Overseas Nurses & International Nurses

Nurses who have trained outside of the EU or EEA

In October 2014, the NMC changed its registration process for nurses from outside of the EU/EEA wishing to become registered nurses within the UK.

All nurses must register with the regulatory body, the Nursing and Midwifery council and when applying, must have been practicing as a nurse or midwife for at least one year post-registration.  If you have been qualified longer than this, you must have practiced for at least 450 hours in the last 3 years.

 Work Permits and Visas:

Registering with the NHS allows you to practice as a nurse, however, you must still have a valid work permit or visa when you enter the UK. In order to obtain a UK work permit, you will need to be sponsored by the Hospital Trust.

Trust Overseas Programme for non-EU nurses

After applying to join the Trust’s overseas nursing programme (Flowchart) and being accepted, you will be employed as a band 2 Health Care Assistant (HCA) whilst undergoing your programme. You will be required to undertake the 2 day HCA Care certificate training to ensure competence at this level in the UK prior to commencing. (Refer to Trust’s HCA Development pathways).

 The three stage process in order to register is now as follows:

1. English Language Requirements

Non–European Nurses are required to complete the academic version of the International English Language Test system (IELTS) and achieve a score of 7 or above in four areas covering listening, reading, writing and speaking skills before starting the NMC process. 

IELTS training is given by our language Educationalist once a week from 9am – 4.30pm over a period of 3 months.  During this time, you will be given full tuition and mock IELTS tests to monitor progress. Following this period, you will either be entered for the IELTS exam or continue with coaching, depending on ability.    

The IELTS is a multi-level exam that scores between 1 and 9 for each section. Half scores such as 6.5 are also possible.

IELTS Listening marking schemes

For the listening test, which contains 40 questions, the approximate band scores can be calculated using this table.

Band Score

9

8.5

8

7.5

7

6.5

6

5.5

5

4.5

4

3.5

3

2.5

Score / 40

39-40

37-38

35-36

32-34

30-31

26-29

23-25

18-22

16-17

13-15

10-12

8-10

6-7

4-5

IELTS General Reading marking schemes

For the general reading test, which contains 40 questions, the approximate band scores can be calculated using this table.

Band Score

9

8.5

8

7.5

7

6.5

6

5.5

5

4.5

4

3.5

3

2.5

Score / 40

40

39

37-38

36

34-35

32-33

30-31

27-29

23-26

19-22

15-18

12-14

9-11

6-8

IELTS Academic Reading marking schemes

For the academic reading test, which also contains 40 questions, but is more difficult, the approximate band scores can be calculated using this table.

Band Score

9

8.5

8

7.5

7

6.5

6

5.5

5

4.5

4

3.5

3

2.5

Score / 40

39-40

37-38

35-36

33-34

30-32

27-29

23-26

19-22

15-18

13-14

10-12

8-9

6-7

4-5

 IELTS Writing marking schemes

The two writing questions are marked out of 9 according to the following criteria:

  • Task Achievement
  • Coherence and Cohesion
  • Lexical Resource
  • Grammatical Range and Accuracy

IELTS Speaking marking schemes

The speaking test is also marked out of 9 according to the following criteria:

  • Fluency and coherence
  • Lexical resource
  • Grammatical range and accuracy
  • Pronunciation

Please refer to the libray book reading list.

On successful completion of the IELTS at level 7, you will need to contact the NMC who will invite you to take the ‘Test of competence Part 1’.

2. Test of competence – part 1 (CBT)

The test of competence requires extensive preparation and study in order for you to be able to answer 120 questions on line with the current UK pre-registration standards and competencies for all nurses and midwives.  (http://www.pearsonvue.com/nmc/Test-of-Competence-Part-1-Candidate-Handbook.pdf). 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. These are to ensure that you can demonstrate knowledge, understanding and application of professional skills at the right level in order to deliver safe and effective practice. The test is usually taken at a Pearson Vue centre. http://www.pearsonvue.com/nmc/

Please refer to the following link for further information including a test blueprint which the questions are based on. https://www.nmc.org.uk/registration/joining-the-register/trained-outside-the-eueea/adult-general-nursing/

http://www.fizjoterapeuta.hosting5236466.az.pl/admin/wgrane_pliki/file-cbt-study-guide[107].pdf

Trust training for the ‘Test of competence – part 1’ is currently over a 3 month period.  A programme has been developed with study days being delivered once a week by specialist nurses from within the Trust.  You will also be required to complete a competency book whilst in your clinical area which has been mapped to the Test blue print.  Practice questions will also be available to you.  

3. Test of competence part 2 (OSCE)

The test of competence part 2 is the objective structured clinical examination (OSCE) which has to be taken in the UK at the University of Northampton. 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 (approximately 20 minutes each). 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. Please look at the web pages below for further details.

http://www.northampton.ac.uk/about-us/services-and-facilities/nmc-test-of-competence/nmc-test-of-competence-preparation

http://www.northampton.ac.uk/Pages/NMC-Test-of-competence.aspx

http://www.northampton.ac.uk/about-us/services-and-facilities/nmc-test-of-competence/nmc-test-of-competence-faqs

https://www.northampton.ac.uk/Downloads/Candidate%20information%20booklet%20-%20New%20version%20Jan%202015.pdf

http://www.northampton.ac.uk/wp-content/uploads/2015/10/Candidate-journey_Nov-15.pdf

Trust training for the ‘Test of competence part 2’is currently over 3 months.  A programme has been developed with study days being delivered once a week including skills and scenarios. A mock test is also given.

Nurses who have trained inside the EU/EEA

English requirements

From 19 January 2016 a new process came into place for the recognition of qualifications and registration for nurses and midwives trained in the EU/EEA.

When applying for registration with the NMC, you will need to prove that you have gained the necessary level of knowledge of English to communicate effectively so that you do not put the safety of the public at risk. Communicating includes speaking, reading, writing and listening.

If you are an EEA trained nurse or midwife and applying for registration you will have to meet both the EU requirements for recognition of qualifications and the NMC registration requirements. The following link gives details of the NMC process that you will need to follow in order to apply for registration in the UK.  https://www.nmc.org.uk/registration/joining-the-register/trained-in-the-eu-or-eea/english-language-requirements---eea/

 Routes to recognition of your qualifications

Based on the type of qualification that you hold, you will be able to apply for recognition of your qualification through one of the routes below

1. Automatic recognition

2. Acquired rights

All applications are considered on an individual basis and dependant on the country in which you trained. Please follow the following link for further details.

https://www.nmc.org.uk/registration/joining-the-register/trained-in-the-eu-or-eea/

If you have any questions or queries, please contact:

Chinese Nurse Oberservational Programme

As a department we currently plan and implement a 12 week observational experience for Nurses (and doctors 2016) from China. This visit combines both clinical and non-clinical theory and observation, and allows our Chinese visitors an insight into UK healthcare and our culture. Places are limited and the programme experience is highly sort after in China.

The programme itself covers such topics as

  • The History of the NHS
  • UK healthcare culture
  • MDT Working
  • Plus a wide range of clinical topics delivered by both our team and clinical specialists.

We endeavour to make the experience both fulfilling for the Chinese visitors as well as our own staff. We hope that both parties can share experiences and methods of working so we can work towards improving care in both the UK and China.

For any queries on how to get involved with the project, please contact project lead Adam Curtis