To work as a registered nurse in the UK, you must join the Nursing and Midwifery Council (NMC) register. The NMC sets the same standards for every nurse on its register, wherever they trained.
This guide walks through each step for nurses who trained outside the UK, from the eligibility check to your NMC PIN. Fees, test scores and documents can change, so always check the current rules on the NMC website before you apply.
Quick Summary
- Most internationally trained nurses check eligibility on NMC Online, meet the English language requirement, pass the computer-based test (CBT), send their application and then pass the OSCE in the UK. When both parts are passed and the application is approved, you pay the registration fee and receive your NMC PIN.
Step 1: Check you are eligible
Start by creating an account on NMC Online and completing the eligibility steps for internationally trained nurses. You will need:
- A nursing qualification that led to registration in the country where you trained
- Current registration with the nursing regulator in that country
- Proof of your identity, such as a valid passport
Step 2: Meet the English language requirement
You must show that you can communicate safely in English. Most nurses do this with an approved test such as IELTS (Academic) or OET. The NMC sets a minimum score for each part of the test, so check the current scores before you book.
Pro Tip: Book your English test early. Results are valid for a limited time, so plan the date around the rest of your application.
Step 3: Pass the CBT
The NMC Test of Competence has two parts. The first is a computer-based test (CBT) of multiple-choice questions on nursing theory and practice. You can usually take it at a test centre in your home country.
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Step 4: Send your application
After you pass the CBT, complete your application on NMC Online. You upload your documents, answer health and character questions and pay the assessment fee. The NMC may contact you if it needs more information.
Step 5: Pass the OSCE
The OSCE is a practical exam where you show your skills in realistic clinical scenarios. It takes place in the UK. Many employers who recruit international nurses help you prepare and arrange your test date.
Important Note: Never pay a person or agency to “guarantee” NMC registration or a job. Only the NMC can register you, and real employers do not charge nurses to apply.
Step 6: Get your NMC PIN
When you have passed both parts and the NMC has approved your application, you pay the registration fee and receive your NMC PIN. You can then work as a registered nurse in the UK. Browse UK nursing jobs when you are ready.
Frequently asked questions
Yes. The CBT is usually taken at a test centre in your home country. The OSCE is taken in the UK.
Many employers who recruit international nurses offer OSCE training and book your test. Ask about this before you accept an offer.
No. NMC registration lets you practise as a nurse. Your right to work in the UK is a separate immigration matter, so check the official GOV.UK guidance.
Your next steps
Check your eligibility, book your English test and start preparing for the CBT. When you are close to registration, look for employers that support international nurses with the OSCE.
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