- 52 4.
Health-care services
a.
introduction
148. The provision of a satisfactory level of health-care in a prison is always a demanding task;
and when the prison concerned is overcrowded, unhygienic and has very few regime activities, that
task is rendered all the more difficult. The physical and psychological well-being of a prisoner already at risk by virtue of the very fact of incarceration - will be further prejudiced under such
conditions. The health-care services of the prison will tend to become overwhelmed by day-to-day
requests for medical attention and have no time to pursue a health policy of a preventive nature.
In the following paragraphs, a certain number of deficiencies in the medical services of the
prison establishments visited will be highlighted. However, a satisfactory level of health care will
almost certainly remain unattainable until such time as the general problems of overcrowding, poor
hygiene and inadequate regime activities are resolved.
149. It should also be emphasised at the outset that staffing levels in the health-care services of
the establishments visited were quite inadequate (and, moreover, conspicuously failed to conform
with the rules on health care personnel resources set out in Rule 30 of the Code of basic rules for the
treatment of prisoners).
The Director General of Greek Prisons informed the delegation that Act No. 1968/91
provided for incentives designed to attract medical and nursing staff to the prison service. The CPT
would like to know whether this Act has achieved the desired effect and receive information
on any other measures envisaged in this area.
b.
health-care services in the prisons visited
i.
staff and facilities
150. The health-care service at Korydallos Mens Prison consisted of a head doctor (a general
practitioner), who said he attended the establishment two days a week, and three other part-time
doctors (one general practitioner and two psychiatrists). The general practitioners provided a
surgery on Monday (morning), Wednesday (morning and afternoon) and Friday (morning), and the
psychiatrists each came to the prison twice a week. Further, a dermatologist provided consultations
once a week and other specialists visited the prison from time to time. However, there was no
dentist appointed to the prison at the time of the delegation's visit. The doctors were assisted by a
prison officer who had received nursing training and six other officers who had received some
health-care training in-house.
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