- 35 68. In the light of the above remarks, the CPT calls upon the Greek authorities to draw up a comprehensive strategy for the provision of assistance to prisoners with drug-related problems, as part of a national strategy concerning substance use. Within this national approach, the Committee recommends that OKANA should be able to offer opioid agonist therapy in prisons and that sufficient interpretation services be made available to support the work of the psychiatrists and psychologists. Further, the number of counsellors working for KETHEA should be increased. In addition, the CPT recommends that the Greek authorities start compiling statistics on substance use among prisoners in order to gauge more accurately the needs and the extent of the problem and thereby better identify the measures required to tackle it. b. Korydallos Prison Special Health Centre 69. The CPT’s delegation undertook a follow-up visit to the Special Health Centre to evaluate whether the quality of treatment for patients had improved since the 2019 visit, and to see to what extent the Centre had been transformed into a professional care-oriented medical facility. 70. A positive development related to the reduction in the number of patients from 191 in 2019 to 85 at the time of the 2021 visit, with those HIV positive prisoners previously accommodated within the Special Health Centre now being located across the prison system as the CPT had recommended. Nevertheless, the official capacity was still 253 places and patients’ rooms remained rather cramped as the excess beds (around half in each room) had not been removed. In general, the patient rooms were clean and tidy, with good access to natural light and ventilation. The mattresses had been replaced since 2019 and the bedding was clean. On the other hand, the washing and toilet areas on each floor were still in a poor state of repair (missing windowpanes, no showerheads). 71. There had also been an improvement in the medical staffing presence, with the number of resident doctors up from seven to 13.38 They were present on weekdays from 7h00 to 13h45, and a separate duty resident doctor covered the hours of 15h00 to 7h00 and weekends. In addition, there were 14 visiting specialists (psychiatrists, dermatologists, an ophthalmologist, a cardiologist and an ear, nose and throat surgeon). However, there was still a lack of formal process in exchanging information on patients between the specialists and the treating doctors, and much depended on the individual relationships between doctors. On the other hand, the nursing complement of ten permanent staff remained far too low, exacerbated by the fact that two of the nurses were suspended as they had been unwilling to take the Covid-19 vaccination. In practice, this resulted in two nurses on duty during the day (7h00 to 13h00), one nurse on duty in the afternoon (13h00 to 19h00) and one nurse on duty at night (19h00 to 7h00), who also has to provide cover for the Korydallos Men’s and Women’s Prisons as well as the psychiatric hospital. Such provision is clearly insufficient to meet the needs of the hospital and, indeed, the delegation noted that the nurses spent most of their time occupied with the administration of medication only. 38 They include two GPs, a urologist, a radiologist, a dentist, two microbiologists and a psychiatrist, with six employed by the Ministry of Citizens Protection and seven by the National Health Service.