Long-term Deprivation of Liberty by health services due to the pathology of inmates, which would be of particular interest as regards complaints for delays in the medical assistance. The women’s prison of Barcelona and the prison of Murcia II did not have such a register, and the prison of Alava also did not have a protocol for those cases of requests for urgent assistance. Therefore, it has been requested that these shortcomings be remedied. 88. As was already expressed in paragraphs 339 of the 2010 Annual Report and 130 of the 2011 Annual Report, it would be convenient to conduct certain medi­ cal consultations through a telemedicine system. Of the facilities visited, the prison of Alava stands out as a pioneer in the use of this system, which has al­ lowed for access to specialized assistance, thus reducing delays and avoiding transportation of the inmate and the possibility of cancellation of these consulta­ tions. Telemedicine systems 89. During the visit to the prison of Ocaña II (Toledo), the Institution was in­ formed that inmates needing surgery were on a waiting list of nearly one year, with the only exception of the specialty of maxillofacial surgery. In that regard, more detailed information has been requested from the SGIP on those inmates who may be affected by such delay, in order to assess the possible opening of an investigation in this respect by the Health and Social Policy Department of the Ombudsman Institution. At Ocaña II (Toledo) a 90. As regards the dispensing of medication, doctor’s prescriptions are included in the medical history and the dosage of the medication being administered to each inmate is prepared in individualized bags, which are duly labeled. The crite­ rion of the Ombudsman Institution is that, when medication requires a closer monitoring (such as the case of psychotropic drugs), this should be administered under the direct observation of the healthcare personnel, and it was thus recom­ mended particularly with regard to the prison of Alava. At the prison of A Lama (Pontevedra), the insufficient number of clinical assistants, who are in charge of administering the medication, makes it impossible to guarantee the distribution thereof on the weekends (with the exception of the infirmary pavilion, where it is carried out by registered nurses). Therefore, it would be necessary to implement the appropriate procedures to increase the size of the staff in that regard. When the patient requires 91. Prisons should begin to computerize medical histories and to coordinate with public health services, both primary and specialized care, as tools to im­ prove the medical assistance provided to inmates. At the prison of Alava it was noticed that several ways to manage the medical history coexisted at the center, and this Institution considers that the integration of all systems would be advis­ able. At the prison of A Lama (Pontevedra), a lack of coordination was detected between the general assistance network and the prison physicians, which some­ times provoked duplications when requesting diagnostic and analytic tests, and delays in the reading of their results. It would therefore be advisable to implement An effort should be made THE OMBUDSMAN OF SPAIN should be used waiting list of nearly one year has been detected for surgical interventions close monitoring, the administration of medication should be done under the direct observation of the healthcare personnel to computerize the medical histories, as well as to coordinate with the public healthcare system 85