We launched a new version of Test of Competence (ToC) for nurses and midwives on 2 August 2021.

This guide covers how to prepare for and take the new ToC 2021.

Who will take the new test?

You will take the new ToC if:

  • You apply through our overseas registration route, and you need to take the ToC, after 2 August 2021
  • You apply to do the ToC as part of your return to practice after 2 August 2021
  • You've started an application, but you’ve not yet taken either the CBT or the OSCE before 2 August 2021.

If you've sat an attempt at either the CBT or the OSCE before 2 August 2021, you will have up to 12 months to complete the legacy ToC

Read our webinar slides on transitional arrangements to find out more and see examples.

Computer-based test (CBT)

New structure

The new CBT is split into two parts. Part A will cover numeracy and Part B will cover clinical questions for nursing or midwifery.

Fees

The fee for sitting both parts of the new CBT will stay at £83. If you need to resit the new CBT, the following fees will apply:

  • Resit Part A and Part B: £83
  • Resit Part A only: £50
  • Resit Part B only: £70

Booking the new CBT

Bookings to sit the new two-part CBT from 2 August 2021 are now open on Pearson VUE's booking platform. 

If you become eligible for the Test of Competence from 16 July 2021, you will no longer receive an 'Authorisation to Test' (ATT) email from Pearson VUE. Instead, you will receive an email prompting you to log into your Pearson VUE and book your CBT.

Watch our webinar and read our slides on the new CBT booking process to find out more.

Booking the old CBT

If you're eligible as a transitional candidate to take the 2014 legacy CBT after bookings closed on 18 July, you need to contact the ToC team at ToC@nmc-uk.org who will be able to arrange this for you.

Find out more about taking the 2014 legacy CBT.

Preparation materials

See our Test of Competence 2021 resources page for links to preparation materials, including practice tests and resource lists.

You can find practice tests for the new CBT on Pearson VUE's website. Anyone can access them and they do not need to be booked.

Objective structured clinical examination (OSCE)

New structure

The new OSCE has 10 stations:

  • Four stations will continue to be linked together around a scenario: the APIE (one station for assessment, planning, implementation and evaluation)
  • Four stations to test skills (two pairs of two skills)
  • Two new stations to assess the candidate's values and behaviours and evidence-based practice.

Each station will be assessed against an updated list of relevant criteria.

Fees

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.

Preparation materials

See our Test of Competence 2021 resources page for links to preparation materials, including practice tests and resource lists.

Watch our webinars

Catch up on our webinars to find out more about each part of the new test.

Sign up for updates

Sign up to receive email updates with developments and announcements about the Test of Competence 2021.

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