- Legal loophole which to regulate the storage of items, objects, money and valuables during the stay of persons in the premises of the stage convoy basis. XII. PROTECTION OF PERSONS WITH MENTAL DISORDERS In 2014, follow up inspections were made of three psychiatric institutions: State Psychiatric Hospital (SPH) - village of Tserova Koria, Centre for Mental Health (CMH) city of Veliko Tarnovo and CMH - city of Haskovo. During the repeated inspections of the above hospitals the NPM found that the only changes compared to the previous inspections are limited to the repairs, by which the material and technical conditions in these particular hospitals (CMH- city of Veliko Tarnovo and CMH - city of Haskovo) were significantly improved. Changes that are amongst the competence of the Ministry of Health and the legislature were not established by the NPM. The Ministry of Health has not taken any measures to eliminate the shortcomings established in the reports of the NPM in 2012 and 2013. Reiterating the common problems and shortcomings associated with the provision of psychiatric care, the NPM insists on making right decisions and taking actions to start a process to resolve them. Problems and shortcomings in the network of health care facilities for the treatment of patients with psychiatric diseases established in all inspections are, as follows: 1. All SPHs continue to operate solely on the basis of Decree No 20 / 22.02.2000 on determining a medical institution under art. 5 para 1 of the Law on Medical Institutions (LMI) and their specific function, but they do not have the document with a certain level of competence required for all medical establishments for hospital care under Art. 6 para 1 of LMI. No valid assessment of the level of competence as required by Ordinance No 24 / 07.07.2004 for establishing medical standard "Psychiatry" has been performed. The conditions for the implementation of medical activities related to available and operable medical equipment and furniture, the number and distribution of medical specialists, hygiene and living conditions in which patients are placed, etc. are not fulfilled. 2. Most of SPHs do not have adequate conditions in accordance with the medical standard "Psychiatry", such as: possibility to use the X-ray scanner, EEG, MRI and clinical laboratory of II or III level of competence (all of the above with access provided to the hospital 24 hours a day), as well as the possibility to perform medical consultations with other specialists - all of the above on the territory of the settlement, as well as with ECG, ECT and an installation for oxygen supply to the hospital. 3. The composition of some medical establishments for psychiatric care include units that have not been registered under the existing legislation, but nevertheless they operate. These are most of the hospital pharmacies and clinical laboratories in the structures of SPHs. 4. Problem for the normal operation of the medical institutions for psychiatric health services, and in particular - hospitals, is the lack of sufficient staff - physicians, nurses, psychologists and paramedics. This hampers the timely and quality treatment of patients and poses a risk in terms of monitoring and care of patients with aggression and self-aggression. The access regime to hospitals is also hampered, and part of the patients have criminal records. Due to the limited quantity and quality of human resources in the psychiatric hospitals night shifts are performed by a minimum number of staff, which creates a danger both for the staff and the patients. The main reasons for this insufficiency of trained specialists are the low pay and the poor working conditions. 49