What is a medical and social examination and what is the procedure for conducting it? What types of problems does the Bureau of Medical and Social Expertise solve? How does the medical and social commission determine the disability group?
Good afternoon, dear readers! You are on the website “HeatherBober.ru” and I am with you, Maria Darovskaya.
Today we will talk about medical and social examination, its nuances, goals and features.
First, let's find out what is commonly called a medical and social examination, and how it differs from other types of examinations.
1.What is a medical and social examination and who conducts it?
ITU- this is a procedure according to the results of which experts recognize a person as disabled or deny him this status.
If experts have determined that a person is truly disabled and in need of social protection, then they determine which disability group to classify him as and what rehabilitation measures are necessary.
The assessment is carried out comprehensively, clinical, everyday, functional, psychological indicators of the person are analyzed (see also “” and “”).
The analysis is performed based on criteria approved by the Federal authorities. The procedure itself is regulated by Federal Law, Articles 7 and 8.
Federal institutions - in particular, the ITU bureau - are responsible for conducting ITU. The study referral form was approved by the Ministry of Health and Social Development.
Task 3. Determination of the disability group
There are several categories of disability: groups I, II, III and the category “disabled child”.
Disabled people of groups I, II, III receive a labor pension. If a person has no work experience, then a social pension is established. This norm is regulated by Federal Law.
Task 4.
The decision to recognize a citizen as disabled or to deny him this status is made after receiving and reviewing the data.
A re-examination must be carried out in advance, before the period for which the disabled status was granted has expired.
Examination deadlines:
Task 5. Determining the causes of death of disabled people
To use the state service of determining what caused the death of a disabled person, a family member of the deceased must submit an application.
In addition to the application itself, you must provide a document confirming the identity of the applicant, a copy of the medical death certificate, an extract from the examination card of the pathologist, and a copy of the disability certificate of the deceased.
The causes of death are determined by the bureau in absentia.
The application is submitted and recorded in the journal immediately upon submission. If an application has been submitted but not provided all the necessary documents, the applicant must provide them within 10 working days.
The decision is made by the majority of experts. When carrying out, an act is drawn up and a protocol is kept. The conclusion is drawn up in paper or electronic form.
You can read about determining the causes of death in the article “”.
3. How to pass a medical and social examination - step-by-step instructions
Now we will look at the main steps that need to be taken to obtain disabled status.
Please note that if there are no grounds for obtaining disabled status, you will be denied.
Step 1. Getting directions
Your first action should be to make an appointment with your doctor. At the appointment, you must indicate that you want to receive a disability.
The doctor will record everything necessary in the medical record and write a referral for examination. After this, you will be scheduled for an inpatient examination. Do not hide your illnesses and injuries while undergoing it. You need to communicate with doctors, tell them in detail why you have this or that disease.
All information obtained during the examination will be included in your card.
Example
Vladimir had health problems sufficient to qualify for disability. But he didn’t go to the doctor, and he didn’t keep an outpatient card. When Vladimir wanted to receive the social status of a disabled person, he was refused.
After the refusal, he had to register and undergo regular medical examinations. A year later, during a re-examination, he was given the status of disabled person.
To obtain the status, you need to regularly visit your local doctor and have notes about this in your medical record. Inpatient treatment and examination will follow only after a long outpatient visit to a medical facility. If there are no regular requests for an outpatient treatment card, the status will be denied.
It is the lack of success in outpatient treatment and then inpatient treatment that is proof of persistent pathology. Extracts from the hospital must be certified by department seals. The referral is certified with the seal of the institution. The signatures of at least three doctors are also required.
Step 2. Compose an application for examination
A citizen can submit an application independently or entrust this to his representative. It indicates the name of the institution to which the application is being submitted, information about the applicant, formulates the request for an ITU, its goals, and sets the date for filing the application.
The recipient must sign the received application, thereby confirming its receipt.
A statement is also written when a referral to medical examination in a hospital is refused.
Documents for ITU are prepared by the clinic at the place of residence. The chairman of the medical commission is responsible for this aspect of the work. You need to contact him when preparing documents to obtain disability.
Step 3. Receive an invitation from the ITU Bureau
After submitting your application, you must wait until you receive an invitation. It can be compiled both in written and electronic form, including by publishing it on a specialized Internet portal.
Step 4. Collect the necessary documents
It is better to prepare the necessary documents before receiving the invitation. This way you will definitely have time to collect the entire package. You will need a passport, a referral to an ITU, and medical documents that confirm your health status.
If you did not have all the documents when submitting your application, you must submit them within 10 days.
Step 5. We are waiting for an assessment of the body’s condition
The study is carried out in the office at the place of residence or, if there is a conclusion, then at home. MSE can also be carried out on a permanent basis or in absentia. The subject expert may invite a specialist who will have the right to vote to perform the examination.
The specialists’ task is to study the documents, conduct an examination and decide whether to grant disabled status.
Step 6. We receive a medical and social examination report
The decision is made within 30 days from the date of registration. If the examination was carried out in absentia, then the decision and explanations for it are drawn up on paper or electronically. Based on the results, a report is drawn up, it is signed by specialists and the head of the bureau, and certified with a seal.
All documents, including the report, as well as the protocol and rehabilitation program, are entered into the personal file of the subject. You will receive certified copies of these documents if you write an application.
4. Where to get advice on solving ITU issues - review of the TOP 3 companies
When obtaining the status of a disabled person, legislative and bureaucratic obstacles may arise.
For this reason, we recommend that you obtain legal advice before completing the necessary paperwork. This will help reduce the processing time, simplify the procedure, and save you from multiple trips to government agencies.
1) Lawyer
“Pravoved.ru” provides legal advice and services for document preparation in various areas. From almost 17 thousand qualified and experienced lawyers from all over the country, you can always choose the right specialist for your situation.
The company offers both free and paid services. But even paid services have prices below the market average. After all, Pravoveda’s lawyers do not need an office to provide advice to clients.
You can get advice without leaving your apartment. When submitting a question on the website, you will receive the opinion of several experts, which is equivalent to a collegial meeting and eliminates the possibility of errors.
The site operates 24 hours a day, without days off or breaks. If necessary, you can meet with specialists offline if the case requires the direct presence of a lawyer.
2) Legal consultation “Your personal lawyer”
Experts from the legal consultation “Your Personal Lawyer” provide advice on legal issues. You can contact the company for help by leaving a request on the website or by calling. Responses to requests are sent within five minutes.
Experts also prepare articles on topics of their profile - real estate, social security, property, family and labor, civil, tax corporate law and others.
The Docexpress company provides advice on legal issues around the clock, using a 24-hour hotline. Legal assistance is provided to both individuals and legal entities.
The company also provides a free newsletter, and the website has a forum where you can see expert answers to questions already asked. The list of the main advantages of the organization includes the reliability of the information provided, speed, and quality.
5. What to do if you are refused an examination - 3 useful tips
It may happen that the assignment of disability is denied. This can happen for many different reasons.
If you are sure that the refusal is illegal, then let's look at what needs to be done to protest it.
If you receive a refusal, be sure to request a certificate of this in writing. You will be able to contact the bureau yourself for an examination if you have it in your hands.
If the examination shows that all signs of disability are present, then they will issue a certificate with which you need to go to the clinic and receive a referral form.
Important information update!
How to pass the commission: algorithm
Step 1
First you need to get it from a therapist based on the data entered in the outpatient card.
Step 3
During the examination itself, specialists first of all get acquainted with all the documentation, then they conduct an examination and conversation with the patient, and analyze his condition. All actions and conversations during the work of the commission are recorded.
Step 4
Step 5
Important! The decision made by the commission is communicated to the patient on the same day on which the examination took place. In case of a positive conclusion, the person is given the original certificate, as well as a scheme for future rehabilitation and treatment developed specifically for him.
Step 6
A citizen’s application with this very certificate to a pension fund or other social organization to receive a pension and other assistance. This must be done within three days after receiving the papers..
In total, in about two months you can actually successfully apply for disability.
However, this does not mean that you can forget about your visit to the ITU office. Depending on the assigned group, disabled people in Russia must confirm their status at certain intervals:
- first group - every two years;
- second and third – annually;
- disabled children - once during the validity of this status.
Before the deadline is also possible. If this is due to a noticeable deterioration in the citizen’s condition, then whenever, but if not, then the disability should be valid for no more than two more months.
Decree of the Government of the Russian Federation of February 20, 2006 N95 gives citizens the right to challenge the decision of the commission. A period of one month is allotted for the local ITU center in the main office. The same period applies for a complaint against a decision of the main bureau in the federal center.
In this case, you must bring documents for appeal to the bureau where you have already been examined. It is the government itself that is forced to transfer statements from dissatisfied citizens to higher authorities within no more than three days. The very last body to which one can turn in such proceedings, and whose decision is no longer subject to appeal, is the court.
Possible difficulties
- The patient himself is in a non-transportable condition or in intensive care. The doctors of the medical institution, his relatives and the company where the patient is employed are then required to collect the papers. His collected documents are transferred to the ITU bureau on the basis of a special certificate confirming the citizen’s inability to deal with everything personally.
- The clinic where the patient is located is a psychiatric clinic, and the situation is similar to the previous one, that is, the person’s condition is very serious. At such moments, a notarized power of attorney is usually drawn up, and his relatives have the right to act on behalf of the patient.
- The citizen is capable of independently registering disability, but the medical institution refused to issue him a referral. The solution to this problem is to require a form in the form
Medical and social examination- determination in the prescribed manner of the needs of the examined person for social protection measures, including rehabilitation, based on an assessment of the limitations in life activity caused by a persistent disorder of body functions.
Medical and social examination (MSE) is carried out on the basis of a comprehensive assessment of the state of the body based on the analysis of clinical, functional, social, everyday, professional and labor, psychological data of the examined person using classifications and criteria in the manner determined by the Government of the Russian Federation.
MSE is carried out by the State Service of MSE, which is part of the system (structure) of social protection bodies of the Russian Federation. The decision of the public service body of the ITU is mandatory for execution by the relevant state authorities, local governments, as well as organizations, regardless of organizational, legal forms and forms of ownership.
ITU civil service institutions: structure, organization of activities
According to the Law “On Social Protection of Disabled Persons in the Russian Federation” (1995) and “Model Regulations on Institutions of the State Service for Medical and Social Expertise” (1996), the MSE service is entrusted with the following tasks and functions:
- establishing the fact of the presence of disability, determining the group, cause (circumstances and conditions of occurrence), timing and time of onset of disability;
Determining the needs of disabled people for social protection measures, including measures of medical, professional and social rehabilitation and developing individual rehabilitation programs (IRP), monitoring their implementation;
Assistance in the implementation of social protection measures for people with disabilities, including their rehabilitation, and assessment of the effectiveness of these measures;
Determination of the degree of loss of professional ability (in percentage) of workers who received injury, occupational disease or other health damage associated with the performance of their work duties, the need for additional measures of their social protection and rehabilitation;
Determining the need of disabled people for special vehicles;
Determining the causal relationship of the death of the injured person with a work injury, occupational disease, time at the front and with other circumstances in which the legislation of the Russian Federation provides for the provision of benefits to the family of the deceased;
Formation of data from the state system of registration of disabled people, study of the status, dynamics of disability and factors leading to it;
Participation in the development of comprehensive programs in the field of disability prevention, medical and social examination, rehabilitation and social protection of disabled people.
ITU civil service institutions to carry out their functions they have a right:
To refer persons undergoing examination for examination to health care institutions, rehabilitation and other state and municipal institutions operating in the field of medical assistance and rehabilitation of the disabled;
Request and receive from organizations of all forms of ownership information necessary for making decisions and performing other functions assigned to institutions;
Conduct control examinations of disabled people for dynamic monitoring of the implementation of measures provided for by the IPR;
Send specialists to organizations of all forms of ownership in order to study the working conditions of disabled people, monitor the implementation of rehabilitation measures and in other cases necessary to perform the functions assigned to ITU institutions.
ITU institutions are created, reorganized and liquidated by decision of the executive authority of the constituent entity of the Russian Federation, which also establishes the number of institutions, profiles and staff.
The primary link in the system of public service institutions of the ITU, providing expert services to the adult and child population, is ITU Bureau. Depending on the level, structure of morbidity and disability, ITU bureaus of general profile, specialized (cardiology, psychiatric, traumatology; pediatric - for examination of persons under the age of 18 years) and mixed types are formed. The staffing standard of the ITU bureau includes 3 doctors of various specialties, a rehabilitation specialist, a social work specialist and a psychologist; If necessary, other specialists can be introduced.
For organizational and methodological management of the activities of primary ITU bureaus as part of the public service ITU of a constituent entity of the Russian Federation, a ITU main office. The staffing standard of the ITU main bureau includes several groups of specialists who make expert decisions; they may include groups of specialists in functional diagnostics, career guidance and organization of work for people with disabilities, their social and environmental adaptation, as well as specialists from legal consulting services and information and statistical support. The specialists of the ITU main bureau include at least 4 doctors of various specialties, rehabilitation specialists, social work specialists and psychologists.
The ITU Main Bureau conducts an examination of persons who have appealed the decisions of the bureau; conducts examinations of citizens in difficult cases, and also forms and adjusts the IPR of disabled people if it is necessary to use special examination methods - according to the directions of the bureau; provides advisory assistance to medical experts and other bureau specialists; exercises control over the activities of the ITU Bureau; forms a data bank and carries out state statistical monitoring of the composition of disabled people on the territory of a constituent entity of the Russian Federation; participates in the development and implementation of regional comprehensive programs for disability prevention and rehabilitation.
ITU institutions carry out their activities in cooperation with bodies and institutions of social protection of the population, healthcare, education, employment services, public organizations of disabled people; may involve consultants on medical and social issues. Specialists of the MSE Bureau provide advisory assistance to doctors of health care facilities, introduce them to regulatory and methodological materials, and participate in joint meetings and seminars on issues of MSE and rehabilitation of the disabled.
The procedure for referral for medical and social examination: citizens are referred to MSE by a health care institution or social protection authority. In the event of a refusal by a health care institution or a social welfare authority to refer the patient to an ITU, a citizen has the right to contact the ITU bureau independently, submitting the necessary medical documents.
The basis for referral to medical examination is: the presence of signs of disability or loss of professional ability, the end of the period of disability, early re-examination of the disabled person due to worsening of the condition, the presence of indications for providing the disabled person with special transport, the need for an in-person consultation. The health care institution refers the patient to medical examination after carrying out the necessary diagnostic, therapeutic and rehabilitation measures. Medical services when registering patients for examination at ITU institutions are financed from compulsory medical insurance funds. Based on the results of the activities carried out, the health care institution issues the patient a “Referral for a medical and social examination” form No. 088/u-97 (for persons over 18 years of age) or form 080/u-97 (for persons under 18 years of age). It contains information about the development of the disease, the course, frequency and duration of temporary disability, clinical examination data, diagnosis, nature and degree of impairment of basic body functions, category and degree of disability, treatment, preventive and rehabilitation measures taken. The referral is signed by the chairman of the KEC and members of the commission, sealed with the seal of the medical institution.
The procedure for conducting the ITU has been determined“Regulations on recognizing a person as disabled”, approved by the Decree of the Government of the Russian Federation (1996). The examination is carried out at the ITU office at the patient’s place of residence or at the place of attachment to a health care institution. It can be carried out either in person at the ITU office, at home or in a hospital where the patient is being treated, or (with the consent of the patient) in absentia based on an analysis of the submitted medical documents.
ITU is carried out upon a written application from the patient (or his legal representative) addressed to the head of the ITU bureau. The application is accompanied by: a referral to medical examination, issued by a health care institution or social protection body, medical documents confirming the patient’s health impairment, as well as documents necessary to make a decision on the cause of disability, the degree of loss of professional ability, and on other examination issues.
The composition of the bureau's specialists who make expert decisions is appointed by the head. The patient has the right to involve any specialist in the examination with the right of an advisory vote at his own expense. Specialists conducting MSE review the information provided (clinical-functional, social-domestic, professional-labor, psychological and other data), conduct a personal examination of the patient, assess the degree of limitation of his life activity and collectively discuss the results obtained.
If the patient is recognized as disabled, an ITU certificate is issued confirming the fact of disability, and the head of the ITU bureau announces an expert decision to the patient. For a patient sent to the ITU with a certificate of incapacity for work, the ITU Bureau indicates on the certificate of incapacity the date of commencement of the examination (the date the patient’s application with the attached documents was received by the ITU Bureau), the date of its completion, as well as the expert decision made: “Recognized as disabled I (II or III) groups,” or “Not recognized as disabled.” The date of determination of disability is the day the ITU bureau receives the patient’s application with the accompanying documents. If the patient is recognized as disabled, the medical institution closes the certificate of incapacity for work that day. If the patient is recognized as able to work, all days of the examination are counted, and from the next day he is discharged to work. If further treatment is necessary, the certificate of incapacity for work is extended in the usual manner.
Based on the results of the examination, a “Notification of health care facilities on the conclusion of the public health service institution” (for persons over 18 years of age) or a “Tear-off coupon” (for persons under 18 years of age) is also issued, which indicates the diagnosis, degree of dysfunction and disability, group, reason disability (and for persons under 18 years of age - a decision to recognize the child as disabled), the period for which the disability was established, the date of the next re-examination; recommendations are made for the medical, professional and social rehabilitation of a disabled person.
A person who is not recognized as disabled may, at his request, be issued a free-form certificate on the results of the examination.
The procedure for appealing decisions of the ITU Bureau: a citizen (or his legal representative) can appeal the decision of the ITU bureau by filing an application to the main ITU bureau, or to the relevant social protection authority. The decision of the ITU main bureau can be appealed within a month to the social protection body of the population of a constituent entity of the Russian Federation, which can entrust the examination to any group of specialists of the required profile. The decision of the ITU establishment can also be appealed to the court.
Medical and social examination (MSE) arose in November 1995 on the basis of the adopted Federal Law No. 181-FZ, which in Art. 7 gives its direct definition within the framework of general trends in activities to protect disabled people in the Russian Federation.
Until this moment, the functions of examining the disabled were carried out by the Medical Labor Commission (VTEK). The principles of its activities were practically no different. Respectively, ITU expediently replaced it in the system of social relations.
Such a replacement was logical, since in this case the question is not only about persons who have lost their ability to work, but also about young disabled people who have not reached the age of legal capacity. This also applies to those who are disabled due to congenital or acquired disorders at an early age, falling into the category of “disabled since childhood.”
Significant differences between these institutions are expressed only in the development of the technical and social capabilities of the state. This is natural, since the progressive development of medical science and the institution of social relations expands the range of state and legal support for people with disabilities and provides more advanced ways of their rehabilitation.
Now let's talk more specifically about how to pass the examination.
Algorithm for preparation and completion
The initial stage of preparation depends on the state of the citizen. In any case, the procedure begins with collecting available medical information:
- certificates;
- acts;
- extracts from the medical history.
They are completed by submitting them to the bureau at the place of residence, they are assigned to areas of residence. The following is the process:
- Records with the appointment of the date of examination.
- Direct examination by the commission.
- Receipt of assignment of disability or refusal of a request.
- Within three days, he receives an extract and transfers it to the pension fund, if the decision is positive.
- Receives assignments for rehabilitation and carries them out, also uses possible benefits to receive free treatment, surgery, etc.
- In case of refusal: we take all additional documents (you need to do it a month in advance) and submit. Or we write an application to the head of the district bureau about transferring papers to the main bureau (they need to be transferred in three days).
How to pass VTEK: overcoming difficulties
Problems can arise already at the stage of collecting certificates; this is the longest process in the entire examination procedure. Each situation requires a specific approach. The options may be the following:
- A seriously ill patient is in the intensive care unit of the hospital or is in a position prohibited for transportation. In this case, all documentation is prepared by hospital doctors. If necessary, relatives bring the required documents, or a request is made to the production where the person worked. These papers are transferred without the participation of the patient, accompanied by a special certificate stating the impossibility of his personal presence.
- A similar process occurs when it comes to a patient in a psychiatric clinic.
In these situations, close relatives or other interested parties act as representatives, acting under a power of attorney certified by a notary.
The notary is called to the department, and he certifies the admissibility of the representation. In critical situations, a certificate from the chief physician is acceptable.
In other cases:
- A patient receiving treatment in a hospital can receive a referral from the hospital if his case qualifies as eligible for receiving social support.
- A citizen receives inpatient, outpatient, private clinic, etc. treatment for a certain period of time. Having collected extracts from the medical history and certificates with an established diagnosis, he turns to the therapist at the local clinic. The doctor gives a referral for specialists and prepares an extract. It is certified by the head of the clinic and gives the right to apply to the ITU.
- After an injury, a person collects all the papers at work, from the hospital where he was treated and sends them for examination.
- At the clinic, the citizen was refused a referral. He requires form No. 6, independently goes through the specialists, collects the necessary certificates and applies to the ITU with an application.
The referral for examination must be signed by the head of the institution and at least three specialists, with mandatory certification with a seal.
When registering for an examination, you may be required to bring additional certificates from specialists. This is legal, this requirement should be fulfilled. It is often necessary to bring additional certificates or characteristics about working conditions.
If you called an ambulance, it is advisable to take the call slips and file them with the documentation.
The main stage of the entire examination procedure is passing the commission. All specialists who are authorized to resolve the issue of your disability will gather here.
For a positive decision, they will need to conclude that the treatment, and upon re-examination, the rehabilitation program, did not bring lasting positive changes in health.
When you find yourself in front of specialists who examine the patient independently of each other. Everyone draws conclusions regarding his state of health.
After examination by all doctors and answers to their questions, the examined citizen is asked to go out the door. The decision is made by voting, which does not allow the personal presence of outsiders. Everything in your power should be done at the time of inspection.
Do you think that an examination by a specialist who is not related to your disease does not play a significant role? It's a delusion.
Every vote in your favor will guarantee the successful completion of the examination. This suggests that each of the commission members should be aware of your problems not only with health, but also with the possibility of self-care.
For example, for diseases of the musculoskeletal system, it is recommended to remove socks. Don't be fooled into thinking that this is being done to examine your feet.
The doctor observes how difficult your movements are and how much pain they cause. Therefore, it is worth showing everything as it is.
For hypertension, you should keep a diary of pressure changes, indicating the name and dose of the medications that were used to reduce them. This will allow doctors to further verify not only the development of the disease, but also your responsible attitude towards maintaining your health.
How to behave at ITU to get a group?
If the basis of the application is the desire to receive pension benefits, completing the procedure will be difficult. Psychologically, the patient will not concentrate on demonstrating the true state of affairs, which will reduce his presentation abilities.
When passing, you need to focus exclusively on the health disorder, and be able to show yourself as a person who really needs government subsidies. The goal of receiving retirement benefits should be put on the back burner.
Keep in mind that your documents do not play a significant role in establishing the group, although examination without them is in principle unacceptable. The main decision will remain with the commission members. You should behave kindly with them and do not be offended by incorrect questions and requests.
For example, patients with hyperthyroidism, while maintaining intelligence, often feel offended when they are asked to show their tongue.
Doctors check for characteristic bite marks if the tongue involuntarily falls out.
There is nothing offensive about this, it is a common diagnosis. But resistance on the part of the patient speaks volumes. In particular, that he is extremely adaptive and tries to lead. Keep this in mind. Such characteristics will lead to a refusal to establish disability.
Basic things you need– is to show a low level of survival without outside help. These are the characteristics of a person claiming to be disabled in life processes. Feel free to share the most unpleasant details that confirm this.
If you have severe lameness, come to the commission with a badik, even if in ordinary life you can do without it. Well-groomed women who are accustomed to taking care of themselves, regardless of pain, should not:
- apply makeup;
- dress up beautifully or brightly;
- come in shoes with heels.
You need to show doctors your weakness and helplessness (but not go too far). The ITU is the only place where such behavior is appropriate and even useful.
In addition to the above, try to prepare for answers to the most unexpected questions of a medical and social examination.
Set yourself a task: if you cannot answer a question, it is better to react with embarrassment than with aggression. At the same time, try to give a precise answer rather than vague reasoning. Questions asked may include the following:
In addition to the above, they ask questions related to the immediate characteristic manifestations of the underlying disease.
Conclusion
People often assume that doctors should get answers to all their questions from medical papers and certificates. In this case, doctors are interested not only in the opinion of their colleagues, but also in the subjective idea of the situation of the person being examined.
The practical implementation of ITU is entrusted to special government agencies: Federal Bureau of Medical and Social Expertise (FBMSE)), Main Bureau of Medical and Social Expertise (GBMSE)), Bureau of Medical and Social Expertise(BMSE).
FBMSE - is under the jurisdiction of the Ministry of Health and Social Development of the Russian Federation.
GBMSE are created in regions, territories, republics of the Russian Federation, the cities of Moscow and St. Petersburg. They are the highest ITU bodies in the constituent entities of the Russian Federation.
BMSE – are the primary bodies of ITU and operate in cities and regions.
Main functions of ITU institutions:
Determination of the group of disability, its cause (circumstances and conditions of occurrence), the timing and time of onset of disability.
Development of individual rehabilitation programs for disabled people, assistance in the implementation of social protection measures, including rehabilitation, and evaluation of the effectiveness of these measures.
Formation of data from the state system of registration of disabled people, study of the state of the dynamics of disability and the factors leading to it.
Participation in the development of comprehensive programs in the field of disability prevention, medical assistance, rehabilitation and social protection of disabled people.
6.2.1.Federal Bureau of Medical and Social Expertise
Federal Bureau headed by the chief federal expert on medical and social examination.
The Federal Bureau performs the following functions:
1. Ensures that all citizens are provided with equal opportunities to undergo examination for the purpose of being recognized as disabled in accordance with the Federal Law “On Social Protection of Disabled Persons in the Russian Federation”;
2. Considers complaints from citizens undergoing examination against the decisions of the main bureaus and, if they are found to be justified, changes or cancels the decisions of the main bureaus, conducts an examination of citizens who have appealed the decisions of the main bureaus;
3. Conducts examinations of citizens at the direction of the main bureaus in cases requiring the use of particularly complex special types of examination;
4. Conducts, on its own initiative, a re-examination of citizens who have been examined at the main bureaus, and, if there are sufficient grounds, changes or cancels decisions;
5. Carry out comprehensive rehabilitation expert diagnostics using the latest technologies, the results of scientific developments in order to determine the presence of disabilities, the degree of loss of professional ability, rehabilitation potential and the need for social protection measures;
6. Implements activities to improve the qualifications of specialists in the field of medical and social examination;
7. Provides methodological and organizational assistance to the main bureau and bureau in accordance with the methodological recommendations of the Ministry of Health and Social Development of the Russian Federation, ensures the uniform application of these recommendations, as well as the legislation of the Russian Federation in the field of social protection of disabled people in the established field of activity;
8. Forms a data bank on citizens who have passed a medical and social examination, takes part in the study of factors leading to disability, and makes proposals for the development and implementation of programs on the problems of disability and people with disabilities;
9. Submits proposals to the Ministry of Health and Social Development of the Russian Federation on the introduction into practice of the results of scientific developments, new technologies of rehabilitation expert diagnostics, best practices of the main bureaus, as well as the implementation of programs in various areas of medical and social expertise;
10. Submits proposals to the Ministry of Health and Social Development of the Russian Federation on the formation of a state order for carrying out research and development work on medical and social examination.
