- 63 4.
Health-care services
a.
introduction
115. In the report on its 2011 visit (paragraph 68), the CPT noted that issues such as staffing,
access to health-care, medical screening upon admission, medical confidentiality and health-care
policy concerning drug abuse, remained problematic and that previous CPT recommendations in
these areas had not been implemented by the Greek authorities. At the time of the 2013 visit, the
situation had not improved and there remains a strong need for an overall review of the provision of
health-care services in prisons.
The long-planned transfer of prison health-care to the Greek national health service has not
yet happened; in the meantime the Ministry of Health and the Ministry of Justice agreed that
doctors from local hospitals visit the prisons in order to provide medical care to the prisoners for a
set number of hours per week.
The CPT reiterates its recommendation that the Greek authorities urgently re-examine
the general state of health-care services in prison establishments. The CPT would also like to
receive information from the Greek authorities with regard to the plans to hand over
responsibility for prison health-care to the national health service.
b.
health-care in general
116. At Korydallos Men’s Prison, the situation as regards health-care resources had deteriorated
significantly since the 2011 visit. The four general practitioner (GP) posts had been abolished, with
the result that not a single full-time doctor worked in the establishment. Instead, a rotation system of
visiting doctors from local clinics had been put in place shortly before the delegation’s visit, with
various general practitioners each attending one morning a week for three hours, giving a total GP
presence of a mere 15 hours per week.68 Such a limited presence of qualified doctors is totally
insufficient to provide adequate health-care to more than 2,300 prisoners. However, at the time of
the visit, not even these 15 hours of presence were guaranteed; the delegation observed that the
scheduled visiting doctors sometimes failed to show up without giving any prior notification.
Further, every two months, a new batch of doctors from another hospital in Athens was scheduled
to assume the task of visiting GP at Korydallos Men’s Prison. Such a system inevitably leads to a
lack of continuity, thereby hindering the ability to provide quality medical care. In the CPT’s view,
it is essential for such a large prison, which in addition serves as the point of entry to the
penitentiary system for many prisoners, to have the equivalent of at least four full-time general
practitioners.
68
In addition, there were three doctors currently still in the process of obtaining their full medical qualifications,
who were coming at irregular intervals (three to four times per months for about six hours each time) to assist
in the provision of medical care. An intern also supported the unit during six hours per week.
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