The Health Service Executive (HSE) (Irish: Feidhmeannacht na Seirbhíse Sláinte) is responsible for the provision of health and personal social services for everyone living in Ireland, with public funds. The Executive was established by the Health Act, 2004 and came into official operation on 1 January 2005. It replaces the ten regional Health Boards, the Eastern Regional Health Authority and a number of other different agencies and organisations. The Minister for Health has overall responsibility for the Executive in Government. The HSE is Ireland’s largest employer with over 67,000 direct employees, and another 40,000 in funded health care organisations. It has an annual budget of over €13 billion, more than any other public sector organisation.
Healthcare structure in the HSE
The HSE is a large organisation of over 100,000 people, whose job is to run all of the public health services in Ireland. The HSE manages services through a structure designed to put patients and clients at the centre of the organisation.
The HSE Code of Governance provides an overview of the principles, policies, procedures and guidelines by which the HSE directs and controls its functions and manages its business, it is intended to guide the Directorate, leadership Team and all those working within the HSE and the agencies funded by the HSE, in performing their duties to the highest standards of accountability, integrity and propriety.
The HSE Code of Governance was first approved by the Minister for Health and Children in 2007. The Code has been reviewed and updated in line with best practice and to ensure it meets the requirements of the Code of Practice for the Governance of State bodies (2009). The revised Code was approved by the Minster for Health in December 2015.
The HSE’s has four Regional Health Forums, which includes representatives from the city and county councils within that area.
You need to be on the HSE medical register which is called NMBI (Nursing and Midwifery Board of Ireland) before you can do any clinical work or write prescription drugs in the Republic of Ireland.
Trained in Ireland
Trained Outside Ireland
Every Nurse / Midwife is responsible for ensuring that their registration is current and appropriate for their individual circumstances within one of these categories:
Registered General Nurse
|Children and General (Integrated)||Children’s Nurse
Registered Children’s Nurse
Registered Psychiatric Nurse
|Intellectual Disability||Intellectual Disability Nurse
Registered Nurse Intellectual Disability
|Public Health||Public Health Nurse
Registered Public Health Nurse
|Nurse Tutor||Nurse Tutor
Registered Nurse Tutor
|Nurse Prescribers*||Nurse Presciber
Registered Nurse Prescriber
|Advanced Nurse Practitioners*||Advanced Nurse Practitioner
Registered Advanced Nurse Practitioners
|Advanced Midwife Practitioners*||Advanced Midwife Practitioner
Registered Advanced Midwife Practitioner
There is an initial fee for registration and an annual fee to remain on the register. You will need to contact the NMBI to find out which category of registration you can apply for and how much it will cost.
Find out more about cost of registration on the NMBI website
Note: The following information is intended as a general guide only, and should not be used as a sole source of information.
Any International medical graduate (IMG) coming to the Republic of Ireland must satisfy INIS immigration requirements. These are handled entirely separately from registration matters.
Find out more about the current visa procedures in the INIS Website here.
Who needs to provide evidence of knowledge of the English language?
All doctors who practise medicine in the Republic of Ireland must have the necessary knowledge of English to communicate effectively so they do not put the safety of their patients at risk. Communicating includes speaking, reading, writing and listening. Click here for more information.
Whether we ask you to give us evidence that you have the necessary knowledge of English depends on a number of things.
The Occupational English Test (OET) is an international English language test that assesses the language and communication skills of healthcare professionals who seek to register and practise in an English-speaking environment.
It provides a valid and reliable assessment of all four language skills – listening, reading, writing and speaking – with an emphasis on communication in medical and health professional settings.
OET tests international health practitioners in the following 12 professions:
OET is recognised and trusted by more than 40 regulatory healthcare bodies and councils in Australia, New Zealand, Singapore, Dubai, Namibia, UK (NMC) and Ireland (NMC). Many organisations, including hospitals, universities and colleges, are using OET as proof of a candidate’s ability to communicate effectively in a demanding healthcare environment. In addition, OET is recognised by the Australian Department of Immigration and Border Protection for a number of visa categories, including work and student visas.
IELTS is an English Language test administered by the British Council, IDP Education Australia and Cambridge ESOL. It is run in over 100 countries. You can find out more on the IELTS website at http://www.ielts.org
For us to accept your IELTS certificate, it must meet the criteria.
Your IELTS certificate is valid for two years.
If you have obtained the required scores in the academic version of the IELTS test over two years ago, you may be able to prove to us that you have maintained your English language skills.
You can do this by submitting your original IELTS certificate showing that you got the required scores and one of the following:
Please note that achievement of IELTS for the purpose of applying for registration with the NMBI may not be acceptable evidence of your English language skills for the purpose of obtaining a Irish Visa.
Primary medical qualification taught and examined in English
You may also be able to show us you have the necessary knowledge of English if your primary medical qualification has been taught and examined in English. In this case you would need to send:
Whether you need an Irish visa to land in the State or an Irish transit visa when arriving at a port in the State for the purposes of passing through the port in order to travel to another state depends on what country you are from.
Even if you are a national of a visa required country you may not require an Irish visa if:
Find out if you are a national of a visa required country and if one of the exceptions applies to you on these pages.
Employers must apply for a work Permit and will usually be required to show that no suitably qualified resident worker is available to do the job. The process is simplified if the post is considered a shortage occupation. Once you have been issued with a Job Of Letter you will be able to apply for a General Employment Permit or Work Permit. This is the permission that you will need to stay in the Republic of Ireland and this visa will be specific to a particular post or job. If you then move to another job you would have to make a new application for leave. After a continuous period five years spent on a employment visa you can apply for indefinite leave to remain (permanent residency) in the Republic of Ireland.
Note: The above information is intended as a general guide only, and should not be used as a sole source of information.
It is important to note that under the Immigration and Asylum Act 1999, all organisations and individuals giving immigration advice must be authorised by the Office of the Immigration Services Commissioner (OISC). Lists of advisers can be found on the OISC website.
Remember, if you feel uncomfortable about taking part in something you have been invited to do, just say no, you will not cause offence.
One of your primary concerns when moving to the Republic of Ireland is where you will live. Accommodation is NOT provided by your employer, the information provided here will help point you in the right direction.
Can You Live in the Republic of Ireland?
Types of Accommodation
When looking for housing in the UK you have many options, but some of these can be expensive. You must remember to look carefully at what you can realistically afford.
Guest Houses / Bed and Breakfast These are often expensive and would ideally suit short-term stays.
Letting Agents may require references, a deposit and one month’s rent in advance.
Cost of living in Ireland is 8.20% higher than in United Kingdom (aggregate data for all cities, rent is not taken into account). Rent in Ireland is 18.65% higher than inUnited Kingdom (average data for all cities). click here
If you are not used to the grades of doctor in the Republic of Ireland they can at first seem confusing.
Click here for further information.
Majority of medical professionals are employed via PAYE stands for Pay As You Earn. The PAYE system is a method of Income tax and USC deductions under which a person’s employer calculates and deducts the amount(s) due each time a payment of wages, salary, etc. is made to an employee. It is also a method of collecting PRSI, click here for more information.
The levels of education in Ireland are primary, secondary and higher (often known as “third-level”) education. In recent yearsfurther education has grown immensely. Growth in the economy since the 1960s has driven much of the change in the education system. Education in Ireland is free at all levels, including college (university), but only for students applying from the European Union. For universities there are student service fees (up to €3,000 in 2015), which students are required to pay on registration, to cover examinations, insurance and registration costs.
The Department of Education and Skills, under the control of the Minister for Education and Skills, is in overall control of policy, funding and direction, while other important organisations are the National Qualifications Authority of Ireland, the Higher Education Authority, and on a local level the Education and Training Boards are the only comprehensive system of government organisation. There are many other statutory and non-statutory bodies that have a function in the education system. The current Minister for Education is Richard Bruton.
Education is compulsory for children in Ireland from the ages of six to sixteen or until students have completed three years of second-level education. Click here for more information
Feel free to visit our jobs section to find the latest vacancies as per your grade & specialism.