compulsory psychiatric care work, nationally and regionally, with, inter alia, the Police Authority and the Prison and Probation Service. Meetings have taken place between representatives of the agencies at the regional level and representatives from forensic psychiatry in Stockholm Region have participated in an in-house training for the Prison and Probation Service’s transportation staff. The training has primarily focused strongly on showing respect to people with severe mental illnesses. Furthermore, development work is underway regarding transportation in several other areas of psychiatry in Stockholm Region, for example in prehospital care. In a decision, the Chief Parliamentary Ombudsman stated that the reported measures appear to be adequate. The Chief Parliamentary Ombudsman emphasised the importance of the initiatives taken not becoming a one-off event, but that there is continuity in contact with the relevant actors regarding, inter alia, questions concerning training initiatives. These actors have a shared responsibility to ensure that the assisted transportations are carried out as safely and securely as possible for the patients.26 6.4 Conclusions The regions must conduct healthcare so that it meets the requirements for good care. This means, inter alia, that it must satisfy patients’ needs for safe and secure care.27 Where healthcare is provided, there must be the staff, premises and equipment needed for good care to be provided.28 During this year’s inspections, the Chief Parliamentary Ombudsman has once again highlighted the conditions under which healthcare facilities have to conduct good and safe care. Of particular importance for this is that the staffing corresponds to the needs in terms of staffing levels, competence and that the staff always have the required information concerning the patients to be able to perform the monitoring in a patient-safe manner. Shortcomings in these areas have been noted, and the Chief Parliamentary Ombudsman will, therefore, continue to follow these issues. Furthermore, it is central that premises are adapted to the number of patients that are expected to be admitted. The fact that psychiatric emergency units are undersized and understaffed entails obvious risks for patients, who initially may be regarded as particularly vulnerable. There are, therefore, reasons for the Parliamentary Ombudsmen to continue to follow how other regions organise their psychiatric emergency units. During the year, the Chief Parliamentary Ombudsman highlighted the importance of the care environment for patient safety. This includes female patients being placed in environments where they did not feel safe spending time in the common areas. Furthermore, the Parliamentary Ombudsmen 26 See the Parliamentary Ombudsmen’s decision on 7 January 2020, ref. no. O 16-2019. 27 See Section 2 a of the Health and Medical Services Act (2017:30). 28 See Section 2 e of the Health and Medical Services Act (2017:30). 77

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