kindergartens. On the other hand, all children at an appropriate age in the HMSCC, Vidin, are going to children's establishments in the town. One child is going to full-day kindergarten, eighteen children are enrolled in united children's establishments and six children are going to a school for children with special needs. The main reason is the lack of infrastructure for children with disabilities in most of the nurseries, kindergartens and schools in the community. Medical care Healthcare for the children at the homes for medical – social care is provided in accordance with the "Paediatrics" Medical Standard. In 2013 the NPM team did not find any omissions in the provision of healthcare for the children at HMSCC. The diagnostic, treatment and rehabilitation activities in these institutions are carried out in all child wards of the homes under review. When surgery, invasive diagnostics are needed and when deemed necessary by the intensive treatment doctor children are taken to a children's ward suitable for the purpose in another medical establishment. In most cases upon the admission of the child the parents sign an informed consent form. The activities of all wards at the HMSCC are carried out by a team with manager – head of block and head nurse. The team servicing a group of children is managed by a doctor and comprises: nanny, nurse, supervisor / pedagogy specialist, rehabilitator and psychologist. The specialised medical staff is only on duty during the day as there is shortage of paediatrics. The following commissions are formed based on orders issued by the principals of the homes: medical board, medical control committee, health care council, committee checking the fitness of the pharmaceuticals. Administrative capacity and management This year the trend continues for most of the multidisciplinary teams of the HMSCC to not pass qualification and additional training courses to work with children in the age group 0 - 3, as well as to work with children with disabilities (more than 50% of the children placed in these homes have medium and heavy disabilities). An alarming example is the staffing policy of the Ministry of Health during the competitions for the position "Director of a Home for Medical Social Care for Children “. On 1 August 2013 Coalition "Childhood 2025" – a union of 16 leading civil organisations and networks representing more than 150 NGO and individuals from all over the country, working on issues related to the deinstitutionalisation of children with disabilities and children placed in homes for medical – social care for children has contacted the Ombudsman of the Republic of Bulgaria in the capacity as National Preventive Mechanism. According to the signal, following competition for a director of the Home for Medical - Social Care for Children "St. Ivan Rilski" in Sofia, the previous director was appointed. This person was previously fired from the home due to findings related to poor organisation, lack of control and adequate care for the children at the home. As a result of the competition Dr,. Dzhurelova, director of the home until 2011, was appointed director of the Home for Medical – Sofia Care for Children "St. Ivan Rilski" in Sofia. During 26