Healthcare & Pharmacy

Olena Khytrova partner

For 12 years ILF has been supporting creation and growth of medical business, protecting the rights of doctors, clinics and pharmaceutical companies.

Since 2015 we are participating in the development and advocation of the healthcare reform in Ukraine as part of the Kharkiv Expert Group on Healthcare Reform. Our lawyers are coauthors of methodological recommendations on clinic autonomization and legal consultants for the Ministry of Healthcare, UNICEF, USAID and International Renaissance Foundation on healthcare funding.

Together with the experts of the Association of Neonatologists of Ukraine and Ukrainian-German Medical Association we developed a catamnesis roadmap for high-risk groups of children, prepared a normative base for implementing an early intervention system and creating multifunctional services for children with special needs and their families.
For 3 years straight ILF is named the best law firm in the field of healthcare and pharmacy: Legal Awards 2016 and Ukrainian Law Firms 2017 and 2018.


clients in 2015-2018


projects in 2015-2018

Our services

For communities and civil society organizations

Together with economists and business consultants we can help communities choose a new model for providing medical services. We can determine who provides medical services in a community, where they get their funding and how they interact with each other, and we can also suggest possible scenarios for managing unoccupied spaces in clinics and changing the number and/or status of clinics with the investment needs of the community and demographic characteristics of the region in mind.


State and municipal institutions may not be healthcare providers – says the government’s decree No. 391 of 28 March 2018. This is the condition on which the National Health Service will be able to sign an agreement on the provision of healthcare services to the public with you. For this, hospitals must undergo autonomization, which involves fundamental changes. But how to go about it? Where to begin? We have prepared a detailed roadmap - instructions on 30 managerial and legal issues that must be addressed as soon as possible -

For clinic administrators

Are you considering making a municipal clinic autonomous? We can prepare the necessary documents and protect your right to manage property, funds and personnel at every stage of clinic reorganization. We can help you register staff changes properly, establish an incentive system for medical personnel in the collective agreement, and keep the non-profit status. We can prepare agreements for obtaining extra funds from insurance companies.  


If you wish to update the collective agreement by adding new tools for more effective management of personnel and your medical institution as a whole – we have the solution ready for you right here -


To avoid resistance from the community, save money and determine the number of paid and free services - autonomize your medical institution with the help of professionals -


A collective agreement determines working conditions, but in 90% of cases it does not apply to the chief administrator. He/she has a contract with the hospital’s owner. Follow the link to find useful tips on how to amend such a contract for the chief administrator’s benefit


Doctors often use a standard collective agreement or make one up themselves. However, one inaccuracy or error in the text could result in a fine. Our lawyers will help you turn the collective agreement into an efficient tool for the growth of your hospital


If there is a collective agreement, but it’s not to your liking, then change it! However, in order for these changes to be legal and valid, it’s important to follow the procedure for introducing them. Find concrete rules and tips on this in this algorithm from our lawyers


The National Healthcare Service puts over 20 obligations on the hospitals it signs agreements with, and it only takes three violations for that agreement to be terminated. Find detailed instructions on how not to lose NHS funding at the link


Primary healthcare centers are able to provide paid services. To avoid breaches of the agreement with the NHS and not to confuse your patients, it’s necessary to organize internal processes and formalize them with relevant documents. You can do this with the help of these provisions


Applications for an agreement with the NHS must be submitted in the first quarter of 2020. This will allow your hospital to receive funds from the NHS as early as the second quarter of 2020. Learn what this involves from the guide "How to prepare a medical institution for entering into an agreement with the NHS"


If you have a "bloated" staff which you can’t afford in the new funding paradigm, our step-by-step guide will help you conduct layoffs safely and ultimately save you a lot of money

We can represent doctors facing criminal charges in court and in dealings with law enforcement.


For medical business investors

Are you planning on starting or investing money in a medical business? We can help you choose and register a model of public-private partnership and a legal mechanism for running the clinic.


If you’re about to start a joint business with a partner, it’s better to agree in advance on how you’re going to work together and resolve potential disputes. It’s best to specify these aspects in a formal agreement, which you can order here


Planning to start your own medical practice but don’t know where to begin? Find out how to do this properly from our manual

Managers of medical practices today are often inundated with a slew of problems: rent of premises, medical equipment, license, as well as formalization of relations with patients, colleagues and partners, not to mention the taxes and internal documentation. Order our Advice Hour and have all your questions answered at the same time


You need a license before you can open a medical practice. However, few people manage to get it on their first try, which costs them time and money and holds back businesses. Avoid this by getting professional help with obtaining a license here


Some believe the issue of rent to be trivial and not worth any special attention. However, this philosophy only works until the first time reality fails to live up to your expectations, affecting the work process and potentially resulting in the loss of the premises. For this, we have prepared a free guide "How to rent premises without hidden risks"


For owners and administrators of clinics and pharmaceutical companies

We can protect your business and property in court, including from unlawful actions of law enforcement and regulatory authorities.
In case of dishonest actions on the part of your competitors, we can protect your brand and intellectual property rights for medicines in court and at the Anti-Monopoly Committee.

For patients

We can check whether the contract on the provision of medical services and operations benefits you. In case of disputes, we can help you claim damages for medical error and get a refund from the insurance company.



Aug. 22, 2019
Olena Khytrova
Olena Khytrova
Secondary healthcare autonomization: how not to lose all your money in 2020

The elections, new President, Parliament and government, possible changes in the Health Ministry’s leadership – all these political perturbations make a lot of secondary healthcare administrators ask themselves whether autonomization is worth it.

July 17, 2019
Tetyana Gavrysh
Tetyana Gavrysh
Olena Khytrova
Olena Khytrova
Ukrainian healthcare is turning into a competitive market

Changes in healthcare are probably the most successful of the announced reforms in Ukraine yet. Its authors from the very beginning had clear goals and a strategy for achieving them as well as professional advocacy of the reform by lawyers among doctors as well society as a whole.

Feb. 27, 2019
Olena Khytrova
Olena Khytrova
Olexiy Holivin
Olexiy Holivin
2 directors: who will be running hospitals now

The medical reform is radically changing the approach to hospital management, transforming budgetary institutions into municipal enterprises. Another important change is that now it will be directors or a team of them, not administrators, running these enterprises, and not necessarily ones with medical education.