To register as a nurse or midwife in the UK with an international qualification, follow the Nursing and Midwifery Council (NMC) process. Here’s a clear, step-by-step guide:

1. Check Eligibility

• Your qualification must be equivalent to a UK nursing/midwifery degree.

• You need 12+ months of post-qualification experience.

• NMC assesses qualifications from Nepal.

2. English Language Requirement

• IELTS (Academic)

• OET (Nursing/Midwifery)

• Exemptions: If trained/work in English-speaking countries (e.g., US, Australia).

3. Take the Test of Competence (Two Parts)

A. Computer-Based Test (CBT)

• 120 MCQs on nursing theory/practice.

• Test Centers: Available globally.

B. Objective Structured Clinical Exam (OSCE)

• Practical exam (only in the UK).

• Tests 6 clinical skills (e.g., medication administration, patient assessment).

4. Apply for NMC Registration

Submit:
✅ Qualification certificates
✅ English test results
✅ CBT & OSCE passes
✅ Work experience proof
✅ Police clearance (from home country + UK)

5. Secure a Job & Visa

• Apply for NHS jobs via NHS Jobs or agencies (HCL, BMJ).

• Health and Care Worker Visa:

• No Immigration Health Surcharge.

• Employer provides Certificate of Sponsorship.

6. Start Working in the UK

• Salary (NHS Band 5 Nurse): £28,407–£34,581/year.

• Career Growth: Move to Band 6 (£35,392–£42,618) with experience.

Key Tips

• Begin IELTS/OET early—scores are valid for 2 years.

• Book OSCE training before moving to the UK (long waitlists).

• Use NMC’s eligibility tool to check your qualification: NMC Website.