Basic rules for staff of the Spanish health services

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1. The law creates the Estatuto Marco, which sets the basic rules governing the special relationship of statutory staff (personal estatutarioPersonal estatutario Staff of the health services whose employment relationship is neither civil servant nor ordinary contract based, but a special relationship governed by this law.) in the health services that make up the Spanish National Health System.
2. It applies to statutory staff working in the health care centers and institutions of the health services of the autonomous communities and of the General State Administration.
3. Staff are classified by the function they perform, the degree required for entry and the type of appointment. The law distinguishes between health care staff and management and services staff, and between permanent and temporary staff.
4. Permanent statutory staff positions are obtained by passing selection tests, usually a concurso-oposiciónConcurso-oposición A selection system that combines a knowledge exam (oposición) with an evaluation of the applicant's record (concurso)., and the status is lost for reasons such as resignation, retirement or a final disciplinary sanction of removal from service.
5. Staff mobility throughout the National Health System is recognized, with voluntary mobility procedures open to permanent staff from other health services under equal conditions.
6. Pay is divided into basic pay (salary, seniority payments every three years and two extra payments a year) and complementary pay (destination, specific, productivity, continuous care and career). Basic pay is the same in all health services.
7. The law regulates working hours and rest: a maximum average of 48 hours per week combining ordinary and complementary hours, a minimum 12-hour rest between shifts, a weekly rest of 24 hours and paid annual leave of at least 30 calendar days.
8. It establishes a disciplinary system with minor, serious and very serious offenses, and sanctions ranging from a written warning to removal from service, with procedural guarantees for the person involved.

Who it affects

• Statutory staff of the health services: They are the main group affected: the law regulates their access, rights, duties, pay, working hours, situations and disciplinary system.
• Civil servant and contract-based health care staff in National Health System centers: The law applies to them where it does not conflict with their own rules, if the rules or agreements of each autonomous community so provide.
• People who want to work in the health services: They must meet requirements such as holding the required degree, being between 18 years old and mandatory retirement age, and not being disqualified.
• Users of the health services: Staff must inform them about their care process, respect their dignity and privacy, and keep their information confidential.

Words worth knowing

Personal estatutario

Staff of the health services whose employment relationship is neither civil servant nor ordinary contract based, but a special relationship governed by this law.

Concurso-oposición

A selection system that combines a knowledge exam (oposición) with an evaluation of the applicant's record (concurso).

Trienios

An extra payment received for every three years of service.

Excedencia voluntaria

A situation in which staff stop working and receiving pay but keep their status and can return to active service later.

Jornada complementaria

Extra hours, beyond ordinary working hours, worked by certain staff to guarantee continuous care in health centers, such as on-call shifts.

It summarizes the law as published in the BOE. It is written by artificial intelligence and may contain mistakes: the official text is what counts. Read the official text · How we make summaries