New Publication – SPT Health-Care Checklist for NPMs

“The availability and the quality of health-care in prisons are crucial indicators in assessing the risk of cruel, inhuman and degrading treatment, and even torture.

National preventive mechanisms should ensure that they cover health-care issues comprehensively in order to fulfil their preventive mandate. The checklist … is recommended as a self-assessment tool to remind national preventive mechanisms of the critical health issues that they should consider in their evaluations of places of deprivation of liberty. The checklist is expected to reveal a general pattern of health-care issues that are, or are not, being addressed in their visit reports.”

National preventive mechanism checklist on health-care issues relating to the monitoring of places of detention (UN Doc. CAT/OP/7), published by the UN Subcommittee on Prevention of Torture 24 May 2019 (§2-3).  

Healthcare by Marco Verch (trendingtopics) 2019.

The SPT’s newly-published checklist breaks the issue of health-care down into eight specific areas. At just 3 or so pages in length, the resource can be easily used in practice. According to the checklist, NPMs (or other monitors for that matter) should ideally examine the following areas when visiting any given detention facility:

  • Admission procedures;
  • Files and records;
  • General health services;
  • Mental health services;
  • Health staff;
  • Sensitivity and professional ethics;
  • Practice;
  • And prison health environment.

The above focus on ‘health staff’ is especially interesting, as the checklist queries whether staff have been trained on the documentation of torture as well as on key instruments such as the Istanbul Protocol, UN Convention against Torture, San Jose Guidelines and the Nelson Mandela Rules.

The stated overall objectives of this internal checklist are to:

“(a) Remind national preventive mechanisms of the important health-care issues that need to be noted during their visits;

(b) Identify gaps in the capacity of national preventive mechanisms to monitor health aspects of torture prevention and, if necessary, strengthen their health expertise.”

The SPT authors of this helpful resource stress that the checklist is designed for internal use only and not as an instrument for assessing actual conditions in places of detention. As such, NPMs are encouraged to design their own health-care assessment tools for use in monitoring places of detention, which certain monitoring bodies have done so.

If readers can recommend any monitoring tools specifically on health-care, please do let us know. We would be very happy to hear from you.


Download the NPM health-care checklist in English.

Consult the SPT’s other resources for NPMs.

Read Professor Juan E. Méndez’ (2019) article ‘Right to a Healthy Prison Environment: Health Care in Custody Under the Prism of Torture’. 

View Penal Reform International’s Mental health in prisons: A short guide for prison staff.