Spain might be hoping for herd immunity by summer with the help of the vaccine, but surveys show lots if spaniards don't want it ( would need to double check , might be a bit over 50% who don't want it). But the latest round of a national study just came out and it shows only 10% of the population has covid antibodies this number is expected to be significantly higher in Madrid.
It seems they didn t accept care home patients in hospitals for a while during the 1st wave, even non covid patients, some sad stories around and a bunch of criminal cases started, although several have been rejected by courts I think ( i don t follow closely that part)