Question 12618 — places of deprivation of liberty

Summary

Mr. Christophe Marion draws the attention of the Keeper of the Seals, Minister of Justice, to the conclusions of information report no. 2317 of the National Assembly on transfers and extractions. This report highlights the scale and limits of the use of extractions, with more than 260,000 extractions and transfers in 2024, or more than 700 daily movements of detained people outside penitentiary establishments. He also recalls that these operations massively mobilize internal security forces and the prison administration, expose staff and detained persons to significant risks and contribute to a structural disorganization of services, in a context of chronic staffing tension, as tragically illustrated by the tragedy of Incarville in May 2024. With regard specifically to medical extractions, the The report emphasizes that they are “particularly expensive in terms of personnel” and “sources of significant risks” and clearly states the strategic objective of strengthening health care in detention in order to avoid avoidable extractions. It thus establishes the guiding principle consisting of “bringing solutions into prison rather than taking prisoners out”, by developing the capacities of health units in the environment. penitentiary (USMP). In this perspective, recommendation no. 19 of the report explicitly calls for strengthening the development of telemedicine in prison environments by relying on regional health agencies (ARS), in order to overcome the territorial disparities observed. Among the medical procedures generating a significant volume of extractions are ultrasound examinations, which can represent, depending on the establishment, several dozen, even more than a hundred extractions per year and per site. In this context, the MP also wishes to know whether the Ministry of Justice is ready to strengthen the coordination of its services, in particular the prison administration and the regional health agencies (ARS), with a view to supporting the experimentation of innovative telemedicine solutions, beyond the systems already deployed, particularly in terms of of remote medical imaging, directly contributing to staff safety, continuity of care and the rationalization of public resources.

Machine translation from French. The official text remains authoritative.

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