26 At RSE “Establishment EC166/5” there were numerous complaints about the lack of timely treatment and the poor quality of medical services. Complaints about the provision of medical care were almost at all units of the establishment. 22 convicts filed verbal and written complaints about the medical staff on the fact that their requests were ignored, and medical preparations were not prescribed at the proper level. At the time of visiting RSE “UK 161/4” of the Department of the penitentiary system in the Kostanay oblast, there were two convicts in the medical unit who had previously been in intensive care of the rayon hospital. There was a confidential conversation with them, which resulted in conclusions on the fact convicts being poisoned and the following death of four. This time again there were many appeals from convicts precisely on the failure to provide qualified medical care. It should be noted that in their previous recommendations the NPM CONSOLIDATED REPORT group constantly wrote about staffing the medical ward with qualified doctors. The medical units of the institution are limited in their powers by the administration, the medical service does not take measures to release convicts from work and classes beyond their strength without the consent of the administration of the institution. The issue is not being resolved on prosthetics and timely travel for treatment to specialized institutions, certification from medical consultative board and disability registration without coordination with the administration. Conditions of serving punishment for persons with disabilities in institutions are not respected, it is not uncommon for wheelchair users with a prosthesis with restricted mobility to be placed on the second floor where there are no conditions for movement. In the medical ward of the Establishment JD 158/4, the wards for sick convicts are located on the second floor. In such conditions, persons