We know that you may have questions about how the United Kingdom's (UK) withdrawal from the European Union (EU) will affect EU, European Free Trade Area (EFTA) and Swiss nurses, midwives and nursing associates working in the UK.

When we talk about EFTA nurses, midwives and nursing associates we mean people who are from Norway, Iceland and Lichtenstein.

Below is some information that sets out what may occur in the event of a deal or no deal Brexit.

For those already on our register

We want to reassure everyone that EU, EFTA and Swiss trained nurses, midwives and nursing associates working and living in the UK will continue to be registered with us if the UK leaves the EU.

They will continue to be a highly valued part of the nursing and midwifery professions, delivering quality care to patients and the public regardless of whether or not the UK decides to leave the EU.

Please know that if you're on our register there is nothing more that you need to do.

Applying to our register before the EU exit

If you're in the process of applying to register with us, your application will continue to be processed.

Applying to our register after the EU exit

What a deal will mean  

If the UK and the EU agree a deal, we will enter into a transition period until December 2020.

During this time there will be no change to the way we register nurses, midwives and nursing associates from the EU, EFTA and Switzerland. There will also be no change to the way UK nurses, midwives and nursing associates can apply to register to work in other EU countries.

What a no-deal will mean

For people trained in the EU

If you're an EU qualified nurse, midwife or nursing associate, you can still apply for registration with us.

The UK Government has agreed that general care (adult) nurses and midwives who hold EU automatic recognition qualifications, gained before exit day, will have their qualification recognised by us and will not need to sit our test of competence.

This process will be in place for at least two years, and will be part of our overseas registration process. 

If you're an EU-trained specialist nurse (children’s, mental health or learning disabilities nurse) or a nursing associate, you will also be required to apply for registration through our overseas registration process. However, you will be required to sit our test of competence before we can register you.

For people from Norway, Iceland, Lichtenstein and Swiss nationals

If you're from Norway, Iceland or Lichtenstein (EFTA), the UK Government has agreed that you will be able to apply for registration through our overseas registration process if the UK leaves the EU with no deal.

For more information about the Government’s agreement with EFTA countries, please visit the GOV.UK website.

If you're from Switzerland, the UK Government has agreed that you will be able to apply for registration through our overseas registration process or provide temporary and occasional services in the UK.

For more information about the Government’s agreement with the Swiss Government, please visit the GOV.UK website.

Our registration processes in event of a no-deal EU exit

The tables below explain what may change in the event of a no-deal EU exit for those who have trained in the EU.

All applicants will be able to join our register via our overseas registration process, in line with Govenment legislation. This means they'll need to pay the statutory fees for overseas registration.

There are differences in the processes for EU general adult nurses and midwives, and EU specialist nurses and nursing associates.

We launched a new overseas registration process at the beginning of October which has streamlined the registration requirements and reduced non-statutory costs.

As well as the test of competence we have the ability to recognise overseas qualifications if they're deemed comparable to UK qualifications. At this stage no overseas qualifications have been identified as comparable, however we continue to undertake this work as part of the ongoing improvements to our overseas registration process. 

Process for EU general adult nurses and midwives 

 

Current registration process: Mutual recognition of professional qualification directive Registration process in the event of a no-deal EU exit only: No-deal regulations
Statutory fees

Application assessment fee: £110
Registration fee: £120

Application assessment fee: £140
Registration fee: £153

Qualification

There are certain qualifications that are automatically recognised, as included in the mutual recognition directive, because there are minimum training requirements in place across the EU.

We'll assess your qualification to determine whether it meets the EU minimum training requirements.

If it does, your qualification would be deemed comparable and you would not need to take a test of competence.

This means, there is no practical change for these applicants in the registration process.

Other requirements
  • Health and character
  • Language
  • Indemnity arrangement
  • Health and character
  • Language
  • Indemnity arrangement

 

Process for EU specialist nurses and nursing associates

  Current registration process: Mutual recognition of professional qualification directive Registration process in the event of a no-deal EU exit only: No-deal regulations
Statutory fees

Application assessment fee: £110
Registration fee: £120

Application assessment fee: £140
Registration fee: £153

Qualification

We assess qualifications individually to identify any shortfalls in training against UK standards.

Where there are shortfalls you're required to complete a compensation measure, either an:

  • adaptation programme (may last up to 9-12 months, costs up to £1,400), or
  • aptitude test (may comprise up to four elements, costs £887).

We'll assess your qualification to determine whether it meets UK standards.

If your qualification does not meet the requirements, you'll be required to take a test of competence (a two part test, costs £877).

Other requirements
  • Health and character
  • Language
  • Indemnity arrangement
  • Health and character
  • Language
  • Indemnity arrangement

Read more information on our:

Applying for settled status in the UK

If you’re an EU, EFTA or Swiss citizen, you and your family will be able to apply for settled or pre-settled status in the UK under the EU Settlement Scheme. For more information on how to UK immigration status under the EU Settlement Scheme on the Home Office’s Visa and Immigration website.

If you are an Irish citizen, you will not need to apply for settled or pre-settled status as your rights are protected in the Common Travel Area agreement between the UK and the Republic of Ireland.

If you're working or looking to work in the EU

If you're a UK-trained nurse, midwife or nursing associate and you are already registered by an EU member state your registration in that country will not be affected.

If the UK leaves the EU with a deal and you want to apply for registration in an EU member state the process for doing this will remain unchanged throughout the transition period. The transition period will continue until December 2020.

If the UK leaves the EU without a deal and you want to apply for registration in an EU member state you will most likely have to apply through that country’s international registration process. If you are looking to do this, we recommend that you contact the regulator in the country you wish to work in for further information.