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ORDER OF THE MINISTER OF HEALTH AND SOCIAL DEVELOPMENT OF THE REPUBLIC OF KAZAKHSTAN

of March 26, 2015 No. 165

About approval of standards of rendering special social services in the field of social protection of the population

(as amended on 16-06-2021)

According to the subitem 2) article 8 of the Law of the Republic of Kazakhstan of December 29, 2008 "About special social services" PRIKAZYVAYU:

1. Approve:

1) the Standard of rendering special social services in the field of social protection of the population in the conditions of hospital according to appendix 1 to this order;

2) the Standard of rendering special social services in the field of social protection of the population in the conditions of semi-hospital according to appendix 2 to this order;

3) the Standard of rendering special social services in the field of social protection of the population in the conditions of rendering services at home according to appendix 3 to this order;

4) the Standard of rendering special social services in the field of social protection of the population in the conditions of temporary stay according to appendix 4 to this order.

2. To provide to social services department in the procedure established by the legislation:

1) state registration of this order in the Ministry of Justice of the Republic of Kazakhstan;

2) within ten calendar days after state registration of this order its direction on official publication in periodic printing editions and in information system of law of Ad_let;

3) placement of this order on Internet resource of the Ministry of health and social development of the population of the Republic of Kazakhstan.

3. To impose control of execution of this order on the vice-Minister of health and social development of the Republic of Kazakhstan Zhakupova S. K.

4. This order becomes effective after ten calendar days after day of its first official publication.

Minister of health and social development of the Republic of Kazakhstan

T. Duysenova

It is approved

Minister of Education and Science of the Republic of Kazakhstan

 April 7, 2015

 

____________ A. Sarinzhipov

Appendix 1

to the Order of the Minister of health and social development of the Republic of Kazakhstan of March 26, 2015 No. 165

The standard of rendering special social services in the field of social protection of the population in the conditions of hospital

Chapter 1. General provisions

1. The standard of rendering special social services in the field of social protection of the population in the conditions of hospital (further - the Standard) is developed according to the subitem 2) of article 8 of the Law of the Republic of Kazakhstan of December 29, 2008 "About special social services".

2. This Standard establishes quality requirements, to amount and conditions of provision of special social services in the organizations of stationary type of the state and non-state patterns of ownership (further - the organizations of stationary type) intended for the round-the-clock permanent or temporary residence in the conditions of hospital determines conditions of acceptance, content, the statement (assignment), temporary disposal and the translation from the organization of stationary type:

1) handicapped children with psychoneurological pathologies from three to eighteen years (further - children);

2) handicapped children with violations of the musculoskeletal device from three to eighteen years (further - children with violations of ODA);

3) disabled people is more senior than eighteen years with psychoneurological diseases (further - persons are more senior than eighteen years);

4) disabled people of the first and second groups (further - disabled people);

5) persons not capable to independent servicing in connection with old age (further - aged).

The categories stated above jointly hereinafter are referred to as receivers of services.

Chapter 2. Conditions of provision of special social services in the organizations of stationary type

3. Provision of special social services at the expense of budgetary funds in the organizations of stationary type is performed in the direction regional, Nour-Sultan's cities, Almaty and Shymkent of authorized bodies in the field of social protection of the population (further - authorized bodies) through departments of employment and social programs of areas, cities of regional and republican value (capital) (further - departments of employment) at the place of residence of the receiver of services.

4. The organizations of stationary type of non-state pattern of ownership perform acceptance of receivers of services on contractual basis, except as specified, when special social services are provided at the expense of budgetary funds.

5. Person (family) which is in difficult life situation addresses to department of employment behind provision of the guaranteed amount of special social services in the place of residence by giving:

1) the written application of the receiver of services, and for minor and incapacitated persons - the written application of the legal representative (one of parents, the adoptive father (adopter), the guardian or the custodian, the adoptive parent, the foster tutor and other persons replacing them performing according to the Code of the Republic of Kazakhstan of December 26, 2011 "About scrap (matrimony) and family" (further - the Code), care, education, education, protection of the rights and interests of the child, person is more senior than eighteen years) (further - the legal representative) in form, according to appendix 1 to this Standard or the petition of the medical organization;

2) the identity document of the receiver of services with availability of individual identification number (further - IIN) for identification;

3) the medical record in form, according to appendix 2 to this Standard with the statement from the out-patient card or the clinical record.

The department of employment in case of reception of an application creates requests on IIN in information systems of state bodies and (or) organizations through lock of "the electronic government" (further - information systems) for receipt of the following data:

1) about the identity document;

2) about disability establishment;

3) about developed actions in the individual program of rehabilitation of the disabled person (further - the International Party of Russia);

4) for persons is more senior than eighteen years - about the judgment in case of recognition of person incapacitated (in the presence);

5) for persons of retirement age - about purpose of retirement benefits on age in compliance the Law of the Republic of Kazakhstan of June 21, 2013 "About provision of pensions in the Republic of Kazakhstan";

6) about availability of the participant status and the disabled person of the Great Patriotic War and person equated to them.

In the absence of data from information systems the following documents are enclosed to the application:

1) the copy of the identity document of the receiver of services with availability of IIN;

2) the copy of the certificate of disability (for aged with disability);

3) the copy of the statement from the International Party of Russia (for aged in the presence of the International Party of Russia);

4) for persons is more senior than eighteen years - the copy of the judgment about recognition of person incapacitated (in the presence);

5) for persons of retirement age - the copy of the pension certificate;

6) for participants and disabled people of the Great Patriotic War and persons equated to them - the copy of the certificate confirming participant status and the disabled person of the Great Patriotic War and person equated to them.

Copies of documents are provided together with originals which after reconciliation return to the applicant, except the medical record.

6. In case of compliance of document package specified Item 5 of this Standard, the specialist of department of employment enters into the automated information system "E-social security" (further - AIS "E-social security") data from the statement of the addressed person (family) who is in difficult life situation.

7. After pronouncement by local executive body of the decision on provision of special social services, the department of employment of the residence of the receiver of services within one working day sends inquiry to authorized body for provision of the direction in the organization of stationary type. Within one working day from the moment of receipt of request the authorized body sends to department of employment the direction in case of lack of priority in the organizations of stationary type or the notification on statement on queue.

If from the date of issue of the notification on statement on queue passed more than a month, then in case of registration of the direction the department of employment informs the receiver of services on need of passing of repeatedly medical examination and provision of the medical record in form, according to appendix 2 to this Standard. In case of availability at the receiver of services of medical contraindications, the decision of local executive body on provision of special social services stops before provision by the receiver of services of the medical record in form, according to appendix 2 to this Standard, testimonial of absence at it medical contraindications.

8. Within one working day from the moment of obtaining from authorized body of the direction the department of employment of the residence of the receiver of services sends to the organization of stationary type providing special social services at the expense of budgetary funds, the following documents:

1) decision of local executive body on provision of special social services;

2) direction of authorized body;

3) the medical record in form, according to appendix 2 to this Standard with the statement from the out-patient card or the clinical record.

4) in case of lack of data from information systems the documents specified in the paragraph 3 Items 5 of this Standard.

9. By transfer to administration of the organization of stationary type of children and (or) children with violations of ODA and (or) persons is more senior than eighteen years of the special social services needing rendering in the conditions of hospital, the legal representative provides originals of the following documents:

for persons is more senior than eighteen years - the identity document with availability of IIN, the judgment about recognition of person incapacitated (in the presence);

for children - the certificate of birth with availability of IIN and the card of preventive inoculations in form, according to the Forms of primary medical documentation of the organizations of health care approved by the order of the acting minister of health care of the Republic of Kazakhstan of November 23, 2010 No. 907 "About approval of forms of primary medical documentation of the organizations of health care" (it is registered in the Register of state registration of regulatory legal acts for No. 6697).

10. Special social services in the organizations of stationary type are provided to the disabled people, participants of the Great Patriotic War and persons equated to them in first-priority procedure.

11. The decision on provision of services of the independent accompanied accommodation at department of the independent accompanied accommodation by design capacity from 6 to 30 places (further - Department) is accepted by the organization of stationary type, on the basis of complex assessment and monitoring of specialists of the organization of stationary type.

Contraindication to accommodation in Department is the inability of the receiver of services to self-service and (or) to independent movement and complete dependence from other persons determined according to the Rules of assessment and determination of need for special social services approved by the order of the Minister of health and social development of the Republic of Kazakhstan of February 19, 2016 No. 134 (it is registered in the Register of state registration of regulatory legal acts of the Republic of Kazakhstan at No. 13527).

12. When rendering special social services by the organizations of stationary type it is observed:

1) ensuring integrity of human beings and safety of receivers of services;

2) creation of favorable moral and psychological climate;

3) rendering special social services taking into account individual needs of receivers of the services oriented to increase in level of their personal development, socialization and integration;

4) improvement of quality and efficiency of the provided special social services;

5) socialization of disabled people, support of their greatest possible independence in the organization of life, labor employment, leisure, interaction in open society.

13. The statement of receivers of services from the organization of stationary type is performed:

1) according to the written application of receivers of services, and for minor and incapacitated - according to the written application of the legal representative;

2) in case of removal of disability or establishment of the third group of disability (to persons is more senior than eighteen years and to disabled people), recognitions of improvement of the state of health of the disabled person by the medical organization, allowing it to perform labor activity without assistance and in the presence at receivers of services of living space and means of livelihood;

3) on reaching age of majority of children and children with violations of ODA;

4) in case of agreement cancelation about provision of paid special social services;

5) in case of the death of the receiver of services.

14. Temporary disposal (for up to three months) receivers of services in personal motives is allowed taking into account the conclusion of the doctor of the organization of stationary type based on the written application of disabled people and aged in administration of the organization of stationary type, and for children and persons is more senior than eighteen years - according to the written application of legal representatives, the close relative.

15. For the period of absence of receivers of services, special social services to which are rendered at the expense of budgetary funds removal and statement on allowance is drawn up by the relevant order of the head of the organization of stationary type.

16. The translation of receivers of the services containing at the expense of budgetary funds from the organization of stationary type located in one region in the organization of stationary type located in other region is performed in coordination with authorized bodies of the respective regions.

17. The decision on the direction of receivers of services for up to one year for further rehabilitation in other organization is made by administration of the organization of stationary type taking into account the conclusion of the cross-disciplinary commission of the organization of stationary type and in the presence of the commitment letter of the host party on content of receivers of services and ensuring necessary care of them.

18. In the presence of medical contraindications to accommodation at the organizations of stationary type receivers of services go to the specialized medical organization for carrying out inspection and the solution of question of stationary or out-patient treatment.

19. In case of achievement of sixteen years by the child the administration of the organization of stationary type provides execution of the identity certificate.

Children, including with violations of ODA, reached eighteen-year age, according to the conclusions of the medical organization and medico-social commission of experts are accepted in the organizations of stationary type providing special social services aged, to disabled people and (or) persons is more senior than eighteen years, or are written out home.

20. The receivers of services living in the organizations of stationary type which are acknowledged disabled people are subject to registration in AIS "E-social security" by provision of the statement in department of employment.

21. Aged and disabled people are subject to assignment in the following cases:

1) in case of systematic (more than three times) abuse of regulations of internal rules and procedures of the organization of stationary type, including bringing and the use of psychoactive agents, spoil of inventory items and other property, making of illegal actions, and also in case of availability at the receiver of services of the restriction in participation in gamblings and (or) bet provided by subitem 7-2) of article 1 of the Law of the Republic of Kazakhstan of January 12, 2007 "About gaming";

2) in case of recognition of disabled people and aged it is limited capable by a court decision owing to abuse of alcoholic drinks or narcotic substances.

In case of legal incapacity cancellation by a court decision person is accepted in accordance with general practice again;

3) in case of unauthorized leaving by the ward of the territory of the organization of stationary type and absence more than two days.

Person who left the territory of the organization of stationary type is recovered in accordance with general practice according to Chapter 2 of this Standard, but not having opportunity to report about it on reasonable excuses, is subject to recovery immediately.

22. The receivers of services deducted from the organization of stationary type for the bases provided by subitems 1) and 2) of Item 21 of this Standard are accepted in the organization of stationary type according to the procedure, provided by Chapter 2 of this Standard, but not earlier than in one calendar year after their assignment.

23. The statement (assignment), temporary disposal or transfer of receivers of services to other organization of stationary type are performed based on the order of the head of the organization of stationary type and the mark in AIS "E-social security" is put down.

At the same time vypisny or translated epikriza, recommendations of specialists of the organization of stationary type which are transferred to hands to disabled people and aged, or the party accepting receivers of services are surely drawn up.

24. In case of the statement, temporary disposal or transfer to other organization of stationary type the personal and fixed clothes and footwear, their values (documents) which are stored in the organization of stationary type are issued to receivers of services.

Chapter 3. Quality and amount of provision of special social services in the organizations of stationary type

25. Treat social services:

1) rendering social services of the individual serving and hygienic nature to the receivers of services incapable for health reasons to perform regular everyday procedures, including such actions how to get up, go to bed, to put on and undress, wash, to eat food, to drink, use toilet or the vessel, to move, look after teeth or jaw, to use points or hearing aids, to cut nails, to men - to shave beard and moustaches;

2) provision of living space, including for bedrooms at least four square meters on the child, the child with violations of ODA and at least five square meters is one person more senior than eighteen years, the disabled person, aged;

3) provision of the rooms equipped with furniture and (or) the specialized equipment for rehabilitation, medical, educational, cultural events, departure of religious practices, the organization of medical labor activity, training, to skills of self-service, bases of household orientation;

4) creation of conditions for the organization of workplaces for disabled people and persons is more senior than eighteen years to which work is not contraindicated for health reasons;

5) provision of the adapted rooms and devices providing implementation of domestic needs without appeal to assistance;

6) provision of rooms for creation of crisis chambers, chambers (departments) of palliative care equipped with furniture for carrying out intensive leaving and therapy;

7) provision of rooms for temporary stay (up to six months) receivers of the services living in families, and needing temporary provision of special social services by it in the conditions of hospital on paid contractual basis, according to the procedure, approved by local executive body;

8) rendering services in maintenance of conditions of accommodation according to sanitary and hygienic requirements;

9) provision of food, including dietary;

10) provision of clothes, footwear, bed linen, personal care products, firm stock and technical supportive (compensatory) means and special vehicles according to the minimum standards of dress, footwear, bed linen, personal care products, firm stock and technical supportive (compensatory) means and special vehicles provided to persons which do not have disability, on doctor's orders and also terms their socks and uses for the organizations of stationary type according to appendix 3 to this Standard;

11) providing with consumer services (washing, drying, ironing, disinfection of underwear, clothes, bedding);

12) provision of services of city telephone communication;

13) provision of transport services in transportation of receivers of services for treatment, rehabilitations, training, participation of receivers of services in cultural and leisure actions;

14) assistance in writing and reading of letters;

15) rendering hairdresser's services for receivers of services which servicing in regular hairdressing salons is complicated or is impossible;

16) the organization of funeral services (in case of absence at the died relatives (legal representatives) or their unwillingness to be engaged in burial).

26. Quality requirements of provision of social services:

1) the provided premises by the sizes and indicators (condition of buildings and rooms, their comfort) meet sanitary and hygienic standards and requirements and provide convenience of accommodation of receivers of services.

In case of accommodation of receivers of services in premises (rooms) the condition of their health, age features, physical and mental condition, bents, psychological compatibility, level of personal development and socialization is considered.

All residential, service and production premises answering to sanitary standards and rules, safety requirements, fire-proof requirements are equipped with telephone communication and provided with all means of household improvement and are provided to receivers of services in their requirement. Rooms are protected from impact of various factors and adverse conditions which are negatively influencing health of personnel, receivers of services and quality of the provided services.

The rooms provided for the organization of rehabilitation actions of medical and labor and educational activities, cultural and consumer services, for the sizes, arrangement and configuration provide carrying out in all of them the actions mentioned above taking into account specifics of the served receivers of services;

2) offices of specialists of the organization of stationary type are equipped with necessary furniture and the specialized equipment.

On each specialized office the passport which is drawn up in any form is filled in;

3) the furniture provided in use to receivers of services, the equipment, clothes, footwear, bed linen and personal care products correspond to the regulating documents on standardization in the field of technical regulation existing in the territory of the Republic of Kazakhstan;

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