7 | Health Services Chart 4: Planned use of force incidents involving restraints at YHIDC81 1386 1400 1333 1225 1050 875 800 790 700 559 525 350 350 573 522 559 331 175 0 2016–2017 2017–2018 Planned Use of Force Total In the Commission’s 2023 report into the Use of Hotels as Alternative Places of Detention, the Commission emphasised that: One factor that does not routinely form part of the existing risk assessment is the impact that not being escorted outside of the detention facility may have on the health or wellbeing of the individual detainee. For example, non-attendance at a medical appointment… may negatively impact upon an individual’s physical or mental health.82 42 2018–2019 2018–2019 2020–2021 Planned Use of Force with Restraints RECOMMENDATION 19: The Department and Serco should ensure that all its use of force policies, guidelines, decision-making documentation and training clearly state that the use of handcuffs or other restraints when accessing external healthcare appointments should be recognised to cause harm and should be avoided as far as possible.