- 63 131. The findings of the delegation in the course of the visit highlighted, once again, the fact that in
all the establishments visited, apart from Thessaloniki Prison, there was a lack of coordination and
consultation among the various medical staff. It was particularly evident that visiting psychiatrists were
not engaging with the wider primary health care team82. The smooth operation of a health care service
presupposes that doctors and nursing staff are able to meet regularly and to form a working team under
the authority of a senior doctor in charge of the service. The CPT recommends that in each prison a
senior doctor be appointed 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.
132. In the course of the visit, the CPT’s delegation met a number of recently graduated doctors
who were carrying out their residencies as prison doctors. These doctors were carrying out their
functions despite having had no prior experience or training on working in a prison setting, nor did
they have any reference to doctors in other prisons or receive any supervision from more
experienced colleagues. The fact that they were employed directly by the Ministry of Health and
were linked to a hospital in the community was positive. Nevertheless, steps should be taken to
develop a coherent health care service for prisons with best practice from one prison being
replicated across the prison service, and prison health care staff being provided with the appropriate
training and support by the Ministry of Health. The CPT recommends that the Greek authorities
take the necessary steps to provide appropriate training and support to doctors working in
prisons, in light of the above remarks.
133. Finally, the CPT was concerned to learn that the full-time dentist at Korydallos Women’s
Remand Prison was unable to undertake even the most basic of procedures, including extractions or
fillings, because the prison authorities would not provide funding for the sterilisation of the dental
equipment. The CPT recommends that immediate action be taken to ensure that the necessary
sterilisation is provided for.
82
In several prisons it was also observed that there was an absence of psychiatric notes and a lack of narrative in
respect of mental health problems within prisoners’ individual health-care files.
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