Overseas Nurses Registration Guidelines
We are here to offer you support with the NMC Registration. In order to work as a Registered Nurse in the United Kingdom, the NMC (Nursing & Midwifery Council) checks and verifies if the applicant is capable of practicing safely and effectively in the UK as a nurse or a midwife, and they assess the applicant’s qualification, training, and experience against the UK NMC standards.
Working as a nurse or midwife in the UK
All nurses and midwives who want to work in the UK must register with the NMC. NMC register consists of three parts.
Specialist community public health nurses (SCPHN).
The nurse part of the register is divided into four fields of practice.
• Adult nursing
• Mental health nursing
• Learning disabilities nursing
• Children’s nursing.
You can apply to be on the nurses or midwives parts of the register, as long as you meet our standards. If you’ve trained as a general nurse, you should apply for registration with NMC as an adult nurse. If you want to register on more than one part of the register or field of practice, you should apply for each part/field at the same time. Once you’re registered, you can work in the National Health Service (NHS) or private health care.
You need to have successfully completed at least 10 years of school education before starting your post-secondary education nursing or midwifery training programme, which lead to registration. This must be at least a three year full time programme.
English language requirements:
When you apply to register with the NMC they need whether to know you can communicate effectively in English. Communication is defined as speaking, reading, listening and writing. You must demonstrate competence in these four skills. Detailed guidance is given below.
International English Language Test System (IELTS)
Nurses who have completed an IELTS academic examination must provide an IELTS certificate that confirms:
at least 7.0 in the listening reading and speaking
at least 6.5 in the writing
at least 7.0 overall.
Nurses can also take two IELTS tests, in which case the scores in both sittings are above 6.5 and they achieve 7.0 or higher in all four fields when the results of both sittings are viewed together. Both tests must be within 6 months.
As per the new NMC Update on 28/11/2018: Nurses and midwives will still be required to achieve a minimum overall level of 7 in the test. However, a level 6.5 in writing will be accepted alongside a level 7 in reading, listening and speaking.
Occupational English Test (OET)
Nurses who have completed an OET examination must provide a certificate that confirms:
at least a B grade in listening and reading, and
at least a B grade in writing and speaking.
We will only accept results from OET tests taken from and after February 2016.
For nurses who take the OET, all grades in both sittings should be above grade C+ and they must achieve a grade B or higher in all four fields when the results of both sittings are viewed together. Both tests must be within six months and they must complete all sections on each test.
Nurses must score individual 7 band in general academic or UKVI academic version of IELTS, in a single or two attempts within 6 months (Clubbing) OR you must score a minimum B grade in OET (Occupational English Test) in a single or double attempt.
NOTE: From Tuesday 28th January 2020, NMC will accept an OET certificate that confirms you scored a minimum of C+ in writing alongside a minimum of B in reading, listening and speaking.
A recent Pre-registration Nursing or Midwifery qualification which was taught and examined in English
Nurses who wish to rely on evidence that they have been recently trained in English, they must be able to provide evidence that:
The course was taught and examined in English.
The programme demonstrates their ability in reading, writing, speaking and listening in all range of environments.
They will need to provide us with the following:
A university transcript of training
A letter of reference from your training institution (or the training institution can complete sections 8a and 8b on the form to accompany their transcript of training).
The evidence must confirm that the programme was composed of at least 50 percent clinical interaction. At least 75 percent of that must be with patients, service users, their families and other healthcare professionals and it must carried out in English.
NMC is currently reviewing this route, we encourage nurses to use evidence 1 route for NMC registration.
Registration and practice of at least one year in a country where English is the first and native language and an English language assessment was required for registration.
List of accepted English speaking countries
Nurses who wish to rely on evidence that they have registered and practised in English, they must be able to provide evidence that:
They have completed an English language assessment or examination as part of their registration in the country.
They have one-year post-registration practice in an English speaking setting
If the registration is in a country where English is the first and native language. Nurses will need to provide the following:
A current valid registration certificate.
A letter of good standing from their licensing authority(Nursing Council)
Employment reference from the employer
Please note, if we are unable to identify whether the nurse completed an English language assessment as part of their registration then we will require additional confirmation of the registration requirements from the licensing authority where they are registered.
Overseas trained nurses working in majority English speaking countries will be eligible to register with NMC if they have registration and one year of practice in the country. They must prove that they have completed an English language assessment or examination as part of their registration in the country.
For example, Indian or Filipino nurses working as a registered Nurse in Australia will be eligible to register with NMC if they can prove that they have completed an English language assessment as a part of their registration in Australia.
Non-EU nursing working in Ireland/Malta will be able to register through this route.