We’ve now launched the new Test of Competence 2021 for nursing associates on 31 January 2022. 

The test is specific to nursing associates and measures candidates against our Standards of proficiency for nursing associates (2018).

It consists of two parts:

  • A multiple-choice computer based test known as the CBT.
  • A practical test known as the OSCE.

You can sit your CBT or OSCE in any order, but you must successfully complete both parts to continue with your application for initial registration or readmission.

Transitional arrangements

You can now take the new test for nursing associates, following the process set out below.

If you've taken either the CBT or OSCE before 31 January 2022 you continue with the legacy Test of Competence for nursing associates.


Our CBT provider is Pearson VUE. They have test centres in most countries around the world.

The new CBT is split into two parts: Part A will cover numeracy and Part B will cover clinical questions.

Booking your CBT

If you’re a new applicant, we’ll send you an email telling you that your Pearson Vue account has been created.

You will be able to book the new CBT for nursing associates with Pearson Vue from Monday 17 January 2022.

The new CBT will be available to sit from Monday 31 January 2022.


There are five approved OSCE test providers delivering the Test of Competence 2021 for nursing associates:

New structure

The new OSCE has 10 stations:

  • Three stations will continue to be linked together around a nursing associate care process scenario: the AIE (one station for assessment, implementation and evaluation)
  • Five stations to test skills
  • Two new stations to assess the candidate's values and behaviours and evidence-based practice.


The fee for the new OSCE will stay at £794. You'll also pay the same reduced resit fee of £397 if you need to resit 7 or fewer stations.

Booking your OSCE

Applying for initial registration

Once we've confirmed that you need to take the Test of Competence, you can book and pay for your OSCE with one of our test providers.

Preparation materials

We've published these resources to help people prepare for the new test for nursing associates: