ciency. There are problems in terms of providing dental services for inmates at the establishment N2, in particular, there are cases when prisoners have severe pain, but they have to wait in line to see the dentist, which can last a week or more, since the prison employs only 1 dentist, who for an average serves 213 patients per month. In addition, the visit to the establishment N8 revealed the practice, that the appointments to the dentist are registered by the officers on duty, who do not have any medical background and qualifications. In 2014, the rate of use of dental services was 17 090. We welcome the fact that in 2015 the rate has increased. In 2015, the prison dentist therapeutic dental service utilization rate was 11 822. Surgical dental service utilization rate – 4 225 and the rate of utilization of orthopedic dental services -1 819. 2.5.4.2. Medical Referral Primary healthcare teams at penitentiary establishments are the ones who decide whether specialized medical services are needed. Accordingly, they are the ones to request patient referral. Patients are registered electronically. After a request for referral gets registered, it is then processed by the Medical Department of the Ministry of Corrections. If the request is well-founded and complies with the national guidelines (plus international guidelines where necessary), it will get approved and assigned a list number. After a request is approved, depending on the number of the request in the list, a medical services provider is contacted and the patient is referred to the provider. If a request is rejected, the rejection is registered in the system and the relevant primary healthcare team is informed about the reasons of rejection. In 2015, 9016 referral requests got registered in the unified medical electronic system. The Medical Department rejected 859 cases after deliberation. 100 Establishment Number of rejected cases №2 23 №3 18 №5 95 №6 20 №7 34 №8 244 №9 1 NATIONAL PREVENTIVE MECHANISM (NPM), 2015