Last reviewed: June 2026
Step 1 — English language (IELTS or OET)
You must show English proficiency, normally via IELTS Academic or OET. The NMC sets minimum scores and accepts some combinations across sittings. Many Nigerian nurses prefer OET because it's healthcare-contextual. Confirm current minimum scores on the NMC site before booking.
Step 2 — The CBT
The computer-based test is a multiple-choice theory exam aligned to the NMC standards, taken online (remotely proctored or at a test centre). It's the first competence hurdle and can be sat from Nigeria. You can resit if needed within the NMC's rules.
Step 3 — Qualification & registration verification
The NMC requires verification of your Nigerian training and registration directly from the NMCN. Start this early — third-party verification is a common bottleneck. Keep your NMCN licence current to avoid complications.
Step 4 — Job offer & sponsorship
Most Nigerian nurses come on a Health and Care Worker arrangement with an NHS trust or care provider sponsoring the visa. A good sponsor often covers exam costs, flights and OSCE training. Vet recruiters carefully and never pay an agency that asks for large upfront 'placement' fees.
Step 5 — The OSCE
The Objective Structured Clinical Examination is a practical, scenario-based assessment taken at a UK test centre after you arrive. Employers usually provide preparation. Passing the OSCE (with everything above complete) leads to your NMC PIN — your licence to practise in the UK.
Typical order & timeline
- Sit English test (IELTS/OET)
- Create NMC account, pass CBT
- NMC requests NMCN verification
- Secure sponsored job offer + visa
- Travel to UK, train, pass OSCE
- Receive NMC PIN, start work
Exact fees, score minimums, CBT/OSCE formats and visa rules are set by the NMC and UK government and change regularly — verify each step on gov.uk and nmc.org.uk before paying.