Spain
Capital city — Madrid
Latest updates
Ministry in charge
- Ministry for the Interior
- Ministry for Health (in Catalonia and the Basque Country)
Social organisations are campaigning for the responsibility for healthcare to be transferred to the Autonomous Communities. This would facilitate the co-ordination of healthcare programmes (transfer of medical records, continuity of care, etc.). Legislation enacted in 2003 would allow this transfer to take place, however this has only happened in Catalonia and the Basque Country.
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On 29 November 2023, the Association for Human Rights in Andalusia (APDHA) requested the transfer of healthcare responsibilities to the autonomous communities, as provided for by law in 2003.
The prison staff is represented by (a) union(s)
The two main trade unions are:
- The Association of Penitentiary Administration (ACAIP), the most influential organisation
- The Professional Association of Prison Officers (APFP)
Several prison unions have denounced their working conditions, particularly with regard to violence, understaffing and lack of security means. They have also been critical for several years of the lack of dialogue with the authorities to improve their working conditions.
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The unions ACAIP-UGT and CSIF criticised the poor working conditions for staff at Puerto III due to staff shortages. They called for prison management to re-establish communication with staff representatives.
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Several unions (CCOO, CSIF, APFP, ACAIP-UGT) have denounced two assaults at Logroño and Badajoz facilities. The union ACAIP-UGT says this figure is significantly lower than the reality of the situation. It called for the acceleration of the revision process of Article 80 of the General Law for Prison Organisation (Ley Orgánica General Penitenciaria). The unions want prison staff to be seen as authority figures.
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In February 2023, prison service unions requested the reclassification of Spanish prisons, as well as changes to the organisational model and working conditions. The ACAIP-UGT has condemned staff shortages, estimating the need for 4,000 additional workers in state-run prisons.
Prison density
73.7 %
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Puerto III is the most overpopulated facility of the prisons managed by SGIP. 1,300 people are held there despite an operational capacity of 1,008 people. This level of overpopulation leads to incidents and security issues.
There is an effective separation between men and women
Mixed facilities are authorised in exceptional circumstances, with the consent of prisoners, for the execution of specific programmes or to maintain family links. Married male and female prisoners can meet in visitor’s rooms specifically equipped for families. These locations cannot accommodate people convicted of crimes of a sexual nature (according to article 99 of the Prison Regulations).
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Since 2021, men and women have lived side by side in one unit of Teixeiro Prison, near A Coruña in Galicia. The goal is to better prepare people for reintegration. 20 women and 35 men are currently held there. They eat, work and participate in activities together. Participants in the unit are chosen from volunteers. Across the country, 20 mixed-gender units bring together 202 women and 925 men.
A medical examination is performed upon admission
An examination is carried out on arrival in detention. New inmates undergo blood tests and other medical examinations. An assessment with a doctor must be carried out within 24 hours of admission.1 A doctor and a nurse review the medical history and carry out a “risk assessment”: suicide risk, drug use (type of drug, frequency, method of consumption, withdrawal symptoms, etc.), mental disorders. Risk behaviours such as sharing injection equipment, unprotected sex and tattooing are also taken into account. The communicable disease assessment covers infections such as tuberculosis, HIV, HCV, HBV and syphilis. This assessment provides guidance on the appropriate treatment (substitution treatment or care) to be provided.
The CPT recommends that all establishments keep a register of injuries sustained by inmates before their admission or during their detention.
European Commission, Mentally Disordered Persons in European Prison Systems - Needs, Programmes and Outcome (EUPRIS), October 2007, p. 28. ↩
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In June 2023, the Association for Human Rights in Andalusia (APDHA) criticised the significant waiting times prior to medical screenings for new arrivals at Puerto III Prison in Cádiz. These delays have a negative impact on prisoners’ cell assignments and reintegration.
All allegations and suspicions of ill-treatment inflicted on prisoners are logged
Complaints of ill-treatment must be logged in a registry. This log is nonexistent in most facilities. The Ombudsman has stressed the importance of maintaining a register in each establishment and has noted that the available data is imprecise and contradictory. This results in a poor understanding of torture and ill-treatment. The CPDT publishes an annual report of ill-treatment and cases of torture. The CPDT draws on information provided by victims and their relatives, lawyers and human rights organisations. It also uses information from courts and from trustworthy newspaper articles.
The CPDT maintains that the listed number of cases are partial, and that a large number of incidents of mistreatment go unreported due to fear of retribution and a lack of confidence in the judicial system.
The Ombudsman and the CPT delegations may conduct confidential interviews with prisoners during their visits. Information from these visits is not made public. The Watchdog for the Prison System and Human Rights, a research centre based at the University of Barcelona, lists cases of poor treatment and torture in prison. It uses the System of Registration and Communication of Institutional Violence (SIRECOVI), which allows communication with victims to protect them.
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In June 2023, the Association for Human Rights in Andalusia (APDHA) published its seventh periodic report on the implementation of the Convention against Torture. It was presented at UN headquarters on 20 and 21 July 2023. This “Shadow Report” presents the violations committed by the State, which has yet to recognise the Istanbul Protocol. Spain does not investigate allegations of torture despite 12 convictions from the European Court of Human Rights on the issue.
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The NPM’s recommendation to include photographs in the injury registers for incarcerated individuals has been implemented. However, the use of these records remains insufficient.
Salaries are
significantly below the national minimum wage
Wages for inmates working in Spanish prisons vary between €3.20 and €4.50 per hour (an average of €200 to €300 per month) for non-specialised work. This is well below the national minimum wage, set at 1,000 euros per month.
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In November 2023, the Association for Human Rights in Andalusia (APDHA) criticised the poor working conditions of prisoners. Wages are set at 3 to 4 euros per hour. Prisoners work numerous overtime hours for which they are not compensated.
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Inmates with addictions have particular services available:
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Smoking: the percentage of smokers among prisoners is higher than in the outside population. The prison administration has been increasing smoking information and awareness campaigns since 2012. It has organised conferences and individual cessation programmes. The length of the programmes varies between two and three months and the participants have a follow-up assessment at the end of their programme. In 2016, the programme was in place in 18 establishments and was involved in the treatment of 315 inmates.
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Alcoholism: a programme provides awareness of the risks of excessive consumption of alcohol, suggests strategies to abstain and organises group workshops to motivate the patients. The average number of participants in the programme is 1,300 inmates per quarter.
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Drug addiction: the war on drugs is one of the key priorities of prison health programmes. Many intervention programmes have been developed around three fundamentally interdependent areas: prevention, assistance and social reintegration. Dedicated therapy areas have been set up. Inmates with drug dependencies can access substitute treatments, like methadone.
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In October 2023, the Association for Human Rights in Andalusia (APDHA) criticised the lack of access for women at Puerto III Prison to intervention programmes for mental health and substance use disorders.
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A survey conducted by the Ministry of Health on a sample of 5,512 prisoners revealed that cannabis is the most-consumed drug in prison (the same is true outside of prison). 11.2% of respondents consume cannabis in prison, 1.6% of whom say their consumption started in prison. 7.8% of respondents consume non-prescription tranquilisers in prison, 26% of whom say their consumption started in prison.
1.3% of respondents consume cocaine in prison, 1% of whom say their consumption started in prison. 1.4% of respondents consume heroin in prison, 14.7% of whom say their consumption started in prison. 20.8% of prisoners say they have received treatment for their substance use disorder during their incarceration. The most common treatment is for heroin addiction. 62.6% of individuals who have received treatment to combat opiate dependence received methadone treatment. 81.8% of individuals treated for alcohol use disorder received psychological therapy, and 18.2% received pharmacological treatment. Alcohol is the most-consumed psychoactive substance prior to entering prison and the least-consumed once in prison (2% of respondents had consumed it in the 30 days prior to the survey). In 44.6% of cases, addiction management is provided exclusively by prison staff; 27.7% of the time exclusively by external professionals; and 27.7% by prison staff and external professionals working together.
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The Joint Committee on Addiction Problems approved, with a unanimous vote (32 to 0), a non-legislative proposal from the Partido Popular relating to the use of non-prescription tranquilisers on prisoners.
The classification of prisoners is revised
every three or six months
The classification is reviewed every three or six months for “first grade” prisoners (article 65 of the General Penitentiary Organic Law).
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The mandatory assessment of prisoners six months following their transfer to a new facility often takes place later than required, adversely affecting the possibility of adjusting their prison regime.
Assignment of transgender prisoners to a specific facility depends on
- their own identification
- their ID gender
- their biological sex
The allocation of a transgender prisoner to a male or female establishment is not systematically dictated by their biological sex or legally recognised gender. Decisions are generally made on a case-by-case basis by the prison management. The prisoners involved can indicate their preferred unit.
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In many facilities, the identities of transgender prisoners are not properly recorded.
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In March 2023, six prisoners at the Asturias penitentiary centre initiated the procedure to amend their registered gender, in accordance with the provisions of Article 43.1 of Law 4/2023 on transgender individuals. The law states that any person can request the modification of their gender in the civil registry, with no special conditions. The new law does not, however, establish any specific protocol concerning transgender people who are incarcerated.
Security staff is prohibited from entering the room during labour and childbirth
Officers of the Civil Guard are obligated to remain outside the delivery room.
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Female prisoners in the Alicante prison give birth in the presence of police officers.
Pregnant women receive proper prenatal care
Women’s quarters are equipped with obstetric equipment. Some women have reported a lack of access to gynaecological services1.
Gómez Ramírez, Sonia, “[The Reintegration of Women in Prison](https://addi.ehu.es/bitstream/handle/10810/18684 /Gomez%20Ram% C3%ADrez%20Sonia.pdf?sequence=1)”, 2016, University of the Basque Country, p. 61. (in Spanish) ↩
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The provision of care for pregnant women and preparation for childbirth are deficient. Respect for privacy and confidentiality is lacking.
Pregnant women are housed in specific units or cells
yes
Pregnant women are placed in a unit for mothers, conditional on the availability of places.
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A pregnant underage girl was admitted and isolated in the residential unit of Punta Blanca prison. She was not provided with any childbirth preparation or afforded psychological counselling.
Number of deaths attributed to suicide
62
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3,498 cases of self-harm were recorded during 2021, including 87 serious cases.
Prisoners can smoke
in their cell
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A survey conducted by the Ministry of Health on a sample of 5,512 prisoners revealed that 74% of the prison population smoked. Men under 25 years old represent the largest category of smokers. 80.2% of the prison population under 24 years old smoked tobacco in the month preceding the survey. These percentages are higher than among the general non-institutionalised population.
Number of violent acts against prison staff
300
Official statistics put the number of attacks in 2022 at more than 300, double the figure for the previous year.
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90% of attacks on staff seem to be due to poor care management of mental disorders and staff’s lack of training in handling these situations.
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12 assaults on guards were recorded in 2022 at Picassent prison (Valencia).
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According to the union SCIF, 577 prison officers were victims of serious or minor assault in Catalonia in 2022, an increase of 48.6% compared with 2021.
Number of medical staff (FTE)
1,343
The number of healthcare staff (FTE) has not shown any significant change. It was 1,3391 in 2020.
The European Committee for the Prevention of Torture (CPT) reports, in 2020, a lack of health care staff. The report highlights the lack of nurses and doctors in detention as well as the lack of psychiatrists and psychologists. Overall, the report states poor working conditions for medical staff.
In August 2022, 67% of vacant posts for doctors in detention were not filled. There are 148 regular posts occupied, 40 temporary posts and 3 student interns, i.e. less than 200 doctors for more than 55,000 detainees. In 2021 and 2022, the Ministry of the Interior opened 80 new posts for health staff. 11 have been filled. The doctors are critical of the precarious nature of temporary contracts, the lack of qualifications and training for temporary staff, and the widespread stress caused by the difficult working conditions.
In December 2022, the General Secretariat of Penitentiary Institutions (SGIP) acknowledges a “shortage of medical professionals in certain prisons”, making it impossible to “guarantee the provision of medical care 24 hours a day”. The government is introducing teleconsultations with in-house professionals assigned to other establishments as a response to the shortage.
Council of Europe, SPACE I - 2020 Report, p. 83. ↩
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The Palma penitentiary centre holds 1,000 prisoners. Although the medical staff should include nine people, it is typically only two. No healthcare staff were present on Easter. This shortage leads to increasingly frequent transfers to exterior facilities, resulting in security and budget problems. The prison facility requested the transfer of healthcare responsibilities to the autonomous communities.
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Andalusian prisons do not have enough doctors. 16 (75%) of them have private contracts. Since March, 65 job posts have been open in the prison medical sector. Cádiz and Seville have 15 vacant posts; Malaga, 11; and Granada, 7. The CSIF explains this staff shortage with the low wages for prison doctors compared to those of their colleagues outside of prison.
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The prison authorities have publicly criticised the shortage of doctors in the country’s prisons. Half of the posts are not filled, and professionals have also reported a lack of resources. The union CSIF published figures showing that nearly 7 in 10 posts have not been filled.
Conjugal visits are allowed
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A survey conducted by the Ministry of Health on a sample of 5,512 prisoners revealed that 48.4% of prisoners have one or more partners, of which 11.4% are in prison. 53.3% stated that they had been sexually active in the year prior to the survey. 97.9% of men and 89% of women who reported sexual activity said that the intercourse was heterosexual. 38.8% of prisoners who had had sexual encounters over the 12 months leading up to the survey said that they had used condoms. Figures for condom usage double when one of the partners is HIV-positive.
The prison service provides personal hygiene products free of charge
yes
Once a month, the prison administration provides a toiletry pack. It includes soap, toothpaste, condoms, lubricant, razors and shaving foam.
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A report from the World Health Organisation indicates that Spanish prisons provide soap, condoms, lubricants and syringes to prisoners but do not distribute disinfectants.
Variation in the number of suicides
increase
The number of deaths attributed to suicide increased by 26.53% between 2019 (49)1 and January 2020 (62).
Council of Europe, SPACE I - 2020 Report, p. 113. ↩
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Figures from the Catalonian Ministry of Justice indicate that suicides have become the leading cause of death in the prisons of the Generalitat. Fourteen prisoners died by suicide in 2022. The number of suicides has increased by 22% compared to the previous two years, during which 11 deaths were recorded.