The Health Regulatory Entity (Entidade Reguladora da Saúde or ERS) has identified significant regional imbalances in access to healthcare across Portugal. A new report found that 12 out of 39 Local Health Units (Unidades Locais de Saúde or ULS) suffer from a low ratio of doctors and nurses relative to the population. SNS patients in the interior, Alto Alentejo, and Nordeste regions are most likely to face service limitations due to these shortages.
Regulator warns of severe doctor shortages in 12 health units

Context & Explainers
The ERS (Entidade Reguladora da Saúde) is Portugal's independent health regulator, responsible for overseeing the quality, access, and safety of healthcare services provided by both public and private providers.
The ERS monitors compliance with patients' rights, investigates complaints, and can issue warnings, recommendations, or sanctions when healthcare standards are not met. It publishes reports on waiting times, diagnostic delays, and access to care that often drive public debate about the state of Portugal's health system.
For residents, the ERS is the body to contact with complaints about healthcare services — whether delays in treatment, quality concerns, or issues with access to the National Health Service (Serviço Nacional de Saúde, SNS) or private providers.





