- 60 The CPT calls upon the Greek authorities to carry out a detailed needs assessment in respect of Korydallos Men’s Prison, to determine the establishment’s requirements in terms of health care staff. As a guideline, the CPT would expect a remand prison of this size to employ the equivalent of at least five full-time general practitioners and some 30 to 35 nurses (several of whom should have mental health training), and to benefit from the full range of visiting specialist medical practitioners. 127. At Korydallos Women’s Remand Prison, there is no full-time doctor but a system of duty doctors working in shifts between 16h00 and 07h00 every day, although at the time of the visit there was no duty doctor available (apparently, budget cuts have resulted in certain shifts not being covered). A variety of specialists visit the prison every week (dentist, dermatologist, cardiologist, gynaecologist, urologist, orthopaedic surgeon, psychiatrist). There are, however, no trained nurses; nursing duties are performed by a number of prison officers acting as medical orderlies and a couple of inmates. At Amfissa Prison, a rural doctor (that is a recently qualified doctor undertaking a one year residency outside of a major urban area) attended the prison five days a week from 08h00 to 14h00. He is supported by three nurses, two of whom are prison officers with two years of training at nursing school; at least one nurse is present between 07h00 and 21h00, and at night one of them is on call. Three inmates assist the nurses in recording the medication in the register and with its distribution, as well as with cleaning duties. The current situation might be considered on the whole as adequate; however, in practice the health care service was not functioning (for example, poor access to the doctor, confidentiality not respected, medical files kept in the administration offices, no care provided to prisoners with drug problems). The situation at Chios Prison has improved since the 2005 visit following the appointment of a rural doctor who visits the prison three times a week. With the support of a prison officer and an inmate, the current doctor was providing a good basic service, despite only limited resources. Prisoners with deteriorating mental health problems are referred to the psychiatrist in Chios Hospital. However, the absence of qualified nursing staff represents a serious lacuna. At Malandrino Prison, there is one full-time general practitioner and four nurses, with the four vacant nurse positions filled by prison officers possessing some practical training. Two inmates also work in the health care centre distributing medication and cleaning. There is no visiting psychiatrist and the post of dentist is vacant; indeed, at the time of the visit some 100 prisoners were on the list to see the visiting dentist, who was contracted to examine seven patients a week. At Patras Prison, there is one full-time general practitioner (on long-term sick leave at the time of the visit) with another two doctors visiting the prison twice a week; two dentists also visit the prison twice a week. However, at the time of the visit, there was only one qualified nurse supported by four prison officers with some nursing experience. Further, the position of a psychiatrist was vacant. At Thessaloniki Prison, the health care team consists of one full-time doctor supported by a general practitioner, a psychiatrist and a dentist, all of whom visited two to three times per week. The five nurses work in shifts between 07h30 and 01h00 and are supported by two prisoners working as nursing assistants.