Project of new rules of medical care in prison: Pros and cons of

This text of the recommendations is preliminary and will change.

A public examination of the procedure for providing medical care to persons detained or serving a sentence of imprisonment.

Representatives of civil society, having discussed the draft order developed by the Ministry of Justice of Russia, who approves the procedure for providing medical care to persons detained or serving a sentence of imprisonment, note that this project contains a number of provisions aimed at improving the rights of patients in the penal system, observing their rights and legitimate interests.

At the same time, a number of provisions of the bill do not take into account the previously accumulated experience of penitentiary medicine, wishes and expectations of civil society, the priority of human rights over departmental and official interests.

In this regard, it seems necessary:

1) Clause 2 of the project is supplemented with words about the provision of medical care in the pre -trial detention center of the pre -trial detention center, as well as the words that the patient is sent to the institution of the territorial healthcare system “if there is sufficient reason to believe that medical care will be provided at a more qualified level in the medical institution of the territorial healthcare system”.

2) In paragraph 3 of the project, write down that in addition to the program of state guarantees of free medical care, such assistance is provided on a paid basis

3) P.5 to state as amended: in the institutions of the penal correction system, in which the houses of the child are organized to provide medical care are sent:

- from the pre -trial detention center - convicted pregnant women who want to preserve pregnancy, and women (including minors), together with whom children under the age of three are maintained;

-From the correctional institution, with the exception of the colony-settlement, there are convicted women with pregnancy over four months, convicted women after registration of a leaf of incapacity for pregnancy and childbirth in accordance with the order of the Ministry of Health and Social Development of Russia dated 06.29.2011 No. 624n “On approval of the procedure for issuing sheets of disability”. Persons detained, or convicted, planned primary health care on an outpatient basis, is found in the medical part (health center) in accordance with the work regime of the medical part (health center), and unscheduled in accordance with the indications-in accordance with the indications

-A child with a convicted mother in a colony-settlement may be temporarily sent to the child’s house in case of an emergency (for example, the need to hospitalize a mother), if there is no way to transfer the child to relatives.

4) in paragraph 6 of the project regarding medical care to children born in women who are in the institutions of the penal correction system, supplement the words “and medical examination” after the words “... immunization”, proving that children born in the institutions of the Federal Penitentiary Service of Russia must also undergo medical examination.

5) highlight the provisions of the procedure for providing honey. Help about women with young children and pregnant women in a separate section.

6) in paragraph 8, after the words of Medic Orgs, supplement the words of the territorial healthcare system with the words “systematically at least 1 time per week”.

7) in paragraph 9 of the project, provide for the informing of patients “systematically at least 1 time per week” and not only from the copper organizations of the UIS, but also from the medical institutions of the territorial healthcare system; provide that when the child is in critical condition, about his health, the mother informs daily.

8) enter a separate clause in the document in which it is necessary to provide that in the case of a serious condition of the patient, it is necessary to inform his legal representative about the patient’s health status, and with the written consent of the patient, also his relative.

9) to provide in paragraph 11 of the project that the procedure for the implementation of internal control and the safety of medical activities is established by the head of honey. Organizations of the UIS, and the body of the Federal Penitentiary Service of Russia, authorized to organize medical activities.

10) provide a special paragraph of the draft Rules for the implementation of non -departmental control and public control over the provision of medical care.

11) in paragraph 12 of the project, state in the following version, according to which “persons detained or convicted, planned primary medical care on an outpatient basis is found in the medical part (health post) in accordance with the mode of operation of the medical part (health center), and an unscheduled one in accordance with the indications.”

12) to replace clause 14 of the project by the existing formulation of the order 640/198 about the fact that the persons contained in the schizo, DIZO, PCT, EPT, locking premises, as well as in the frame of investigative insulators, medical examination and assistance are carried out on the site of health workers during daily checking the sanitary condition of these premises, as well as when applying. In cases where there is a threat to the health or life of persons held in the indicated premises, the medical worker takes measures to urgently deliver such a person to the medical part.

13) in clause 16 of the project, indicate that a sheet of prescribing drugs must correspond to the appropriate form of the Ministry of Health of Russia, and patients get acquainted with such a sheet for signature.

14) in clause 19 of the project, provide for an emergency or planned hospitalization, the completion of inpatient treatment of honey. Employees inform the administration of the UIS institution, as well as - legal representatives of patients, and with the written consent of the patient - also his relatives.

15) In paragraph 2 of paragraph 20 of the project, to provide for the impossibility of placing an outpatient patient in the locked room in relation to which there is a high risk of deterioration in his health or the patient, the forecast of a change in the state of health is impossible to make.

16) In paragraph 3 of paragraph 20 of the project, write down the words “or takes other measures to provide honey care”.

17) In paragraph 4 of paragraph 20, use more accurate formulations "This person is not placed in the locked room", "This person is released from the locked room."

18) In paragraph 21 of the project, after the words “bodily harm”, supplement the words “or other signs of the use of violence”. In the same paragraph, provide the right of the person in respect of whom the act is drawn up to make his comments in the content of the act. To provide that, if there is a technical capabilities, video and photofixation of the detected damage are provided to the act.

19) In paragraph 2 of paragraph 21 of the project, indicate that the form of the registration journal of outpatient patients established by the Ministry of Health of Russia is used.

20) in paragraph 22 of the project, provide that once every 6 months, a planned fluorographic examination is carried out, to state this item as amended by the order of the Ministry of Justice/Ministry of Health of Russia No. 640/190. To provide that in case of emergency need for a fluorographic study, the study is carried out as soon as possible.

21) in clause 24 of the project, include the possibility of examining the persons detained, and also indicate that such an examination is carried out in the manner established by the decree of the Government of the Russian Federation.

To supplement clause 24 by the norm that “the decision of the medical and social examination, in the case of the convicted person of disability, the head of the medical unit (health post) informs the head of the social service of the institution no later than 3 days from the moment the decision is received.”

22) in paragraph 29 of the project, be replaced by the words “no more than 3 working days” with the words “for some duty day”. To foresee that if there is a clinical psychologist in the institution, a person can also be examined by a clinical psychologist.

23) to foresee that if the person received in the institution announces the presence of a disease, if there is constant observation and treatment, medical workers of the UIS institutions, from honey. Organizations where this person was treated, the necessary documents are requested.

24) In clause 30 of the project, indicate that the minor patient is examined by a pediatrician.

25) Clause 31 of the project is supplemented with paragraph: “If it is impossible to provide medical care in institutions of the penal system for persons detained or

The serving sentence of imprisonment, medical care is provided in medical organizations of the state and municipal health systems, as well as by invitation to conduct consultations of the specialists of these medical organizations in accordance with the Decree of the Government of the Russian Federation. ”

26) Clause 39 of the project to exclude IR of the general, strict and special regime from among the institutions in which the convicts follow the place of provision of honey. assistance, accompanied by an employee of the UIS institution.

27) In paragraph 40 of the project, indicate that a certificate of incapacity for work must be designed according to the established sample.

28) In the section on the provision of psychological assistance to provide:

- the separate content of persons suffering from mental illness on the recommendation of a psychiatrist, and in his absence- a psychologist;

- Mandatory examination by a psychiatrist or psychologist of persons with personality disorder.

28) Clause 53 of the project to state the editorial office of order 640/190:

29) Provide the direction of emergency notice to specialized honey. Organization at the location of the person before imprisonment when identifying socially dangerous infectious diseases in this person.

30) supplement the order with the position that to the copper card of the patient receiving honey. Help, translated epicrisis is attached not only in relation to HIV-infected, but in relation to any patient who needs to continue treatment.

31) in paragraph 57, write down what if, according to honey. The institutions are sent to HIV - an infected convicted person, in this institution there is no stock of medicines that are included in the individual treatment regimen, such medications are given to the patient with a margin.

32) the provision of clause 58 add 2 paragraphs that “persons receiving antivirus therapy are provided with appropriate drugs for the period of residence, with a margin of at least 3 days from the date of arrival”.

33) in clause 62, supplement the words that patients have the right to make their comments to a certificate drawn up according to the inspection results.

35) In paragraph 66, paragraph 3 provides that when moving children under the age of 3 years in road transport, the vehicle should be equipped with a special child -holding tool corresponding to the growth and weight of the child.

36) To provide that drugs are issued to persons detained or convicted under the painting in the journal/statement of the issuance of drugs.

37) in paragraph 68 of the project, to foresee that in the absence of a health worker or an accompanying health worker in the composition of the punishment, the head of the guard takes measures to deliver these persons to the nearest medical institution or calling for an ambulance.

Original

To curtail