Key data
| Regulation | Resolution of April 23, 2026, from the National Institute of Health Management (INGESA) |
|---|---|
| BOE Publication | May 9, 2026 |
| Entry into force | April 23, 2026 |
| Type of process | Competitive examination (examination phase + merit evaluation) |
| Access routes | General open access system and internal promotion |
| Position category | Nurse (permanent statutory staff) |
| Affected territories | Ceuta and Melilla |
| Required qualification | Nursing Degree or equivalent |
| Category | Public Sector |
| BOE Reference | BOE-A-2026-10066 |
The National Institute of Health Management (INGESA) has announced a selective process to fill permanent statutory staff positions in the Nurse category in the territories of Ceuta and Melilla, the two geographic areas it directly manages. The call is structured through competitive examination and offers two differentiated access routes depending on the candidate's profile.
For nurses seeking job stability in the public health system of these autonomous cities, this call represents a direct opportunity to obtain the status of permanent statutory staff, the most stable position in the Spanish public health system.
What does this regulation establish?
The Resolution of April 23, 2026 regulates a selective process with the following structural characteristics:
| Element | Detail |
|---|---|
| Type of process | Competitive examination |
| Phase 1 | Examination (selective tests) |
| Phase 2 | Merit evaluation |
| Route A | General open access system (external candidates) |
| Route B | Internal promotion (personnel already linked to the system) |
| Status acquired | Permanent statutory staff |
| Enabling qualification | Nursing Degree or recognized equivalent |
| Additional requirements | General requirements for access to public health employment |
The competitive examination combines two complementary phases: first, candidates must pass the examination phase tests; subsequently, accredited merits are evaluated (professional experience, training, etc.). The combined score from both phases determines the order of position allocation.
The call clearly distinguishes between those accessing from outside the system (open access) and those already providing services at INGESA who seek to improve their situation (internal promotion). Both routes compete in separate pools.
Economic and operational impact
Obtaining the status of permanent statutory staff implies a substantial change in the nurse's employment situation. Compared to temporary or interim positions, the permanent position guarantees stability, access to statutory professional career advancement, and full rights of permanent staff in the National Health System.
For candidates in interim situations at INGESA, not participating in this process may mean losing an opportunity to consolidate their position. Since the public health employment reform, stabilization processes and ordinary calls are the main routes to regularize situations of long-term temporality.
From an operational perspective, candidates should consider:
- The cost of preparing for the examination (academies, materials, study time).
- The need to gather and document merits for the competition phase.
- The application submission deadlines established in the call bases, whose non-compliance results in automatic exclusion from the process.
Who does it affect?
This call directly affects the following profiles:
- Nurses with a Nursing Degree or equivalent qualification who wish to access a permanent position in Ceuta or Melilla through the open access route.
- Nursing staff already linked to INGESA (interim, temporary, or with other temporary arrangements) who seek to consolidate their position through the internal promotion route.
- Nurses residing or willing to work in Ceuta and Melilla, since the positions correspond exclusively to the territories managed by INGESA.
- Human resources managers of health centers in Ceuta and Melilla who must plan coverage during the selective process.
Practical example
A nurse currently working as an interim staff member at the University Hospital of Ceuta (managed by INGESA) can apply for the process through the internal promotion route. In this case, their accumulated experience in the system will be evaluated in the competition phase (merits), which gives them a competitive advantage over external candidates competing through open access.
On the other hand, a recently graduated nurse or one with experience in another autonomous community who wants to settle in Melilla must compete through the open access route, passing the examination phase and accrediting their merits in the second phase. In both cases, the first step is to verify the application deadlines and required documentation in the official call bases.
What should candidates do now?
- Verify the application submission deadlines in the official call bases published in the BOE (BOE-A-2026-10066). Non-compliance with the deadline results in automatic exclusion.
- Check that the enabling qualification is met: Nursing Degree or recognized equivalent, plus general requirements for access to public health employment.
- Determine the correct access route: open access if you are an external candidate, or internal promotion if you already have a link with INGESA.
- Gather merit documentation for the competition phase: certificates of professional experience, accredited training, and any other merits established in the bases.
- Prepare for the examination phase: review the syllabus and type of tests established in the call bases.
- Submit the application within the deadline with all required documentation, following the procedure indicated in the bases.
Frequently asked questions
What territories does INGESA manage and where are the positions announced?
INGESA manages healthcare in Ceuta and Melilla. The positions announced in this selective process correspond exclusively to these two territories. No positions are included in other autonomous communities, which have their own health systems.
What qualification is needed to apply for INGESA Nurse examinations?
The Nursing Degree or recognized equivalent qualification is required, in addition to meeting the general requirements for access to public health employment established in the call bases.
What are the access routes to INGESA Nurse positions?
There are two differentiated routes: the general open access system for candidates external to the system, and internal promotion for personnel already linked to INGESA. Both routes compete in separate processes.
What does the INGESA Nurse selective process consist of?
The process is a competitive examination that combines an examination phase (selective tests) with a merit evaluation phase (assessment of professional experience, training, and other merits). The combined score from both phases determines the final ranking for position allocation.