If you trained as a nurse outside the UK and are applying to join the Nursing and Midwifery Council (NMC) register, you may be asked to take the Test of Competence. Its practical part is the Objective Structured Clinical Examination (OSCE). The OSCE assesses clinical and communication skills in structured stations. The NMC requires candidates on this route to pass both the CBT and OSCE to continue their registration application. NMC OSCE information
What happens in the nursing OSCE?
The nursing OSCE currently has 10 stations and takes about three hours in total. According to the NMC, the stations include:
- Four stations linked to a nursing scenario, covering the care process: Assessment, Planning, Implementation, and Evaluation (APIE).
- Four stations testing practical skills, arranged as two pairs.
- Two stations assessing professional values and evidence-based practice.
The precise scenario or skill may vary. The NMC regularly reviews and refreshes test content while keeping the 10-station structure. That is why preparing only by memorizing one set of predicted scenarios can leave gaps. Use the current NMC candidate information booklet and preparation materials as your main guide. NMC OSCE structure and updates · NMC preparation materials
How can you prepare effectively?
1. Learn the station format.
Read the candidate booklet so you understand the timing, instructions, and assessment approach. Practise reading a station brief carefully before you begin.
2. Refresh clinical skills safely.
Practise the skills listed in the current NMC materials using the correct equipment and the procedures taught by your training provider. Focus on a safe, organized sequence, infection prevention, patient comfort, and clear explanations. Always follow current clinical guidance and the instructions for your station.
3. Practise APIE as a connected process.
In scenario stations, show how you gather relevant information, identify needs, plan care, carry it out, and evaluate the outcome. Explain your reasoning clearly where appropriate, while keeping the patient’s safety, dignity, consent, and individual needs in view.
4. Demonstrate professional values.
Communication, respect, confidentiality, accountability, and speaking up about safety matter throughout the assessment. Treat the simulated patient as a person, not simply as a checklist.
5. Practise under timed conditions and seek feedback.
Use mock stations to build fluency, then review specific feedback. Identify what you did well and what you need to improve. Repeat the station with the improvement in mind.
The NMC advises candidates to read its professional Code and OSCE materials as part of preparation. These official resources should take priority over unofficial predictions or outdated notes. NMC OSCE guidance
After the assessment
The test centre sends the result within five working days in most cases. If a candidate is unsuccessful, the feedback identifies the stations or elements that need attention, which can guide further practice and resit preparation. Check the NMC’s current guidance for the latest rules and booking arrangements.
NMC OSCE training at Fortwest International
Training can help you practise and feel better prepared, but it does not guarantee a pass. Use it alongside the official NMC resources and keep your preparation focused on safe, respectful, evidence-informed nursing practice.
