92 provoke unwanted contacts of those serving sentences (UK 161/1 in Kostanay). In some cells, the rules of privacy are not respected (AP-162/1 in Pavlodar). Prisoners’ prolonged stay in the above conditions can be described as torture, humiliation of human dignity and cruel treatment of prisoners. Recommendations: All Departments of the penitentiary system and the Committee of the penitentiary system MIA RoK should make efforts to eliminate all the above mentioned issues. Medical services Conclusions: In recent years, NPM members have noted serious issues in the medical care of individuals detained in pre-trial detention centers. They are connected to the insufficient staffing of the medical wards, inadequate medical care, and subordination of the medical wards to the pre-trial detention center administration. The latter creates conditions for the CONSOLIDATED REPORT physical violence from administration, either directly or with the help of other prisoners, with persons who reasonably and consistently defend their rights and legitimate interests and who wish to achieve justice in higher and supervisory bodies. Dependent doctors cannot give an objective conclusion on the physical condition of persons subjected to violence from the administration. As a result, during special visits NPM members could only state torture and physical abuse, according to the words of victims, due to the lack of a doctor’s opinion at the time of the incident. Subsequently, when the facts of ill-treatment are registered by the relevant authorities to investigate and punish the perpetrators, the case again rests on the absence of a doctor’s opinion on the fact of violence. Thus, the guilty persons escape responsibility for torture and ill-treatment of prisoners. The main issue is the transfer of the medical service in pre-trial detention