- 48 78. In light of the fact that Nafplio Prison has offered no activities since the end of 2012 and has no space in which to offer education, work or vocational programmes, the CPT considers that the four dormitories in C wing should be converted into workshops and classrooms. While this would reduce the official capacity to 216 (72 cells x 3 persons), it would provide adequate space for a range of activities to be organised. The CPT has repeatedly stated that prisoners should not spend their days in idleness but be offered a full range of programmes to prepare them for their return to the community. The warehousing approach at Nafplio Prison should be ended and a proper regime of purposeful activities put in place. The CPT recommends that the Greek authorities give due consideration to the above proposal and that a full programme of activities (work, vocation, recreation, sports) be introduced. If the closing down of all four dormitories is not considered feasible, the CPT wishes to be informed of the alternative measures being taken to provide prisoners with purposeful activities. 4. Health-care services 79. In its previous reports, the CPT has urged the Greek authorities to re-examine the general state of health-care services in prison establishments given the widespread deficiencies regarding access to health care, medical screening upon admission, medical confidentiality and health-care policy regarding drug abuse. These problematic issues are compounded by the severe shortage of health-care staff in the prisons and the complete lack of integrated management of health-care services. The situation found in 2015 clearly demonstrated that there had been no improvement since the previous visits in 2011 and 2013, and that in certain establishments the situation was worse. The CPT considers that the Ministries of Justice and Health need to carry out jointly a thorough audit of health-care services in prisons within six months to determine what is required in terms of staff resources and facilities. Further, they should put in place a proper management structure and clear care protocols as well as a rigorous inspection system. Moreover, the CPT considers that greater involvement of the Ministry of Health in the provision of prison health-care services and in promoting proper through-care is essential. In their communication of 30 June 2015, the Ministry of Justice informed the CPT that a working group had been formed to improve health-care and psychiatric provisions for prisoners in cooperation with the Ministry of Health. Further, a committee was actively working on the integration of Korydallos Prison Hospital and Psychiatric Hospital into the National Health System (E.S.Y.). The CPT welcomes these steps and, as part of this process, it recommends that the Ministries of Justice and Health jointly review the state of health-care services in prison establishments and draw up a detailed plan to ensure that prisons meet the general principle of equivalence of care.54 A copy of the plan should be provided to the CPT by the end of January 2016 at the latest. 54 A prison health-care service should be able to provide medical treatment and nursing care, as well as appropriate diets, physiotherapy, rehabilitation or any other necessary special facility, in conditions comparable to those enjoyed by patients in the wider community. Provision of medical, nursing and technical staff, as well as premises, installations and equipment, should be geared up accordingly.

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