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Welcome to the EuroPris Knowledge Management System. The table below shows questions and responses from European National Agencies. Select a question for more information or use the filters on the left to narrow down questions based on Agency or Category.
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Introduction: We are interested in analysing the possibility to move health care for Ministry of Justice to the Ministry of Social Affairs.
Healthcare for prisoners within Northern Ireland is the responsibility of the Department of Health and is managed by the South Eastern Health and Social Care Trust. Primary healthcare including physical and mental health and addiction services are delivered on site within the prison establishments. Secondary healthcare and specialist services are delivered through a range of delivery qualified delivery partners.
Are there nurses, doctors etc. on the spot in the prisons? If yes, then who employed the medical staff (prison or some hospital outside or some special unit)?The South Eastern Health and Social Care Trust have qualified medical staff (General Practitioner doctors and nurses) based within each of the prison establishments. Dentists and opticians hold clinics within prison establishments on a regular basis. All Healthcare staff based in prisons are employed by the South Eastern Health and Social Care Trust.
Is medical care 24/7 available? What is the waiting time for general doctor and for special doctors?Medical care is available 24/7. A nurse is available on site in establishments 24/7 and a GP is available on call during out of hours. The target waiting time to see a GP in prison is within 14 days. Waiting times to see a specialist depends on the type of appointment/assessment required and is usually provided via an outside hospital.
How is the transportation organized? What is the volume of transportation to hospitals?Transportation is generally provided to routine hospital appointments through our Prisoner Escort and Court Custody Service; patients requiring emergency care will be transported by ambulance.
What is the budget for prison health care? Personnel and services? Who is responsible for it and is it fixed? If yes, what happens if there are more expenditures? Who plans the need of the medical service and how it is planned?The budget for prison healthcare stands at around £7 million per annum. This budget was transferred to the Department of Health when the transfer of responsibility of services took place in 2008
The responsibility and accountability for the provision of health care services to prisoners transferred from the SPS to the National Health Service (NHS) in November 2011, these services are now provided by the respective local Health Boards. As part of this transition substance misuse and mental health services, and prison health management information records also transferred from SPS to the NHS. Clinical Staff were transferred from SPS to NHS Boards together with all health budgets.
Are there nurses, doctors etc. on the spot in the prisons? If yes, then who employed the medical staff (prison or some hospital outside or some special unit)?Clinical Staff were transferred from SPS to NHS Boards in November 2011. Clinical staff are available on site within the prisons however staffing arrangements are dependent on local health boards.
Is medical care 24/7 available? What is the waiting time for general doctor and for special doctors?Clinical staff are not on site within the prison 24/7. The Health Board Provision of Healthcare in Prisons (Scotland) Directions 2011 detail the NHS responsibility for the delivery of ‘out of hours’ services in prison. When medical care is required out of hours the prison follows the local out of hours procedure. In relation to waiting times, this information will need to be requested from NHS
How is the transportation organized? What is the volume of transportation to hospitals?If someone is required to be transferred to hospital for treatment then this is requested by NHS to the local Prison Management Team who make the transport arrangements via their local procedure with the escort contractor. In relation to the volume of transportations to hospital, this information will need to be requested from NHS.
What is the budget for prison health care? Personnel and services? Who is responsible for it and is it fixed? If yes, what happens if there are more expenditures? Who plans the need of the medical service and how it is planned?The responsibility and accountability for the provision of health care services to prisoners transferred from the SPS to the National Health Service (NHS) in November 2011, these services are now provided by the respective local Health Boards. As part of this transition substance misuse and mental health services, and prison health management information records also transferred from SPS to the NHS. Clinical Staff were transferred from SPS to NHS Boards together with all health budgets.
Since January 1, 2016 the prisoners' health services have been under jurisdiction of the Ministry of Social Affairs and Health. All prisoners receive their health services provided by the unit called: Health Care Services for Prisoners, also prisoners with foreign origin.
Are there nurses, doctors etc. on the spot in the prisons? If yes, then who employed the medical staff (prison or some hospital outside or some special unit)?Health Care Services for Prisoners has 27 clinics and two hospitals (one for somatic care and one for psychiatric care) which all operate in prisons in all Finland. Besides the psychiatric care all other special health care is purchased by the Unit from the public hospitals or from the private service providers based on the needs.
Is medical care 24/7 available? What is the waiting time for general doctor and for special doctors?The hospitals are operational 24/7. In case of emergencies during the evenings or weekends the patients are sent to public hospitals. All new prisoners are met and checked by a nurse in three days. The Finnish law sets the maximum length of the waiting time.
How is the transportation organized? What is the volume of transportation to hospitals?The Criminal Sanctions Agency organises the transportation if there is no emergency, the Unit pays the costs related to any ambulance transportation.
What is the budget for prison health care? Personnel and services? Who is responsible for it and is it fixed? If yes, what happens if there are more expenditures? Who plans the need of the medical service and how it is planned?The annual budget is set by the Government based on the proposal prepared by the Ministry of Social Affairs and Health. The budget is a fixed amount, however if there are unexpected increases during the budget year the National Institute for Health and Welfare prepares a request for additional budget funding from the Government. If the Government would decline then the National Institute for Health and Welfare would have to fund the gap or the Unit would have to find savings in its operations. The annual budget is appr. 17 million euros.
In prisons in Bulgaria there are medical specialists - nurses and doctors who work in the Medical centres and the hospitals in Sofia and Lovetch prisons. Medical specialist are appointed by the General Directorate "Execution of Sentences" on a labour contract and by the Prison Directors on a civil contract.
Is medical care 24/7 available? What is the waiting time for general doctor and for special doctors?Medical care is ensured 24/7 in both hospitals in Sofia and Lovetch prisons, and in the Medical centres during the work day.
How is the transportation organized? What is the volume of transportation to hospitals?Transport is organized with specialized medical transport (ambulances) in Medical Centres and in both hospitals or with an escort.
What is the budget for prison health care? Personnel and services? Who is responsible for it and is it fixed? If yes, what happens if there are more expenditures? Who plans the need of the medical service and how it is planned?The organisation of health care in prisons is the responsibility of the Belgian Prison Service.
Are there nurses, doctors etc. on the spot in the prisons? If yes, then who employed the medical staff (prison or some hospital outside or some special unit)?The medical staff in prison work under the direct authority of the Central Medical Service of the head-office of the Belgian prison service
Is medical care 24/7 available? What is the waiting time for general doctor and for special doctors?We have 24/7 availability of medical staff in our clinic in Brussels prison. In our other medical centres doctors and nurses are on call. There is no system of medical personnel “on call” in the Belgian prisons (except the above) , most of our doctors are available by telephone on a voluntary basis (not at night as a rule) but in case of an emergency the prison contacts a civil doctor (on call for a specific geographic area) or the A&E service of a civilian hospital in the vicinity of the prison.
How is the transportation organized? What is the volume of transportation to hospitals?In case of a planned intervention the Belgian prison service takes care of the transportation. In case of an emergency a civilian ambulance assisted by the police is contacted. (Hospitalisations(≥ 1 night) : 351 51 % (180) of these hospitalizations began as an urgent referral via the emergency service at the nearest hospital Extractions MED (outpatient care) : 3769
What is the budget for prison health care? Personnel and services? Who is responsible for it and is it fixed? If yes, what happens if there are more expenditures? Who plans the need of the medical service and how it is planned?The budget of the medical service is 19.138.000 EURO. This budget is fixed, in case of more expenditures the government will have to increase the budget. The budget is monitored during the budgetary year at specific intervals. If and when needed extra funds are allocated according to the needs but it is possible that these are’nt made available before the year x+1 The medical budget is planned by the Head office of the Belgian Prison Service.
Nurses, psychologists and physiotherapists are employed by The Prison Service which is an authority in The ministry of Justice. Physicians work as consultants. all Health care staff is under supervision from The National Board for Health and Welfare and The Health and care Inspectorate. Those are authorities in the Ministry of Health.
Are there nurses, doctors etc. on the spot in the prisons? If yes, then who employed the medical staff (prison or some hospital outside or some special unit)?Se above
Is medical care 24/7 available? What is the waiting time for general doctor and for special doctors?Medical care by nurses are provided daytime Monday-Friday (In some larger Remand Prisons even on Saturday. When in need for emergency care the inmates are transported to the general health care system.
How is the transportation organized? What is the volume of transportation to hospitals?The transportation is managed by prison staff or by the National Unit for transportation (who also are responsible for transportation between psychiatric hospitals)
What is the budget for prison health care? Personnel and services? Who is responsible for it and is it fixed? If yes, what happens if there are more expenditures? Who plans the need of the medical service and how it is planned?The budget is on a Regional level and the Head of the Region is also operating manager for the Health care. The needs are planned on a Regional level and we try to have ! nurse/ 50 inmates. On national level the drugs used costs about 3 million euro, other material for medical care about 1 million, nursing staff and psychologists about 6 million euro. The cost for consulting physicians about 150.000 euro. Sorry I have no figures for what laboratory analyses costs. The usage of the general health care system is free for all inmates living in Sweden.
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Since 2009 health care for prisoners has been carried out in the public health network within the Ministry of Health. It is provided by regional health centres, where all citizens are treated on a local level. According to the agreement between the Ministry of Health and the Ministry of Justice, health centres in prisons provide a team made up of a general practitioner and a nurse, a psychiatrist, an addiction centre, a dentist, and a gynaecologist for female convicts. Each prison has room and all the basic conditions, usually an outpatient clinic, where doctors work. The health centre is responsible for the medical equipment of this clinic; the prison only provides the space.
Are there nurses, doctors etc. on the spot in the prisons? If yes, then who employed the medical staff (prison or some hospital outside or some special unit)?The Ministry of Health determines the time spent by individual doctors in prison on the basis of number of inmates in particular prison. The doctor is therefore present in a prison according to the number of prisoners and they are on the payroll of the Ministry of Health. However, there are 14 health professionals (nurses) employed by the Ministry of Justice and they are present in prisons every day except weekends and holidays. Following the instructions of doctors and due to safety measures, they distribute and divide psychiatric therapy and replacement therapy; they make appointments for prisoners for specialist examinations outside the prison and organise prisoner officers to escort them. Together with the regional pharmacy they arrange purchase of medicines and perform other preventive health-care tasks (first aid, ensuring the cleanliness and hygiene of prisoners and accommodation, etc.), which significantly influence prisoners’ health. In Slovenian public health network there is at the hospital in Maribor, Unit for Forensic Psychiatry, where, after the referral of a psychiatrist working in a prison in the framework of a health centre, prisoners (and detainees) are treated for mental disorders at the time of imprisonment (detention) and those, who are suicidal. Prison Administration carries out a 24-hour presence of judicial officers in order to ensure safety at the Unit.
Is medical care 24/7 available? What is the waiting time for general doctor and for special doctors?Public health network with basic health activity is not present 24 hours a day in prisons. In the context of the provision of health care for prisoners and remand prisoners continuous health care is provided by regional health centres in the framework of the public health-care network. They offer healthcare services within the agreed working hours of individual health-care teams in prisons and in the remaining time they provide health care on call by making house calls or in the relevant health centre. In our biggest prison, which holds 600 prisoners, a doctor comes to work for 8 hours each day, but in smaller prisons a doctor is present 2 to 3 times per week for less than 8 hours. Usually there are no waiting periods for prisoners and detainees. When there is an emergency and the doctor is not present at the prison staff call the nearest emergency unit. They usually arrive in 10 or 15 minutes after the call. The arrangement of emergency medical treatment is the same as for any other citizen of the Republic of Slovenia when the emergency response team of the General Emergency Medical Services or the Emergency Centre responds. The Prison Administration regularly reports to the Ministry of Health on any derogations from the agreement on the provision of health care for prisoners and communicates problems and needs arising in the provision of health-care services.
How is the transportation organized? What is the volume of transportation to hospitals?Generally transports to the hospitals or any medical examination outside the prison are provided by Prison Service. Some prisoners could use free exits for medical examinations and use their own transport. The volume is on daily base. In year 2016 218 inmates were hospitalised. 119 of them were safeguarded and 119 were without safeguard. Outside prisons there were 6540 medical examination in the year 2016.
What is the budget for prison health care? Personnel and services? Who is responsible for it and is it fixed? If yes, what happens if there are more expenditures? Who plans the need of the medical service and how it is planned?Prison system does not have any costs concerning the health care except compulsory health insurance for each prisoner.
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Prisoners are provided with free health care (it is paid by the State) in accordance with normative acts; however, if a prisoner so wishes, for his/her own financial means, other kinds of health care are available. From the State budget means for health care, prisoners are provided with: - Health care services according with Cabinet of Ministers Regulation No.1529, adopted 17 December 2013, "Health care organization and financing order" (hereinafter – Regulation No.1529), including emergency medical care, laboratory services, diagnostic examinations, consultations with specialists, treatment manipulations etc. In addition, they are provided with the "green corridor" that is being executed in the country – maximally short time for the necessary diagnostic examinations and consultations in the suspected cases of oncologic illness; - Compensated medications and medical devices according with Cabinet of Ministers Regulation No. 899, adopted 31 October 2006, "Procedures for the Reimbursement of Expenditures for the Acquisition of Medicinal Products and Medical Devices Intended for the Outpatient Medical Treatment" (hereinafter – Regulation No. 899). The order for writing out a prescription is set in the Cabinet of Ministers Regulation No.175, adopted 8 March 2005, "Regulations for Manufacture and Storage of Prescription Forms, as well as Writing out and Storage Prescriptions", and the respective normative act regulation that states the order for writing out prescription electronically in the health information system. According with Section 13.2 of the Regulation No.1529, Ministry of Justice from their budget covers: - For health care services provided to prisoners by medical personnel working in imprisonment place; - Patient payments and patient co–payments for prisoners, who receive health care outside imprisonment place, as well as patient co–payments for compensated medications and medical devices according with normative acts regarding compensating the purchase of medication and medical devices meant for outpatient treatment. At the same time, to provide health care in imprisonment places, from the Latvian Prison Administration budget means are covered the expenses for: - Maintenance of the medical facility in imprisonment place (Medical department) premises; - Medical facility in imprisonment place equipment, including computer hardware, stationary; - Medical devise procurement and maintenance costs; - Medications and medical supplies that are not compensated according with Regulation No.899; - Prisoner transfer and security when transferring prisoner to a treatment facility outside imprisonment place; - Hygiene and anti–epidemic measures; - Disposal of hazardous waste; - Prisoner testing for alcohol and narcotic substance illegal use; - Other costs connected with the operation of medical facility.
Are there nurses, doctors etc. on the spot in the prisons? If yes, then who employed the medical staff (prison or some hospital outside or some special unit)?Currently there are 10 imprisonment places in Latvia. Prisoner health care is carried out in 9 outpatient type medical facilities (prison Medical department) and in the Latvian Prison Hospital. All imprisonment place medical facilities are registered in the Latvian Register of Medical Institutions, as well as all imprisonment place medical facilities are assigned appropriate medical institution codes. In addition, all medical personnel, working in the medical facilities in the imprisonment places are registered in the Register of Medical Practitioners and Medical Support Staff, as well as are certified each in their speciality. All medical facilities of the imprisonment places are evaluated and in accordance with the Cabinet of Ministers Regulation No.60, adopted 20 January 2009, "Regulations Regarding Mandatory Requirements for Medical Treatment Institutions and Their Structural Units" meet the mandatory requirements for medical institutions. Doctors carry out the health care according with their speciality, organize prisoner medical examinations and treatment. Imprisonment place doctors organize prisoner examination and consultations with the respective doctors/specialists in imprisonment places and in medical institutions outside imprisonment places, and after the consultations carry out prisoner treatment. In imprisonment places there work medical staff of different specialities – nurses, doctor assistants, doctors (intern, general practitioner (family doctor), psychiatrist, narcologist, surgeon, traumatolog, dermatovenerolog, radiologist, pneumolog, otolaryngolog, ophthalmolog, neurolog, infectionist, gynaecologist, dentist etc.), as well as radiologist assistants, biomedicine laborants and nurse assistants, thus providing the access to different health care services in imprisonment places. The medical staff in imprisonment places is employed by the Latvian Prison Administration.
Is medical care 24/7 available? What is the waiting time for general doctor and for special doctors?Prisoner receives the imprisonment place outpatient health care service: - After his/her own initiative by turning to imprisonment place doctor, doctor assistant or dentist; - After referral from imprisonment place doctor or doctor assistant. Outpatient health care services for inmates are provided in the Medical department of the imprisonment place or where the prisoner is, during the working hours of the Medical department. Outside the working hours of the Medical department, the emergency medical service brigade carries out the emergency medical care. In the Latvian Prison Hospital the doctor on duty and in the Riga Central Prison Medical department the doctor assistant on duty provides health care services 24 hours a day. Prisoner health care in severe cases generally is provided on the day it is requested, in rare cases – in the next day. Prisoner systematic health care is provided in accordance with imprisonment place medical staff decision or according with the prisoner request. Prisoner systematic treatment personnel reception and health care provision order is set in the Latvian Prison Administration internal regulations No. 1/8–n.–40, signed on 22 December 2015, "Prisoner systematic health care service organization order". Prisoner after submitting a request in accordance with the internal regulations No. 1/8–n.–40 can receive a medical examination by a doctor on average in 1–3 days.
How is the transportation organized? What is the volume of transportation to hospitals?In accordance with Latvian Prison Administration 9 January 2008 instruction No.1/4–125 "On order for sending prisoners for treatment to the Latvian Prion Hospital in Olaine Prison", if the prisoner needs to be urgently transferred to the Latvian Prison Hospital, the health care specialist of the Medical department of the imprisonment place informs the doctor on duty in the Latvian Prison Hospital as well as the person in charge in the Latvian Prison Administration. If it is impossible to provide the necessary health care service in the Latvian Prison Hospital, the assistant on duty, with the agreement from the person in charge in the Latvian Prison Administration, organizes prisoner transport to a treatment facility outside the imprisonment place as well as the security for the prisoner. In the Latvian Prison Hospital in 2016 were treated 734 prisoners, but in the public sector hospitals – 279 prisoners (for the most part in urgent cases, after carrying out the necessary manipulations or when the health condition of the prisoner allows it, the treatment is continued in the Latvian Prison Hospital).
What is the budget for prison health care? Personnel and services? Who is responsible for it and is it fixed? If yes, what happens if there are more expenditures? Who plans the need of the medical service and how it is planned?According with the Law "On State Budget for 2017" and the Minister of Justice 25 August 2017 order No. 1–1/295 "On Ministry of Justice 2017–2019 budget application", and in accordance with the agreed upon maximally admissible State general budget expense amount, the finances was planned for health care expenses. In 2017 the planned expenses for health care amounted to 2 138 251 EUR (including 1 963 073 EUR for the remuneration of Latvian Prison Administration health care personnel).
The Department of Health of Catalonia is the main responsible. The public health system in Catalonia integrates all healthcare providers and also those who work within the penitentiary system. Each prison has a team of primary care physicians (general practitioners), nurses and nursing assistants. a. Organic diseases: They are attended by general practitioners, who also attend the first emergencies. Specialized care is provided in jail by specialists. The specialists depend on the nearest or reference hospital of each prison b. Mental disorders: They are treated in their own penitentiary centers by psychiatrists, psychologists, nurses and occupational therapists, who depend on one central Mental Health Hospital. c. Patients who need hospitalization, for all Catalan prisons: a) For organic illness, a central penitentiary hospital, which is a wing in a largest hospital in Terrassa city, and, 2) For mental disorders, a psychiatrist penitentiary hospital, which is inside a penitentiary facilities.
Are there nurses, doctors etc. on the spot in the prisons? If yes, then who employed the medical staff (prison or some hospital outside or some special unit)?Health professionals are NOT hired by the prison services. They are hired by various health organizations, financed by the Catalan Health Service (SCS).
Is medical care 24/7 available? What is the waiting time for general doctor and for special doctors?Penitentiary health professionals provide 24 hours a day's attention 365 days per year. Primary care is immediate. Specialists, usually, visit the jail once a week (it depends of services). In the event of an important medical emergency, ordinary emergency services enter into prison. The urgent organic cases that must be hospitalized are transferred to the hospital closest to the prison.
How is the transportation organized? What is the volume of transportation to hospitals?For regular assistance (medical test, hospital visits, etc.), the transport is in ordinary police van. For assistance in which the inmate requires it, the transport is ambulance. Volume of transfers to hospitals last year 2016: There were 9.717 transfers of 3.667 interns (approximately, 2 transfers per inmate). (The average penitentiary population in 2016 was 8.746 inmates out of a total of 14.147 inmates who passed through all the Catalan prisons).
What is the budget for prison health care? Personnel and services? Who is responsible for it and is it fixed? If yes, what happens if there are more expenditures? Who plans the need of the medical service and how it is planned?In 2016, the budget for primary care (first level) was € 21.5 million + € 8 million in antiretroviral treatments. We do not have other expenditure data. They are available only from the Catalan Health Service. Among them, the costs for specialist (second level care) + the cost of 2 hospitals (the organic and the psychiatric). Each health service in each prison works with an annual budget that, if exceeded, reflects a deficit. But, in necessary cases, this is assumed. The planning is the responsibility of the Health Penitentiary Program + Catalan Health Service, with the participation of the Justice Department (DGSPR).
Health care of prisoners is provided in prison and penitentiary clinics. When there is a need for specialized medical examinations or hospital treatment prisoners are referred to Prison Hospital in Zagreb. In cases of urgency or inability to arrange and conduct specialist medical examinations at the Prison Hospital in Zagreb, prisoners are referred to public health institutions. Care level, measures and activities of health care by its quality and scope are aligned with the regulations of public health for insured persons from mandatory health insurance. Pursuant to a contract with the Croatian National Institute of Public Health prisoners who have valid health insurance can also be treated in the public health care practitioners and in clinics at the headquarters of prisons and penitentiaries. Medicines are prescribed to prisoners from the basic list of medicines of the Croatian Institute for Health Insurance within the scope of mandatory health insurance. Article 7, paragraph 1, item 28 of the Obligatory Health Insurance Act (Official Gazette no 80/13) prescribes the basis of mandatory health insurance for resident or permanent habitant in the Republic of Croatia who have been deprived of their liberty by a court decision and are located in the organizational units of the Ministry of Justice, according to the Ministry of Justice's application. This way every prisoner who is a Croatian citizen or a person with a permanent residence in the Republic of Croatia (regardless of status) will be provided with health insurance while being in the penitentiary body. This does not apply to foreign nationals. The Ministry of Justice is responsible for providing health care to prisoners and the ministry responsible for health care carries out the supervision of providing health care to prisoners.
Are there nurses, doctors etc. on the spot in the prisons? If yes, then who employed the medical staff (prison or some hospital outside or some special unit)?Each criminal body has its medical staff formed from the Ministry of Justice officials. In the Decree on the Internal Organization of the Ministry of Justice workplaces are established in prison clinics and at the Prison Hospital. In smaller criminal bodies there are only nurses / technicians, while in addition to them there are also doctors. The problem of lack of doctors (in criminal bodies where the Decree is foreseen and in criminal bodies where not foreseen) is to be solved by the involvement of a public health practitioner under the work contract.
Is medical care 24/7 available? What is the waiting time for general doctor and for special doctors?Medical assistance is not available 24 hours a day. Prisoner must be examined by a doctor within twenty-four hours of being admitted to the penitentiary body. Prisoner will be examined without delay at the request of the prisoner or on the basis of health problems detected during the reception. An identical survey is also required when leaving the institution. A prisoner has the right to seek medical examination by a specialist if such examination has not been prescribed by prison physician. If medical specialist finds that he or she has no illness or no new knowledge of the illness, the cost of this examination is payed by prisoner. Pregnant detainees, as well as prisoners with a child who were born while serving prison sentences are provided with complete health care related to pregnancy, childbirth and motherhood. The pregnant woman will be moved to the maternity department six weeks before she is delivered, and if such department doesn't exist, she will be sent to prison where such department exists or in the nearest specialized health institution. Delivery is performed in a specialized healthcare facility. Pregnant women will be provided with regular specialist examinations and a birth at a public health institution. An examination at a specialist's doctor is arranged and organized in a specialist health clinics. Waiting for it depends on waiting lists in public healthcare, although through engaging medical staff in criminal bodies, prisoners often get a specialist examination before they would have as they were free.
How is the transportation organized? What is the volume of transportation to hospitals?When a prisoner needs to be taken to a health institution outside the prison system, the transport of prisoners is organized in such way that the prisoner is usually carried out by the officers of the Security Department (judicial police) in a special vehicle (for the transport of prisoners). In cases involving urgent medical intervention an emergency medical aid is requested and , if necessary, tranportation is carried out by an own vehicle to a health institution accompanied by an official of the Security Department (judicial police). When dealing with numbers of transports to hospitals during one year (data for the year 2016) 3,259 were carried out at the Prison Hospital in Zagreb and 10,728 were carried out in the health care institutions.
What is the budget for prison health care? Personnel and services? Who is responsible for it and is it fixed? If yes, what happens if there are more expenditures? Who plans the need of the medical service and how it is planned?Budget for criminal bodies has two parts which finance health care for prisoners- referring to the health care of prisoners and the salaries of health care officers: - budget for health care of prisoners is in the amount of HRK 900.000,00 in 2017. - The salaries of the health care department officers are planned and paid together with the salaries of all Prison System Directorate officers (total of about 2,600 employees). The penal bodies, together with the Prison System Directorate, arrange budget (necessary funds) for the health care of prisoners. In the case of higher costs than planned, the budget funds are reviewed and implemented. The health care of prisoners and the conditions in which they are performed are prescribed by law and statute.
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The Norwegian Correctional Service is organized after “the import model'. This means that prisons do not have their own staff delivering for example medical, clerical educational, employment, social or library services. These services are imported from the local community. For example: Doctors who practice medicine in prisons are paid and hired by the local health authorities, not the correctional service. The responsibility of the Correctional Service in providing these types of services is regulated through the Execution of Sentences Act § 4 (Administrative cooperation).
Are there nurses, doctors etc. on the spot in the prisons? If yes, then who employed the medical staff (prison or some hospital outside or some special unit)?Medical staff is on the spot in the prisons. Frequency and opening hours vary according to the number of inmates at the unit. The medical staff is employed by the health authorities (see question 1)
Is medical care 24/7 available? What is the waiting time for general doctor and for special doctors?If an inmate falls seriously ill when the prison medical staff not is present, it is the responsibility of the local emergency room to provide medical care. The inmates consequently have access to medical care 24/7 when needed. The waiting time for appointment for general doctor and for special doctors will vary.
How is the transportation organized? What is the volume of transportation to hospitals?Prison staff will, unless security measures or the condition of the inmate predicts otherwise, transport the inmate to hospital. If security or the medical condition contradict taking the inmate to the emergency room, medical staff will come to the prison. We do not have any overall statistics on the frequency of transport to hospitals.
What is the budget for prison health care? Personnel and services? Who is responsible for it and is it fixed? If yes, what happens if there are more expenditures? Who plans the need of the medical service and how it is planned?This is the responsibility of the health authorities. See question 1