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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: The National Administration of Penitentiaries is under process of reviewing and redesigning its medical personnel statute, considering the recommendations of the CPT which requested that all the prison system medical staff be moved under the authority and employment of the Ministry of Health. Following the negative answer received form the Ministry of Health, we are thinking now about an alternative option. Currently, the medical staff is employed by the prison system and centrally subordinated to the headquarters. We are thinking to subordinate them from now on to the Prison Hospitals. Taking into account the above, we welcome any information on this subject from the similar prison organisations, being interested to know how this aspect is addressed by other European countries.
Since November 2011 all prison health care services have been provided by the National Health Service.
If the medical staff is employed by the prison system, please list medical specialties that are provided in the prison system? (e.g. general practice, cardiology, infectious diseases etc.)N/A
Is hospital medical care for the inmates provided in prison hospitals or by the public medical network?National Health Service
If the medical staff is employed by the prison system, what means do you use to attract the staff to work in the prison system? (e.g. financial, non-financial etc.)?N/A
If the medical staff is employed by the prison system, are the benefits (salary + others) for this category of staff more attractive than for the ones in the public medical network?N/A
Ministry of Health
If the medical staff is employed by the prison system, please list medical specialties that are provided in the prison system? (e.g. general practice, cardiology, infectious diseases etc.)---------
Is hospital medical care for the inmates provided in prison hospitals or by the public medical network?By the public medical network
If the medical staff is employed by the prison system, what means do you use to attract the staff to work in the prison system? (e.g. financial, non-financial etc.)?------------
If the medical staff is employed by the prison system, are the benefits (salary + others) for this category of staff more attractive than for the ones in the public medical network?----------
By the prison on a service contract basis.
If the medical staff is employed by the prison system, please list medical specialties that are provided in the prison system? (e.g. general practice, cardiology, infectious diseases etc.)General practice. For specialization we refer and liaise with the National General Hospital.
Is hospital medical care for the inmates provided in prison hospitals or by the public medical network?At the National Hospital.
If the medical staff is employed by the prison system, what means do you use to attract the staff to work in the prison system? (e.g. financial, non-financial etc.)?The Medical Staff is engaged through a contractor and thus are not considered as prison employees.
If the medical staff is employed by the prison system, are the benefits (salary + others) for this category of staff more attractive than for the ones in the public medical network?N/A. Answer to question 4 refers.
Employed by the prison administration or payed by the prison service.
If the medical staff is employed by the prison system, please list medical specialties that are provided in the prison system? (e.g. general practice, cardiology, infectious diseases etc.)General practice, psychiatrists, dentists, and in specific prisons certain specialists.
Is hospital medical care for the inmates provided in prison hospitals or by the public medical network?We have three prison hospitals where we do a limited number of interventions. Cardiology and other rather specialised types of interventions are always carried out in an external hospital. Our prison hospitals permit a soon transfer of the inmate back to the prison service for all of the post-operation care.
If the medical staff is employed by the prison system, what means do you use to attract the staff to work in the prison system? (e.g. financial, non-financial etc.)?We are currently trying to revise the financial conditions in order to stay competitive with the outside world.
If the medical staff is employed by the prison system, are the benefits (salary + others) for this category of staff more attractive than for the ones in the public medical network?No, they are paid by the Prison Service but they don’t have the capacity of civil servant. They work in prison according to the same system that is uses in hospitals in free society.
In Latvia the medical staff providing medical care to the prisoners is employed by the imprisonment place system.
If the medical staff is employed by the prison system, please list medical specialties that are provided in the prison system? (e.g. general practice, cardiology, infectious diseases etc.)Medical specialties that are provided in the treatment facilities of imprisonment places: - Family doctor; - Internist; - Psychiatry; - Child psychiatry; - Narcology; - Pneimonology; - Gynaecology; - Neurology; - Ophthalmology; - Otolaryngology; - Radiology-diagnostics; - Surgeon; - Dermatology – venerology; - Infectology; - Dentist; - Traumatology – orthopaedics; - Paediatrics; - Cardiologist; - Healthcare management doctor.
Is hospital medical care for the inmates provided in prison hospitals or by the public medical network?Medical care for prisoners is provided in prison Medical departments, Latvian Prison Hospital in Olaine prison as well as outside prison in other treatment facilities.
If the medical staff is employed by the prison system, what means do you use to attract the staff to work in the prison system? (e.g. financial, non-financial etc.)?To attract the medical personnel to work in prison system we use financial means – remuneration is higher than in the public sector treatment facilities.
If the medical staff is employed by the prison system, are the benefits (salary + others) for this category of staff more attractive than for the ones in the public medical network?Medical personnel in prison system has higher remuneration than in the public sector treatment facilities (salary + additional pay (supplements) for factors of increased risk, length of service).
Prison system healthcare staff are subordinate to a prison director, on the highest level – to the Ministry of Justice.
If the medical staff is employed by the prison system, please list medical specialties that are provided in the prison system? (e.g. general practice, cardiology, infectious diseases etc.)Healthcare staff employed by prisons and remand prisons: general practitioner, psychiatrist, dentist and nurses. Wider range of healthcare staff are employed in several establishments: pediatrician, infectologist, dermatovenerologist, pulmonologist.
Is hospital medical care for the inmates provided in prison hospitals or by the public medical network?Inpatient (hospital) healthcare services are provided at the Central Prison Hospital, which is subordinate to the Prison Department. Should a patient need healthcare services other than provided by the Central Prison Hospital – the services are provided at the public healthcare institutions (regional or university hospitals).
If the medical staff is employed by the prison system, what means do you use to attract the staff to work in the prison system? (e.g. financial, non-financial etc.)?Flexible working hours and financial benefits. Government resolutions regulate longer paid vacations and reduced working week.
If the medical staff is employed by the prison system, are the benefits (salary + others) for this category of staff more attractive than for the ones in the public medical network?Currently the salary of prison healthcare staff is lower than that of outside medical staff. The ways to increase the salary of prison healthcare staff are being sought.
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The medical staff is employed by the Prison Service (Dept of justice) but are under supervision by the National Board of Health and Welfare (Social ministry)
If the medical staff is employed by the prison system, please list medical specialties that are provided in the prison system? (e.g. general practice, cardiology, infectious diseases etc.)Reg nurses, general practitioner, psychiatrists, psycologists, physiotherapists and a few occupational therapists.
Is hospital medical care for the inmates provided in prison hospitals or by the public medical network?No. The care that needs a hospitals equipment and staff is provided by the the general health care system ( The counties as all other care).
If the medical staff is employed by the prison system, what means do you use to attract the staff to work in the prison system? (e.g. financial, non-financial etc.)?The nurses are employed by the Prison service. The have in average some 100 euro more/month than in the general health care system. Other issues that attract the workforce is more independent work, more responsibility and work only in office hours. The physicians are procured as self-employed.
If the medical staff is employed by the prison system, are the benefits (salary + others) for this category of staff more attractive than for the ones in the public medical network?The benefits are much better. For both physicians and nurses also staffing agencies are used.
Medical staff is employed by the prison service (they are either uniformed or civilian employees).
If the medical staff is employed by the prison system, please list medical specialties that are provided in the prison system? (e.g. general practice, cardiology, infectious diseases etc.)Concerning medical staff of the prison service in the out-patient care, there are mainly general practitioners, psychiatrists, as part-time employees also neurologists, pulmonologists, radiologists, dermato-venearologists, gynaecologists and internists. In prison hospital, there work neurologists, psychiatrists, internists and pulmonologists. In case a kind of specialized health care cannot be provided by prison medical staff, it is ensured either by civil doctors- specialist on the basis of an agreement or via civil medical facilities.
Is hospital medical care for the inmates provided in prison hospitals or by the public medical network?Preferably, in-patient care is provided to inmates in prison hospital (in Trenčín). Only in urgent cases, when due to time reasons it is not possible to escort an inmate to the prison hospital, the inmate is hospitalized in the nearest civil hospital (in such case, prison service ensures guarding of this inmate) and only after stabilisation of his/her health condition this inmate is transferred to the prison hospital.
If the medical staff is employed by the prison system, what means do you use to attract the staff to work in the prison system? (e.g. financial, non-financial etc.)?When speaking about the profession of doctors, the situation in the labour market in Slovakia is unfavourable and thus we don´t succeed to fill all posts of doctors. Despite the intensive effort on the part of the Slovak Prison Service to increase the financial motivation, work in prison health care is generally still non-attractive and financially less remunerated than in civil environment. Due to this, there are many doctors-graduates in service who are in the pre-attestation preparation phase (lasts ca 3,5 – 4 years). However, many of them leave to civil medical facilities after reaching the specialisation. Thus, in prison system remain mainly a group of doctors who have been in the system for a long time and prospectively, they are entitled to (service) retirement pension. There is a small proportion of doctors from other countries. Non-financial benefits (e.g. longer holiday, preventive rehabilitation, in limited extend also provision of accommodation) have no essential effect on filling the posts of doctors.
If the medical staff is employed by the prison system, are the benefits (salary + others) for this category of staff more attractive than for the ones in the public medical network?Generally speaking, despite the effort of the Slovak Prison Service to address the issue of financial remuneration of doctors by higher personal wage supplement, total salaries in civil medical facilities exceed these measures.
Medical staff supporting men and women in prison are employed by National Health Service bodies or contractors to the National Health Service, overseen by the Health Department in England and by the Health Departments of Devolved Administrations in Wales and Scotland
If the medical staff is employed by the prison system, please list medical specialties that are provided in the prison system? (e.g. general practice, cardiology, infectious diseases etc.)n/a
Is hospital medical care for the inmates provided in prison hospitals or by the public medical network?Primary care services are provided in all prisons. Some prisons have specialist residential healthcare centres providing enhanced care but these are not prison hospitals. If required, men and women are transferred to public hospitals under security escort, and may remain in those hospitals under escort if required.
If the medical staff is employed by the prison system, what means do you use to attract the staff to work in the prison system? (e.g. financial, non-financial etc.)?n/a
If the medical staff is employed by the prison system, are the benefits (salary + others) for this category of staff more attractive than for the ones in the public medical network?n/a