Health department sets minimum services for the general holiday of November 11

The Department of Health has established by order the minimum services that must be covered within the scope of public healthcare during the general strike called for November 11, 2026. The regulation, signed by the counselor Antonio Gómez Caamaño on November 6, was published in the Official Gazette of Galicia (DOG no. 215, of November 10, 2026, section III, p. 56363) with the reference CVE-DOG: 4fjwjwo0-6pz4-0rk0-bhs6-l0qwkz9uh0d4 and enters into force on the same day as its publication. The order limits the strike, in the health sector, between 00:00 and 24:00 hours on November 11, including shifts that begin before or extend after that interval.

Legal framework and calls

The ORDER of November 6, 2026 bases its competence on article 3 of Decree 155/1988, of June 9, which mandates the fixing, before each strike, of the minimum activity to maintain essential services, including healthcare. Health reports that it received several calls for the same day:

• The Confederación Intersindical Galega (CIG), in the Galician territorial scope, for all public and private personnel.
• Comisións Obreiras (CC.OO.) and Unión General de Trabajadoras y Trabajadores (UGT), together with CC.OO. de Galicia and UGT-Galicia, of state scope.
• The Confederación General del Trabajo (CGT) and CGT Galicia.
• The Confederación Nacional del Trabajo (CNT), Solidaridad Obrera, COBAS, OSAD, and Alternativa Sindical de Clase (ASC).

Given this diversity of calls, the department unifies the temporal scope of the minimums into a single day, following a hearing with the strike committees.

Emergencies, transfusions and transport, at one hundred percent

The first guiding criterion is the 100% coverage of urgent and permanent care and emergencies managed by the Fundación Pública Urxencias Sanitarias Galicia-061 (FPUSG-061), both for operating personnel and healthcare staff in the coordination room. The order justifies the minimum on the basis that the service is not programmable and that the rate of missed calls does not exceed 2%.

In the field of the Galician Agency for Blood, Organs and Tissues, the supply of blood and blood derivatives to all centers, public and private, is guaranteed, as well as the coordination of donations, transplants, and implants. In urgent health transport, 100% of the resources are maintained:

• 2 health helicopters, in Ourense and Santiago de Compostela, operational from dawn to dusk.
• 13 medicalized advanced life support ambulances (type C), in 13 bases, 24 hours.
• 6 advanced life support ambulances with nursing (type C), 12 daytime hours.
• 108 basic life support ambulances (type B): 38 in A Coruña, 20 in Lugo, 17 in Ourense, and 33 in Pontevedra.
• 3 non-assistance ambulances (type A1), 24 hours.

Hospitalization and primary care: ratios by unit size

In the centers of the Galician Health Service, 100% of urgent activity is required in emergency and on-call services, urgent operating rooms, delivery rooms, and emergency laboratories. Resuscitation, intensive care and coronary units, dialysis, oncology, and transplants are also fully covered. In hospitalization, one physician per unit is established according to the number of professionals: 1 in units of four or fewer, 2 between five and eight, 3 between nine and twelve, and 4 from thirteen onwards. In primary care, the staffing of family doctors follows the same scale, with one pediatrician per center or reference area.

Cleaning, hospitality, and management

The personnel percentages complete the minimum staffing levels:

• Cleaning: 100% in critical areas (emergencies, ICU, surgery, oncology, dialysis); 70% in interventional radiology, sterilization, and hospitalization; 50% in the rest.
• Hospitality: equivalents to Sundays or holidays, with a maximum of 60% of the shift.
• Appointments and patient care: minimum of one staff member per center and up to 50% of the shift.
• Supplies, warehouse, and accounting: up to 25% of the shift; human resources personnel, up to 40%.
• Information technologies: 2 on-site staff in the morning per area management and 2 on-call in the afternoon and night shifts.

The order mandates the publication of the personnel list on notice boards before the start of the leave, with nominal and rotating designation, and allows for the request of substitution by another worker who accepts the change. Stoppages by the designated personnel are considered illegal according to article 16 of Royal Decree-Law 17/1977. The annex of the provision details the minimum presences per health area, center, and shift.

Source: DOG, no. 215, November 10, 2026, section III. Other provisions, p. 56363 (official reference: CVE-DOG: 4fjwjwo0-6pz4-0rk0-bhs6-l0qwkz9uh0d4).