It provides 13.5 million consultations a year, of which just under 10% are secondary care consultations. Individuals are assigned to an EBAIS according to their address, and EBAIS are networked with defined secondary care facilities. Patients cannot access secondary care directly, but must be referred from primary care. Both primary care facilities and hospitals receive a global budget, based on last year’s outlay. Some adjustments can be made if additional services are offered, but the budget is not explicitly based on risk-adjusted capitation.