same principle be applied to the state psychiatric hospitals in follow up of the recommendation to change the funding mechanism for these healthcare establishments. On the basis of the inspections conducted in 2015, the NPM extends the following recommendations to the minister of health: A) Establish which state psychiatric hopsitals comply with the respective medical standard and transform those which fall short of the requirements either into state psychiatric hospitals for continuing inpatient care or for continuing inpatient care and rehabilitation; B) Regulate the procedure for determining levels of competence of state psychiatric hospitals units. The level of competence must be clearly stated in any information about a state psychiatric hospital to guarantee the quality of medical care and protect patients’ rights; C) Increase funding for state psychiatric hospitals to ensure adequate payment for the work of medical and non-medical personnel and sufficient human resources for psychiatric care; D) Provide regular funding for capital expenditures of the state psychiatric hospitals to ensure reconstruction and maintenance of the buildings and guarantee good material and living conditions in the healthcare stablishments; E) Publish the regulation under Article 151 of the Healthcare Act. In addition, the NPM made a recommendation to the minister of labour and social policy to provide more social services to people with mental disorders in accordance with the established needs in society and not to burden the state psychiatric hospitals with social functions. V. MEDICAL AND SOCIAL CHILD CARE INSTITUTIONS In 2015 the NPM continued monitoring the process of deinstitutionalization, in particular the transfer of children from institutions for children with intellecetual disabilities and medical and social child care institutions to family type placement centres (FTPC). In this regard the NPM inspected eleven FTPC. It recommended in particular not to place together children and adults with disabilities, as this creates major difficulties in taking care for them, be it in relation to their sexual maturation or different special needs. In 2015 the NPM continued receiving signals about insufficient preparatory work for the transfer of children to FTPC. Needs assessments of children with disabilities that are made prior to their transfer with a view to determining where to be placed are constantly changed. In the course of the inspections conducted in different FTPC the Ombudsman acting as NPM established that the health care exercised for children with severe disabilities did not correspond to these children’s needs and their health and life were put in danger. There was no medical staff on duty during the night and strong medications were administered by caregivers. There are no clear criteria for staff recruitment for the new social services. The NPM has established on numerous occasions that external medical experts refuse to treat or treat poorly children with disabilities. Many hospitals refuse to admit children from institutions due to the insufficient number of healthcare pathways secured by the National Health Insurance Fund (NHIF). 10