INGESA Free Appointment 2026: Call for Healthcare Officials in Ceuta and Melilla

Key data

A position of special responsibility in the public healthcare structure of Ceuta and Melilla is opened for competition through free appointment. The Resolution of April 15, 2026 from the National Institute of Health Management (INGESA), published in the BOE on April 27, 2026, activates the provision process under a system that grants the Administration discretion in the selection of the candidate.

Unlike ordinary merit competition, free appointment does not require following a strict scoring order. The Administration can freely choose among all officials who prove to meet the position requirements. This makes candidacy an exercise in visibility and suitability to the profile, not just accumulation of merits.

What does this regulation establish?

The resolution regulates the provision of a specific job position within INGESA through the free appointment system. This mechanism is provided for in public service regulations for positions of special responsibility or trust within the organizational structure of the Administration.

The key elements of the process are as follows:

• Selection system: Free appointment. The Administration is not obliged to follow a merit order among candidates who meet the requirements.
• Requirements: Those specifically set for the advertised position in the resolution published in the BOE.
• Submission deadline: The one indicated in the resolution itself (BOE-A-2026-9121).
• Form of submission: The one established in the official resolution.
• Calling body: National Institute of Health Management (INGESA), which manages public healthcare assistance in the autonomous cities of Ceuta and Melilla.
• Position type: Of special responsibility or trust within the organizational structure of INGESA.

INGESA is the autonomous body of the Ministry of Health that assumes healthcare responsibilities in Ceuta and Melilla, territories that have not transferred these responsibilities to autonomous communities. Therefore, its personnel calls are managed by the General Administration of the State.

Economic and operational impact

This call does not generate direct costs for private companies nor does it modify tax or labor obligations in the private sector. Its impact is exclusively internal to the Public Administration and to officials in the healthcare sector managed by INGESA.

From an operational perspective, the relevant effects are:

• For the candidate official: Free appointment implies that presenting a solid candidacy suited to the position profile is more decisive than accumulating points on a scale. The Administration values suitability for a position of trust or responsibility.
• For INGESA's structure: The coverage of this position affects the capacity for healthcare management in Ceuta and Melilla, territories with a healthcare structure entirely dependent on the State.
• For other officials: Provision through free appointment can be revoked by the Administration at any time, which distinguishes these positions from those covered by ordinary competition.

Who does it affect?

This resolution directly affects a very specific group:

• Public officials in the healthcare sector who provide or may provide services under INGESA.
• Officials assigned to Ceuta or Melilla, or with the possibility of mobility to these autonomous cities.
• Civil service personnel who meet the specific requirements of the advertised position according to the published resolution.
• Human resources managers of public healthcare organizations dependent on the Ministry of Health, for staffing planning purposes.

It does not affect private companies, self-employed workers, or officials from autonomous communities with transferred healthcare responsibilities.

Practical example

A healthcare official from the General Administration of the State currently assigned in Madrid, who meets the specific requirements of the position called by INGESA, may submit their candidacy within the deadline established in the resolution.

Unlike a merit competition, where accumulated points (seniority, training, previous assignments) determine the order of award, in free appointment the Administration can select you even if another candidate has higher objective scores. What is decisive is the assessment of suitability for a position of special responsibility or trust in INGESA's structure in Ceuta or Melilla.

If selected, you should keep in mind that this type of position can be revoked by the Administration at any time, without the need to follow a reverse competition procedure. It is an inherent characteristic of the free appointment system in Spanish public service.

What should officials do now?

1. Consult the complete resolution in the BOE (BOE-A-2026-9121, published on April 27, 2026) to learn the exact requirements of the advertised position and the deadline for submitting candidacies.
2. Verify compliance with requirements before preparing your candidacy. In free appointment, only those who prove to meet the required conditions for the position can participate.
3. Prepare the candidacy documentation in the manner indicated in the resolution, focusing on suitability for a position of special responsibility or trust, not just on merit history.
4. Submit your candidacy within the deadline established in the resolution. Candidacies submitted outside the deadline or without meeting formal requirements will be excluded.
5. Inform yourself about the position conditions in Ceuta or Melilla, including implications of geographic mobility, before formalizing your application.