Annual Report 2012: Spain’s National Preventive Mechanism inmates to health, since it forced important decisions in this field to be taken by staff that was not qualified for it. Therefore, it was requested that medical assis­ tance was provided on a permanent basis. The Directorate General of the Police reported that the contract for the provision of services had been extended with the subcontracted company, so that the assistance of both a physician and a registered nurse would be implemented by means of a permanent location system outside of the hours when they should be physically present. Although there is no specific program for the prevention of suicide, precise instructions are sent to the police officers in order to reduce such risk A new request has been made so that injuries may be photographed and sent to the judicial authority The format and content of the clinical histories must comply with the law At the CIEs in Valencia and Barcelona there was no record of any demand for medical assistance 70 54. As regards the psychological and psychiatric assistance of inmates referred to in paragraphs 266 of the 2010 Annual Report and 94 of the 2011 Annual Report, the Directorate General of the Police has reported, in the specific case of the CIE in Valencia, that members of the NGO “Psicólogos sin fronteras” (“Psychologists without borders”] pay daily visits to the center catering to an average of 8-10 inmates per day. As regards the establishment of a specific program for the preven­ tion of suicide, the Directorate General of the Police has reported that it is not provided at CIEs, since they are not penitentiary units. However, this same au­ thority informed that instructions are periodically sent to the police officers on duty, in order to reduce the risk of self-harm or suicide by inmates. 55. When analyzing the clinical histories which included references to the inju­ ries, it was noticed that there wasn’t an adequate description of the type of injury, its shape, dimensions and exact location, nor the remaining characteristics in­ cluded that may subsequently allow the determination of the causes. As was point­ ed out in paragraphs 357 of the 2010 Annual Report and 86 of the 2011 Annual Report, it was again requested that photographs of the injuries be taken for their subsequent remission to the judicial authority. The Directorate General of the Po­ lice has reported that, given the relevance of this matter, the new subcontracted company has been informed of this so that it may assess its implementation. 56. At the visited centers it was detected that, neither the format nor the content of the clinical histories complied with the provisions set forth in Law 41/2002, of 14 No­ vember, on the Autonomy of the Patient and the Rights and Obligations pertaining to Clinical Information and Documentation. The Directorate General of the Police has reported that the company SERMEDES had remedied this shortcoming and that the medical service from the Directorate General of the Police has also sent a request to the new company, CLÍNICA MADRID, to have them remedy this aspect as well. 57. At the CIEs in Valencia and Barcelona there was no record whatsoever stating explicitly any demands for medical assistance made by inmates or whether such demands had been subsequently provided. The Directorate General of the Police has reported that, in the case of Barcelona, a book with free access for inmates was established, with sealed and numbered pages, and in the case of Valencia, a daily list of medical consultations where inmates may sign up if they wish to have a physical exam that day. THE OMBUDSMAN OF SPAIN