quality of medical care in prison hospitals - mainly due to the fact that these hospitals do not cover (even partially) medical standards that are mandatory for hospitals in the system of civil health . - A request for assistance to change the mode of the sentence and / or deduct time from serving punishment, parole, as well as a request for transfer of prisoners from one prison to another. As ombudsman, acting NPM, I carefully consider these signals as the listed legal options for transfer, change of regime and early conditional release (on parole) are directly dependent on the risk assessment of the PDL. - Use of force and aids. As a party to the European Convention on Human Rights and Fundamental Freedoms Bulgarian state has positive obligations arising from Art. 3 of the Convention to create practical and effective guarantees against violations of the prohibition of torture or inhuman and degrading treatment. These guarantees include also procedural obligations to investigate such cases. Since these violations are among the most serious violations of human rights, investigations must meet high standards they must be comprehensive, effective and leading to the detection and punishment of the responsible persons. In any particular signal for excessive use of force and aids teams of the NPM carry out a detailed examination of the case. Based on the findings of these examinations I send an opinion to the competent authorities, including to the Prosecutor's Office of the Republic of Bulgaria. 2. Visits held in 2014 In the period 1st January - 31st December 2014 the team of NPM conducted inspections of 100 establishments: 1. Territorial divisions of the State Agency for Refugees with the Council of Ministers - 7 establishments; 2. State psychiatric hospitals and centres of mental health - 3 establishments; 3. Institutions providing social and medical and social services: - Homes for medical and social care for children - 10 establishments; - Centres for accommodation of family type, sheltered accommodation - 12 establishments; - Educational schools - boarding schools and social educational boarding schools - 6 establishments; - Homes for children with disabilities - 5 establishments; - Homes for adults with mental disorders, dementia and mental retardation - 12 establishments; 4. Places for detention at the Ministry of Interior and Ministry of Defence (MD): - places for accommodation of detainees in the structures of Ministry of Interior 21 establishments; - premises for accommodation of detainees in the structures of the MD - 1 site; 5. Detention facilities at the Ministry of Justice: - Premises for temporary isolation and stay in courthouses - 4 establishments; - Prisons, prison dormitories, reformatories and detention centres - 19 establishments. Twenty-five of the inspections have been made on notice and the remaining 75 inspections have been carried out suddenly in the inspected establishments. Much of the inspections held during the above period have been of the so called type "follow-up visits" in establishments that had been already visited by teams of the NPM in 2012 and 2013. The purpose of these inspections was to analyse and to followup the degree of implementation of recommendations of the Ombudsman as NPM. 10