Find out how to join the register

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Register as a Nurse or Midwife if You Trained Outside the UK: Step-by-Step Guide

Step 1: Check You’re Ready to Register

Before starting your application, make sure you:

  • Understand the costs involved:
    Know the fees for the evaluation, tests, and registration.

  • Know the timeline:
    Be aware of how long each stage of the process typically takes.

  • Prepare your evidence:
    Collect all required documents such as identity proof, qualifications, and registration history.

  • Get your pre-application checklist:
    Use this to double-check you have all necessary information and documents before submitting your application.

Step 2: Complete the Eligibility and Qualification Application

This is the first formal step in the registration process.

  • Purpose:
    We will assess whether you meet the eligibility criteria to register via this route.

  • What you need to do:

    • Start your application online.

    • Submit proof of identity (passport or other valid ID).

    • Provide details of your nursing or midwifery qualifications and any previous registration you hold.

    • Pay the £140 evaluation fee (this fee is non-refundable).

  • After submission:

    • Await the outcome of your eligibility assessment.

    • You can track your application status online during this period.

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Step 3: Take the Test of Competence

  • When:
    After we confirm your eligibility, you may be required to complete the Test of Competence as part of the registration process.

  • What is the Test of Competence?
    It consists of two parts:

    • Computer-Based Test (CBT): assesses your clinical knowledge and numeracy skills.

    • Objective Structured Clinical Examination (OSCE): tests your practical clinical skills.

  • Learn more:
    Detailed information about the Test of Competence, test dates, and preparation materials are available on our website.

Step 4: Complete the Registration Application

Once you pass the Test of Competence (if required), you need to submit the full registration application.

  • Provide supporting evidence:

    • Health declaration and supporting medical evidence.

    • Character references or evidence (such as criminal record checks).

    • Evidence of your English language proficiency (if applicable).

  • Confirm your professional indemnity arrangement:
    This is a legal requirement for practicing safely in the UK.

  • Pay the registration fee:
    The registration fee is payable at this stage.

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Step 5: Application Evaluation

  • Verification:
    Once all your documents are submitted, we will contact your referees to verify your character and employment history.

  • Final decision:
    After verification and review, you will be notified of the outcome of your application.

  • Registration:
    If approved, you will be officially registered and can start practicing as a nurse or midwife in the UK.

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