A Registration in the NMC-UK is mandatory to work as a registered nurse.

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A Registration in the NMC-UK is mandatory to work as a registered nurse. It is a matter of fact that, the Registration process is one of the most tedious job in the process of migration for a nurse. The process involves lot steps at various stages and is considerable a time consumed procedure. It consumes lot of time because of the fool proof scrutiny methodology followed by the council and also due to the huge number of applicants who are aspiring to work and settle in the UK from various parts of the world. On an average the NMC consumes about 90 days to issue a Decision Letter to an applicant, where the applicant has to undergo lot of documentation, correspondence etc. In the process of fulfilling the required documentation, the candidate has to dedicate a considerable time (may be weeks) for gathering the documents and many times has to spend a good sum of money due to various situations. The NMC knowing all these difficulties faced by the candidates, has come up with an all to gather new system which is simple, user friendly and consuming lesser time than the earlier systems. Although, there were many changes that happened at different times in the past, the process flow remained the same.

For the first time, the NMC-UK has come up with a change in the registration process flow with effect from 7th Oct 2019.

The old NMC registration process would remain active for a period of 1 year for the candidates who have reached a considerable stage in the old process. That is, The candidates who has paid the NMC full application fee of £140 before 30 Sep 2019 have been permitted to continue with the Old NMC Registration process.

The Old Process in a Nutshell:

  1. Registering an Account in the NMC portal and creating a User-name and password using a registered email ID.
  2. Obtain an authorization to book and undertake the part I Competency examination (CBT) after a wait period of 24 hours.
  3. Booking a slot for CBT examination by paying £90.
  4. CBT passed candidate, qualifies to the second stage; i.e., Full application assessment by paying the full application fee of £140 online.
  5. NMC Full Application: The candidate has to furnish required details in every section of the application, upload some documents and courier the hard copies of few documents to the NMC.
  6. Once the NMC confirms the receipt of the sent documents, the applicant can re-check and submit the application.

On successful completion of the above steps; the NMC would verify the application and if satisfied, would approve the application and issue a “Decision letter” to the candidate in duration of 30-60 days. (If there is any shortcoming observed by the NMC, the council would ask the applicant to re-submit that document or add more supporting documents as per the need. However, there were instances where applicants received their DLs in a very fast timeline of few weeks; but it’s solely subjected to the case worker of those applications.

If any candidate (who has a Decision letter in hand) has an employer he/she can come to UK through the employer or can fly to UK on a visit visa to fulfill the Part II examination called the OSCE. On successful completion of the part II exam, the candidate would receive the NMC Registration within 72 hours. The candidate should pay the final NMC Registration fee of £153 and undergo the ID and biometric checks.

The Existing NMC Registration Process

In order to work as a Registered Nurse in the United Kingdom, The NMC (Nursing & Midwifery Council) checks and verifies that an applicant is capable of practicing safely and effectively in the UK as a nurse or a midwife, and they assess the applicant’s qualification, training, and experience against the UK NMC standards. The NMC has replaced the registration process with a very simple and easy process that consumes less time and reduces the overall burden of the applicants. The new process came into existence on 7th October 2019. Unlike the old process, the NMC follows a different approach with the new process where the eligibility & qualification of the candidates are assessed first.

The following are the step by step description of the new process:

  • Step 1: Account creation.
  • Step 2: Complete eligibility & qualification application.
  • Step 3: Upload documents supporting your qualification & professional registration.
  • Step 4: Submit your application by making a payment of £140.

The NMC will take about 35 days to complete the process of initial assessment and will contact you once complete. On successful completion of the initial assessment, you will be able to book the LEVEL 1 test of competence, ie CBT (Computer based test) which can be booked and appeared from any part of the world. However, the LEVEL 2 test of competence, ie OSCE (Observed Structured Clinical Examination) has to be appeared from any of the test centers in the UK.

On successful completion of the NMC’s tests of competence, the applicant can begin the final stage of Registration. The steps involved are:

  • Step 1: General Health Declaration
  • Step 2: Character Declaration / PCC
  • Step 3: English Language Proficiency evidence (IELTS / OET)
  • Step 4: Payment of Registration fee £153
  • Step 5: Identity and Biometric verification
  • Step 6: Issue of NMC PIN

NMC’s tests of competence:

  1. Computer Based Test (CBT) – Pearson VUE Test Centers across the world.
  2. Observed Structured Clinical Examination (OSCE) conducted at:
  • * University of Northampton, UK
  • * Oxford Brookes University, UK
  • * Ulster University, UK

Computer Based Test (CBT)

  • * Multiple choices
  • * 120 questions
  • * 4 hours max duration
  • * 68% score overall to pass
  • * Maximum 2 re-sits

Stage 2 – Observed Structured Clinical Examination (OSCE)

  • * OSCE stations.
  • * 20 minutes per station with 5 minutes familiarization.
  • * 4 stations are scenario-based, related to holistic patient-centered nursing and midwifery care.
  • * 2 stations are focused on practical clinical skills.
  • * Unique 20 criterion-based assessment sheet for each station.
  • * Maximum 2 re-sits.

Fees associated with NMC Registration:

  • * Initial Assessment fee £140
  • * Part 1 test of competence (CBT) £83
  • * Part 2 test of competence (OSCE) £794
  • * Admission to the NMC register £153

Advantages of the new process over the old process:

  1. Refurbished and user-friendly NMC website that is smartphone/tablet friendly.
  2. Paperless “online” application process.
  3. Verification of Registrations with the regulating bodies/councils (or with both the educational institutions in case of unregistered candidates) done directly by the NMC.
  4. Downloadable personalized checklist for candidates to ensure easy and thorough submission.
  5. The NMC will provide step by step process guide to the candidates to show every stage of the application process.
  6. PCC from foreign countries is only required if the stay is of 12 months or more within the recent 10 years after the age of 18.
  7. Reduction in the processing time for every application to 35 days.
  8. Reduction in NMC CBT fee from £90 to £83.
  9. “Good Health Declaration” is not required if the individual is medically fit.
  10. The passport will suffice as an identity proof and birth certificate is not necessary.