compulsory psychiatric care man stated that independent experts should be hired to ensure that long-term segregated patients receive good care.17 This is also a recommendation that the European Committee for the Prevention of Torture (CPT) reiterated during its visit to Sweden in 2015.18 During the inspections of both Helix and Växjö Regional Forensic Psychiatric Clinic, it emerged that there were patients who had been segregated for lengthy periods. Following the inspection of Helix, the Chief Parliamentary Ombudsman highlighted that an important question is whether the legislation provides the scope for some of the measures taken during the ongoing segregation, for example that the patient regularly associates with other patients for parts of the day and is then returned to segregation without any new decision having been taken. Furthermore, what has emerged concerning these patients’ living conditions also raised questions regarding which alternatives for care and treatment the clinics have considered. The Chief Parliamentary Ombudsman stated that it is important that long-term segregated patients receive good care that includes the opportunity for outdoor access and exercise, and that they can be provided with adequate activities. The Chief Parliamentary Ombudsman recommended the clinic puts together good examples of efforts made in order to prevent patients from having to be segregated for very lengthy periods.19 Decisions on keeping patients in hospital and admission After a care certificate has been issued, a doctor may decide that the patient should be kept in the care facility until the question of admission has been decided.20 The question of whether to admit an individual to inpatient compulsory psychiatric care is to be made promptly following examination of the patient and no later than 24 hours after their arrival at the care facility.21 Health and medical care principals have a far-reaching responsibility to organise health and medical care with adequate routines that mean decisions on admissions can be made as soon as possible after patients arrive at a healthcare facility.22 During the inspection of Sahlgrenska Emergency Unit, it emerged that decisions on admission to psychiatric compulsory care are made at the reception in exceptional cases. These are cases where the deadline for a decision to keep a patient in the care facility will shortly expire, or where the patient is to be transported to another hospital. In normal cases, decisions to keep a patient in the care facility are made at the emergency unit, after which the 17 See the Parliamentary Ombudsmen’s report p. 16, ref. no. 5556-2016. 18 See CPT/Inf (2016) 1 p. 58. 19 See the Parliamentary Ombudsmen’s report p. 18, ref. no. O 3-2019. 20 See Section 6 first paragraph of the Compulsory Psychiatric Care Act (1991:1128). 21 See Section 6 b, first paragraph of the Compulsory Psychiatric Care Act (1991:1128). 22 See Government Bill 1999/2000: 44 p. 59. 75 It is important that patients segregated for lengthy periods receive adequate care which includes, inter alia, outdoor access