The Special Prevention Group studied the issues of timeliness of the medical referrals
at the time of monitoring of the establishments N8, N15 and N17. In conversations with
members of the Special Preventive Group accused / convicts said that in many cases
their withdrawal from the cells to receive medical services is delayed and additionally
they do have the information, how long they’ll have to wait to get medical care.
The Special group prison medical referral study found that there is a problem of the
timely confirmation of the referrals through the unified electronic database problem
by the medical department. It should be noted that in most cases the doctor promptly
submits medical referrals in to the electronic database, although confirmation from the
Medical Department, in some cases, it takes from 1 month to 6 months. It should be
noted that the Section 4 of Article 8 of the Order №31 of 22 April 2015 by the Minister of
Corrections determines the reasonable waiting period for planned services, determined
by medical necessity, which shall not exceed the for the planned inpatient services 4
months and for planned outpatient services - 1 month. According to Article 2, paragraph
4 of the Order N55 of the Minister of Corrections of 10 April 2015, the Medical Department shall consider the referral within a reasonable time in accordance with practice
approved or recognized by the recommended guidelines (guidelines), and the clinical
management standards (protocols) of the Ministry of Labor, Health and Social Affairs
and, if necessary, using international guidelines.
Noteworthy that in the view of the above procedures, the accused/convict may have to
wait for treatment for months. It is possible that their health conditions deteriorate in
this period. For example:
• Convict I.K. had the ophthalmologist consultation on 8 March 2015, the Chief
Doctor submitted the referral request on 16 March 2015, which was approved
only after 6 months, on 18 September 2015 and the inmate was taken to doctor only on 21 September;
• Convict Z.K. had a consultation on 15 October 2014, the request was sent
to the Medical Department on November 14, the Department of Health has
confirmed the request on December 26, while the prisoner was taken to the
civilian clinic for necessary treatment in the manner of hip endo-prosthetics
in August 2015 ( 1 year after consultation);
• Convict G.M. had the consultation of urologist on February 12 and was diagnosed with necessity of hydrocele emergency surgical treatment, but the
request was sent to the medical department on February 18, and while the
Medical Department has confirmed the request the same day, the prisoner
was taken out for the operation on March 23;
104
NATIONAL PREVENTIVE MECHANISM (NPM), 2015
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