Each year, the Ministry of Health shall publish the results of an assessment of the state of the public optimal network of providers carried out by the Health Care Supervisory Authority by 31 July at the latest.
In 2025, in the light of the amendment of the Act No. 578/2004 Coll. on Healthcare Providers, Health Care Workers, Health Organisations and on the amendment of certain laws and decree No. 42/2025 Coll. on Public Optimum Network of General Outpatient Care Providers, primary specialist gynaecological outpatient care providers and specialist outpatient care providers provided in a specialised practice compared to previous years, several modifications and updates in the evaluation of the state of the public optimal network of general outpatient care providers, in particular:
- change in nomenclature: from "public minimum network" to "public optimal network" and from "required capacity" to "optimal capacity"
- change of optimal capacity unit and public network from a medical post to an ambulance defined by 35 hours of surgery per week
- an update of the claims index values to the data bases for 2023;
- the distribution of insured persons aged 18 to 25 for the calculation of optimal capacity and national migration of insured persons according to the real share of "capitality" between general outpatient care providers for children and adolescents and general outpatient care providers for adults;
- taking into account the work of nurses/practical nurses in determining the number of ambulances in the public network through the capacity increase index of the general office.
State of the public minimum network on 1.9. 2025
State of the public minimum network as at 1.1. 2024
State of the public minimum network as at 1.1. 2023
State of the public minimum network on 1.1. 2022
State of the public optimal network on 1. 1. 2026
General medicine
Public network of VAS adult providers on 1.1.2026 consisted of 1,835 providersoperated by 2,215 ambulances general medicine with 2,234, which, taking into account the amount of nurses/ practice nurses' work hours (through the capacity increase index of general medicine) and the actual extent of their ordination hours (by conversion to a standardised practice defined by 35 hours per week) corresponded to 2 129 standardised ambulancesGeneral physicians. Optimal capacity was provided in 3 districts, in other districts Missed Total 408 ambulances general medicine. In public network offices, VAS adult providers worked on 1. 1. 2026 overall 212 general practitioners, which mean age was 57 years, max age was 88 years and min. The age was 29 years. Almost 39% of which 63 and over years.
Download:
Results of the public optimal network evaluation of VAS providers: xlsx (sk) xlsx (eng).
Paediatrics
The public network of VAS providers for children and adolescents to 1. 1. 2026 consisted of: 909 providersoperated by 1046 ambulances general medicine for children and adolescents, which, taking into account the amount of nurses/ practice nurses' work hours (through the index of increase in the capacity of general medicine for children and adolescents) and the actual extent of their ordination hours (by calculating the standardized office defined by 35 hours per week) corresponded to 978 standardised ambulances. Optimal capacity was provided in 32 districts, in other districts Missed Total 107 ambulances general medicine for children and adolescents. The public network of VAS providers for children and adolescents worked on 1. 1. 2026 overall 1 080 paediatricians, with mean age was 59 years, max age was 89 years and min. The age was 30 years. Less than 44% of which 63 and over years.
Download:
Results of the public optimal network evaluation of VAS providers: xlsx (sk) xlsx (eng).
Opinions of health insurance companies on the reasons for failure to fulfil the optimal network and the planned measures of the health insurance undertaking
Source: TERRITORY