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VII. HEALTH PROFESSIONALS DOCUMENTING TORTURE AND ILL-TREATMENT ISTANBUL PROTOCOL

forensic or health laws) often establish a mandatory who may be clinically isolated from peer support.
reporting requirement for health professionals and National associations of health professionals and
may disregard the predicate of informed consent. As national human rights institutions should take an
stated in paragraph 175 above, health professionals active role in identifying documentation and reporting
have a duty to abide by their core ethical obligations procedures for cases of alleged or suspected torture
even if they are in conflict with the law. or ill-treatment, especially when the detaining
authorities fail to provide such guidance.
639. As discussed in paragraph 315 above, the clinical
reports of alleged victims should never be provided
to law enforcement officials, but to a judicial or G. Monitoring and ensuring the
other independent authority separate from the quality of all official evaluations
setting in which possible abuse has taken place.
The official national human rights institution 641. It is not sufficient for States to simply establish
and the national preventive mechanisms in a procedures and practices that apply provisions
State may be effective collaborating mechanisms of the Istanbul Protocol and its Principles. As
for clarifying or defining such procedures. discussed in paragraphs 674–679 below, States
need to monitor and ensure the quality of all official
640. Documentation and reporting policies for health evaluations in which torture or ill-treatment is alleged
professionals should be established by State institutions or suspected and take remedial action for non-
in consultation with international monitoring and compliance. In addition, it is of critical importance
prevention bodies, as well as with national and for States to ensure that appropriate evaluations are
international associations of health professionals, conducted by health professionals. Official forensic
to ensure respect for all the obligations of health evaluations must be carried out in accordance
professionals. This may be particularly important for with the Istanbul Protocol and its Principles.
health professionals working in detention settings,

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