- 23 48. Overcrowding is not the only problem afflicting the prison system. The observations made by the CPT in its report on the 2009 visit - unsuitable material conditions, the absence of any appropriate regime and the poor provision of health care - remain valid. Further, the CPT’s delegation noted once again that due to the totally inadequate staffing levels, effective control within the accommodation areas of the prisons visited had been ceded in many instances to prisoners (this was particularly evident in Amfissa and Korydallos Men’s Prisons). The structural issues identified in the report on the 2009 visit continue to be of major concern. They include a lack of any strategic plan to manage complex institutions such as prisons, the absence of an effective system of reporting and supervision, and inadequate management of staff, exacerbated by low staff-prisoner ratios. There is no doubt that many prison staff across the Greek prison system are attempting to fulfil their duties to the best of their ability. However, it is also clear that there is a need for fundamental reform; the Ministry of Justice must recognise that the prison system as it is currently operating is not able to provide safe and secure custody for inmates, nor fulfil the objectives set down in law. The CPT reiterates its recommendation that, following a period of in-depth consultations with all interested parties, the Ministry of Justice produce a strategic plan for the recovery of the prison system that addresses the following areas: - the mission of prisons and the values to which prison staff should work; - the size of the prison estate and the range of the prison types that it will include; - the range of activities that will be provided and the amount of access that persons detained, including those on remand, will have to them; - the human resource requirement needed to run the prisons professionally, including competence profiles for the key roles; - financial projections over a 5 to 10 year period, showing how the planned provision will be met within the resource levels available; - clearly defined short, medium and long term goals. 2. Ill-treatment 49. The delegation received practically no allegations of deliberate physical ill-treatment of prisoners by prison staff. Nevertheless, relations between prison staff and inmates were, in general, distant due to their minimal contact and, in a number of the prisons visited, inmates told the delegation that in the interests of maintaining a modicum of order it would not be in the interests of prison staff to ill-treat prisoners. However, the delegation did receive allegations of harsh treatment by law enforcement officials brought in to quell a disturbance at Amfissa Prison a couple of days prior to the delegation’s visit, on 20 January 2011. Prisoners claimed that following the use of tear gas by law enforcement officials to end the disturbance, they were kept locked in their cells for two days. Further, one prisoner, suspected of being involved in the disturbance, was transferred to Amfissa police station at 12h30 on 20 January. He was apparently kept in an interrogation room until late in the afternoon when he was taken to the local hospital. The following morning he was returned to Amfissa police station for several hours before being transferred to Maladrino Prison. The CPT would like to receive a copy of any report drawn up into the disturbance and to be informed as to the reasons for the above-mentioned prisoner being brought to hospital.