Powers of bodies in relation to monitoring TD
From day 1 to 365, the following entities are responsible for controlling temporary disability (TD) situations:
The Public Health Service (SPS), for issuing certificates of the start of sick leave, confirmation and medical discharge.
The National Social Security Institute (INSS), for issuing medical discharges, for all effects and purposes, and for commencing permanent disability (PD) procedures. The INSS is also competent to issue a sick leave report in the case of a relapse in a process of under 365 days, which ended with a medical discharge issued by the INSS doctor.
The Social Marine Institute (ISM), for issuing leave and discharge certificates (non-devolved health care), medical discharge certificates for all effects and purposes and for commencing PD procedures for workers falling within the scope of application of the Special Marine System.
Social Security Mutual Society Partners, to issue sick leave, confirmation and discharge certificates for WI and OD diseases and discharge proposals for ordinary contingencies.
Partner companies, for issuing sick leave, confirmation and discharge certificates for workers in their employ, provided they have been granted authority for Medical Assistance management and for TD resulting from work-related injuries and occupational disease.
Once the 365-day period has expired, the medical inspectorate of the Spanish National Social Security Institute shall be the sole competent authority to:
- Issue a medical discharge due to recovery or improvement that allows the patient to return to work,
- Issue a discharge with a proposal for permanent disability
- Issue a discharge due to unjustified non-appearance at the medical examinations called by said managing body.
Likewise, the aforementioned medical inspectorate shall be the only competent body to issue a new medical discharge in the situation of temporary disability produced by the same or a similar pathology within 180 calendar days following the aforementioned medical discharge.