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Healthcare regulator · Poland

NIPiP (Polish nurses' chamber): PWZ, Requirements and Fees

Nurses and midwives in Poland get their right to practise from a regional council of nurses and midwives, coordinated by the Naczelna Izba Pielęgniarek i Położnych. Here are the two routes for anyone trained outside the EU.

Naczelna Izba Pielęgniarek i Położnych and regional chambersWorking in Poland

Overview

The Supreme Chamber of Nurses and Midwives (Naczelna Izba Pielęgniarek i Położnych, NIPiP) is the national body of the self-governing nursing and midwifery professions in Poland.

Under the Act on the professions of nurse and midwife, the regional council of nurses and midwives (okręgowa rada pielęgniarek i położnych) for the place where you will work grants or confirms the right to practise (prawo wykonywania zawodu) and enters you in its register. NIPiP keeps the Central Register of Nurses and Midwives.

If you trained outside the EU there are two routes. The full route under Article 35 needs a diploma recognised in Poland through nostrification, an official certificate of Polish issued under the Polish Language Act and a 6-month adaptation placement (staż adaptacyjny) in a named healthcare provider. The simplified route under Article 35a lets the Minister of Health consent to you working for one employer, in a set scope and period, if you have at least 3 years of experience in the last 5 years.

This page is for nurses and midwives from countries such as India, the Philippines, Nigeria, Kenya and Pakistan, those working in the Gulf, and UK-trained nurses after Brexit. It explains what the chambers require, the language rules, costs and timescales as the law and NIPiP set them out.

What makes Poland different is that the regional council cannot assess a foreign diploma itself. NIPiP says the council has no power to judge or recognise a foreign nursing diploma: that is done by a Polish university through nostrification. Polish is also central: the full route needs an official state certificate and, since 25 October 2024, the simplified route needs a Polish certificate at level B1 or higher before the council issues the right to practise.

A right to practise granted on the full route can be permanent if you hold a permanent residence permit, or for a fixed period if you do not. A right granted on the simplified route lasts at most 5 years and cannot be renewed on the same basis, although the council can extend it by up to 3 years while you study at a Polish nursing or midwifery school.

Official website: nipip.pl

Who it registers

  • Nurse (pielęgniarka, pielęgniarz)
  • Midwife (położna, położny)
  • Right to practise, permanent or fixed-term, for foreigners (Article 35)
  • Limited right to practise for the adaptation placement or postgraduate education (Article 36)
  • Right to practise on a set scope, period and place under a Ministry of Health consent (Article 35a)
  • Central Register of Nurses and Midwives (Centralny Rejestr Pielęgniarek i Położnych)

Eligibility

  • A nursing or midwifery diploma issued outside the EU, legalised by the Polish consul or apostilled.
  • Full route: the diploma recognised in Poland as equivalent through nostrification at a Polish university, and meeting the EU minimum training requirements.
  • Full route: an official certificate of Polish (urzędowe poświadczenie znajomości języka polskiego) covering speech and writing to the level needed for the profession.
  • Full route: a certificate that you practise as a nurse or midwife in the country where you have worked, and a certificate from your country of citizenship that your right to practise has not been withdrawn or suspended and no such case is pending.
  • Full route: a 6-month adaptation placement in a named healthcare provider, unless you trained in a Polish nursing or midwifery school.
  • Simplified route: at least 3 years of experience as a nurse or midwife in the 5 years before the employer's certificate, an employer's certificate, a Ministry of Health consent and a Polish certificate at level B1 or higher.
  • Both routes: full legal capacity, health that allows you to practise and an impeccable ethical record.

Check your route with the route finder

How to apply

  1. 1. Decide between the full and the simplified route

    If you have at least 3 years of recent experience and a Polish employer, the simplified route lets you start work sooner, but only with that employer and for at most 5 years. The full route takes longer but gives a right to practise that is not tied to one employer. The Ministry of Health notes that you can nostrify your diploma or start a Polish bachelor's degree in nursing or midwifery while working on the simplified route.
  2. 2. Full route: nostrify your diploma at a Polish university

    Apply to a university that holds an A+, A or B+ research category in the relevant discipline; NIPiP suggests contacting the health sciences faculties of medical universities. Send your diploma, documents showing the course, learning outcomes and length of study, and the document that admitted you to the course. The university decides within 90 days of a formally complete application and can require you to pass exams or complete placements first; its fee can be up to 50% of a professor's salary.
  3. 3. Full route: get an official certificate of Polish

    NIPiP explains that the certificate comes from the State Commission for the Certification of Proficiency in Polish as a Foreign Language after a paid examination, with dates, centres and fees on certyfikatpolski.pl. The Minister of Health's regulation sets the scope of Polish needed to work as a nurse or midwife.
  4. 4. Full route: apply for a limited right to practise and do the adaptation placement

    Apply to the regional council where you will work for a limited right to practise for the placement, with your nostrification certificate, diploma and sworn translation, an occupational health certificate, two photographs, identity document and Polish certificate. The placement lasts 6 months in a named healthcare provider, needs no work permit, and its costs are borne by you under an agreement with the provider.
  5. 5. Full route: apply for your right to practise

    After the placement, apply to the regional council for a permanent right to practise (with a permanent residence permit) or a fixed-term one. You also present certificates of practice and good standing from the countries where you have worked and are a citizen. The council confirms receipt and lists any gaps within 1 month and must decide within 3 months of receiving all the documents.
  6. 6. Simplified route: get the employer's certificate and apply to the Ministry

    Ask the provider that will employ you for a certificate listing the units where you may work, the planned period and a scope of work matching your training. Send it to the Ministry of Health with the signed application, your declaration on Polish, a medical certificate no more than 3 months old, declarations on legal capacity and good conduct, a good-standing document from your regulator where one is available, proof of 3 years of experience and your legalised diploma, with sworn translations. The service is free.
  7. 7. Simplified route: get the right to practise from the regional council

    With a positive decision, go to the regional council for the place of work. It grants the right to practise for the scope, period and place in the decision within 30 days and enters you in its register, but only after you show a Polish certificate at level B1 or higher from the Minister of Health's list. You work your first year under the supervision of a nurse or midwife named by the employer.
  8. 8. Simplified route: keep within the limits

    You are employed on a fixed-term contract and may not work outside that provider without a further Ministry decision. If the contract ends and you do not tell the chamber within a month that you have a permitted new post, you are removed from the register and the right lapses. The right lasts at most 5 years, extendable by up to 3 years only while you study at a Polish nursing or midwifery school.

Exams and assessments

  • No national nursing licensing exam for foreign nurses

    Poland does not set a licensing exam like the NCLEX for nurses trained abroad. Your training is assessed through nostrification by a university on the full route, or by the Ministry of Health's review of your documents on the simplified route.

  • Nostrification exams or placements

    If the nostrifying university finds differences in the programme, learning outcomes or length of study, it can require you to pass specific exams or complete placements before it recognises the diploma.

  • Polish certificate examination

    The official certificate needed on the full route is gained by passing the state examination in Polish as a foreign language. On the simplified route you need a certificate at level B1 or higher from the Minister of Health's list.

  • Adaptation placement (staż adaptacyjny)

    A 6-month supervised placement in a named healthcare provider, run under a Minister of Health regulation that sets its framework programme, how it is completed and signed off, and what you may do during it.

Language requirements

  • No English test is required. The language requirement is Polish.
  • Full route: an official certificate of Polish in speech and writing issued under the Polish Language Act by the State Commission for the Certification of Proficiency in Polish as a Foreign Language.
  • Simplified route: a signed declaration that your Polish is sufficient for your work, and a Polish certificate at level B1 or higher from the Minister of Health's list before the regional council issues the right to practise.
  • The B1 requirement for the simplified route applies to applications made after 24 October 2024; consents based on applications made by that date are covered by transitional rules.
  • The Minister of Health's 2012 regulation sets the detailed scope of Polish needed to work as a nurse or midwife.

Fees

ItemFee
Ministry of Health consent (simplified route)The Ministry states the service is free of charge.FreeThe Ministry states the service is free of charge.
NostrificationSet by each university, up to 50% of a professor's salaryAs NIPiP explains the rule; the university sets the fee and any waiver.
Polish certificate examinationCheck the current fee on certyfikatpolski.pl.Set by the State CommissionCheck the current fee on certyfikatpolski.pl.
Adaptation placementThe Act says the person on the placement bears its costs, under an agreement with the healthcare provider.Paid by youThe Act says the person on the placement bears its costs, under an agreement with the healthcare provider.
Sworn translations and legalisation or apostilleCharged by translators and the issuing authorities.VariesCharged by translators and the issuing authorities.

Estimate your total cost

Timeline

  • Nostrification: the university decides within 90 days of a formally complete application, plus any exams or placements it requires.
  • Adaptation placement: 6 months.
  • Full route application: the regional council confirms receipt and lists gaps within 1 month and decides within 3 months of receiving all documents.
  • Simplified route: the Ministry may ask a nursing consultant for an opinion, given within 7 days; the regional council then acts within 30 days of receiving the decision.
  • Simplified route right to practise: at most 5 years, with up to 3 more years only while studying at a Polish nursing or midwifery school.
  • No authority publishes an overall timeline. Reaching the required level of Polish is usually the longest stage.

Questions

The regional council of nurses and midwives for the place where you will work grants the right to practise and enters you in its register. NIPiP coordinates the chambers nationally and keeps the Central Register of Nurses and Midwives.

No. NIPiP says the regional council has no power to assess or recognise a foreign diploma. On the full route that is done by a Polish university through nostrification; on the simplified route the Ministry of Health reviews your documents.

Yes, on the simplified route, if you have at least 3 years of experience in the last 5 years and an employer's certificate. The Ministry of Health consents to you working for that employer and the regional council grants a time-limited right once you show B1 Polish.

A 6-month placement in a named healthcare provider that foreigners complete before getting the full right to practise, unless they trained in a Polish school. You get a limited right to practise for it, need no work permit for it and pay its costs.

For the full route, an official certificate under the Polish Language Act from the State Commission for the Certification of Proficiency in Polish as a Foreign Language. For the simplified route, a certificate at B1 or higher from the Minister of Health's list.

Up to 5 years, without renewal on the same basis. The regional council can extend it by up to 3 years if you are studying at a Polish nursing or midwifery school and working as a nurse or midwife.

On the simplified route, yes: for your first year you work under the supervision of a nurse or midwife named by the head of your employer.

Only with a further Ministry of Health decision for a provider with a particular need for nurses or midwives, or if the Ministry directs you there. If your contract ends, tell the chamber within a month to avoid removal from the register.

Yes. Articles 35, 35a and 36 of the Act cover nurses and midwives alike, and the regional councils register both.

The Act keeps recognition for EU citizens holding UK qualifications obtained before 1 January 2021 with the titles Registered Nurse – Adult, Registered General Nurse or State Registered Nurse. Other UK-trained nurses use the routes for non-EU qualifications.

Sources

Keep exploring

Working in Poland after NIPiP registration