CONSOLIDATED REPORT Many accused complained about employees refusing to provide necessary examination in the hospital. Doctor M. stated that it depended on the head of the institution, to whom she regularly verbally reported on such a need, but the head did not take any action. When talking with the head of the institution, this fact was not confirmed. The administration explained that a request must be submitted in writing if there is a need to bring the prisoner out for medical examination, but there were no such requests. As a result of a visit to the RSE establishment UK 161/1 in Kostanay oblast, there were 8 vacancies out of the total number of medical staff in 20 people. There were vacancies in almost all checked pre-trial detention centers in 2018. There are such reasons for this situation, according to NPM members, as low wages, specific working conditions in pre-trial detention centers. When visiting the establishment AP-162/1 under the Committee of the penitentiary system 67 MIA RoK in Pavlodar oblast on September 11, 2018 NPM members studied the “Ambulance call log” (started on January 01, 2009, inventory number 511) and noted that since the beginning of 2018 there was 21 call recorded in the log. It was noted that the log has a record with the diagnosis “Cut wound of the anterior abdominal wall, hospitalization to the 3rd City Hospital”, but the patient’s full name and date of birth were missing. The staff of the institution could not give a clear explanation of this record, referring to the fact that this log is filled by ambulance staff, and in some cases they refuse to fill in the call log at all. Also there were records in the call log: March 05, 2018 at 01.00 a.m., D. born in 1990 – cut wound; June 17, 2018 at 04.31 p.m., K. born in1989 – fracture of the right hand; April 08, 2018 at 11.23 p.m., B. born in 1990 – cut wounds in 3 places, 1 cm each. According to the administration, these persons injure themselves for various reasons, such as