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2004 No. 1766

HEALTH CARE AND ASSOCIATED PROFESSIONS

NURSES AND MIDWIVES

European Nursing and Midwifery Qualifications Designation Order of Council 2004

  Made 7th July 2004 
  Laid before Parliament 9th July 2004 
  Coming into force 1st August 2004 

At the Council Chambers, Whitehall, the 7th day of July 2004

By the Lords of Her Majesty's Most Honourable Privy Council

Their Lordships, in exercise of powers conferred on them by article 14(1) of the Nursing and Midwifery Order 2001[1], and of all other powers enabling them in that behalf, hereby make the following Order of Council: - 



PART 1

General

Citation and commencement
     1. This Order may be cited as the European Nursing and Midwifery Qualifications Designation Order of Council 2004 and shall come into force on 1st August 2004.

Interpretation
    
2.  - (1) In this Order - 

    (2) In this Order "a competent authority certificate" means a certificate issued by a competent authority in an EEA State stating that the person named in the certificate has practised effectively and lawfully as a nurse responsible for general care or, as the case may be, as a midwife for at least three years or, for the purposes of articles 4(4)(b) and 6(4)(b), two years, during the period of five years ending with the date of issue of the certificate.

    (3) In this Order "an Article 4 certificate" means a certificate issued to a person by a competent authority in an EEA State in accordance with Article 4 of the Midwifery Directive to the effect that the person, after qualifying as a midwife, has practised satisfactorily, for the period provided for in that Article, as a midwife in a hospital or other health establishment approved for the purposes of that Article.

    (4) Any reference in this Order to - 

is a reference to the date set out in Column 2, 3 or 4 as appropriate opposite the relevant State in Column 1 in the table in Schedule 1.



PART 2

Designation of Approved Qualifications

Qualifications in respect of which a diploma specified in Schedule 2 is awarded on or after the implementation date or relevant date
     3.  - (1) Subject to article 11 (transitional provision for Spanish midwifery qualifications) and paragraph (2), a professional qualification in respect of which a diploma specified in Part 1 (nursing diplomas) or Part 2 (midwifery diplomas) of Schedule 2 is awarded in an EEA State - 

is hereby designated as being an approved qualification for the purposes of registration.

    (2) A midwifery qualification referred to in paragraph (1) - 

shall be an approved qualification for the purposes of registration if it is accompanied by an Article 4 certificate relating to the holder.

Qualifications in respect of which a diploma specified in Schedule 2 is awarded before the implementation date or relevant date or in respect of nursing training which began before the former date
    
4.  - (1) Subject to article 11 (transitional provision for Spanish midwifery qualifications), and paragraph (2), a professional qualification in respect of which a diploma specified in Part 1 or Part 2 of Schedule 2 is awarded in an EEA State other than Poland - 

shall be an approved qualification for the purposes of registration.

    (2) The diploma referred to in paragraph (1) shall - 

    (3) A midwifery qualification referred to in paragraph (1) - 

    (4) The requirement referred to in paragraph (3) is that a diploma referred to in that paragraph must be accompanied by - 

Qualifications in respect of which a diploma not specified in Schedule 2 is awarded before the implementation date or relevant date in respect of training which does not comply with Directive requirements
    
5.  - (1) A professional qualification in respect of which a diploma specified in paragraph (2) is awarded in an EEA State other than Poland shall be an approved qualification for the purposes of registration if it is accompanied by a competent authority certificate.

    (2) The diploma referred to in paragraph (1) is - 

Qualifications in respect of which a diploma not specified in Schedule 2 is awarded in respect of training which complies with Directive requirements
    
6.  - (1) A professional qualification in respect of which a diploma specified in paragraph (2) is awarded in an EEA State shall be an approved qualification for the purposes of registration, provided that, if it is a midwifery qualification which falls within paragraph (3), it also satisfies paragraph (4).

    (2) The diploma referred to in paragraph (1) is one which - 

    (3) Paragraph (4) applies to a midwifery qualification in respect of which a midwife holds a diploma referred to in paragraph (1) which - 

    (4) A midwifery qualification referred to in paragraph (3) shall be an approved qualification for the purposes of registration only if the diploma referred to in paragraph (2) is accompanied by - 

Qualifications awarded in Poland before the implementation date or relevant date, or awarded in respect of nursing or midwifery training begun before those dates which do not comply with Directive requirements
    
7.  - (1) This article applies to a professional qualification in respect of which a diploma is awarded in Poland in respect of training which does not comply with the requirements of Article 1 of the second Nursing Directive or Article 1 of the second Midwifery Directive3/4

    (2) A qualification referred to in paragraph (1) shall be an approved qualification for the purposes of registration only if the requirements of paragraph (3) are satisfied.

    (3) The diploma referred to in paragraph (1) shall be accompanied by a certificate from the Polish competent authority stating that the person named in the certificate has practised effectively and lawfully as a nurse responsible for general care or, as the case may be, as a midwife in Poland for - 

and the period of practice specified in either sub-paragraph (a) or (b) in relation to a person holding the diploma of bachelor of nursing or the diploma of nurse must have included taking full responsibility for the planning, organisation and carrying out of the nursing care of the patient.

Qualifications following training in the former German Democratic Republic which complies with Directive requirements
    
8.  - (1) Subject to paragraph (2), a professional qualification in respect of which a diploma in nursing in general care or, as the case may be, a midwifery diploma has been awarded which is evidence of training which - 

shall be an approved qualification for the purposes of registration.

    (2) The diploma referred to in paragraph (1) shall - 

    (3) A midwifery qualification referred to in paragraph (1) - 

shall be an approved qualification for the purposes of registration if the requirement set out in paragraph (4) is satisfied.

    (4) The requirement referred to in paragraph (3) is that a diploma referred to in that paragraph be accompanied by a certificate issued by the competent authority in Germany stating that the holder of the diploma has effectively and lawfully been engaged in actual practice in Germany as a midwife for at least two years during the period of five years ending with the date of issue of the certificate.

Qualifications following training in the former German Democratic Republic which does not comply with Directive requirements
    
9.  - (1) Subject to paragraphs (2) and (3), a professional qualification in respect of which a diploma in nursing in general care not specified in Part 1 of Schedule 2 or, as the case may be, a midwifery diploma not specified in Part 2 of Schedule 2 has been awarded which is evidence of training which - 

    (2) The qualification of which the diploma referred to in paragraph (1) is evidence must be such as to entitle the holder to practise anywhere in Germany as a nurse responsible for general care or, as the case may be, a midwife on the same conditions as the holder of a qualification evidenced by a diploma listed under the heading "Germany" in Part 1 (nursing diplomas) or, as the case may be, Part 2 (midwifery diplomas) of Schedule 2.

    (3) The diploma shall be accompanied by a certificate issued by the competent authority in Germany stating that, for at least three years during the period of five years ending with the date of issue of the certificate, the holder of the qualification has effectively and lawfully been engaged in actual practice in Germany as a nurse responsible for general care or, as the case may be, a midwife.

Qualifications following training in the former Czechoslovakia, the former Soviet Union or Yugoslavia
    
10.  - (1) Subject to paragraph (2), a professional qualification in respect of which a diploma in nursing in general care or, as the case may be, a midwifery diploma has been awarded which - 

shall be an approved qualification for the purposes of registration.

Column (a) Column (b) Column (c)
Former Czechoslovakia 1st January 1993 Czech Republic
Former Czechoslovakia 1st January 1993 Slovakia
Former Soviet Union 20th August 1991 Estonia
Former Soviet Union 21st August 1991 Latvia
Former Soviet Union 11th March 1990 Lithuania
Yugoslavia 25th June 1991 Slovenia

    (2) The diploma referred to in paragraph (1) shall - 

Transitional provision for Spanish midwifery qualifications
    
11.  - (1) Subject to paragraph (3), a professional midwifery qualification, not being one to which article 5 or 6 applies, in respect of which a diploma specified in paragraph (2) has been awarded in Spain shall be an approved qualification for the purposes of registration.

    (2) The diploma referred to in paragraph (1) is one which - 

    (3) A qualification referred to in paragraph (1) - 

shall be an approved qualification for the purposes of registration if the requirement in paragraph (4) is satisfied.

    (4) The requirement referred to in paragraph (3) is that a diploma referred to in that paragraph be accompanied by - 


A. K. Galloway
Clerk of the Privy Council


SCHEDULE 1
Articles 2, 3, 4 and 5

Column 1 EEA State Column 2 Implementation date of the Nursing Directives Column 3 Entry into force of the Midwifery Directive Column 4 Relevant date in relation to the Midwifery Directive
Austria 1st January 1994 1st January 1994 1st January 1994
Belgium 28th June 1979 23rd January 1983 23rd January 1986
Cyprus 1st May 2004 1st May 2004 1st May 2004
Czech Republic 1st May 2004 1st May 2004 1st May 2004
Denmark 28th June 1979 23rd January 1983 23rd January 1986
Estonia 1st May 2004 1st May 2004 1st May 2004
Finland 1st January 1994 1st January 1994 1st January 1994
France 28th June 1979 23rd January 1983 23rd January 1986
Germany 28th June 1979 23rd January 1983 23rd January 1986
Greece 1st January 1981 23rd January 1983 23rd January 1986
Hungary 1st May 2004 1st May 2004 1st May 2004
Iceland 1st January 1994 1st January 1994 1st January 1994
Ireland 28th June 1979 23rd January 1983 23rd January 1986
Italy 28th June 1979 23rd January 1983 23rd January 1986
Latvia 1st May 2004 1st May 2004 1st May 2004
Liechtenstein 1st May 1995 1st May 1995 1st May 1995
Lithuania 1st May 2004 1st May 2004 1st May 2004
Luxembourg 28th June 1979 23rd January 1983 23rd January 1986
Malta 1st May 2004 1st May 2004 1st May 2004
Netherlands 28th June 1979 23rd January 1983 23rd January 1986
Norway 1st January 1994 1st January 1994 1st January 1994
Poland 1st May 2004 1st May 2004 1st May 2004
Portugal 1st January 1986 1st January 1986 23rd January 1986
Slovakia 1st May 2004 1st May 2004 1st May 2004
Slovenia 1st May 2004 1st May 2004 1st May 2004
Spain 1st January 1986 1st January 1986 1st January 1986
Sweden 1st January 1994 1st January 1994 1st January 1994
Switzerland 1st June 2002 1st June 2002 1st June 2002



SCHEDULE 2
Articles 3 and 4


DIPLOMAS LISTED IN THE ANNEX TO THE NURSING DIRECTIVE AND THE ANNEX TO THE MIDWIFERY DIRECTIVE




PART 1

NURSING DIPLOMAS













PART 2

MIDWIFERY DIPLOMAS












EXPLANATORY NOTE

(This note is not part of the Order)


This Order of Council is made by the Privy Council under the Nursing and Midwifery Order 2001 and replaces the EEC Nursing and Midwifery Qualifications Designation Order 1996 as amended which was made by the Secretary of State under the Nurses, Midwives and Health Visitors Act 1979 and which continued in existence under the Nurses, Midwives and Health Visitors Act 1997.

In accordance with article 14 of the Nursing and Midwifery Order 2001 and Directives 77/452/EEC ("the Nursing Directive") (Articles 2, 4, 4a and 18b and the Annex) and 80/154/EEC ("the Midwifery Directive") (Articles 2, 4, 5 and 19b and the Annex) as amended, it designates nursing and midwifery qualifications awarded in other EU States as being approved qualifications for the purposes of registration in the register maintained by the Nursing and Midwifery Council.

By virtue of the Agreement on the European Economic Area the provisions of these Directives apply to qualifications awarded in Iceland, Norway and Liechtenstein which are also designated.

In accordance with the Agreement between the European Community, and its Member States, and the Swiss Confederation, qualifications awarded in Switzerland are also designated.

Article 3 relates to the designation of a qualification awarded after the specified date by an EEA State (which, in this note, includes Switzerland) which satisfies the training requirements of Directive 77/453/EEC ("the second Nursing Directive") or 80/155/EEC ("the second Midwifery Directive") and is listed in the Annex to Directive 77/452/EEC or 80/154/EEC.

Article 4 relates to the designation of a qualification listed in the Annex to Directive 77/452/EEC or 80/154/EEC awarded before the specified date, or in respect of nursing training begun before that date, if it satisfies the training requirements of the relevant Directive or is accompanied by a certificate confirming that the holder has practised effectively and lawfully for the period stated in it.

Article 5 of the Order relates to the designation of a qualification which is not listed in the Annex to Directive 77/452/EEC or 80/154/EEC which was awarded before, or in respect of training begun before, the relevant date and which does not satisfy the training requirements of the relevant Directive but is accompanied by a certificate confirming that the holder has practised effectively and lawfully for the period stated in it.

Article 6 relates to the designation of a qualification which is not listed in the Annex to Directive 77/452/EEC or 80/154/EEC but which satisfies the training requirements of the relevant Directive and which is treated by the State which awarded it as if it were a listed qualification.

Article 7 relates to the designation of a qualification awarded in Poland before the specified date which does not satisfy the training requirements of the relevant Directive provided it is accompanied by a certificate confirming that the holder has practised effectively and lawfully for the period set out in article 7(3).

Articles 8 and 9 relate to the designation of qualifications arising out of training received in the former German Democratic Republic. Article 8 relates to a qualification not listed in the Annex to Directive 77/452/EEC or 80/155/EEC but which satisfies the training requirements of the relevant Directive and which is accompanied by a certificate confirming that the holder is entitled to practise in Germany as if he held a qualification listed in the Annex. Article 9 relates to a qualification which does not satisfy the training requirements of the relevant Directive but which entitles the holder to practise on the same conditions as a holder of a listed qualification and which is accompanied by a certificate confirming that he has practised effectively and lawfully for the time stated in it.

Article 10 relates to the designation of a qualification awarded by, or following training in, the former Czechoslovakia, the former Soviet Union or Yugoslavia which is accompanied by a certificate confirming that the holder has practised effectively and lawfully for at least three consecutive years out of the five years preceding the award of the qualification and an attestation that the qualification has the same legal validity in respect of access to and practice of the profession concerned as a qualification listed in the Directive.

Article 11 contains a transitional provision in relation to midwifery qualifications awarded in Spain following training which began before 1st January 1986 which are accompanied by a certificate confirming that the qualification satisfies Directive training requirements or, if it does not, that the holder has practised effectively and lawfully for the period stated in it.

Some midwifery qualifications awarded after shorter training which nevertheless satisfy the Directive requirements must be accompanied by a certificate issued in accordance with Articles 2 and 4 of Directive 80/154/EEC confirming that the midwife has practised satisfactorily. This is provided for in articles 3(2); 4(3)(b)(i) and (4)(a); 6(3)(a) and (4)(a); 11(3)(b) and (4)(a). Where the qualification is awarded before the coming into force of Directive 80/154/EEC it must be accompanied instead by a certificate confirming that the holder has practised effectively and lawfully for the period stated in it as is provided for in articles 4(3)(b)(ii) and (4)(b); 6(3)(b) and (4)(b); 8(3)(b) and (4); and 11(3)(b) and (4)(b).

(the expressions "the Nursing Directive", "the second Nursing Directive", "the Midwifery Directive" and "the second Midwifery Directive" are defined in Schedule 4 of the Nursing and Midwifery Order 2001 as amended by S.I. 2003/3148).


Notes:

[1] S.I.2002/253.back

[2] Definitions of the Nursing Directive, second Nursing Directive, Midwifery Directive and second Midwifery Directive are contained in Schedule 4 to the Nursing and Midwifery Order 2001 as amended by S.I.2003/3148.back



ISBN 0 11 049544 6


  © Crown copyright 2004

Prepared 23 July 2004


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