{"id":73,"date":"2025-08-17T10:54:23","date_gmt":"2025-08-17T08:54:23","guid":{"rendered":"https:\/\/www.talentorbit.de\/?p=73"},"modified":"2026-04-20T09:04:48","modified_gmt":"2026-04-20T07:04:48","slug":"career-and-quality-of-life-in-germany-opportunities-for-nurses-from-india-and-pakistan","status":"publish","type":"post","link":"https:\/\/www.talentorbit.de\/en\/karriere-und-lebensqualitaet-in-deutschland-chancen-fuer-pflegekraefte-aus-indien-und-pakistan\/","title":{"rendered":"Recruiting nurses from Pakistan: \u00a7 38 Employment Ordinance restrictions"},"content":{"rendered":"<p><b>Important note:<\/b><span style=\"font-weight: 400;\"> This post is for general information purposes only and does not constitute a job offer, employment placement, recruitment, or legal advice. TalentOrbit International GmbH does not actively recruit or privately place healthcare or nursing staff from Pakistan for employment in Germany as long as Pakistan is listed in Annex 1 of \u00a7 38 BeschV. For binding information, employers and skilled workers should contact the Federal Employment Agency or seek qualified legal advice.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">The question of whether and how nursing staff from Pakistan can work in German clinics and care facilities is legally clearly regulated \u2013 and surprisingly strict for many employers and private recruiters. Pakistan is one of the countries for which German law provides a general ban on private recruitment and job placement in health and nursing professions. This article explains the legal framework, the consequences for private recruiters and employers, and the position of TalentOrbit International GmbH.<\/span><\/p>\n<h2><b>1. Why Pakistan is relevant under Section 38 of the German Ordinance on the Management of Explosives<\/b><\/h2>\n<ul>\n<li><span style=\"font-weight: 400;\"> Section 38 of the Employment Ordinance (BeschV) stipulates that the recruitment from and placement into employment within states listed in the annex to this ordinance for professions in the healthcare and nursing sectors may exclusively be carried out by the Federal Employment Agency. Private recruitment agencies are excluded from this activity.<\/span><\/li>\n<\/ul>\n<p><span style=\"font-weight: 400;\">The basis for the Annex to Section 38 of the Employment Ordinance is the World Health Organization's (WHO) \u201eHealth Workforce Support and Safeguards List.\u201c In it, the WHO identifies states with a critical shortage of health personnel, from which recruitment by other countries should be avoided. The goal is to protect the health systems of these states from the emigration of qualified professionals. Germany is thus implementing the WHO's global code of practice on international recruitment of health personnel.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Pakistan is explicitly listed as a listed country in the current annex to Section 38 of the BeschV. Therefore, Pakistani citizens or skilled workers residing in Pakistan in health and nursing professions fall under the recruitment and placement monopoly of the Federal Employment Agency.<\/span><\/p>\n<h2><b>2. What private intermediaries and employers are not allowed to do<\/b><\/h2>\n<p><span style=\"font-weight: 400;\">The Federal Employment Agency interprets the terms \u201erecruitment\u201c and \u201eemployment placement\u201c broadly. According to Section 38 of the BeschV, the following are prohibited in particular:<\/span><\/p>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">the active recruitment or solicitation of nursing and healthcare personnel in Pakistan,<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">targeted advertising for jobs in German healthcare and nursing professions aimed at individuals in Pakistan (including social media campaigns, job fairs, events, and online ads with country or language targeting for Pakistan),<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">the conclusion of cooperation agreements with Pakistani agencies aimed at placing Pakistani nurses in Germany,<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">the recruitment of applications from Pakistan for specific positions in the German health and care sector by private intermediaries,<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">the support of such candidates by private providers in the placement process.<\/span><\/li>\n<\/ul>\n<p><span style=\"font-weight: 400;\">Violations of \u00a7 38 BeschV constitute an administrative offense pursuant to \u00a7 39 BeschV in conjunction with \u00a7 404 paragraph 2 number 9 SGB III. According to \u00a7 404 paragraph 3 SGB III, such administrative offenses can be penalized with a fine of up to 30,000 Euros. The prohibition covers both the placement in employment and training relationships. It is directed not only at placement agencies but also at employers who actively recruit in the listed country themselves without involving the Federal Employment Agency.<\/span><\/p>\n<h2><b>3. What does TalentOrbit not offer in relation to Pakistan<\/b><\/h2>\n<p><span style=\"font-weight: 400;\">TalentOrbit International GmbH strictly adheres to the provisions of \u00a7 38 BeschV. As long as Pakistan is listed in the annex to \u00a7 38 BeschV, TalentOrbit offers the following services with regard to Pakistan: <\/span><b>not<\/b><span style=\"font-weight: 400;\"> an:<\/span><\/p>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">no active recruitment or direct approach of nursing or healthcare personnel in Pakistan,<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">no private employment agencies from Pakistan for employment or training positions in the German healthcare and nursing sector,<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">no organization of selection, application, or matching procedures for candidates from Pakistan,<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">no accompaniment of recognition, visa, or integration procedures as part of a brokerage mandate for Pakistani nurses,<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">No cooperation with agencies, schools, or employment agencies in Pakistan for the recruitment of skilled workers in German healthcare and nursing professions.<\/span><\/li>\n<\/ul>\n<p><span style=\"font-weight: 400;\">This post is not an invitation to apply and not a solicitation for professionals in Pakistan to contact TalentOrbit.<\/span><\/p>\n<h2><b>4. General Information on Recognition and Visas<\/b><\/h2>\n<p><span style=\"font-weight: 400;\">The following information is for informational purposes only. It does not constitute an invitation to apply and does not replace individual legal or recognition advice.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">To practice a regulated healthcare and nursing profession in Germany, recognition of your foreign qualification is generally required. Depending on the federal state and profession, different recognition authorities are responsible. In addition, there are language requirements (typically German at level B2 according to the Common European Framework of Reference for Languages in nursing) as well as residency requirements according to the Residence Act and the Employment Ordinance.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">These general requirements apply regardless of Section 38 of the Residence Ordinance. However, they say nothing about whether the path to Germany is permitted for a skilled worker from a listed country via private intermediaries. For countries listed in the Annex to Section 38 of the Residence Ordinance, the Federal Employment Agency remains the sole responsible body for recruitment and placement. To the extent that bilateral placement agreements exist \u2013 for example, within the framework of the \u201eTriple Win\u201c program \u2013 these are implemented exclusively by the Federal Employment Agency in cooperation with state partners. Pakistan is not currently part of such a program.<\/span><\/p>\n<h2><b>5. Guidance for German Employers: Check Country List Before International Recruitment<\/b><\/h2>\n<p><span style=\"font-weight: 400;\">For clinics, nursing homes, and other healthcare providers, \u00a7 38 BeschV results in the following practical recommendations:<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Before any international recruitment campaign, it should be checked whether the target country is listed in the current version of the Annex to Section 38 of the BeschV. The Annex is periodically adjusted to the WHO list, most recently based on the WHO's \u201eHealth Workforce Support and Safeguards List, 2023\". The current version can be accessed at www.gesetze-im-internet.de.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">If the target country is listed, the employer is not allowed to recruit independently there or hire a private employment agency for this purpose. The only permissible method is through the Central Foreign and Specialist Placement Service (ZAV) of the Federal Employment Agency and the programs it supports.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">When collaborating with private recruitment agencies, it is advisable to clarify in writing which countries candidates come from and how they were identified. Thorough documentation protects against penalty risks according to \u00a7 39 BeschV and \u00a7 404 SGB III.<\/span><\/p>\n<h2><b>6. Official Channels and Sources<\/b><\/h2>\n<p><span style=\"font-weight: 400;\">Binding information on \u00a7 38 BeschV, the annex, and the federal employment agency's recruitment and placement monopoly can be found at the following sources:<\/span><\/p>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><b>Federal Employment Agency, Central Foreign and Specialized Placement Services (ZAV):<\/b><span style=\"font-weight: 400;\"> responsible for recruitment and placement from countries listed in Annex to \u00a7 38 BeschV, www.arbeitsagentur.de.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><b>Federal Ministry of Labour and Social Affairs (BMAS)<\/b><span style=\"font-weight: 400;\"> Information on the employment ordinance and the WHO code of conduct, www.bmas.de.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><b>World Health Organization (WHO)<\/b><span style=\"font-weight: 400;\"> \u201eHealth Workforce Support and Safeguards List\u201c, www.who.int.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><b>Laws on the Internet<\/b><span style=\"font-weight: 400;\"> full statutory text of the BeschV including the annex to \u00a7 38 BeschV, www.gesetze-im-internet.de.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><b>Coordination and Recognition Offices of the Federal States<\/b><span style=\"font-weight: 400;\"> Information on professional law recognition in healthcare professions.<\/span><\/li>\n<\/ul>\n<h2><b>FAQ \u2013 Frequently Asked Questions<\/b><\/h2>\n<p><b>Can private agencies place nurses from Pakistan in Germany?<\/b><span style=\"font-weight: 400;\"> No. As long as Pakistan is listed in Annex \u00a7 38 BeschV, recruitment in Pakistan and placement from Pakistan for employment in health and nursing professions may only be carried out by the Federal Employment Agency. Private placement is prohibited.<\/span><\/p>\n<p><b>Can employers directly advertise positions in the healthcare and nursing sector to applicants in Pakistan?<\/b><span style=\"font-weight: 400;\"> No. The Federal Employment Agency has a broad interpretation of the term \"recruitment.\" Advertising measures, social media campaigns, or events specifically targeting individuals in Pakistan also fall under the prohibition in Section 38 of the Employment Opportunities Act (BeschV). Violation constitutes a regulatory offense, which can be punished with a fine of up to 30,000 euros.<\/span><\/p>\n<p><b>Does TalentOrbit provide nurses from Pakistan?<\/b><span style=\"font-weight: 400;\"> No. TalentOrbit International GmbH does not recruit or provide employment services for nursing and healthcare personnel from Pakistan as long as Pakistan is listed in the annex to Section 38 BeschV. This post is not a job offer or an invitation to apply for professionals in Pakistan.<\/span><\/p>\n<p><b>What should employers do if they are unsure whether a country is listed?<\/b><span style=\"font-weight: 400;\"> The current version of the annex to \u00a7 38 BeschV can be viewed at www.gesetze-im-internet.de. The Federal Employment Agency also provides an overview of the recruitment and placement ban at www.arbeitsagentur.de. In case of doubt, legal advice is recommended before commencing recruitment activities.<\/span><\/p>\n<p><b>What happens if Pakistan is removed from the list in the future?<\/b><span style=\"font-weight: 400;\"> The Annex to \u00a7 38 BeschV is periodically adapted to the current WHO \u201eHealth Workforce Support and Safeguards List\u201c. Should Pakistan no longer be listed in the future, recruitment in Pakistan and placement of workers from Pakistan in the health and care sector would again be permissible under German law. The legal status must therefore be checked regularly. A change in the legal situation is to be assessed exclusively based on the respective current status of the Annex to \u00a7 38 BeschV and the WHO list.<\/span><\/p>\n<h2><b>Note for German Healthcare Employers<\/b><\/h2>\n<p><span style=\"font-weight: 400;\">German clinics, care facilities, and providers planning international recruitment should check applicable country restrictions before each campaign. TalentOrbit supports employers with general recruitment strategy and compliance checks, but does not conduct recruitment or placement from countries where this is restricted according to \u00a7 38 BeschV.<\/span><\/p>\n<h2><b>Compliance Disclaimer<\/b><\/h2>\n<p><span style=\"font-weight: 400;\">This post was created for informational purposes only and reflects the legal situation at the time of publication. It does not replace individual legal advice or binding information from the Federal Employment Agency. Changes to the annex to \u00a7 38 BeschV and the WHO \u201eHealth Workforce Support and Safeguards List\u201c are possible; the currently applicable version is always decisive. TalentOrbit International GmbH assumes no liability for the accuracy, completeness, or timeliness of this information. Legally binding advice remains the prerogative of qualified legal counsel and the responsible authorities.<\/span><\/p>","protected":false},"excerpt":{"rendered":"Important Notice: This post is for general informational purposes only and does not constitute a job offer, employment placement, recruitment, or legal advice. TalentOrbit International GmbH does not actively recruit or privately place healthcare or nursing staff from Pakistan for employment in Germany as long as Pakistan is listed in the Annex to \u00a7 38 BeschV\u2026. <a class=\"view-article\" href=\"https:\/\/www.talentorbit.de\/en\/karriere-und-lebensqualitaet-in-deutschland-chancen-fuer-pflegekraefte-aus-indien-und-pakistan\/\">Read more<\/a>","protected":false},"author":2,"featured_media":165,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[29],"tags":[],"class_list":["post-73","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-arbeiten-als-pflegekraft-deutschland"],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.5 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Pflegekr\u00e4fte aus Pakistan anwerben: \u00a7 38 BeschV Beschr\u00e4nkungen<\/title>\n<meta name=\"description\" content=\"Informationen zu den rechtlichen Beschr\u00e4nkungen bei der Anwerbung von Pflege- und Gesundheitspersonal aus Pakistan nach \u00a7 38 BeschV und zum WHO-Schutzrahmen.\" \/>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/www.talentorbit.de\/en\/career-and-quality-of-life-in-germany-opportunities-for-nurses-from-india-and-pakistan\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Pflegekr\u00e4fte aus Pakistan anwerben: \u00a7 38 BeschV Beschr\u00e4nkungen\" \/>\n<meta property=\"og:description\" content=\"Informationen zu den rechtlichen Beschr\u00e4nkungen bei der Anwerbung von Pflege- und Gesundheitspersonal aus Pakistan nach \u00a7 38 BeschV und zum WHO-Schutzrahmen.\" \/>\n<meta property=\"og:url\" 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