- 30 55. The lack of staffing resources does not only concern custodial officers but also other posts such as administrative personnel, social workers and psychologists, as well as external perimeter guards. All the prisons were severely understaffed in these areas. For example, there was no social worker or psychologist working at Corfu, Chios and Kos Prisons which clearly has an impact on preparations for returning to the community, contacts with the outside world and other welfare needs of prisoners. Moreover, the inability for the prison administration to provide information to prisoners and answer their requests in a timely fashion has an impact on the good order within an establishment. The delegation noted that some prisons had to use inmates for maintaining security equipment and assisting with financial accounting operations due to lack of qualified staff. The CPT recommends that the Greek authorities take steps to fill the vacant staff posts in the prisons, with a particular emphasis on ensuring that every prison has an appropriate input of social workers and psychologists. 5. Health care a. health care services in prison 56. The widespread deficiencies identified by the CPT during its previous visits regarding the state of health care services in prisons were again evident during the 2021 visit. Problematic issues such as access to health care, medical screening upon arrival, medical confidentiality and health care policy regarding substance misuse are all compounded by the persistent severe shortage of health care staff and the continued lack of integrated management of health care services. The CPT noted that a cooperation programme between the Greek authorities and the Council of Europe to support health care in prisons resulted in a number of protocols, guidelines and a manual being drawn up and a series of training sessions being initiated. They represent a welcome start, but much more fundamental action is required if prisons are to be in a position to provide an equality of care to persons in prison. 57. As regards health care staffing, at Chios Prison, a rural doctor visited the prison two to three mornings a week. She was supported by a clerical assistant and a custodial officer, who was responsible for the preparation of all medication to be dispensed by other officers. The delegation found that the doctor was carrying out her tasks professionally but needs to be supported by a nurse. At Corfu Prison, a doctor visited the prison twice a week for a total of eight hours supported by one full-time nurse; however, the doctor was leaving the island to work in Athens and the nurse was expected to be absent for personal reasons for the whole of 2022, with no replacements in place. A dentist also visited twice a week for a total of five hours. However, there was no visiting psychiatrist (around 10 consultations per month took place in the local hospital), nor any psychologist input. Consequently, the health care service was effectively being managed by the two custodial officers, who were present during doctor consultations and who had access to all medical records. Such health care staffing resources are totally inadequate for the needs of more than 220 prisoners.