What does Real Decreto 239/2026 ask of a clinic's staff records?

Since 1 July 2026 every health centre in Spain must keep current information on all its health staff and a personal file for each professional showing their official degree and specialty, and new staff must be told the centre's safe practices. Centres have six months from that date to bring their staff information up to date.

The new artículo 7

Real Decreto 239/2026, published in the BOE on 26 March 2026 and in force from 1 July 2026, added an artículo 7 on garantías de atención sanitaria to RD 1277/2003.¹ Centres and services must ensure, for as long as they operate, that care is given by staff with the official degree and the professional competences the work requires, read against the unit definitions in anexo II and, where one exists, the official specialty training programme.¹ They must keep current information on all their health staff, whatever the legal relationship or place of work, keep that data current in the Registro Estatal de Profesionales Sanitarios, hold a current personal file for each professional with the official degree and specialty, and tell newly hired staff about the safe practices in place.¹

The decree's first additional provision gives centres six months from entry into force to have that information up to date.¹ Its second gives the comunidades one year to adapt the care offer they authorise to the amended annexes.¹²

What Madrid and Cataluña check on top

Madrid requires every centre to have a Director Técnico Asistencial who is a qualified, registered and insured health professional, every member of staff to hold the degree, colegiación where it is compulsory and current insurance, the current staff list to be kept at the centre for inspection, and every change to the health staff to be notified.³ Its application asks for the staff list signed by the Director Técnico Asistencial with each degree, colegiación certificate and liability policy.⁴ Cataluña's application asks for an organigram naming the responsable assistencial and the patient safety referent, each accepting the role, and a current list of all health staff with degree and colegiación number.⁵

1. List every health professional. Employed, self-employed or contracted, at every site, whatever the legal relationship.
2. Open a personal file for each. The official degree and, where it applies, the official specialty, with a copy of each title.
3. Add the regional items. Colegiación and professional liability insurance in Madrid, colegiación number and contract in Cataluña.
4. Match competences to units. Check each professional against the anexo II definition of the unit they work in.
5. Induct every new joiner. Record the date each was told the centre's safe practices.
6. Notify changes the same week. In Madrid every joiner and leaver goes to the Consejería through the Cuenta Digital.

1. Professional ______ Role ______
2. Official degree ______ Specialty ______
3. Colegiación number ______ Insurance to ______
4. Units worked in ______ Matches anexo II ______
5. Safe practices induction on ______
6. Change notified to the comunidad on ______

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Questions

Does artículo 7 cover self-employed clinicians?

Yes, the information covers all health staff whatever their legal relationship with the centre or place of work.

When must our staff information be up to date?

Within six months of the decree's entry into force on 1 July 2026, under its first additional provision.

Does Madrid charge to notify a staff change?

No, the notice of a change to the health staff carries no fee.

Sources

1. 1Boletín Oficial del Estado, 2026Real Decreto 239/2026, de 25 de marzo, por el que se modifica el Real Decreto 1277/2003Read source
2. 2Boletín Oficial del Estado, 2026Real Decreto 1277/2003, de 10 de octubre, por el que se establecen las bases generales sobre autorización de centros, servicios y establecimientos sanitarios, texto consolidadoRead source
3. 3Comunidad de Madrid, Consejería de Sanidad, 2026Variación de plantilla sanitaria sin modificación de la oferta asistencialRead source
4. 4Boletín Oficial de la Comunidad de Madrid, 2023Decreto 205/2023, de 19 de julio, por el que se modifica el Decreto 51/2006, de autorización y registro de centros, servicios y establecimientos sanitarios, BOCM 175 of 25 July 2023Read source
5. 5Generalitat de Catalunya, Departament de Salut, 2026Autorització de centres o serveis sanitaris, iniciar l'activitatRead source
6. 6Comunidad de Madrid, Consejería de Sanidad, 2026Autorización de centros y servicios sanitariosRead source

Written by the wai team from Health authorities of the Comunidad de Madrid and Cataluña guidance, checked on 16 October 2026. This is guidance, not legal advice. Neither the Comunidad de Madrid's Consejería de Sanidad nor the Generalitat's Departament de Salut endorses wai or any software.