A parliamentary inquiry into the National Institute of Medical Emergency (Instituto Nacional de Emergência Médica or INEM) revealed that many staff had already exceeded the legal limit of 150 overtime hours before the 2024 strike. Former head of the National Health Service (Serviço Nacional de Saúde) Fernando Araújo testified that there has been a lack of political accountability for the crisis. The inquiry is investigating the breakdown of emergency services during the industrial action. Those relying on emergency services should note that the system remains under significant strain.
INEM staff exceeded overtime limits before 2024 strike

Context & Explainers
Minimum services (serviços mínimos) are the legally required basic services that must be maintained during a strike to protect public safety—in healthcare this typically covers emergency care, critical ambulance coverage and intensive care. They matter because the INEM workers' committee admitted that late or unclear communication about which teams would be available during the end-of-2024 strike may have reduced operational capacity and confused patients; as an expat, expect limited non-urgent care during strikes and check official updates or call 112 for true emergencies.
Fernando Araújo is a physician and the former Executive Director of the National Health Service (Serviço Nacional de Saúde or SNS), a position he held until mid-2024. He was responsible for the Local Health Units (Unidades Locais de Saúde) reform, which integrated hospital and primary care services to improve efficiency. SNS patients should note that his public criticisms often highlight ongoing issues with emergency room wait times and medical staffing.
Sources (3)
- Strike. Fernando Araújo: There was a lack of "political accountability"Observador · 10:02pm, 12 Mar 2026
- INEM professionals had already exceeded overtime hours before the strike, says human resources directorCNN Portugal · 9:11pm, 12 Mar 2026
- Former executive director laments lack of political accountability in INEM strikePúblico · 10:16pm, 12 Mar 2026



