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Understanding Healthcare in Spain

Writer's picture: Dr Adam AbbsDr Adam Abbs

Spain is one of the most popular destinations for UK tourists, known for its stunning beaches, vibrant cities, and delicious cuisine. But when travelling, especially abroad, understanding how the healthcare system works can give you peace of mind and ensure you’re prepared for any unexpected medical needs.


English-speaking doctor holding patient hand
Caring doctor holding patient's hand

Spain has one of the best healthcare systems in the world, but knowing how to access it and what to expect as a visitor is crucial. This guide will walk you through Spain’s healthcare structure, your options as a UK tourist, and some tips to make the process seamless.


1. Spain’s Healthcare System: An Overview

Spain’s healthcare system is divided into two main sectors: public healthcare and private healthcare.

  • Public Healthcare: Known as the “Sistema Nacional de Salud” (SNS), Spain’s public healthcare system is funded through taxes and provides universal coverage to Spanish residents. It’s a high-quality system, offering free or low-cost services, including GP visits, specialist consultations, and hospital care.

  • Private Healthcare: Spain also has a robust private healthcare sector, catering to those who opt for private insurance or are willing to pay out-of-pocket. Private clinics and hospitals often have shorter wait times. There are also private online clinics with English doctors in Spain, such as www.theholidaydoctor.com who offer video consultations.


2. Accessing Healthcare as a UK Tourist

If you’re visiting Spain from the UK, you can access Spain’s public healthcare system with a valid Global Health Insurance Card (GHIC) or European Health Insurance Card (EHIC). These cards entitle you to necessary medical treatment on the same terms as Spanish residents, meaning you may receive care for free or at a reduced cost.

However, GHIC and EHIC cards don’t cover private healthcare, so if you choose a private clinic or hospital, you’ll need to pay for your treatment upfront or have travel insurance that covers private care. Note that most EHIC cards have now expired, following Brexit.


If you don’t have a GHIC or EHIC, it’s essential to carry comprehensive travel insurance. This will cover costs for private treatment, medical repatriation, and other unexpected expenses that could arise during your trip.


3. What to Do If You Need Medical Care in Spain

If you feel unwell or require medical attention, here’s how to navigate the system:


  • Pharmacies for Minor Ailments: For minor health concerns like colds, headaches, or stomach upsets, visit a pharmacy (farmacia). Pharmacists in Spain are highly trained and can often recommend over-the-counter medications. Look for a green cross sign to find a pharmacy. In tourist areas, many pharmacists speak English.


  • Local Health Centres (“Centros de Salud”): If your condition requires a doctor, head to a local health centre. With a GHIC or EHIC, you may be able to receive treatment in these public facilities. Although there is uncertainty about these amongst many of the staff in these clinics, so you may face some resistance.


  • Private Clinics: For faster access or if you prefer an English-speaking doctor, private clinics are an excellent option. Some of these are online, so that you can get care without leaving your hotel or apartment, such as www.theholidaydoctor.com.


  • Emergencies: For urgent situations, call 112, Spain’s universal emergency number. Operators often speak English and can guide you to the nearest hospital or send an ambulance if needed. Public hospitals have Accident & Emergency (Urgencias) departments equipped to handle critical cases.


4. Prescriptions in Spain

Doctors in Spain issue prescriptions for medications that can be filled at any pharmacy. Prescription costs are generally affordable. Like the UK, it is forbidden for a pharmacy to give you antibiotics without a prescription.


A prescription written by a UK doctor with only UK registration will not be valid in Spain. To be sure that your prescription will work, ensure that you see a doctor with Spanish registration. All doctors at www.theholidaydoctor.com are registered in Spain.


If you’re travelling with existing medications, bring enough for your trip and carry them in their original packaging. It’s also a good idea to bring a copy of your prescription or a letter from your GP detailing your medical needs, in case you need replacements. Online doctor services are a quick and hassle-free way to get a repeat prescription when you're on holiday.


5. Preparing Before You Travel

To ensure you’re ready for any health-related issues during your holiday, take the following steps before you leave:

  • Apply for a GHIC (or ensure your EHIC is still valid).

  • Purchase comprehensive travel insurance that covers private healthcare and repatriation.

  • Pack a basic first aid kit, including painkillers, antihistamines, rehydration salts, and any regular medications you take.

  • Familiarise yourself with common Spanish phrases, such as “¿Dónde está la farmacia?” (“Where is the pharmacy?”) and “Necesito un médico” (“I need a doctor”).


6. Frequently Asked Questions About Healthcare in Spain


Q: Is healthcare in Spain free for UK tourists?

A: With a valid GHIC or EHIC, you can access some necessary public healthcare services either for free or at a reduced cost. However, private healthcare is not covered and must be paid for out-of-pocket or via travel insurance.


Q: Can I get English-speaking doctors in Spain?

A: Some private clinics and hospitals cater to international tourists and have English-speaking doctors. Public healthcare staff may not always speak English, especially in rural areas. All the doctors at www.theholidaydoctor.com speak perfect English.


Q: Do I need travel insurance if I have a GHIC or EHIC?

A: Yes, travel insurance is highly recommended as it covers private healthcare, medical repatriation, and other unexpected expenses that GHIC and EHIC do not.


Q: What if I lose my GHIC or EHIC while in Spain?

A: If you lose your card, you can apply for a Provisional Replacement Certificate (PRC) by contacting NHS Overseas Healthcare Services.


Final Thoughts

Spain’s healthcare system is world-class, and knowing how to access it as a UK tourist can make all the difference if you fall ill during your trip. By carrying the right documentation, planning ahead with travel insurance, and familiarising yourself with how the system works, you can enjoy your holiday with peace of mind.


Whether it’s a quick pharmacy visit or an emergency hospital trip, Spain’s medical professionals are here to help. With the right preparation, you can focus on enjoying the tapas, sun, and rich culture of this incredible destination.


Need to learn more about staying healthy while travelling? Explore our other guides to make your Spanish holiday as smooth as possible!

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