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HEALTH

Spain makes it easier to get cross-border prescription meds

If you have to take regular medications, you’ve probably already experienced the problems it can cause when travelling abroad. All this is about to change, however, as Spain becomes part of the EU's new e-Health network .

Spain makes it easier to get cross-border prescription meds
Spain makes it easier to get cross-border prescription meds. Photo: LOUISA GOULIAMAKI / AFP

Whether you take medications for a long-term health problem or you just have to take them for a week or two, taking pills, injections or other medicines across borders can prove difficult.

You may have had to get a doctor’s letter to take to the airport or perhaps you run out of vital medicines while on holiday and have had lots of problems getting hold of them.  

Thankfully, this is now all in the past for some EU citizens and residents, due to the new European e-Health network, which the Spanish Health Ministry announced it had officially joined last week.

The new project enables inhabitants of neighbouring European countries to access their medical records and their electronic prescriptions within Spain and vice versa.  

READ ALSO – Reader question: Are there limits on bringing medicines into Spain?

The e-Health network has three main priorities. Firstly, it enables citizens to have secure access to their health data, even across borders. It also means more personalised care through shared European data, allowing researchers and other professionals to pool resources across the EU.  Thirdly, it allows citizens to be more empowered with access to digital tools. 

This benefits, not only Spanish residents travelling abroad but also the millions of tourists who visit Spain every year.  

An added benefit means that it won’t only make it easier for those travelling abroad, but also for those travelling to different regions in Spain too.  

Spanish residents will now have the possibility of accessing a summary of their health history, despite not being in their city or country of residence, as well as an e-prescription.  

The European electronic prescription service is already active in Andalusia, Aragón, the Canary Islands, Cantabria, Castilla-La Mancha, Castilla y León, Catalonia, Madrid, Valencia, Extremadura, Galicia, Navarra, the Basque Country, Ceuta and Melilla.  

Patients from these regions can obtain their prescriptions from participating pharmacies in Croatia, Estonia, Finland, Poland and Portugal, which already have this service too.  

“Asturias and Murcia are in the testing phase, as well as Italy, Greece, Cyprus, Hungary, the Czech Republic, Ireland, Sweden, Latvia and Lithuania”, explained the Ministry of Health.  

Creating the e-Health network has not been an easy task, and hundreds of agreements have had to be signed with other European countries and companies in order for this idea to become a reality.

Spain is one of the pioneering countries in the initiative and offered itself up as a guinea pig in order to verify the effectiveness of the project.

As Spain is such as popular country for tourism, the Health Ministry also wanted to make sure that those from abroad could be cared for here and have access to the medicines they need.

“Patients from countries that have these services can be cared for by the Spanish NHS. They will have access to pre-existing clinical information and prescriptions for medicines prescribed in their countries of origin, in any pharmacies of the aforementioned regions”, they stated on their website.  

Now that the agreement between the Ministry of Health and the EU has been formalised, it will be up to the health services in each region to implement and manage it, therefore integration will be carried out gradually.  

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FOOD AND DRINK

How hard is it to eat gluten-free in Spain?

It can often be a challenge to move to another country or travel abroad when you have a gluten intolerance and it can be made even trickier if you don’t know the language. Here's what coeliacs need to know about living and travelling in Spain.

How hard is it to eat gluten-free in Spain?

Studies indicate that around 0.7 percent of the EU population suffers from coeliac disease, but many cases go unreported. Many more people are gluten or wheat-intolerant rather than being classed as coeliac.

Luckily Spain is becoming more and more aware of different dietary needs and many people here suffer from the disease or are intolerant too.

The Federation of Celiac Associations of Spain (FACE) estimates that there are between 600,000 and 900,000 people who suffer from coeliac disease in the country.

Eating out

According to the Spanish tourist office Madrid, Barcelona and Asturias are the regions in Spain with the most restaurants serving gluten-free food. Many establishments in these places will list whether a dish contains gluten or not, with a wheat symbol, the letters gf or sg (sin gluten).

In fact, the Asturian village of Cangas del Narcea has been named as Spain’s first ever gluten-free destination, which also celebrates National Coeliac Day every year on May 27th. You can find out more about it here

Extremadura is also becoming a coeliac-friendly destination thanks to the Gluten-Free Extremadura project, which raises awareness and promotes establishments that have gluten-free menus.

Naked & Sated is a chain of gluten-free restaurants that have establishments in Madrid, Valencia, Bilbao, Málaga and Pozuelo de Alarcón. They serve gluten-free pizzas, burger buns, toast, cakes, and French galettes, among others.

The Association Coeliacs of Catalonia has a list of some of the best gluten-free restaurants in the region and The Association of Coeliacs of Madrid has the same. 

READ ALSO: ‘I pay €15 for a few potatoes’ – What it’s like being a vegetarian in Spain

Supermarkets

If you’re cooking for yourself, it’s very easy nowadays to find gluten-free food in the major supermarkets. National chains with good free-from sections include Mercadona, Carrefour, Alcampo and El Corte Inglés.

All these places sell everyday items such as gluten-free pasta, bread, pizza bases, crackers, biscuits, pastry, alternative flours and more.

The bad news is that gluten-free options in supermarkets are a lot more expensive than their wheat-based counterparts. The Federation of Coeliac Associations of Spain (FACE) prepared a ‘Price Report’ on specific gluten-free products and estimated that the difference in spending is an extra €1,087.72 per year.

The investigation also noted a significant increase in the price of gluten-free products of €167.57 when compared with 2023.

Spanish gluten-free food

Spaniards eat a lot of bread, that’s true, but when it comes to main dishes you’ll find that lots of Spanish food is naturally gluten-free anyway.

Paellas, meat and seafood stews, grilled fish, pisto (similar to ratatouille), and tortilla (Spanish omelette) are all made without gluten and the good news is that dishes rarely contain pastry – it’s more about the rice and the potatoes here. The main thing you’ll need to make sure is that the sauces aren’t thickened with flour.

A lot of tapas can be gluten-free too, including patatas bravas (potatoes with spicy tomato sauce) or aioli (garlic mayonnaise), pimientos de Padrón (fried green peppers), anchovies, ham and cheeses.

You can even eat a lot of the desserts that are not baked such as flan (like creme caramel), arroz con leche (rice pudding), ice cream and turrón (almond nougat)

Some classic dishes you need to watch out for are gazpacho and salmorejo (cold tomato-based soups) which contain bread, and croquetas which have bechamel sauce and breadcrumbs.

Many beers are also gluten-free in Spain, simply ask for cerveza sin gluten when you order.

READ ALSO: The best vegan and vegetarian Spanish dishes

Vocabulary

While some people are intolerant to just wheat, others can’t eat anything containing any form of gluten, so it’s important to be aware of the vocab so you can ensure what you’re eating is safe for you.

The most important words and phrases to learn are sin gluten (gluten-free) Soy celiaco (I’m a ceoliac).

Wheat – Trigo
Barley – Cebada
Oats – Avena 
Rye – Centeno

Help for coeliacs who live in Spain

If you suffer from the disease and you live in Spain, there is actually financial aid that you can apply for in order to help with the extra cost of your shopping.

One option for aid is from the General Mutuality of State Civil Officials (MUFACE), which amounts to up to €400. Beneficiaries must be part of MUFACE and can apply for aid until December 31st, 2024. At the time of application, applicants must prove they suffer from the disease.  

There are also different regions that provide extra help for coeliacs. These include Ceuta, Melilla, Extremadura, the Basque Country, Navarra and the Canaries.

In Ceuta, depending on your family income, aid can go up to €400 per year. In Melilla, the maximum figure amounts to €780 per year per person and €1,500 per year per family unit.

The government of Extremadura and the Provincial Council of Cáceres, together with the Celiac Association of Extremadura (ACEX), provide food packages for low-income families.

The Basque Country, the Provincial Council of Vizcaya has allocated €100,000 annually in aid, which is €80 per applicant.

Navarra has allocated a total of €30,000 in aid, with a maximum of €90 per month.

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