June 3, 2025.- The Government, at the proposal of the Ministry of Health, has approved in the Council of Ministers on Tuesday to allocate 10.5 million euros to Castilla y León to strengthen Primary Care. The total investment approved to distribute the budgetary appropriations for the year 2025, is for a total of 172.4 million euros, destined to the development of the Strategic Framework of Primary and Community Care. This proposal will subsequently be submitted to the final approval of the Interterritorial Council of the National Health System (CISNS).
The funds, which are distributed among all the autonomous communities and the National Institute of Health Management (INGESA) for Ceuta and Melilla, aim to consolidate the development of the Primary and Community Care Plan 2025-2027 (PAPyC 25-27). This plan constitutes the state road map to strengthen the first level of assistance, ensuring its quality, equity and sustainability.

Priority objectives
The budget allocation seeks to promote the improvement of Primary Care services through different lines of action, such as:
Expansion of diagnostic procedures accessible from Primary Care, in order to improve the resolving capacity at this level of care.
Optimization of administrative processes, reducing the bureaucratic burden faced by healthcare personnel.
Promotion of artificial intelligence solutions oriented to conversational transcription in consultation, facilitating clinical work.
Renovation of infrastructures and clinical equipment, modernizing health centers and providing them with the necessary means.
Promotion of Health Schools for Citizens and programs such as Expert Patient and Expert Caregiver, which strengthen self-care and community participation.
Implementation of programs for the early detection of gender violence in the field of Primary Care.
Interoperability of digital health histories, integrating information between Primary, Hospital and Social Health Care.
Promotion of projects aimed at guaranteeing access to the National Health System and continuity of care, for people in a situation of homelessness with alterations or decompensation in their state of health, prioritizing those actions that address the need for a housing resource as a key determinant of health
Linking with tools for recommending health assets and community resources from the History of Digital Health.

Distribution criteria and constraints
50% of the credit is distributed directly to all communities and to INGESA depending on the protected population, surface area, dispersion and insularity. The other 50%, which will follow the same criteria, is reserved for communities that commit to fulfilling, by December 31, 2025, the following strategic requirements:
1. Publication of a new offer of public employment that includes all categories of Primary Care, contributing to the stability of health personnel.
2. Implementation of measures to guarantee the coverage of posts of difficult coverage, in line with what was agreed within the CISNS.
3. Priority appointment of specialist nurses, promoting their effective incorporation into the health system and strengthening their role in comprehensive care.
4. Actions to guarantee the stability of 100% of the accredited teaching units, ensuring the quality of the training of new professionals.
Communities that do not provide documentary evidence of full compliance with these commitments will not be able to access the conditional tranche of budgets in 2026, if credit is available.