Investigation Launched into SNS Executive's Accumulation of Roles: What You Need to Know

Investigation into Accumulation of Roles in SNS

The General Inspectorate of Health Activities (IGAS) has announced an extensive investigation into the compliance of public function regulations regarding the accumulation of roles by António Gandra d'Almeida, the former executive director of the National Health Service (SNS). This comes after allegations surfaced from a SIC investigation suggesting he earned incompatible income while serving in multiple roles simultaneously.

Key Focus of the Investigation

The inspection will particularly scrutinize the period when Gandra d'Almeida held a leadership position at the National Institute of Medical Emergency (INEM) from November 2021 to January 2024. Additionally, it will cover his tenure as the executive director of SNS, which spanned from June 2024 until recently. During this time, he allegedly continued performing surgeries at Hospital de Gaia while serving in his official capacity.

Allegations and Defense

Despite claims that he worked over 200 hours at Hospital de Abrantes in 2022 and operated emergency medical vehicles, Gandra d'Almeida insists he did not combine these services with his leadership role at INEM. He maintains that his contracts with multiple hospitals were lawful, stating, “IGAS will do its job and we will see about the legality.”

Legal Framework

According to the statute governing executive personnel in public administration, roles must be held exclusively, requiring resignation from any other professional activities. Reports indicate that Gandra d'Almeida earned over €200,000 during a two-year period for his work in Algarve hospitals, despite only receiving INEM's permission to operate without salary.

Business Interests

Gandra d'Almeida established contracts with various hospitals through two companies, Raiz Binária and Tarefas Métricas, transferring ownership of these businesses to his minor children prior to his appointment as executive director of SNS.

This investigation raises significant questions about the integrity of leadership within Portugal's healthcare system and adherence to public service regulations.