#BGBl. 2025 I Nr. 267Sixth Regulation Amending the Nursing Staff Minimum Requirements Regulation
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This regulation, published in the German Federal Law Gazette on November 6, 2025, constitutes the sixth amendment to the Pflegepersonaluntergrenzen-Verordnung (PpUGV). The PpUGV establishes mandatory minimum nurse-to-patient staffing ratios in German hospitals to ensure patient safety and quality of care. The amendment is issued by the Federal Ministry of Health and updates existing staffing thresholds for various hospital wards. It continues the ongoing process of refining legally binding personnel lower limits that hospitals must observe, particularly in sensitive areas such as intensive care, emergency rooms, and general wards. The regulation is part of broader efforts to address nursing shortages while protecting care quality following the introduction of the original regulation in 2018.
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Key Changes
- Sixth amendment to the original Pflegepersonaluntergrenzen-Verordnung (PpUGV) originally introduced in 2018
- Updates mandatory minimum nurse-to-patient ratios in German hospitals
- Issued by the Federal Ministry of Health on November 4, 2025
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Obligations
What this law requires
German hospitals must maintain mandatory minimum nurse-to-patient staffing ratios as established by the Pflegepersonaluntergrenzen-Verordnung (PpUGV) and updated by this sixth amendment
Hospitals must observe legally binding personnel lower limits (Pflegepersonaluntergrenzen) in sensitive care areas including intensive care units, emergency rooms, and general wards
Hospitals must comply with updated staffing thresholds for various hospital wards as specified in this sixth amendment effective November 6, 2025