CONSOLIDATED REPORT institutions are located in the buildings built in the second half of the previous century, and are not in line with the contemporary sanitary and epidemiological norms for patient residency in medical institutions. One of the most widespread problems of closed institutions are the unsatisfactory sanitary and hygienic conditions. Most managers of treatment and prevention institutions are in no hurry to apply the provisions of the sanitary rules “Sanitary and epidemiological requirements for healthcare institutions” #127 dated February 24 2015. At the same time it is important to understand that the insufficient number of sanitary facilities and sinks, lack of personal hygiene resources, presence of outside toilets in anti-sanitary condition and other limitations of the normal sanitary and hygienic conditions are one of the forms of cruel and degrading treatment. Despite numerous petitions to the MH RK, the issue of extra pay for 117 psychological and emotional pressure remains unresolved healthcare personnel continuously works in immediate contact with ill people, whose alcoholism and drug addiction are exacerbated by psychological disorders, but the healthcare professionals receive no mark-ups to the salaries. It is necessary to re-initiate the request to the Ministry of health to introduce extra pay for psychological and emotional pressure for healthcare personnel. There are some positive changes in the equipment of healthcare institutions with infrastructure for people with special needs: separate rooms were equipped and routes were established for wheelchair users. At the same time healthcare institutions in the majority of cases have not responded to the recommendations of NPM participants on the establishment of a relevant entity for people with special needs.