- 64 The permanent staff of the health-care unit consisted of four qualified nurses, including the head nurse, who was in charge of the unit; such a level of qualified nursing resources is also totally inadequate for a prison of this size. The nurses were assisted by five custodial officers working as medical orderlies but who had no health-care qualifications, and three prisoners, who were in charge of medical files. The nurses worked in shifts from 7 a.m. to 1.30 p.m. and from 1.30 p.m. and 7.p.m. At night and during week-ends, only custodial nurses were present. The prison was visited by a dentist twice a week for a total of six hours and by two psychiatrists for a total of twelve hours per week. Given the demand for such care within the prison, the number of dental and psychiatric consultations should also be significantly increased. 117. At Korydallos Female Prison, there was no permanent doctor, but seven visiting doctors, including general practitioners and gynaecologists, attended the prison. Two were coming twice weekly from 9 a.m. until noon and the other five, on a rotation scheme, between 4 p.m. and 11 p.m., ensuring a presence every day of the week. A dentist was present from 9 a.m. until noon on weekdays. However, there were no qualified nurses, only six “custodial nurses”, working in shifts to ensure a permanent presence. The prison can make use of specialists from Korydallos Prison hospital, including psychiatrists, if needed. 118. At Avlona Special Detention Facility for Juveniles, there was no full-time doctor; instead, a general practitioner visited the prison twice a week for two to three hours each time. There was only one trained nurse working in the health-care unit, who was supported by two custodial officers, working as “nurses”. Such low staffing levels are clearly insufficient; a prison which regularly accommodates between 350 and 400 inmates should have the equivalent of a full-time general practitioner as well as several fully qualified nurses. As regards specialist care, a dentist visited twice a week, while a dermatologist and a psychiatrist came once a week for a couple of hours. Transfers to local hospitals appeared to be unnecessarily delayed, even in cases of emergency, as all prisoners had first to be seen by a doctor in a nearby clinic who would thereafter refer the prisoner concerned to hospital. 119. At Diavata Prison, health-care resources had diminished since the CPT’s previous visit in 2011. The full-time doctor had resigned recently, and budgetary constraints meant that the post could not be filled. At the time of the visit, the prison was being attended by two visiting doctors; a general practitioner came once or twice per week, on a pro bono basis, and tried to stay until he had seen all patients, and a specialist for internal medicine came once a week for two to three hours. They were supported by three qualified nurses, two “custodial nurses” and two prisoners, who worked as nursing assistants, mainly dealing with medical files, sorting of medication and cleaning tasks. A night shift was foreseen for the nurses from 8 p.m. to 7 a.m., but often had to be cancelled, if one of the nurses was absent due to leave or illness. A dentist also came once a week for two to three hours. In the CPT’s view, these health-care staffing levels are totally inadequate for a prison with nearly 600 inmates.