- 46 - comments - the CPT trusts that the message contained in paragraph 67 will also be brought to the attention of the Greek Government, including the Minister of Finance (paragraph 67). Health care recommendations - the Greek authorities to urgently re-examine the general state of health care services in prison establishments (paragraph 68); - steps to be taken immediately to reinforce health care staffing levels in order to ensure:    at Domokos Prison, the recruitment of a full-time general practitioner to oversee the delivery of health care services; at Thiva Prison, the recruitment of the equivalent of a full-time general practitioner; at all the prisons visited, apart from Amfissa Prison, the recruitment of additional qualified nurses, at least one of whom should be a qualified mental health nurse (paragraph 71); - the necessary steps to be taken to replace prisoners performing nursing duties with qualified health care staff (paragraph 72); - a senior doctor or nurse manager to be appointed in each prison as the head of health care, with responsibility for managing the health care service and ensuring there is a regular consultation process among the staff (paragraph 73); - the Greek authorities to pursue their efforts to ensure that every newly-arrived prisoner is properly interviewed and physically examined by a medical doctor or by a fully qualified nurse reporting to a doctor, as soon as possible after his admission (paragraph 74); - the Greek authorities to draw up a comprehensive strategy for the provision of assistance to prisoners with drug-related problems and to institute a harm-reduction policy (paragraph 75); - the authorities to institute a practice of carrying out thorough inquiries into deaths in custody to ascertain, inter alia, the cause of death, the facts leading up to the death, including any contributing factors, and whether the death might have been prevented. Further, whenever a person dies in prison (or soon after transfer from prison), an autopsy should be carried out and the prison’s management and medical services should be informed of the outcome (paragraph 76); - an analysis to be undertaken of each death in prison to consider what general lessons may be learned for the prison in which the death occurred and whether in the case of self-inflicted death there are any systemic, nationwide measures that need to be taken (paragraph 76).

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