Over 1.6 million without a family doctor: Portugal's health service enters summer under strain
The number of patients without a family doctor has risen again and waiting lists are growing, while a cross-party health pact still fails to gel.
Summer tends to be the toughest season for Portugal’s National Health Service, and 2026 is no exception. The latest data show the number of people without an assigned family doctor has climbed again, already passing 1.6 million patients — a trend that has been building for about a year and shows no sign of reversing.
Why are 1.6 million without a family doctor?
It is not only the family doctor. In the first quarter of the year there were fewer surgeries and fewer first appointments than in the same period of 2025, and waiting lists grew once more. For anyone awaiting an operation or a specialist consultation, that means months stacking on top of months.
Part of the explanation sits on the budget side. For 2026 a significant cut was approved in the funding for buying goods and services in health, and staffing rules tightened, capping the growth of headcounts. Less room to hire and to purchase means, on the ground, services stretched thinner.
The pact that never lands
Politically, the attempt at a strategic health pact — meant to give policy stability beyond any single government — still fails to gather consensus. Some see it as a rare chance to reform; others fear it opens the door to more private management inside the health service. While the parties fail to agree, it is the patient who waits.
For context, see what we wrote about immigrants registering with the health service. Official figures and services are on the SNS portal.
This is a sensitive topic; if you need health support, contact the SNS 24 line (808 24 24 24).
Image: Wikimedia Commons