The prosecutor's office of the Miory district, during an inspection of the procedure for charging patients of the local hospital for paid services, identified a number of violations.

It has been established that by the order of the chief physician of the healthcare institution "Miory Central District Hospital" (hereinafter referred to as HI "Miory CRH") dated 29.05.2015 No. 106 "On approval of the list of paid medical services provided at HI "Miory CRH", a list of paid services has been approved.

At the same time, the list of paid medical services at HI "Miory CRH" includes such a service as "the use of own electrical appliances".

The legislation approves a list of paid medical services. This list is exhaustive. The use of own electrical appliances, in accordance with current legislation, is not a medical service.

Also, the legislation of the Republic of Belarus establishes a list of income from other income-generating activities that are included in the extra-budgetary funds of the organization. However, this list also does not include income from the above-mentioned service.

During the inspection, it was established that the fee for providing the service of using own electrical appliances at HI "Miory CRH" is charged according to the price list approved by the chief physician of HI "Miory CRH", as well as on the basis of a planned calculation of tariffs for paid medical services.

Also, based on this calculation, HI "Miory CRH" has developed and signed a timekeeping protocol for the time spent by a specialist in providing the paid service of using own electrical appliances, which takes 5 minutes and includes entries in journals, receiving checks, and evaluating the time spent.

Based on this protocol, calculations of wages and additional wages for the specialist per minute of providing this service have been made.

In addition, employees of this healthcare institution have developed norms for electricity consumption for equipment operation. At the same time, when developing these norms, specialists were guided by instructions for the use of electrical appliances. There are no orders or departmental acts on the basis of which these protocols, norms, etc., were developed.

The inspection established that according to the price list, 1 hour of use

with a TV, laptop, or tablet connected to the mains, costs 9 kopecks, using a mobile phone charger or electric kettle – 20 kopecks, a radio receiver – 7 kopecks.

Meanwhile, according to the planned calculation, the cost of the service for using own electrical appliances is higher than the price according to the price list (for example, 1 hour of using a TV, laptop, or tablet – 0.84 rubles, using a mobile phone charger – 0.80 kopecks).

At the same time, when charging, the price list is applied, not the calculation. However, the prices indicated in it are clearly disproportionate to the power of the electrical appliances used and the cost of 1 hour of connection to the electrical network, in particular, with the absolute difference in power of a mobile phone charger and an electric kettle, the tariffs for their use are the same. This circumstance indicates the economic groundlessness of applying the specified price list.

In addition, the "Miorskaya CRB" healthcare institution is not an energy supplying organization, it does not have a license or certificate for the supply of electricity, and it does not have its own sources of electricity generation.

The audit also established that the list of paid medical services provided by the "Miorskaya CRB" healthcare institution includes medical services whose wording does not correspond to those indicated in the list of paid medical services provided to citizens of the Republic of Belarus by state healthcare institutions, approved by Resolution No. 182 (hereinafter – List No. 182).

For example, the list of the "Miorskaya CRB" healthcare institution provides for the provision of medical services such as "use of medicines and other consumables not included in the list of essential medicines", however, according to clause 14 of the list approved by Resolution No. 182, there is a service "provision for medical use by state healthcare institutions, at the request of citizens, of other medical devices and medical equipment, medicines instead of those included in the Republican Formulary of Medical

of products and the Republican Formulary of Medicines funded by citizens' own funds, legal entities' funds, and other sources not prohibited by the legislation of the Republic of Belarus."

All the above facts indicate a gross violation by the "Miory Central District Hospital" of the legislation regulating the provision of paid medical services, a violation of the rights and legitimate interests of citizens, including social rights to free medical care, and may lead to the commission of corruption crimes and offenses.

Based on the results of this inspection, the Prosecutor of Miory District has submitted a representation to the Chief Physician of the "Miory Central District Hospital," which **demands** the adoption of exhaustive measures to eliminate and prevent the identified legislative violations in the future, **to immediately cease the practice** of charging unjustified fees for the use of patients' own electrical appliances, and to bring the guilty parties to justice.

The supervision act is under special control of the prosecutor's office.

Prosecutor of Miory District Ivan Volchik