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This is a question of fact in your particular circumstances. In some systems it is the doctor who makes the final decision about transfers to hospital, use of special rooms or cells, allocation of extra supervision and change of regime activities for prisoners under their care. In other systems, the doctor merely advises the prison director on what is needed. In yet others, the doctor will only become involved when the prison staff choose to allow this.
The ideal situation is one in which your position is clear in advance - and preferably that you have the power to make final decisions, taking into account any advice which the staff may offer in a particular case.
Have medical staff any contribution to make in proposing changes which might reduce the incidence of self-harm in an establishment?
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