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Adaptation programme and aptitude test

How to make up a shortfall in your training

If you are a nurse or midwife who has trained in the EU/EEA and applied to join our register but your qualifications do not meet our requirements for practising in UK, you may have the option of undertaking either an adaptation programme or an aptitude test to make up this shortfall.  

For information on the minimum training requirements and compensation measures please refer to pages 31 – 37 of the Guidance for nurses and midwives trained in the EU/EEA.

Adaptation programme

If you have trained in the EU/EEA, you may be able to undertake an adaptation programme to make up a shortfall in your training. If successful this will allow you to meet the NMC’s standards for registration.

To be eligible to apply for an adaptation programme you must have received a letter from the NMC advising you that this option is available.

In order to join an adaptation programme you will need to make an application to the university offering it. The university will consider the shortfall in your training before making a decision about whether you are eligible to undertake the programme.

Currently, approved adaptation programmes are available at the University of the West of England in the UK.

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

Find out more details about the programme and how to apply.

Aptitude test

If you have trained in the EU/EEA you may be eligible to sit an aptitude test to demonstrate that you have the appropriate level of skills and knowledge to join the NMC’s register.  An aptitude test is designed to assess theoretical and practical knowledge against the standards of entry to the NMC register. If you are successful in passing the test you will be able to join the NMC’s register and practise in the UK. 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 have received a letter from the NMC advising you that this option is available.

In order to take the aptitude test you will need to make an application to the university offering it. The university will consider the shortfall in your training before making a decision on whether you are eligible to take the test.

Currently approved aptitude tests are available at the University of Northampton.

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

Find out more details about the test and how to apply.

For information on the minimum training requirements and compensation measures please refer to pages 31 – 37 of the Guidance for nurses and midwives trained in the EU/EEA