The main problem with the health care is that children's wards in hospitals (e.g. in Plovdiv) set conditions for admittance of children from such homes: food and children's clothes to be provided by the home as well as the children to have an attendant – a representative from the home. Due to the limited number of specialized staff the administration of the homes are not able to provide additional staff during the stay of children in hospital. Also, the director of the HCDPC Blagoevgrad said that there is a problem in the treatment of children in „The Multiprofile hospital for active treatment- Blagoevgrad” AD - Children's Ward. The hospital does not want to admit children from the home due to insufficient healthcare pathways that have been provided by the NHIF. The NPM team has reviewed the medical records of children with medical history issued for certain interventions. So far, the Ministry of Health has not provided funds for carrying out the respective intervention. The NPM shares of the opinion that it is necessary to create a working group consisting of the representatives of the MH, the NPM experts, heads of the children's wards in the hospitals and university hospitals and the HCDPC directors with a view to establish a common strategy to solve these problems. Administrative capacity and governance There is a big difference in size and educational level of the staff in the various homes. As an example can be taken the HCDPC - Vratsa (during the inspection number of the placed children was 56), with a total staff of 123 people, of which 6 people were paediatricians, and in the HCDPC Vetren (during the inspection the number of the children was 50) were 46 people, the director of the home is the only paediatrician. The above data indicate that the application of standards is not uniform. It is necessary to apply uniform standards in preparation of the establishment plan for all homes, and paediatricians, child psychologists, social workers, speech therapists, physical therapists and pedagogues must be included. The lack of such specialists reduces the quality of child care. Much of multidisciplinary teams of the HCDPC are not trained to work with children aged 0 to 3 years, and with children with disabilities (50% of the children in these homes have moderate to severe disabilities). To meet the needs of children and the creation of relationships between children and the staff of the HCDPC it is necessary to develop and build capacity of the human resources. The implementation of these activities must be carried out in two directions - both training the staff and adequate remuneration. As an example can be given the educational qualification requirement for the position of child-minder, namely primary education. It is fact that childminders spend most time with the children and should be well trained in working with children from 0 to 3 years. Financing When verifying financial documents of the HCDPC the NPM found that to the homes in the cities of Vetren (in 2011 its budget was 684,994 Levs, in 2012 it was 588,377 Levs) Pazardzhik (for 2011 the budget was 645,794 Levs, the 2012 budget was 591,914 lev), Plovdiv (the 2011 budget was 1,335,507 Levs, the 2012 budget was 1,162,983 lev) and Blagoevgrad (the 2011 budget was 877,950 Levs, the 2012 budget was 840,817 Levs) the budget for 2012 was reduced by approximately 15 % compared to the previous year. Reducing the maintenance of homes leads to reducing the quality of care provided to children. The NPM recommended restoring the size of the 28 Annual Report of the National Preventive Mechanism | OMBUDSMAN OF THE REPUBLIC OF BULGARIA