In the year 2006, the 20^th anniversary of General Health Act, which was passed in the year 1986, was observed. The law established the base from moving from erstwhile system of social security health to contemporary National Health System that is funded by the common tax revenue, offering universal coverage. Influential alterations have undergone since that time including transferring powers to Autonomous communities. This has led public health become an important pillar of welfare for the state of Spain at present. The health protection provided by the state of Spain is articulated in the article 43 of Spanish Constitution created in 1978. However, the basic principles regularizing the rights are governed by General Health Act. The principles are stated below:

• Community funding by means of collective free health services during the time of need.
• Decentralization of matters related to health to autonomous communities.
• Pre-requisite of overall health care, in order to accomplish good quality by means of proper control and evaluation.
• Precise rights as well as duties of citizens and public authorities.
• Addition of various public health services and structures in National Health System.

Organization:

Spanish National Health System adheres to the main principles, as its aim is to offer universal support, equal access of services to all citizens, and the finance is taken from public funds and expense needs to be primarily based on the effectiveness criteria. The structure of Spanish National Health System is organized into 2 care levels, wherein technological intricacy and accessibility are counterbalanced. Below mentioned are the 2 health care levels:

1. Primary Care: This health care features include all-embracing availability and sufficient technical resources, in order to deal with the most regular problems related to health.  Their main goal is to grant basic services to people inside a radius of 15 mins from the residence. The primary facilities are the care centers that employ several teams, including 30 general practitioners, nurses, pediatricians and the admin staff. Moreover, it also includes midwives, physiotherapists and social workers quiet often. Primary level is basically related to the community at large and hence, it deals with precautionary healthcare and health promotion.

1. Specialist Care: This is the second level, wherein care is provided at the hospitals and specialist centers for in as well as out patients. After the completion of care, patient is adverted back to Primary Care. It implies that persistent care is provided to patients irrespective of residence place and condition of the individual. This second level care is related to complex as well as costly therapeutic and diagnostic resources.

Services:

The Spanish National Health System is a completely non profit assistance, which is paid by the way of taxes. These are included in general budget of every Autonomous Community. The services that are provided by Spanish National Health System comprises of Rehabilitation, preventive care, Therapeutic and diagnostic procedures and health maintenance. Pharmaceutical services offered by them include, health and drugs products. It covers all the services and functions of health for which public establishments are legally accountable.