the SPH „Novi Iskar” in the composition of the hospital is encluded a hospital pharmacy that actually does not exist. In other cases, in the composition of some hospitals units not registered under existing regulations are included. For example, in a consultative and paraclinical sector of the SPH – Radnevo a hospital laboratory is opened, which is not registered in accordance with the current regulations. The structure and operation of this hospital laboratory does not meet the requirements of Ordinance No 35 of 6 August 2010 on establishing medical standards „Clinical Laboratory”. The NPM found out that the fact that an ordinance on occupational therapy had not been yet issued, despite the requirement of art. 151, para 3 of the law on Law on Health proved to have a negative impact on the treatment of patients. Its absence makes the process of resocialization of patients difficult to be implemented and reduces their ability to adapt to social environment. General provisions The state psychiatric hospitals are funded on a „historical” principle by the MH through a budget composed on the basis of the previous year budget. There is no direct relationship between the volume of the medical activities and the incoming funds. The funds allocated to these hospitals are rather scarce. Moreover, fundamental differences in principles, on the grounds of which the budgets of the various types of psychiatric hospitals (e.g. SPH and the psychiatry) are formed, create tension and confrontation between the specialists in the system for inpatient psychiatric care, which also affects the quality of medical services. During inspections on the spot the NPM have found poor condition of the facilities and equipment - peeling walls, broken windows, inadequate heating (e.g. in the SPH - Radnevo, with an oil-fired heater located in the corridor the whole ward is heated), poor condition of bathrooms and toilets, etc. The NPM team found that the staff of some psychiatric hospitals is disparaging to certain sanitary standards and official bans. For example, throughout the territory of most psychiatric hospitals not only by the patients but also the staff of hospitals smoke. Pursuant to the requirements shown in the Medical Standard „Psychiatry” every hospital for provisions of inpatient psychiatric care should be able to use X-ray, scanner, electroencephalogram (EEG), magnetic resonance imaging (MRI) and clinical laboratory of second and third level of competence (all of them providing 24/7 access for the hospital), and the ability to perform medical consultations with other specialists within the residential place, as well as of electrocardiogram (ECG), electro-convulsive therapy (ECT) and a supply of oxygen to the hospital. Most psychiatric hospitals do not have the standard equipment. Management and administrative capacity The major problem is the lack of personnel in the SPH. These hospitals do not have the required number of medical professionals - doctors, nurses, psychologists and paramedics to meet the requirements of Ordinance No 24 of 7.07.2004 on the approval of the Medical Standard „Psychiatry”. 23 Annual Report of the National Preventive Mechanism | OMBUDSMAN OF THE REPUBLIC OF BULGARIA