1.1 Obiski v zavodih za prestajanje kazni zapora in mladoletniškega zapora 1.1 Visit to prisons and juvenile prisons ZPKZ Maribor – Oddelek Murska Sobota sodeluje z ZD Murska Sobota, iz katerega prihajata tudi zdravnica in medicinska sestra, ki delata vsak torek (za obsojence, od 12. do 13. ure) in četrtek (za pripornike, od 12. do 13. ure). Ob četrtkih na oddelek prihaja psihiater (od 15. do 17. ure), ki ima z zdravstvenim domom sklenjeno podjemno pogodbo. Na oddelek prihaja od štiri- do petkrat na teden medicinska sestra, ki tudi pripravlja (po navodilu zdravnice ali psihiatra) predpisano terapijo, ki jo nato delijo pravosodni policisti. Zobozdravstvene storitve se zaprtim osebam omogočajo v samem zdravstvenem domu. Zaprtim osebam se omogoča nemoteno obiskovanje specialističnih pregledov v spremstvu pravosodnih policistov, osebam, ki imajo že podeljene določene ugodnosti, pa se za pregled odobri namenski izhod. Če zavodski zdravnik oceni, da določen pregled ni potreben, vendar ga oseba še vedno želi, ga mora kriti sama, na kar se specialist tudi prej opozori. Obsojencem se zagotovi tudi zaupno testiranje na okužbo s HIV in hepatitisom na podlagi drugega odstavka 63. člena ZIKS-1, za kar morajo le izraziti željo. Na oddelku ni bolniške sobe; če bi jo oseba slučajno potrebovala, je ne premeščajo, temveč leži v svojem dotedanjem ležišču. Do oprave obiska DPM je bilo opravljenih skupno 63 urinskih testov, ki se opravljajo na podlagi sklepa strokovne službe, in sicer na podlagi terapevtskega dogovora (obsojenci, ki so vključeni v obravnavo odvisnosti) in na podlagi soglasja (obsojenci, ki prestajajo kazen zaradi kaznivega dejanja, povezanega s prepovedanimi drogami, a naj ne bi bili pod njihovim vplivom oziroma naj z njimi ne bi imeli težav). V zvezi s tem je DPM UIKS zaprosil za stališče glede razlik v pristopih med zavodi (čas, ki je na voljo za oddajo urina, možnosti glede stimuliranja uriniranja, ukrepi, ki sledijo morebitni neoddaji urina zaradi zatrjevane nezmožnosti oddaje, razlage v smeri detekcijskega časa), saj gre za eno od problematik, ki bi jo bilo treba celostno proučiti in pa vsaj v navedenih vidikih poenotiti prakso. Na podlagi mnenja pogodbenega eksperta v zvezi s čakalnico pred ambulantnimi prostori ZPKZ Dob pri Mirni ob našem obisku v tem zavodu v letu 2013 smo predlagali, naj bo ta opremljena z dvema vozičkoma, enim za ležeči in enim za sedeči položaj pacienta, saj bolni ali poškodovani obsojenci ne morejo biti na klopi kot preostali, ki niso v življenjsko nevarnem stanju. UIKS je bil mnenja, da je voziček medicinska oprema in bi ga zato moral glede na medsebojni dogovor zagotoviti Zdravstveni dom Trebnje. Ker pa je ta ob tem podal nasprotujoče si mnenje, smo obema predlagali, da se o implementaciji predloga za zagotovitev vozička dogovorita. ZD Trebnje se je v letu 2014 odzval na predlog in sporočil, da so že naročili voziček za sedeči položaj pacienta, meni pa, da glede na razpoložljivost nosil v zavodu ležeči voziček ni potreben. UIKS je ob tem tudi napovedala, da je na pristojno Ministrstvo za zdravje podala ponovno pobudo za medsebojno srečanje, kjer bi predstavila celostno problematiko, ki se pojavlja pri opravljanju zdravstvene dejavnosti zaprtih oseb v ZPKZ. Verjame tudi, da bodo s skupnim sodelovanjem našli ustrezne rešitve. 50 poročilo o izvajanju nalog DPM v letu 2014 DržavnI preventivnI mehanizEm po Opcijskem protokolu h Konvenciji OZN proti mučenju in drugim krutim, nečloveškim ali poniževalnim kaznim ali ravnanju Murska Sobota Unit of Maribor Prison cooperated with Murska Sobota Community Health Centre, from which a doctor and a nurse come who work on Tuesdays (for prisoners between 12:00 and 13:00) and Thursdays (for detainees between 12:00 and 13:00). A psychiatrist, who has a work contract with the community health centre, comes on Thursdays (between 15:00 and 17:00). A nurse visits the unit four to five times a week and also prepares therapies prescribed by the doctor or the psychiatrist, which are then distributed by judicial police officers. Dental services were provided in the community health centre. Prisoners were enabled uninterrupted access to specialist examinations while being escorted by judicial police officers. For persons already granted certain benefits, leave was approved for examinations. If the prison doctor assessed that a certain examination was not necessary, but the person still wished to undergo it, the person must cover the costs of any such examination, of which the specialist is also notified. Prisoners were enabled confidential testing for HIV and hepatitis infection on the basis of the second paragraph of Article 63 of the ZIKS-1, which the prisoners had to request. The unit has no patient room; if required, a person was not transferred, but remained in their own bed. Until the NPM visit, a total of 63 urine tests had been performed on the basis of a decision by the expert service, i.e. on the basis of a therapeutic agreement (prisoners being treated for addiction) and on the basis of consent (prisoners serving a sentence for a criminal offence connected with illicit drugs, but who supposedly were not under their influence or were not addicted). In this regard, the NPM requested the position of the Prison Administration of the Republic of Slovenia on different approaches to this matter in prisons (time available for the provision of urine, options to stimulate urination, measures which follow a possible failure to provide urine due to claiming the impossibility of provision, explanations relating to detection times), since this is a problem requiring comprehensive consideration, or at least the harmonisation of practice in the aforementioned aspects. Based on the opinion of our contractual expert on the waiting room in front of the infirmary of Dob pri Mirni Prison during our visit in 2013, we proposed that the waiting room be equipped with a wheelchair for sitting and a mobile table for lying patients, since sick or injured prisoners cannot sit on the bench like other patients who are not in a life-threatening situation. The Prison Administration of the Republic of Slovenia believed that a wheelchair was medical equipment and should thus be provided by Trebnje Community Health Centre as per the mutual agreement. However, the latter gave a contrary opinion, so we suggested that both parties agree on the implementation of the proposal for providing the wheelchair. In 2014, Trebnje Community Health Centre responded that a wheelchair for sitting patients had already been ordered, but believed that a mobile table was not necessary, considering the availability of stretchers in the prison. The Prison Administration of the Republic of Slovenia also stated that it had resubmitted its initiative to the relevant Ministry of Health for a mutual meeting where problematic areas established during the provision of medical care in prisons would be presented. It was certain that suitable solutions would be found in mutual cooperation. IMPLEMENTATION OF THE DUTIES AND POWERS OF THE NPM IN 2014 National Preventive Mechanism under the Optional Protocol to the UN Convention against Torture and Other Cruel, Inhuman or Degrading Treatment or Punishment 51