9 from the fact that medicines are procured individually by institutions, instead of being purchased through centralised procurement. Physicians mainly do not exercise their role in the protection against abuse because in certain cases they fail to identify and describe in detail all injuries observed, particularly because they fail to provide their opinion about cause and effect between the coercion used or an explanation how the injuries were inflicted and the injuries observed directly during examination. Incarcerated persons with mental disorders are still placed in the regular prison system, which is not appropriate for their needs and causes a large safety risk for those persons and their environment and is in any case a large burden for staff who are not trained to act in such cases. In Conclusions 73. of the National Assembly of the Republic of Serbia of 23 October 2014 states: “The National Assembly orders the Administration for the Enforcement of Penal Sanctions of the Ministry of Justice to improve its treatment of convicts in terms of provision of health care, in accordance with the applicable regulations and standards. This is based on the assessment of the Protector of Citizens that there are serious shortcomings in the provision of health care to convicts in penal facilities, particularly regarding the provision of necessary medicinal products and therapy, medical examinations after prison intake procedure, lack of unique medical examination protocols, failure to perform periodic medical examinations of convicts and daily medical examinations of patients, inclusion of non-medical staff, placement of convicts with mental disorders in regular prison regime, failure to submit compulsory periodic reports on health condition of convicts, sanitary and hygiene conditions in institutions, the quality of food, physical activities of convicts etc., stipulated by the Law on Enforcement of Penal Sanctions. Taking into account that the Protector of Citizens repeated his assessments stated in all previous annual reports that competence for health care services in penal facilities should be transferred from the Administration for the Enforcement of Penal Sanctions of the Ministry of Justice to the Ministry of Health, which is one of the preconditions for efficient investigation of allegations of violent treatment of persons deprived of liberty, the National Assembly emphasizes it is necessary for the Government to consider this issue as soon as possible and propose to the National Assembly amendments to the relevant legal arrangements.” In the field of work of psychiatric hospitals, certain improvements have been observed during visits in application of procedures for involuntary commitment of patients. Namely, courts deliberate and decide on involuntary commitment in the manner and within the time limit set by the law. Hearings are conducted at the hospitals, where persons who are to be committed are also interrogated, and decisions on involuntary commitment are given to patients. Hospitals have improved informing of patients on the code of conduct in hospitals and on their rights through provision of special brochures which are distributed to patients and their families and/ or guardians immediately upon admission for treatment in a hospital. Although some adaptation and renovation work was done in certain hospitals, the rooms in the large psychiatric hospital in Kovin are dilapidated and do not meet the applicable standards. The Law on the Protection of Persons with Mental Disabilities6 contains numerous shortcomings. It provides that community-based mental health care should be organised as an additional activity at the existing psychiatric institutions and medical centres, which lack trained human resources and are unwilling to provide this service. Due to such arrangements, efforts aimed at deinstitutionalisation in Serbia remain marginal. The Law provides for isolation of psychiatric patients, which not only violates the applicable standards, but was effectively abolished as a practice in Serbia many years ago. In addition, the Law sets out the powers of police officers with regard to maintaining order within psychiatric hospitals, which is not compliant with the 6 Official Gazette of RS, No. 45/13.