Your browser is no longer supported

For the best possible experience using our website we recommend you upgrade to a newer version or another browser.

Your browser appears to have cookies disabled. For the best experience of this website, please enable cookies in your browser

We'll assume we have your consent to use cookies, for example so you won't need to log in each time you visit our site.
Learn more

Exclusive: Warning Brexit may lead to rise in nurse registration fees


A Labour shadow health minister has raised concerns to Nursing Times that Brexit will lead to a rise in nurse registration fees.

Justin Madders said he feared that the cost on regulators to meet extra responsibilities placed on them by the UK’s withdrawal from the European Union could eventually fall on applicants or those in practice.

“I’ve got concerns about what that means for patient safety”

Justin Madders 

Currently, a law is in place that allows nurses from European Economic Area (EEA) countries to have their qualifications automatically accepted in the UK without further checks.

However, after March 29, this legislation – called the Mutual Recognition of Professional Qualifications Directive – will cease to apply.

The Department of Health and Social Care (DHSC) has laid out new legislation that will come into force in the event of a no-deal Brexit that maintains a similar system for a period of two years but includes some key changes.

For example, under the new rules, regulators such as the Nursing and Midwifery Council will have the power to blacklist any EEA qualifications they deem to be not comparable to those given in the UK.

“It is important that we do not add unnecessary administrative delays”

Danny Mortimer

In addition, the Mutual Recognition of Professional Qualifications Directive allows EEA nurses to work in the UK on a temporary or occasional basis while remaining resident in their home country and without needing full registration with the NMC.

However, after Brexit this will no longer be possible, even if a deal is struck, because it relies on freedom movement rules in the EU.

Mr Madders said he was concerned that any extra costs that may be brought onto regulators through these changes would have to be recouped in the long-run by upping registration fees.

“I think we would be worried that the regulator would feel that they’ve got no choice because they’ve been given these new responsibilities without recourses to deal with them,” he told Nursing Times.

Labour Party

Justin Madders

Justin Madders

He added that increased fees could put international nurses off applying to work in the UK.

“If the costs are put on to the individual applicants then it’s a competitive world, people will look at their options and if they feel there’s a country which is making every effort to attract them and a country where they are actually putting fees and hurdles in the way they might be less incentivised,” he said.

The NMC made clear to Nursing Times that it had no plans to increase fees as a result of Brexit and to do this would require a public consultation process and approval from parliament.

However, Nursing Times has learnt that the government is not ruling out a rise in annual fees as a result of the no-deal policy but that the increase would be “in the tens of pence”.

Meanwhile, under the new rules, UK regulators will also be blocked access to an online database tool called the internal market information (IMI) system that allows intelligence to be shared across the EU.

The IMI system provides an alert mechanism that makes regulators aware when there are issues around a professional’s fitness to practise.

Mr Madders, Labour MP for Ellesmere Port and Neston, said the loss of this database was a “worry” and could impact patient safety.

“I’ve got concerns about what that means for patient safety if the current alert system isn’t there,” he added.

Danny Mortimer cut out masthead

Danny Mortimer

Danny Mortimer

Danny Mortimer, chief executive of NHS Employers, said it was “critical” that a mechanism was put in place to process applications to the different registers in a ”timely way and which provides the assurance employers and the public expect”. 

“Any individual considering moving to the UK to work in a regulated healthcare profession will want clarity and certainty around what they are required to do to gain registration,” he told Nursing Times.

“At a time when the NHS has 40,000 nurse vacancies and there are more EU nurses leaving than joining, it is important that we do not add unnecessary administrative delays to a system which needs to recruit people at scale and pace,” he said.

The statutory instrument that will replace the Mutual Recognition of Professional Qualifications Directive has been approved by the Commons and is due to be debated by the Lords next month.

It protects decisions already made, allows applications made before exit day to be concluded under current arrangements “as far as possible” and gives professionals practising in the UK under temporary and occasional status to continue to do so until such registration expires.

“We value the enormous contribution EU workers make to the health and social care sectors”

DHSC spokesman

The document states that holders of UK qualifications that have been registered in EEA countries will continue to be registered, but after March 29 future decisions will be in hands of individual EU member states if there is no deal.

Emma Broadbent, director of registration and revalidation at the NMC, said it had been working closely with the DHSC on the new legislation that would extend the automatic recognition regime for two years once the UK left the EU.

“Bearing in mind continuing workforce pressures and the time it may take to determine the UK’s future relationship with the EU, we think that this is a sensible approach,” she said.

A DHSC spokesman said: “We value the enormous contribution EU workers make to the health and social care sectors and want them to stay long after the UK leaves the EU.

“In the event of a no-deal exit from the EU, EEA nursing qualifications will continue to be recognised as they are now,” he said.

The spokesman added that the department would seek to put in place arrangements to ensure nursing qualifications and experience gained within the NHS were recognised in EU member states in the same way they were in other countries.


Readers' comments (9)

  • Any excuse....

    Unsuitable or offensive? Report this comment

  • Seriously 😠😡

    Unsuitable or offensive? Report this comment

  • Exactly !

    Unsuitable or offensive? Report this comment

  • Project gear going into overdrive....again!!

    Unsuitable or offensive? Report this comment

  • Project Fear going into overdrive, again!!

    Unsuitable or offensive? Report this comment

  • If foreign nurses were ok before Brexit (hate that word!), why should they suddenly become incompetent the day after? If UK regulators keep their eyes on European regulation of their professions, they'll know whether any future applicants are any good or not. No need to make us pay any more.

    Unsuitable or offensive? Report this comment

  • Another case of scare mongering

    Unsuitable or offensive? Report this comment

  • More scaremongoring and unsubstantiated claims

    Unsuitable or offensive? Report this comment

  • Surely the fact that European nurses are leaving and not being replaced by other European nurses indicates it is NOT "Project Fear" but a reality! It is those who seem unable to grasp the facts who are the problem. There are currentlty 40,000 vacancies in England alone and we cannot do without foreign nurses as we are incapable of educating an adequate supply ourselves! Anything which is deterring European nurses from applying is detrimental to the NHS.
    Before our entry into the EU in the 70s there was no mutual recognition of nursing qualifications and if we leave the EU this will be the default position - for both us and the Europeans. Why will they want to come and work here when there is no guarantee that experience here will count for revalidation in their home country, especially as checking their credentials will become more complicated, time-consuming and expensive, with no guarantee of continued work and right to remain in the UK. Europe is a big place with plenty of employment possibilities for those within the EU area without the obstacles we are putting in place!
    Please, those who care for the NHS, do not listen to the people with their heads in the sand who believe (without any obvious basis in fact) that everything will be alright. Look at the FACTS of what is happening in our country at present and ask yourselves if those Pollyannas who think that we are doing fine can really be believed!

    Unsuitable or offensive? Report this comment

Have your say

You must sign in to make a comment

Please remember that the submission of any material is governed by our Terms and Conditions and by submitting material you confirm your agreement to these Terms and Conditions. Links may be included in your comments but HTML is not permitted.