consultations rooms operated by medical auxiliaries or nurses in all centres. However, these facilities do not comply with the requirements set forth in the Healthcare Establishments Act or the Healthcare Act. Primary care is provided mostly by medical experts and not by the general practitioners with whose practice the accommodated persons have been enrolled. Deficits in the provided medical service are most pronounced in the registration and reception centre in Harmanli: the total population of 1,800 people, of whom 650 children and 69 pregnant women, are attended by one physician and two medical auxiliaries hired for four hours daily. Another persistent problem is that GPs in town keep refusing to enroll beneficiaries of international protection in their practices. Another problem identified by the inspecting team were the difficulties that SAR experienced in providing dental service to asylum seekers. ACET Centre provides psychological counselling in the centres in Voenna rampa, Pastrogor and Banya. A psychologist is working full time in the registration and reception centre in Sofia. At the time of the inspection the SAR experienced difficulties in providing for interpreters in some of the centres (Banya registration and reception centre and Pastrogor transit centre) due to lack of ficnancial resources. A solution was found for the centres located in Sofia by hiring interpreters. NPM established that a substantial number of people left the SAR centres on their own accord and there was no information about their whereabouts, which is extremely alarming. The registration and reception centre in Harmanli is a case in point: from the beginning of the year till the time of the NPM inspection a total of 1,368 people had left the centre, 417 before their registration and 951 after it. According to SAR data, 60 people left the centre in Sofia over a single week (25 – 31 May 2015), and 169 people left the centre in Vrazhdebna. This problem is indicative of failure to act by the law enforcement bodies committed to protect national security. The NPM is of the opinion that these people may fall victims to human trafficking or sexual exploitation and is left with the impression that a well organized mechanism for smuggling these people to Western Europe is in place. Problems with the appointment of guardians/custodians to unaccompanied minors – asylum seekers or beneficiaries of international protection – persist. A random check of unaccompanied minors’ case files showed that SAR officials sent notifications to the respective mayors in the latter’s capacity of guardianship or custody authorities, but no feedback was received about subsequent action to appoint guardians or custodians under the Family Code. The NPM regrets to point out for a second year in a row the missing programme for integration of beneficiaries of international protection who remain in the reception centres after they have been granted a refugee or humanitarian status. Teaching Bulgarian to foreigners has been discontinued due to lack of funds. The lack of an integration programme hinders the access of beneficiaries of international protection to the labour market, welfare system, education etc. In October 2015 the Bulgarian Parliament adopted amendments and supplements to the Asylum and Refugees Act. The amendments came in response to the new challenges for the country related to the refugee crisis and further transposed EU law3 in domestic legislation. 3 DIRECTIVE 2011/95/EU OF THE EUROPEAN PARLIAMENT AND OF THE COUNCIL of 13 December 2011 on standards for the qualification of third-country nationals or stateless persons as beneficiaries of 21