FIFTH SECTIONCASE OF SIMON v. UKRAINE(Application no. 41877/21)      JUDGMENT STRASBOURG22 February 2024 This judgment is final but it may be subject to editorial revision.In the case of Simon v. Ukraine,The European Court of Human Rights (Fifth Section), sitting as a Committee composed of: Mārtiņš Mits, President, Kateřina Šimáčková, Mykola Gnatovskyy, judges,and Viktoriya Maradudina, Acting Deputy Section Registrar,Having deliberated in private on 1 February 2024,Delivers the following judgment, which was adopted on that date:PROCEDURE1.  The case originated in an application against Ukraine lodged with the Court under Article 34 of the Convention for the Protection of Human Rights and Fundamental Freedoms (“the Convention”) on 20 January 2022.2.  Notice of the application was given to the Ukrainian Government (“the Government”).THE FACTS3.  The applicant’s details and information relevant to the application are set out in the appended table.4.  The applicant alleged that he did not receive adequate medical care in detention. He also raised a complaint under Article 13 of the Convention.THE LAWALLEGED VIOLATION OF ARTICLE 3 OF THE CONVENTION5.  The applicant complained principally that he was not afforded adequate medical treatment in detention.6.  The Court notes that the applicant suffered from serious medical conditions, as indicated in the appended table, which affected his everyday functioning. Therefore, he could have experienced considerable anxiety as to whether the medical care provided to him was adequate.7.  The Court reiterates that the “adequacy” of medical assistance remains the most difficult element to determine (see Blokhin v. Russia [GC], no. 47152/06, § 137, ECHR 2016). It has clarified in this context that the authorities must ensure that diagnosis and care are prompt and accurate (see, for example, Gorbulya v. Russia, no. 31535/09, § 62, 6 March 2014, with further references and Pokhlebin v. Ukraine, no. 35581/06, § 62, 20 May 2010, with further references) and that ‒ where necessitated by the nature of a medical condition ‒ supervision is regular and systematic and involves a comprehensive therapeutic strategy aimed at successfully treating the detainee’s health problems or preventing their aggravation (see, inter alia, Ukhan v. Ukraine, no. 30628/02, § 74, 18 December 2008, with further references and Kolesnikovich v. Russia, no. 44694/13, § 70, 22 March 2016, with further references). The Court stresses that medical treatment within prison facilities must be appropriate and comparable to the quality of treatment which the State authorities have committed themselves to providing for the entirety of the population. Nevertheless, this does not mean that each detainee must be guaranteed the same level of medical treatment that is available in the best health establishments outside prison facilities (see, for instance, Sadretdinov v. Russia, no. 17564/06, § 67, 24 May 2016, with further references and Konovalchuk v. Ukraine, no. 31928/15, § 52, 13 October 2016, with further references).8.  Having examined all the material submitted to it, the Court has identified the shortcomings in the applicant’s medical treatment, which are listed in the appended table. The Court has already found a violation in respect of issues similar to those in the present case (see Nevmerzhitsky v. Ukraine, no. 54825/00, §§ 103-05, ECHR 2005 II, Melnik v. Ukraine, no. 72286/01, §§ 104-06, 28 March 2006 and Logvinenko v. Ukraine, no. 13448/07, §§ 68-78, 14 October 2010). Bearing in mind its case-law on the subject, the Court considers that in the instant case the applicant did not receive comprehensive and adequate medical care whilst in detention.9.  These complaints are therefore admissible and disclose a breach of Article 3 of the Convention.OTHER ALLEGED VIOLATIONS UNDER WELL-ESTABLISHED CASE-LAW10.  The applicant also submitted a complaint under Article 13 of the Convention about the lack of an effective remedy in domestic law in respect of inadequate medical treatment in detention facilities (see appended table). This complaint is not manifestly ill-founded within the meaning of Article 35 § 3 (a) of the Convention, nor is it inadmissible on any other ground. Accordingly, it must be declared admissible. Having examined all the material before it, the Court concludes that it discloses a violation of Article 13 of the Convention in the light of its findings in the case set out in the appended table.APPLICATION OF ARTICLE 41 OF THE CONVENTION11.  Regard being had to the documents in its possession and to its case‑law (see, in particular, Logvinenko, cited above, §§ 89-95), the Court considers it reasonable to award the sum indicated in the appended table.FOR THESE REASONS, THE COURT, UNANIMOUSLY,Declares the application admissible;Holds that this application discloses a breach of Article 3 of the Convention on account of the inadequate medical care in detention;Holds that there has been a violation of Article 13 of the Convention as regards the lack of an effective remedy to complain about poor medical assistance in detention;Holds(a)  that the respondent State is to pay the applicant, within three months, the amount indicated in the appended table, to be converted into the currency of the respondent State at the rate applicable at the date of settlement;that from the expiry of the above-mentioned three months until settlement simple interest shall be payable on the above amount at a rate equal to the marginal lending rate of the European Central Bank during the default period plus three percentage points.Done in English, and notified in writing on 22 February 2024, pursuant to Rule 77 §§ 2 and 3 of the Rules of Court. Viktoriya Maradudina Mārtiņš Mits Acting Deputy Registrar President   APPENDIXApplication raising complaints under Article 3 of the Convention(inadequate medical treatment in detention)Application no.Date of introductionApplicant’s nameYear of birth Principal medical conditionShortcomings in medical treatmentOther complaints under well-established case-lawAmount awarded for pecuniary and non-pecuniary damage per applicant(in euros)[1]41877/2120/01/2022Sergiy Georgiyovych SIMON1987 anemia, haemorrhoids, osteochondrosis, inflammatory disease of the stomach and duodenum, benign neoplasm on the left leg, diathesis in the kidneys, neurosthenialacking/delayed drug therapy, lack of/delay in medical examination, lack of/delay in consultation by a specialist 25/04/2019pendingMore than 4 year(s) and 7 month(s) and12 day(s)Art. 13 - lack of any effective remedy in domestic law in respect of inadequate medical treatment in detention. - (see Melnik v. Ukraine, no. 72286/01, §§ 113-16, 28 March 2006; Logvinenko v.  Ukraine, no.  13448/07,§§ 84-85, 14 October 2010)7,500  [1] Plus any tax that may be chargeable to the applicant.