ical care in the penitentiary facilities standards, standards for the additional medical services for the persons with special needs, the package of basic penitentiary healthcare services of preventive detention and prison facilities and on approved list of medicines“, define the types of medical services provided by Government to inmates of penitentiary system. According to the information received from the Ministry of Corrections, the medical department underwent a complete reorganization under the reform, and the health budget is increased, which is a positive trend. In 2015 the net expenditure of the medical department and the medical service of the accused and convicted was 11 942 060 GEL, out of which the employees’ salaries were 6 977 626 GEL; Medical expenses - 4 032 634 GEL, other expenses related to the work of medical department - 931 800 GEL. It should be noted that the expenditure is decreased compared to 2014 by 1 358 740 GEL156. 2.5.2. MEDICAL INFRASTRUCTURE 2.5.2.1. Establishment N18 for treatment of accused and convicted persons The capacity of beds at the establishment N18 is 180 prisoners. In late December 2015, 110 patients were placed at this establishment. Chambers are designed for 1, 2, 3, 4 and 5 patients. According to the information received from the medical department, the diagnostic ward of the establishment was functional during 2015 and provided the following: X-ray, echoscope, endoscopy (gastroscopy, colonoscopy, bronchoscopy), elastoscopy (fibroscan), shock room, laboratory (clinical, bacteriological, biochemical), sterilization room, a dental room, psychiatry/observation room, infections/TB, long term care unit/rehabilitation rooms, therapy, surgery block, department of critical medicine and surgery. The establishment provides 24-hour services to patients in the areas of general therapy, neurology, cardiology, endocrinology, psychiatry, infections, tuberculosis, dermatology and venereology, surgery, oncology, traumatology, urology, ENT (ear, nose and throat), ophthalmology, resuscitation and other areas. In 2015, in the establishment N18 visual surveillance was ongoing in 24 cells, in particular, in 4 observation cells, in 11 cells of psychiatry department, in 5 long-term care cells, in 1 cell of the therapeutic unit, 1 cell of the surgical unit, in 1 cell of anesthesia / resuscitation unit and in 1 cell of infectious Division. In 2014 Annual Report of the Ombudsman called the Minister of Corrections for reviewing the decision of the Director of the 156 Total expenditures of the Medical Department in 2014 amounted to 13 300 800 GEL. NATIONAL PREVENTIVE MECHANISM (NPM), 2015 91