The UK left the European Union (EU) on 31 January 2020. It then entered into a transition period, which came to an end on 31 December 2020.

The following guidance applies to you if:

  • you started an application via our previous EU/EEA route
  • you paid your assessment fee by 31 December 2020, and
  • you have been told that you have a shortfall in your training.

If your qualification does not meet our requirements for practising in UK, you may have the option of taking an adaptation programme or an aptitude test to make up any shortfall.

Adaptation programme

To be eligible to apply for an adaptation programme, you must receive a letter from us telling you that this option is available.

You can then apply to an university offering an approved adaptation programme. The university will consider the shortfall in your training before making a decision about whether you're eligible to undertake the programme.

The university is responsible for setting entry requirements and fees, as well as selecting nurses and midwives to undertake the adaptation programme.

The University of the West of England currently run an approved adaptation programme.

Aptitude test

Alternatively, you may be able to sit an aptitude test to demonstrate that you have the appropriate level of skills and knowledge to join our register.

An aptitude test is designed to assess theoretical and practical knowledge against the standards of entry to our register. The test is made up of four parts:

  • Multiple choice question paper – 1
  • Multiple choice question paper – 2
  • Short answer question paper – 1
  • Practical examination in the form of an Observed Structured Clinical Examination (OSCE)

To be eligible to apply to sit the aptitude test, you must receive a letter from us telling you that this option is available.

You can then apply to an university offering an approved aptitude test. The university will consider the shortfall in your training before making a decision on whether you're eligible to take the test.

The university is responsible for setting entry requirements and fees, as well as selecting nurses and midwives to undertake the test.

The University of Northampton currently run an approved aptitude test.

Changes to the EU aptitude test

The EU aptitude test is changing in August 2021.

See the test specification document and candidate information booklet for the new test: