From the moment of the registration, according to a numerical order, the registered request is agreed with a provider of medical service and referral is being made to that provider. If a referral is denied, the denial is registered in the system and the primary link of the health-care at the penitentiary establishment is notified about the reasons for the refusal. According to the information received from the Medical Department of the Ministry of Corrections of Georgia, in 2016, 4,605 requests were registered in the unified electronic database; after their considerations by the Medical Department, 600 requests were denied. Compared to 2015, the number of requests registered in the unified electronic database is almost halved and, accordingly, the number of denied requests is less.299 Only the patients within planned health-care are assigned a digital number and put on the wait list. Emergencies are not put on the wait list. The digital wait lists of the Eastern and Western Georgia are separate and managed independently. The referrals for inpatients and outpatients are separately managed as well. According to the information received from the Medical Department of the Ministry of Corrections of Georgia, in 2016, 59 medical establishments of the public sector were contracted to provide medical services for prisoners. Besides, the tuberculosis treatment and rehabilitation centre (establishment no 19) and the medical establishment for remand and convicted persons (establishment no. 18) provided medical services for prisoners. The implementation of planned referrals is negatively affected by the incidents of selfharm, hunger strike and arbitrary discontinuation of treatment by prisoners, as well as capacity of public hospitals. In 2016, in total, 5,861 referrals were made. It should be positively mentioned that compared to 2015, there is an increase in the number of referrals for planned outpatient medical treatment. In 2015, 3,804 patients were referred,300 and in 2016, 4,903 patients were referred.301 However, there is a decrease in the number of referrals for planned inpatient medical treatment in 2016, compared to 2015. In 20151131 patients were referred for planned inpatient medical treatment,302 and in 2016, 956 patients were referred.303 As regards emergency incidents, in 2016, 1,474 patients were referred for emergency inpatient/outpatient medical treatment. This indicator is 8% more than the similar indicator of 2015 (1349 incidents). 299 In 2015, 9,016 requests were registered in the unified electronic database; 589 requests were denied. 300 In 2015, within the planned outpatient medical treatment, 2,783 prisoners were transferred to the hospitals of the public sector and 1,021 prisoners were transferred to the medical establishment for remand and convicted persons (establishment no. 18). 301 In 2015, within the planned outpatient medical treatment, 3,034 prisoners were transferred to the hospitals of the public sector; 1,150 prisoners were transferred to the medical establishment for remand and convicted persons (establishment no.18); and 721 prisoners to the tuberculosis treatment and rehabilitation centre (establishment no 19). 302 In 2015, within the planned inpatient medical treatment, 733 prisoners were referred to the medical establishment for remand and convicted persons (establishment no.18); and 398 prisoners were referred to the hospitals of the public sector. 303 In 2016, within the planned inpatient medical treatment, 499 prisoners were referred to the medical establishment for remand and convicted persons (establishment no.18); 320 prisoners were referred to the hospitals of the public sector; and 137 prisoners were referred to the tuberculosis treatment and rehabilitation centre (establishment no 19). 138 HUMAN RIGHTS SITUATION IN CLOSED INSTITUTIONS