Sunday, 16 August 2026

SINACC (Sistema Nacional de Acesso a Consultas e Cirurgias—National System for Access to Consultations and Surgeries) is Portugal's new digital healthcare management platform replacing the outdated SIGIC system, created in 2004. Approved by the government on October 24, 2025, SINACC became operational in late 2025, with President Marcelo promulgating it on January 8, 2026. ​

The system is fully computerized, requiring all patient referrals to be electronic, eliminating paper-based processes. Patients can track their position on waiting lists in real time via app, website, or SNS contact center and choose between public, private, or social-sector hospitals when reaching 75% of guaranteed maximum response times for surgery. The platform uses artificial intelligence to identify anomalies—unusual pricing or suspicious list growth—addressing perverse incentives in SIGIC where longer waiting lists generated more additional-surgery revenue. ​

SIGIC permitted doctors in private/social sectors to refer SNS patients then operate on them in public hospitals. SINACC's strengthened incompatibility regime prevents this conflict of interest. The system also prevents physicians from cherry-picking additional surgeries, eliminating a distortion where hospitals profited from maintaining long queues. ​

Financed by Portugal's Recovery and Resilience Plan (PRR) with €5 million for phase one, SINACC aims to reduce patients exceeding maximum waiting times and increase operational transparency. Implementation delays occurred due to insufficient staff training across health units, though testing in Coimbra, Alto Ave ULS, and Lisbon's Oncology Institute proceeded smoothly. The system represents a major modernization of Portugal's surgical-access governance. ​

• President of Portugal (since March 9, 2026)
• Party: Independent. Former leader of the Socialist Party (PS), Partido Socialista
• Center-left

António José Martins Seguro (born March 11, 1962, in Penamacor) is a lawyer, political scientist, and the current President of the Portuguese Republic, inaugurated on March 9, 2026 after winning the two-round presidential election in January–February 2026.

Career: He led Socialist Youth (1990–1994), served as MEP (1999–2001), was Minister Adjunct to PM António Guterres (2001–2002), and led the PS parliamentary group (2004–2005). Elected PS Secretary-General in 2011 with 68%, he led the opposition during Portugal's bailout era. In 2014, António Costa defeated him in party primaries by a landslide, prompting Seguro's resignation and a decade-long retreat from politics. He returned in 2025, launching the movement UPortugal and announcing his presidential candidacy in June. He received official PS backing in October 2025 and won the presidency in February 2026.

Political philosophy: Seguro positions himself as representing a "modern and moderate" left, advocating financial responsibility while opposing austerity. As President, he has emphasized institutional trust, efficient governance, and a collaborative relationship with the government while maintaining rigorous constitutional oversight.

The PSP (Polícia de Segurança Pública) is Portugal's national civilian police force, founded in 1867. Responsible for defending Republican democracy and safeguarding internal security and citizens' rights, the PSP polices major cities—Lisbon, Porto, Faro—and large urban areas, covering only 4% of Portugal's territory but roughly half the population. Led by a National Director under the Ministry of Internal Affairs, its approximately 21,500 officers handle preventive policing, crime investigation, public order, airport security, diplomatic protection, private security regulation, firearms licensing, and border control (since 2023).​

PSP vs. GNR: The PSP is civilian with police-focused training and urban jurisdiction, while the GNR (Guarda Nacional Republicana) is military (gendarmerie) with military training, covering 96% of Portugal's rural and suburban territory. Both share core public safety missions but differ fundamentally in nature, training, and geographic responsibility.

ACP is the Automóvel Club de Portugal (Automobile Club of Portugal). It is a Portuguese motoring association that publishes fuel-price data and weekly forecasts used by motorists, media and retailers to anticipate petrol and diesel price changes when budgeting for trips or refuelling.