian healthcare standards in the penitentiary system; introduce an effective system for statistical data collection and analysis; pay more attention to statistical analysis results in designing the penitentiary healthcare action plan; effectively manage the procurement process and evaluate its cost-effectiveness. The quality of penitentiary healthcare services should be assessed using pre-determined and relevant indicators. NATIONAL PREVENTIVE MECHANISM OF GEORGIA 105