Trained outside the EU/EEA

Information for nurses and midwives who trained outside the EU or EEA

If you have trained outside the EU/EEA and are applying to register as a nurse or midwife in the UK, please read our booklet for information about all stages of the process.

Registering as a nurse or midwife in the UK for applicants trained outside the EU and EEA

Begin or continue an overseas application


To check that the applicant is capable of practising safely and effectively in the UK, we will assess their qualification, training and experience against our standards. We will consider whether the applicant has the necessary post-qualifying practice and experience in each area of nursing or midwifery. This must be appropriate for the part of the register for which they are applying.

New applicants

Applicants must complete an online self-assessment of their eligibility to apply before beginning the application process.

Begin an application

There are different fees for different stages of the application process:

Application for nursing/midwifery £140
Part 1 test of competence (CBT) £130
Part 2 test of competence (OSCE) £992
Admission onto our register £153

Total £1415

Each professional field of nursing, including adult (general), children’s, learning disabilities, mental health and the midwifery profession, is examined by our test of competence. Part one is a multiple choice examination and part two is a practical examination called an OSCE (objective structured clinical examination).

Test of competence

In the UK, each field of nursing and midwifery is separate and distinct. Each requires three years of specialist pre-registration education and practice. The test of competence requires extensive preparation and study to make sure you can demonstrate knowledge, understanding and application of professional skills at the right level. See below for information on nursing and midwifery pathways, including specific competencies and the exam blueprints:

The test of competence is in line with our pre-registration standards and competencies for all nurses and midwives. There are standards for adult (general) nursing, children's nursing, learning disabilities nursing, mental health nursing and midwifery. They cover professional values, communication, nursing decision-making and leadership.

Nurses and midwives work in a variety of clinical settings and they are exposed to a variety of settings during their education. All nurses and midwives at the point of entry to the register are competent to work in all professional areas of nursing or midwifery practice.

These areas of practice include acute care, long-term care, caring for healthy people, caring for patients with complex needs and morbidities, and caring for patients in the community setting including in their own homes. All nurses are expected to be able to care competently for people across the life span and respond to a range of needs. For example, a children’s nurse should also be able to respond to the needs of pregnant and postnatal women and people with mental health needs, physical disabilities or dementia.

Once applicants have passed the eligibility assessment, they will be asked to sit the first part of the test of competence. This will be a computer-based test of theoretical practice-based knowledge. The test format will be multiple choice and can be taken in test centres around the world. Applicants will need to contact Pearson VUE, our test provider, to book and pay for their test. For more information, please read the Candidate information guide for Part 1

The objective structured clinical examination (OSCE)

The second part of the test is the objective structured clinical examination (OSCE). This will act out scenarios which nurses and midwives are likely to encounter when they assess, plan, carry out and evaluate care. Each separate clinical examination is known as a ‘station’ and candidates will visit all the stations within a set time.

Each of the six stations has standardised marking criteria against which all candidates are assessed. Candidates are assessed by a panel of examiners and will be filmed for quality assurance purposes.

Candidates are expected to demonstrate safe and effective practice. The test of competence is based on current UK pre-registration standards.

You can take the OSCE in the UK at one of our approved university test centres. When we authorise candidates to take the OSCE, they should contact the university directly.

Full details about the OSCE processes and links to relevant resources can be found on the approved universities' website, please follow the links below for more information.

Approved OSCE Test Centres

The following universities are currently approved as test centres:

Taking the test of competence

Applicants can sit both parts of the test of competence (CBT and OSCE) twice as part of one application.

If you are unsuccessful after your permitted attempts, your application will close. If you wish to re-apply, you will be required to wait a minimum of six months before you can sit the exam again. This period should provide any applicant with adequate time to address any shortfalls identified and carry out the appropriate revision or training.   

Note: Applicants can start the re-application process earlier than six months by contacting to begin the re-application process.

From 1 September 2016 the fee for making a re-application is £140.

Pass rates for the test of competence and OSCE

Identification check

Applicants are required to attend a face-to-face identification check at the test centre on the day of the OSCE exam. At the ID interview you must produce the original versions of the documents you sent photocopies of. We will make final checks on your previous registration, and take a photograph for our records. Applicants applying for entry to the register through the old overseas process will be contacted separately through email, therefore please ensure your contact details with us are kept up to date.

We cannot issue you with a Pin, or place you on our register, until you have met the requirements of this check. Please do not attempt to make an identity check appointment until we have contacted you.

English language requirements

All applicants must also meet our English language requirements, with an overall International English Language Test (IELTS) score of 7.0.

For further information on combining two test results, read more about IELTS.

UK immigration processes

Applicants should be aware that they will be required to meet the full requirements of the UK’s immigration processes separately. Read more about the UK immigration process.