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German Cabinet Approves Expanded Nursing Competences and Uniform Assistant Curriculum

The reforms aim to ease staffing pressures by improving care efficiency after years of chronic shortages triggered by care insurance deficits.

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Overview

  • Qualified nursing staff will be authorized to independently perform medical tasks such as diabetes management, wound care and dementia support under a new draft law.
  • A companion draft law establishes an 18-month nationwide nursing assistant curriculum to replace 27 separate state programs and create uniform career pathways.
  • Bureaucracy reduction measures will limit nursing documentation to essential records and simplify application forms for care services.
  • Both bills move to the Bundestag for legislative deliberation, with medical associations, insurers and nursing bodies set to negotiate detailed task definitions and reimbursement terms by July 31, 2027.
  • Officials say the package will formalize nursing as an independent health profession, enhance workforce retention and bolster long-term sector viability in response to demographic ageing.