Ministry of Health (Spain)

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Ministry of Health
Ministerio de Sanidad

Headquarters of the Ministry of Health
Agency overview
Formed4 November 1936; 87 years ago (1936-11-04) (as Ministry of Health and Social Assistance)
13 January 2020 (as Ministry of Health)
Preceding agency
  • Ministry of Labour, Health and Welfare
TypeMinistry
JurisdictionGovernment of Spain
HeadquartersCasa Sindical Building
Madrid, Spain
Annual budget€ 2.7 billion, 2023[1]
Minister responsible
Agency executives
  • Silvia Calzón, Secretary of State
  • Alfredo González, Secretary-General
  • Alberto Herrera, Under-Secretary
WebsiteMinistry of Health (in Spanish)

The Ministry of Health (MISAN) is the

Prado Museum
.

Healthcare in Spain is provided by the National Health System, a decentralized organization composed by the regional health systems and the National Institute of Health Management, the health agency of the central government that provides health care to the autonomous cities of Ceuta and Melilla. According to Eurostat (2017 data), Spain spends 8.9% of GDP on health, approximately $104 billion (€86 billion).[3]

According to the Annual Report of the National Health System 2019, the total expenditure of the Spanish health system in 2018 was 109.9 billion euros (77.4 billion corresponding to the public sector and 32.5 billion to the private sector). This represents 2,351 euros per capita and an expenditure of 9.1% of the Spanish GDP.[4] As of 2018, regarding human resources, the NHS had 780,377 professionals. Of these, 188,166 are medical professionals, 274,633 nursing professionals, and 317,578 are other types of health professionals.[5]

The Ministry is headed by the Minister of Health, who is appointed by the

King of Spain at request of the Prime Minister. The Minister is assisted by three main officials, the Secretary of State for Health, the Secretary-General for Digital Health, Information and Innovation of the National Health System and the Under Secretary of Health. The current Health Minister is Mónica García
.

History

Further information: Palacio de Xifré

Early period

References can be found to the action of Government in public health and welfare in the 19th century. The Royal Decree of 9 November 1832 created a Ministry of Development, which included powers over "the field of health with the infirmaries, water and mineral baths" and "charitable institutions".[6] A further Royal Decree of 10 March 1847, created a Department of Health, one of six that made up what is now the Ministry of the Interior.[7]

First ministry

Federica Montseny, first minister and first woman to hold the office.

State powers in this area remained with this department until 1933, when the Undersecretariat for Health and Charity was transferred to the Ministry of Labour, which then became known as the Ministry of Labour and Health.[8] However, the first ministry focused on health was created on 4 November 1936, as the Ministry of Health and Social Assistance, with a woman holding a cabinet portfolio for the first time in the history of Spain: Federica Montseny.[9] This ministry was short-lived. When the Prime Minister of the Republic, Juan Negrín, replaced Francisco Largo Caballero, the ministry was abolished and its powers were transferred to the Ministry of Labour (Social Assistance affairs) and to the Ministry of Public Instruction (Health affairs) by a Decree of May 1937.[10] After the Spanish Civil War, the responsibility returned to the Ministry of the Interior until 1977.[citation needed]

Democratic period

The Health Ministry was created again in the

Social Security.[11]

Royal Decree 1558 of 4 July 1977[12] established the ministry in its current form, including responsibility for Social Security. Staffing consisted of two undersecretariats (one for the domestic governance of the Department and other focused on Health), a Technical General Secretariat and six Directorates-General: Staff, Management and Finance; Social Benefits; Social Services; Healthcare; Pharmaceutical Management and Public Health and Veterinary Health.[13]

For a short period between February and November 1981, Health was once again merged with

premiership of Felipe González and the National Health System and the National Transplant Organization were created thanks primarily to the impulse of the minister Ernest Lluch
.

With the victory of the

Ana Pastor Julián
(2002–2004). The mad cow crisis precipitated the creation in 2011 of the Spanish Food Safety Agency, named since 2007 as Spanish Food Safety and Nutrition Agency.

At the beginning of the

legislature Soria was confirmed as Minister of Health and Consumer Affairs, and he was succeeded by Trinidad Jiménez in 2009 following a cabinet reshuffle. Under Jiménez Social Policy was returned to the health portfolio, including the Institute for the Elderly and Social Services (IMSERSO), previously under Education
.

Under minister

10th legislature Ana Mato became minister and the Ministry assumed (only functionally) the Charles III Health Institute (which still belonged to the Ministry of Economy). In addition, in January 2014 the Spanish Agency for Food Safety and Nutrition and the National Institute for Consumer Affairs merged giving rise to the new Spanish Agency for Consumer Affairs, Food Safety and Nutrition.[14] On 24 November 2014, Mato resigned after being implicated in the corruption case known as Gürtel. On 3 December 2014, Alfonso Alonso
succeeded her.

After the 2016 cabinet reshuffle,

Ministry of the Presidency. Montón also strengthen the consumers affairs competences by recovering the Directorate-General for Consumers Affairs and regained universal healthcare for undocumented immigrants.[16] She resigned after three months in office after a degree scandal[17] and María Luisa Carcedo succeeded her. Carcedo continued with the program established by Montón on fight against pseudosciences[18]
and recovering the Observatory of Women's Health.

A major restructuring occurred in 2020. The Department of Health lost all its competences on consumer affairs and social servicies, that were transferred to the ministries of

of Social Rights and 2030 Agenda, respectively. However, in exchange, the department assumed the government policies on drugs. During this time, Carcedo was replaced by Salvador Illa, who had to face the COVID-19 pandemic. It was precisely as a result of this pandemic that in August 2020 the department underwent a major reform in its structure, recovering the position of Secretary of State for Health (which already existed between 1979 and 1981) as second-in-command and creating the General Secretariat for Digital Health, Information and Innovation of the National Health System.[19]

Structure

The Ministry of Health is organised in the following superior bodies:[19]

  • The Secretariat of State for Health
    • The General Secretariat for Digital Health, Information and Innovation of the National Health System
      • The Directorate-General for Digital Health and Information Systems for the National Health System
    • The Directorate-General for Public Health and Health Equity
    • The Directorate-General for the Common Catalogue of Services of the National Health System and Pharmacy
    • The Directorate-General for Professional Management
    • The Government Delegation for the National Plan on Drugs
  • The Undersecretariat of Health
    • Technical General Secretariat
  • The Commissioner for Mental Health

In addition, the Department has two advisory bodies:[2]

  • The Advisory Council for Health and Social Services, as an advisory and assistance body in the formulation of health policy.
  • The Committee of the professions of the health and social sector.

Ministry agencies

List of officeholders

Office name:

  • Ministry of Health and Social Assistance (1936–1937)
  • Minister of Health and Social Security (1977–1981)
  • Minister of Health and Consumer Affairs (1981–2009)
  • Minister of Health and Social Policy (2009–2010)
  • Minister of Health, Social Policy and Equality (2010–2011)
  • Minister of Health, Social Services and Equality (2011–2018)
  • Minister of Health, Consumer Affairs and Social Welfare (2018–2020)
  • Minister of Health (2020–present)
Portrait Name
(Birth–Death) 		Term of office Party Government Prime Minister
(Tenure) 		Ref.
Took office Left office Duration
Federica Montseny
(1905–1994) 		4 November
1936 		17 May
1937 		194 days CNT Largo Caballero II Francisco
Largo Caballero

(1936–1937) 		[20]
[21]
Office disestablished during this interval.
Enrique Sánchez de León
(born 1934) 		5 July
1977 		6 April
1979 		1 year and 275 days UCD Suárez II Adolfo Suárez

(1976–1981) 		[22]
[23]
Juan Rovira Tarazona
(1930–1990) 		6 April
1979 		9 September
1980 		1 year and 156 days UCD Suárez III [24]
[25]
Alberto Oliart
(1928–2021) 		9 September
1980 		27 February
1981 		171 days Ind. / UCD [26]
[27]
Jesús Sancho Rof
(born 1940) 		27 February
1981 		7 March
1981 		8 days UCD Calvo-Sotelo Leopoldo Calvo-Sotelo

(1981–1982) 		[28]
[29]
Office disestablished during this interval.[a]
Manuel Núñez Pérez
(born 1933) 		2 December
1981 		3 December
1982 		1 year and 1 day UCD Calvo-Sotelo Leopoldo Calvo-Sotelo

(1981–1982) 		[30]
[31]
Ernest Lluch
(1937–2000) 		3 December
1982 		26 July
1986 		3 years and 235 days PSC–PSOE González I Felipe González

(1982–1996) 		[32]
[33]
Julián García Vargas
(born 1945) 		26 July
1986 		7 December
1989 		4 years and 230 days PSOE González II [34]
[35]
[36]
7 December
1989 		13 March
1991 		González III
Julián García Valverde
(born 1946) 		13 March
1991 		13 January
1992 		306 days PSOE [37]
[38]
José Antonio Griñán
(born 1946) 		13 January
1992 		14 July
1993 		1 year and 182 days PSOE [39]
[40]
Ángeles Amador
(born 1949) 		14 July
1993 		6 May
1996 		2 years and 297 days Independent González IV [41]
[42]
José Manuel Romay Beccaría
(born 1934) 		6 May
1996 		28 April
2000 		3 years and 358 days PP Aznar I José María Aznar

(1996–2004) 		[43]
[44]
Celia Villalobos
(born 1949) 		28 April
2000 		10 July
2002 		2 years and 73 days PP Aznar II [45]
[46]
Ana Pastor
(born 1957) 		10 July
2002 		18 April
2004 		1 year and 283 days PP [47]
[48]
Elena Salgado
(born 1949) 		18 April
2004 		9 July
2007 		3 years and 82 days Independent Zapatero I José Luis
Rodríguez Zapatero

(2004–2011) 		[49]
[50]
Bernat Soria
(born 1951) 		9 July
2007 		14 April
2008 		1 year and 272 days Independent [51]
[52]
[53]
14 April
2008 		7 April
2009 		Zapatero II
Trinidad Jiménez
(born 1962) 		7 April
2009 		21 October
2010 		1 year and 197 days PSOE [54]
[55]
Leire Pajín
(born 1976) 		21 October
2010 		22 December
2011 		1 year and 62 days PSOE [56]
[57]
Ana Mato
(born 1959) 		22 December
2011 		26 November
2014 		2 years and 339 days PP Rajoy I Mariano Rajoy

(2011–2018) 		[58]
[59]
Soraya Sáenz de Santamaría
(ordinary discharge of duties)
(born 1971) 		26 November
2014 		3 December
2014 		7 days PP [60]
Alfonso Alonso
(born 1967) 		3 December
2014 		10 August
2016 		1 year and 251 days PP [61]
[62]
Fátima Báñez
(ordinary discharge of duties)
(born 1967) 		10 August
2016 		4 November
2016 		86 days PP [63]
Dolors Montserrat
(born 1973) 		4 November
2016 		7 June
2018 		1 year and 215 days PP Rajoy II [64]
[65]
Carmen Montón
(born 1976) 		7 June
2018 		11 September
2018 		96 days PSOE Sánchez I Pedro Sánchez

(2018–present) 		[66]
[67]
María Luisa Carcedo
(born 1953) 		11 September
2018 		13 January
2020 		1 year and 124 days PSOE [68]
[69]
Salvador Illa
(born 1966) 		13 January
2020 		27 January
2021 		1 year and 14 days PSC–PSOE Sánchez II [70]
[71]
Carolina Darias
(born 1965) 		27 January
2021 		28 March
2023 		2 years and 60 days PSOE [72]
[73]
José Miñones
(born 1972) 		28 March
2023 		21 November
2023 		238 days PSOE [74]
[75]
Mónica García
(born 1974) 		21 November
2023 		Incumbent 154 days MM Sánchez III [76]

Notes

  1. ^ The department's competences were transferred to the Ministry of Labour, Health and Social Security in 1981.

See also

References

  1. ^ "2023 State Budget" (PDF). www.boe.es. 1 January 2023. Retrieved 8 January 2023.
  2. ^ a b "Royal Decree 454/2020, of March 10, which develops the basic organic structure of the Ministry of Health". boe.es. Retrieved 16 March 2020.
  3. ^ "File:Current healthcare expenditure, 2017 SPS20.png - Statistics Explained". ec.europa.eu. Retrieved 16 January 2021.
  4. ^ "Informe Anual del Sistema Nacional de Salud 2019" (PDF). p. 210.
  5. ^ "Informe Anual del Sistema Nacional de Salud 2019 - Recursos humanos" (PDF). p. 30.
  6. ^ Real decreto de 9 de Noviembre de 1832.- Ministerio de Fomento, dando forma y señalando atribuciones á la Secretaría de Fomento. Colección legislativa de Cárceles Archived 2012-01-18 at the Wayback Machine
  7. ^ El ministerio de comercio, instrucción y obras públicas, 1847-1851. José Antonio Pérez Juan (ed.)
  8. ^ El Consejo de Ministros de ayer ABC 23 de diciembre de 1933
  9. ^ La Sanidad y la Asistencia Social durante la Guerra Civil. Federica Montseny (ed.), 23 de diciembre de 1933 Archived 2011-09-24 at the Wayback Machine
  10. ^ "Decreto disponiendo la nueva denominación de los departamentos ministeriales a partir de la fecha de la promulgación de este Decreto" (PDF).
  11. ^ [1]ABC Hemeroteca. Nuevo Gobierno sin grandes sorpresas. 5 July 1977
  12. ^ "Royal Decree 1558/1977, of July 4, by which certain organs of the Central State Administration are restructured". www.boe.es. Retrieved 13 April 2019.
  13. ^ "Royal Decree 1918/1977, of July 29, on the structuring of the Ministry of Health and Social Security". www.boe.es. Retrieved 13 April 2019.
  14. ^ "Royal Decree 19/2014, of 17 January, by which the autonomous bodies of the National Institute of Consumption and the Spanish Agency for Food Safety and Nutrition are consolidated into a new autonomous body called the Spanish Agency for Consumer Affairs, Food Safety and Nutrition and its statute". www.boe.es. Retrieved 13 April 2019.
  15. ^ "Royal Decree 485/2017, of May 12, which develops the basic organizational structure of the Ministry of Health, Social Services and Equality". www.boe.es. Retrieved 13 April 2019.
  16. ^ "Spain approves law that returns to free universal health care model". www.efe.com. Retrieved 13 April 2019.
  17. ISSN 0261-3077
    . Retrieved 13 April 2019.
  18. ISSN 1134-6582
    . Retrieved 13 April 2019.
  19. ^ a b "Royal Decree 735/2020, of August 5, which establishes the basic organic structure of the Ministry of Health". boe.es. Retrieved 5 August 2020.
  20. ^ "Decreto nombrando Ministro de Sanidad a doña Federica Montseny Mañe" (PDF). Gaceta de Madrid (in Spanish) (310). Agencia Estatal Boletín Oficial del Estado: 642. 5 November 1936.
  21. ^ "Decreto admitiendo la dimisión del cargo de Ministro de Sanidad y Asistencia social a doña Federica Montseny Mañe" (PDF). Gaceta de Madrid (in Spanish) (138). Agencia Estatal Boletín Oficial del Estado: 752. 18 May 1937.
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External links
Retrieved from "https://en.wikipedia.org/w/index.php?title=Ministry_of_Health_(Spain)&oldid=1210962431"