Third, in service delivery, the national Ministry of Health has developed a set of clinical protocols, published on its website. Additional advice is published by certain regions and updated, in some cases, on a daily basis.6 Health facilities in the worst affected regions are struggling, with inadequate intensive care capacity and an insufficient number of ventilators in particular. Both Catalonia and Madrid7 have cancelled non-emergency surgery and cleared beds where possible. COVID-19 telephone help lines have long delays or have simply collapsed in some regions. The new decree allows the regions to take over management of private health services while military installations will be used for public health purposes.