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Objective structured clinical examination (OSCE)

This immigration guide for RCN members provides information to assist you if you have trained outside of the EEA.

OSCE process

If you are a nurse or a midwife who completed their training outside of the European Economic Area, (EEA), you must obtain registration with the Nursing and Midwifery Council. All applicants will be tested for their competence to work as a nurse or midwife through a two-part test.

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Taking the test

Part one - computer-based multiple-choice examination which is accessible around the world for applicants to access in their home countries.

Part two - practical objective structured clinical examination (OSCE) which will must be undertaken in the United Kingdom.

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Pre-registration nurses residing in the UK with a Tier 2 visa

From 6 April 2017, nurses and midwives applying to register with the NMC will have to the opportunity to sit an OSCE a third time if they need to. They will now only have to wait three months, and not six months, to undertake this third sitting. This will enable pre-registration nurses residing in the UK under a Tier 2 visa to pass the OSCE within the eight months' time limit granted by their visa to successfully complete the exam. 

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Next steps

After you have taken your OSCE assessment, your employer/sponsor is under a legal duty to do the following within 10 working days:

  • if you fail your OSCE but arrange a re-sit and the sponsor still wants to sponsor you if you pass, the sponsor must tell inform the Home Office the date of your re-sit
  • if you re-sit the OSCE and fail, the sponsor must tell the Home Office – the sponsor must also stop sponsoring you if they you not pass the OSCE within 8 months of the start date on your Certificate of Sponsorship
  • if you pass the OSCE, the sponsor must tell the Home Office the date you will start working with them as a registered nurse or midwife
  • if the sponsor decides at any point that they no longer wish to sponsor you - for example if you fail your first OSCE and the sponsor does not want to wait until you have completed the re-sit

Please contact the Immigration Advice Service if you have failed the OSCE either on the first or second attempt and you are residing in the United Kingdom under a Tier 2 (General) visa

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Need more advice?

Call RCN Direct on: 0345 772 6100