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The content of the common portfolio of services of the National Health System (NHS) is regulated in Law 16/2003, of 28 May, and in art. 2 of RD 1030/2006, of 15 September.

The common portfolio of services of the NHS is the set of techniques, technologies or procedures, understood as each of the methods, activities and resources based on scientific knowledge and experimentation, by means of which health services are made effective. It is articulated around the following modalities:

a) The basic common portfolio of medical assistance services of the NHS comprises all preventive, diagnostic, treatment and rehabilitation care activities carried out in health or socio-health centres, as well as emergency health transport, which are fully covered by public funding.

b) The supplementary common portfolio of the NHS includes all those benefits whose provision is made through outpatient dispensing and are subject to a user contribution: pharmaceutical benefits, orthopaedic and prosthetic benefits, benefits with dietary products and non-urgent medical transport, subject to medical prescription, for clinical reasons and with a level of user contribution in accordance with that determined for pharmaceutical benefits.

The percentage of the user's contribution shall be governed by the same rules that regulate the pharmaceutical benefit, taking the final price of the product as the basis for calculation and without applying the same limit on the amount of this contribution.

c) Common Portfolio of Accessory Services of the National Health System includes all those activities, services or techniques, without the nature of a benefit, which are not considered essential and/or which are adjuvant or supportive for the improvement of a pathology of a chronic nature, and which are subject to contribution and/or reimbursement by the user.

The user contribution or, where appropriate, reimbursement, shall be governed by the same rules that regulate the pharmaceutical benefit, taking as a reference the final billing price decided for the NHS.

Portfolio of complementary services of the Autonomous Regions (CCAA):

The Autonomous Regions, within the scope of their competences, may approve their respective portfolios of services, which shall include, at least, the common portfolio of NHS services, in its basic care services, supplementary services and ancillary services, guaranteed to all users of the NHS.

The Autonomous Regions may include in their service portfolios a technique, technology or procedure not included in the common portfolio of NHS services, for which purpose they shall establish the necessary additional resources.

In any case, these complementary services shall not be included in the general financing of NHS benefits. The Autonomous Regions will assume, from their own budgets, all the costs of implementing the complementary portfolio of services.

Public Health

Public health provision is the set of initiatives organised by public administrations to preserve, protect and promote the health of the population. It is a combination of sciences, skills and activities aimed at maintaining and improving the health of all people through collective or social actions.

Public health services will be provided in a comprehensive manner, based on the public health structures of the administrations and the primary care infrastructure of the NHS.

Primary Health Care

Primary health care is the basic and initial level of care, which guarantees the comprehensiveness and continuity of care throughout the patient's life, acting as case manager and coordinator and regulator of flows. It shall comprise health promotion, health education, disease prevention, medical assistance, health maintenance and recovery, as well as physical rehabilitation and social work.

Primary care includes addressing health problems and risk factors and behaviours.

Specialised Care

Specialised care comprises healthcare, diagnostic, therapeutic and rehabilitation and care activities, as well as health promotion, health education and disease prevention activities, the nature of which makes it advisable for them to be carried out at this level. Specialised care shall guarantee the continuity of comprehensive care for the patient, once the possibilities of primary care have been exceeded and until the patient can be reintegrated into primary care.

Specialised care is provided, whenever the patient's conditions allow, in outpatient clinics and day hospitals.

Emergency care

Emergency care is the care provided to patients in cases where their clinical situation requires immediate medical attention. It will be provided both in and out of health care facilities, including in the patient's home and on-site care, 24 hours a day, through medical and nursing care, and with the collaboration of other professionals.

Ortho-prosthetic benefits

Ortho-prosthetics is the use of implantable or non-implantable medical devices intended to replace all or part of a bodily structure, or to modify, correct or facilitate its function. It will comprise the elements required to improve the patient's quality of life and autonomy.

This benefit will be provided by the health services or shall give rise to financial aid, in the cases and in accordance with the regulations established by the competent health administrations.

Dietetic products

The service with dietetic products includes the dispensing of diet therapy treatments for people suffering from certain congenital metabolic disorders and home enteral nutrition for patients whose nutritional needs cannot be met, due to their clinical situation, with food for ordinary consumption.

This benefit will be provided by the health services or will give rise to financial aid, in the cases and in accordance with the rules established by regulation by the competent health administrations.

Health transport

Medical transport, which must necessarily be accessible to people with disabilities, consists of the movement of patients for exclusively clinical reasons, whose situation prevents them from using ordinary means of transport.

This benefit shall be provided in accordance with the regulations established by the competent health administrations.

Health Information and documentation services

The persons who receive the benefits whose portfolio of common services is established in this regulation shall have the right to health and care information and documentation, in accordance with Law 41/2002, of 14 November, the basic law regulating patient autonomy and the rights and obligations regarding clinical information and documentation, and the regulations in force regarding the protection of data of a personal nature.

Likewise, users of the National Health System shall have the right to:

Information and, where appropriate, processing of the administrative procedure necessary to guarantee the continuity of health care.

The issuing of sick leave, confirmation, discharge and other clinical reports or documents for the assessment of disability or other effects.

Documentation or medical certification of birth, death and other cases for the Civil Registry.