• Updated: January 2026 • Reading Time: ~6 minutes
The Nursing and Midwifery Council (NMC) uses the Objective Structured Clinical Examination (OSCE) as part of the Test of Competence to assess whether internationally trained and returning nurses can practise safely and effectively in the UK.
Introduction: NMC OSCE 2026 Official Updates Explained
In early 2026, the NMC updated portions of the OSCE, introducing new stations to reflect current practice and ensure candidates demonstrate safe, contemporary competence consistent with UK standards.
NMC OSCE 2026 New Stations Summary (Effective from 23 February 2026)
| Station Type | New or Updated Station |
|---|---|
| APIE | Suspected Deep Vein Thrombosis (DVT) |
| Clinical Skills | Anti‑embolism stockings |
| Clinical Skills | Pre‑operative safety checklist |
| Professional Values | Deteriorating patient |
| Professional Values | Patient privacy and confidentiality |
| Evidence-Based Practice | Cholesterol & coffee research |
| Evidence-Based Practice | Honey & propolis & HSV |
| Evidence-Based Practice | Osteoporosis and exercise |
How the OSCE Is Structured (Official NMC Format)
- 4 APIE linked scenario stations – test assessment, planning, implementation, evaluation
- 4 Clinical Skill stations – paired skills to demonstrate practical competence
- 2 Professional Understanding & Evidence-Based Practice stations – assess decision-making and evidence interpretation
Detailed Breakdown of NMC OSCE New Stations 2026
APIE Station – Suspected Deep Vein Thrombosis (DVT) | NMC OSCE 2026
Perform a clinical assessment and judgement process using the APIE framework. Identify signs like swelling, pain, or warmth, prioritise patient safety and escalation, communicate using SBAR handover, and provide a patient-centred care approach.
Clinical Skill Station – Anti‑Embolism Stockings | NMC OSCE 2026
Focus on safe measurement and application, maintaining patient dignity, and clear patient education: purpose, wearing time, skin checks, and when to report issues.
Clinical Skill Station – Pre‑Operative Checklist | NMC OSCE 2026
Confirm identity and allergies, verify consent and understanding, ensure fasting status is correct, and check jewellery, dentures, and other safety concerns.
Professional Values Station – Deteriorating Patient | NMC OSCE 2026
Recognise subtle signs of deterioration, escalate appropriately, and communicate confidently and professionally with senior staff.
Professional Values Station – Patient Privacy & Confidentiality (GDPR) | NMC OSCE 2026
Understand how to maintain confidentiality, act when breaches occur, follow patient rights and data protection principles, and escalate within policy appropriately.
Evidence-Based Practice (EBP) – Cholesterol & Coffee | NMC OSCE 2026
Interpret research summaries accurately, explain health implications of dyslipidaemia, and relate evidence to practice without giving personal opinions.
Evidence-Based Practice (EBP) – Honey & Propolis in HSV Treatment | NMC OSCE 2026
Explain research findings clearly, understand that alternative treatments have limited evidence, and emphasise that decisions should be made with clinicians.
Evidence-Based Practice (EBP) – Osteoporosis & Exercise | NMC OSCE 2026
Summarise the relationship between bone strength and exercise intensity, distinguish between low/moderate/high intensity safely, and communicate evidence effectively without prescribing specifics.
Official NMC OSCE Tips
- Follow the NMC Code throughout preparation
- Practise scenarios that mirror real clinical practice
- Know the structure and expectations of each station
- Focus on safe practice and clinical reasoning
Conclusion — Prepare with Confidence
This guide presents verified, NMC-aligned information about OSCE station changes effective 23 February 2026. Combine it with official NMC materials, practise clinical reasoning, and focus on communication, safety, and evidence-based practice to prepare confidently for the NMC OSCE.
Note: Always refer to official NMC guidance and Test of Competence documentation for the latest updates.
