Requirements for nurses in United Kingdom
UK Requirements for Internationally Educated Nurses
The United Kingdom welcomes internationally educated nurses (IENs) to work within its healthcare system, particularly in the National Health Service (NHS) and private healthcare sectors.
Here’s a step-by-step guide to meeting the UK requirements for registration and employment as a nurse:


Educational Requirements
- A recognized nursing degree or diploma equivalent to UK standards.
Professional Experience:
- At least one year of post-qualification clinical nursing experience (recommended but not always mandatory).
English Language Proficiency:
- IELTS Academic: Overall score of 7.0 with at least 6.5 in writing and 7.0 in reading, listening, and speaking.
- OET (Occupational English Test): Grade B in reading, listening, and speaking, and C+ in writing.
Nursing License:
- A valid nursing license from the country of origin.

Registration with the Nursing and Midwifery Council (NMC)
Online Application:
- Create an account on the NMC Online Portal and submit required documents.
Verification of Qualifications:
- Your education and nursing license must be verified by CGFNS International or other approved verification bodies.
Take the NMC Test of Competence (ToC):
- Part 1: Computer-Based Test (CBT): Conducted in your home country and tests theoretical nursing knowledge.
- Part 2: Objective Structured Clinical Examination (OSCE): Taken in the UK, evaluating clinical skills in a simulated healthcare environment.
Obtaining a UK Work Visa
Job Offer:
- Secure a nursing job with a UK employer registered to sponsor work visas (NHS trusts or private healthcare providers).
Certificate of Sponsorship (CoS):
- Your employer will issue a CoS, which is required for visa application.
Tier 2 (Skilled Worker) Visa:
- Apply for a Skilled Worker Visa through the UK Visas and Immigration (UKVI) portal.
Key Documents Required
- Valid passport.
- Nursing degree/diploma certificate.
- Evidence of English language proficiency (IELTS or OET results).
- NMC registration confirmation or application acknowledgment.
- Professional references.
- Police clearance certificate.
- Medical fitness certificate.
Costs Involved
- NMC Registration Fee: £140
- CBT Exam Fee: £83
- IELTS/OET Exam Fee: Approx. £175-£350
- OSCE Exam Fee: £794 (taken within first 6 months of employment in UK)
Costs will vary depending on employer. Nurses should be prepared to fund the above costs.
Support from Employers
Many NHS trusts and private employers offer support packages that may include:
- Covering OSCE fees.
- Assistance with visa applications.
- Free or subsidized accommodation for the initial months.
- Relocation allowances.
Post-Arrival in the UK
- Complete the OSCE and receive full NMC registration.
- Attend induction and training programs arranged by your employer.
- Begin your nursing role with a supported transition period.
Additional Tips
- Ensure your documentation is complete and up to date to avoid delays.
- Seek guidance from recruitment agencies or employers experienced in recruiting international nurses.
- Stay informed about changes in immigration or NMC requirements. By fulfilling these requirements and preparing thoroughly, you’ll be well on your way to starting a successful nursing career in the UK.