- 36 Consequently, several bed-bound or patients with physical disabilities still require assistance from other prisoners to ensure that their most basic care needs including washing, toileting and assistance with eating can be met. Urgent steps must be taken to ensure that all nursing care work is undertaken by qualified health care personnel. The CPT reiterates its recommendation that the Greek authorities, and notably the Ministry of Health, take urgent steps to significantly increase the number of qualified health care personnel employed at the Special Health Centre. Further, systems should be put in place to ensure a better coordination and exchange of information between medical staff. 72. As was the case previously, there was still no single comprehensive multi-disciplinary medical record opened and maintained for each prisoner. Doctors tended to write in their own individual daily journals while nursing staff wrote in a separate daily journal. Patients still do not have an individual care plan, and it was not possible to fully understand the chronology of a person’s care given that the information was recorded in a variety of different places. Further the individual entries of the doctors tended to be very brief and did not describe the patients’ care needs. It is high time that an adequate medical records system as well as an individual care plan for each patient be introduced. The CPT reiterates its recommendation that the Greek authorities ensure that a single computerised electronic health record be established for each patient. Further, an individual care plan should be drawn up for each patient. 73. The CPT’s delegation found that the system of medicine dispensing and administration at the Special Health Centre was yet again fundamentally unsafe. The nurses essentially took medicines from their original packages (some of which were unlabelled) and put them in a small envelope which contained only the patient’s name. Nursing staff asserted that they knew which medicines were which on account of their colour. All psychotropic medicines were ground up together to form a fine dust which was then swallowed by the patient in front of the nurse. Each patient had a written record of their medication in the form of an administration sheet, which the nurse transcribed from the doctor’s prescriptions. Review of the administration sheet set out that often there was no start or end date included with the medicines. The CPT reiterates its recommendation that the system of medicine dispensing and administration be reviewed in order to ensure it is both safe and accountable. 74. One patient (HH) met by the delegation was struggling with his daily living needs as he had no forearms and required new prostheses. At the time of the visit, he was paying for another prisoner to assist him which was neither appropriate nor effective; notably, he still has to go to the toilet on his own which was a degrading experience on each occasion. HH needed to be provided with effective assistance for his daily living needs including eating, washing and going to the toilet until such time as new prostheses for his arms could be provided. At the end of the visit, the delegation invoked Article 8, paragraph 5, of the Convention and requested that immediate action be taken to provide HH with new protheses for his arms and that, in the meantime, he be offered the necessary around the clock care to provide for his needs.