contributions of this individual must be submitted to the NSSI, so that special certificate confirming that the person is health assured can be issued. There is also a problem with the medical care for the children in the age range of 0 to 2 years. General practitioners explicitly refuse to enlist children in the 0-2 years of age. These children need specialised paediatric care. "Paediatric teams", which according to the plan should be provided by the Military Medical Academy (MMA) are not available at the time of the inspection. In case of potential hospital treatment the language barrier is also a problem. It is a reason not to get information about the medical history from the patients, but it is also a reason why the medical professionals are unable to explain to the patients what their treatment would involve. The signing of the "Informed Consent" form is formal and does not serve the purpose it has been implemented for. There is also a problem with the provision of medicines, consumables and potentially specific foods to those who need them. According to data provided by the Director of Regional Health Protection Centre (RHPC) - Haskovo - there is a problem with diabetics there is no insulin, especially for the individuals accommodated in the closed-type centres. The major problem related to our healthcare in a situation of intensified flow of foreigners to Bulgaria is the lack of uniform concept of conduct in such circumstances, the lack of coordination between the different institutions, the lack of feedback in the same structures and the resultant "piecemeal" work lacking vision for the future. The overall conclusion of the Ombudsman in the capacity as NPM regarding the situation during the inspections is that there is no adequate state policy, and the institutions involved are not prepared to find quick and efficient solutions to handle the huge refugee and migration flow over the past months. Based on the findings the NPM gave recommendations for urgent action by the institutions. These recommendations were sent to the Prime Minister, the Ministers of Interior, Health, and Justice, the State Agency for Refugees and the State Agency for Child Protection. Some of the recommendations included: - discontinuation of the detention of people after the expiry of the 24-hour detention at the BPD - Elhovo. In response to this recommendation the NPM was informed that despite the measures undertaken and the opening of a new distribution centre, the difficulties with the transfer of the individuals detained at BPD - Elhovo, after the expiry of the 24-hour term, continue. The reason is the full capacity at the RC in Elhovo and the SAR centres, as well as the impossibility to redistribute individuals thereto in a timely manner. NPM still insists that this practice should be stopped; - bringing all SAR buildings in line with the regulatory requirements. They have to be surveyed by various institutions to ensure the fire and hygiene - epidemiological safety, to secure clean water, maintenance of normal temperature in the buildings in view of the upcoming cold winter season. The progress achieved with respect to the implementation of this recommendation is promising. Many steps have been taken to secure normal living environment and hygiene. In summary it may be said that as at the end of 2013 the situation in this respect has been largely taken under control. This progress was also pointed out by the UN Supreme Commissariat for Refugees and various representatives of 10