Healthcare There was a pool of doctors who were rotated once a month, but the nurses were permanent staff. There were no women doctors but healthcare staff said they would refer outside if a woman wanted to see a female doctor. There was a dietician and emergency services were apparently close. Doctors said they were seeing 30-40 patients a day. Food samples were kept for 72 hours to help manage cases of contamination and outbreaks. There were sinks on the way into the canteen. We spoke to a woman on the families’ unit who was six months pregnant. She said she had seen a doctor about pain in her abdomen but had not seen a gynaecologist. She said she was not allowed to speak on the phone as she was suspected of links to terrorism. On the suspected terrorist unit, we saw an elderly man in a wheelchair. He had heart disease and said he had been seen by a doctor. He said he had been given considerable help by the director. He had problems in getting to the hospital and his main concern was accessing the doctor more. Another man on the same unit said he had gunshot pieces in his body and had not seen a doctor for three months. He was meant to have surgery outside but it did not happen because of his detention. This case was raised by the NPM. We met one of the two psychologists who said that she and her colleague saw 10-15 people a day for an initial interview, with follow-up work undertaken where required. If there were needs they could not deal with, detainees were referred to outside psychiatric services. The psychologist said that they could ask to prioritise people for removal if they had psychological problems, and also recommend them for release if they felt detention was harmful. There were no figures on releases for such reasons. The psychologist said that five currently detained men had attempted suicide, and she was working with three of these patients herself. As well as the stress of detention, some men were withdrawing from drugs. She had seen some behavioural disorder in children, especially younger children who had been in the centre for some time. The NPM asked the psychologist about support for LGBTI detainees. She said that her colleague followed up such referrals and that they were prioritised for release. She knew of one case, when an LGBTI detainee who had a passport was released and given 30 days to leave the country. The NPM asked the director about disabled or elderly people; he said there was one detainee with speech problems, but no others with disabilities. There were two larger rooms for disabled people in the vulnerable families' unit. Activities for adults The director said it was hard to deliver formal education given the short lengths of stay and language problems. There were no Turkish classes as there had been no requests according to the director.There was a new sports hall where basketball, football and table tennis were played. There was a handicraft course for women. There was a mobile library service and we were told it had 1,300 books in 18 languages. The director said all detainees could have a minimum of one hour in the open air each day in the enclosed yard. They were not allowed to smoke inside rooms but there was a smoking room on each floor. We did not smell smoke as we visited the units. 15