State for the social protection of those personswho, have persistent health disorders, injuries, cannot work, have limited opportunities for socialization, have created a whole system of assistance. Its goal is to reduce the distance between a sick person and society. It consists of several components:
Для решения части из этих вопросов в отношении each individual requiring government support, and created a medical and social expertise (ITU). Strictly speaking, the ITU is a state expertise, designed to solve the issue of establishing disability for a specific person.
Among the main tasks of the ITU is to determine the extent of damage to the basic functions of the body of a particular person, to identify possible ways of rehabilitation, legal recognition of his disability.
For each individual who needs to establish a disability, the examination is carried out in the ITU office at the place of residence. They are branches of the main offices located in the regions.
There are city and district branches of the Mainbureau, where and should come with the direction and documents. A disabled person may apply to the ITU's place of residence (this may be the place of his stay) or at the place of location (if he has left the Russian Federation). For example, for ITU, Moscow should contact one of the 95 branches of the Moscow Telecommunication Union in Moscow (their addresses are posted on the official website of the Head Office).
In case of disagreement with the decision of the local branchA person (or his guardian) may appeal to the Head Office, as a rule, these are regional structures. Then the examination will be carried out here (in our example, this will already be GB ITU in Moscow).
The main structure is the ITU Federal Bureau. In difficult situations, in case of disagreement with the decision of the Head Office, an examination is carried out here, his decision can be appealed in court.
The Federal Bureau of Medical and Social Expertise is subordinate to the Ministry of Labor of the Russian Federation.
One of the main functions of the ITU is the establishment of a disability group. This procedure is a de facto general assessment of the state of health of the person who applied to the bureau.
For the examination of persons with various diseases, special expert groups have been created:
And also created profile groups for examination:
Examination will be carried out by an expert group depending on the disease that is present in the patient.
With the passage of the ITU also resolved the issue of rehabilitation and issued (or adjusted) individual rehabilitation program (IRP).
At the same time, in accordance with the Rules for recognizing a person as disabled (Resolution No. 95 of the Government of the Russian Federation of February 20, 2006), an examination is possible:
An ITU survey implies the definition of a groupdisability (its extension) or refusal to establish it. All disability groups 3, and also there is a category "disabled child". The Bureau of the ITU disability can be established for 1 or 2 years, for 5 years and for life (this is determined by the relevant criteria of the Rules).
The group specification has a detailed list of the health disorders of the person being examined. These criteria form the basis of the determination of the disability group's expertise.
For example, when persistent moderate violationslead to a decline in the ability to perform the usual professional duties or to reduce the amount or intensity of work, and also cause the inability to continue activities in the main profession, but it is still possible for a person to perform duties of lower qualification under standard conditions. This indicates the presence of a degree of restriction of the main categories of life, there are grounds for the appointment of group III disability.
If persistent disorders occurbody functions that require special devices for the performance of labor activity or the creation of specific working conditions, any special ones. funds or assistance of unauthorized persons, they qualify as a second degree of restriction. In this case, assigned II disability group.
When fixing persistently expressed disordershealth, leading to the impossibility (even contraindications) of work or unconditional inability to it, there is 3 degrees. These are signs of group I disability.
A separate category “disabled child” is established if a person aged 1 to 18 years has signs of any degree of restriction of the main life categories of life activity.
Назначение группы зависит от общего состояния health of the person undergoing examination. It takes into account many factors limiting the basic life categories. Among them will be his ability to self-service, orientation, communication, movement, ability to control himself and learnability (which is very important for children and young people).
If all these factors are taken into account, a group will be established. The criteria themselves were approved specifically for each group and have uniform, very clear recommendations for all ITU branches in Russia.
In addition to the main goal - the maximum adaptation of a disabled person to society - ITU pursuing more specific goals. These include:
As well as the commission may be held in order to establish:
To pass the examination you need to get a referral (to the patient or his guardian). This can be done in the following ways:
The medical institution issues a referral forform number 088 / y-06. In which there will be information on the state of health of the person being sent and on the rehabilitation possibilities of his health, on the rehabilitation measures taken, their results and necessarily the goal with which the person is sent to ITU (the disability and the group do not indicate in it).
Органы соцзащиты и ПФ РФ выдают направление по form approved by the order of the Ministry of Healthcare and Social Development of the Russian Federation of 25. 12. 2006 No. 874 which contains information about signs of limited functioning (as a rule, on the basis of the fact established by them) and the need for social protection, goal directions.
If a person was denied a referral from all of the listed institutions, he is entitled to appeal directly to ITU branches..
Documents are attached to the received direction. Their list will depend on the purpose for which a referral is issued. And you can get it with the direction.
Common to all types of expertise will be:
Most likely, the following documents will be needed:
In some cases, the person who requires establishingdisability, due to his illness and cannot be fully responsible for his actions or physically unable to collect information and walk on instances. This will be the basis for their interests to be represented by legal representatives. They can be parents, children, other relatives, spouses, or strangers taking care of a disabled person (in this case, a decision of guardianship will be required).
When examining children under 14 andTeens under 18 their legal representatives will be parents. Legislatively provided for their mandatory participation in the process (without them, the examination is not carried out). If the child has no parents, they are replaced by guardians.
In all these cases, legal representatives forITU is an important part of the process. They must submit documents that certify kinship or marriage, and may conduct a series of actions for the patient. So, they collect the necessary certificates, bring the patient for examination, organize the departure of the commission home, if it is impossible to deliver it. In fact, they represent the interests of their ward at the ITU.
During the examination, a protocol is kept.Then an inspection certificate is drawn up, which consists of 2 parts. It is stored for 10 years. In the hands of the person in respect of which the examination was carried out, issue:
Extract from the act, which is necessarily compiled, is sent to the regional branch of the Pension Fund not later than in 3 days.
If a person disagrees with the resultsSurveys need to write a statement in the same regional or head office no later than 1 month from the date of receipt of the certificate. The period during which the re-examination must take place is 1 month.
In case of disagreement with the findings of the commission, you can also go to court.
