A/HRC/37/50/Add.2 affiliated to the Ministry of Justice until 2009, is started to be provided by the Ministry of Health, within the scope of the universal healthcare system as per the provisions of the Protocol on the Regulation of the Health Care in the Penitentiary Institutions signed between the Ministry of Health and the Ministry of Justice. 67. Currently, healthcare is provided by the family doctors and dentists in line with the provisions of the Protocol entered into force on 30/04/2009 at all penitentiary institutions. 68. The aforementioned Protocol aims to provide better, effective and efficient healthcare to all the convicts and detainees placed in the penitentiary institutions. It also aims to address the issues in the follow-up of the treatments of the convicts and detainees; to decrease the number of referrals to hospitals and to increase the quality standards in healthcare provided in the penitentiary institutions. 69. The District Policlinics within the Campuses of Ankara-Sincan, İstanbul-Silivri, İstanbul-Maltepe and İzmir-Aliağa Penitentiary Institutions provide inpatient treatment services in the status of a hospital directly attached to the Ministry of Health, and the treatment and care of the convicts and detainees are carried out in these policlinics upon the decision of physicians. 70. As per the Article 5 of the aforementioned Protocol, in every institution even those which are constituent parts of large penitentiary campuses having 1.000 and more detainees and convicts, the health care services are provided by family doctors. Healthcare is provided with the support of the physicians for 5 full days in a week in the institutions having more than 1.000 detainees, convicts and personnel, for 5 half days in the institutions having 500-1000 detainees, convicts and personnel and for 2 half days in the institutions having less than 500 detainees, convicts and personnel. 71. Dental services in the penitentiary institutions are provided in the dental units within the penitentiary institutions by the dentists appointed by the relevant healthcare organizations. 72. On the other hand, psychologists and social workers serving in the psycho-social assistance units operating within the penitentiary institutions carry out research and protective studies for mental and physical health of convicts and detainees and make necessary interventions during their service. In this context, 4 psychologists and 1 social worker have been working in D-Type closed prison in Diyarbakir, in order to provide psychological support to the convicts and detainees. 73. As to the claims in Paragraph 50 in connection with “inmates’ transfer to hospital and access to the required medical care” the Government would like to submit the following information. 74. First examination and treatment for the protection of the physical and mental health of the convicts and detainees as well as the diagnosis of the diseases services are provided in the institution; diseases which require more examination, treatment and rehabilitation are referred to public hospitals, the ones which require further medical services are referred to university hospitals. These decisions are made without any discrimination according to the doctor’s judgement as per the medical requirements. 75. As mentioned before, all necessary examinations and treatments are free of charge and under state guarantee. Referral of the convicts and the detainees to the hospital is provided by the corps of Gendarmerie based on the physician’s decision. 10 76. However; in case of a sudden illness of the convicts and detainees, 112 77. Emergency Room is informed immediately and patients are referred to the hospital.