The strike declared for primary health care professionals at the Local Health Unit is set to remain active until 30 June “unless there is a different attitude” from the administration.
Union accuses ULS Alto Ave of coercing striking doctors

Context & Explainers
ULS Alto Ave is the Alto Ave Local Health Unit (Unidade Local de Saúde do Alto Ave), a public body that runs hospitals and some primary-care services for the Ave area in northern Portugal. It is part of the National Health Service (Serviço Nacional de Saúde or SNS), and recent staff strikes have affected overtime and complementary work, so residents should check local hospital notices before visiting.
Primary care (Cuidados de Saúde Primários) is the first level of Portugal's health system — the network of health centers (centros de saúde) and family health units (Unidades de Saúde Familiar, USF) that provide general practice consultations, nursing care, vaccinations, chronic disease management, preventive screening, and referrals to specialist care.
Every resident registered with the SNS (Serviço Nacional de Saúde) is entitled to a family doctor (médico de família), though in practice over a million people lack an assigned GP due to doctor shortages. The strength of primary care directly affects hospital pressure — when health centers are understaffed or closed, patients turn to hospital emergency departments, increasing waiting times.
Portugal has been expanding USF coverage and recruiting more GPs, but access remains uneven, particularly in rural inland areas and some Lisbon suburbs.









