RECOMMENDATION 13 The Department should ensure that the application of protective measures for transgender persons in immigration detention do not involve the imposition of more restrictive conditions or reduced opportunities for those individuals. RECOMMENDATION 14 The Department should ensure that alternatives to closed immigration detention are considered where the security of a transgender person cannot be guaranteed. RECOMMENDATION 15 The Department and IHMS should ensure that women in immigration detention have access to a female doctor at each facility where women are accommodated. Women in immigration detention should also be provided with access to female allied health staff wherever this is possible. RECOMMENDATION 16 As a priority, the Department and IHMS should liaise with state and territory corrective services and justice health agencies to improve strategies for ensuring the timely transfer of medical information to facilitate continuity of care for people entering immigration detention. RECOMMENDATION 17 When considering the transfer of an individual from one immigration detention facility to another, the Department should consider, on equal terms to other factors, the advice from IHMS that a transfer would impact on the waiting time for a treatment regime. RECOMMENDATION 18 The Department and IHMS should ensure that the process for auditory testing is initiated during the medical screening provided at induction and conducted within the first two weeks of detention. Recommendations 73

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