B. Visiting a number of social and health care homes 31. The NIHR has developed an executive plan to visit care homes, where the total number of visits during 2019 amounted to (6) visits. One visit was conducted to each of the following: the SickleCell Anemia Department at Salmaniya Medical Complex, the Psychiatric Hospital, the Batelco Care Center for Family Violence Cases, Dar Al-Karama for Social Care, Muharraq Maternity and Geriatric Hospital, and the Child Welfare Home (Batelco Home). 32. The NIHR made several recommendations during those visits, as follows: Visited Location Sickle-Cell Anemia Department at Salmaniya Medical Complex Main Recommendations • Increase the number of medical staff, including nurses and specialized doctors at all levels, in the Sickle-Cell Anemia Department at Salmaniya Medical Complex, to include consultants and specialists. • Abide by the regulations on discharging patients from the Department without prior permission from the doctor, in order to protect the patient and the Department’s employees. • Provide services to patients with sickle cell anemia around the clock. • Tighten control over the items brought into the Department, whether by patients or visitors, by giving greater powers to the security persons. • Look into the opinions submitted by the Department’s doctors to the Ministry of Health and follow them up to ensure their implementation. • Rapid response to patients requesting consultations or second opinions from medical consultants in other specialties. • Designate a special place for smoking instead of random smoking in front of the main entrance to the Department. 99