Step-by-Step Guide to NMC Registration 2026

Starting your journey as an overseas nurse to the UK requires a clear understanding of the Nursing and Midwifery Council (NMC) process.

For many African nurses, this transition is the most significant career move they will ever make.

In 2026, the registration process remains a streamlined four-step path designed to verify your skills and English proficiency.

Following this checklist will help you avoid common delays and ensure you secure your UK PIN efficiently.

Step 1: Eligibility and Self-Assessment

The first stage of NMC registration for overseas nurses begins online through the “NMC Online” portal.

You must complete a self-assessment to confirm you hold a valid nursing qualification.

During this stage, you will also need to prove your English language competence.

Most African nurses use the IELTS or OET exams to meet this requirement.

Alternatively, if you were taught and examined in English, you may provide evidence from your university.

Once your eligibility is confirmed, you will pay a non-refundable evaluation fee of £140.

Step 2: The Test of Competence – Part 1 (CBT)

After your eligibility is verified, you must pass the Test of Competence (ToC).

The first part is the Computer-Based Test (CBT), which you can take in your home country.

As you plan how to register as a nurse in the UK from Africa, remember the CBT is split into two parts.

Part A covers numeracy, while Part B focuses on clinical nursing theory and professional standards.

You must book this through Pearson VUE, and the current fee for this exam is £83.

Success in the CBT allows you to move forward to the documentation and practical assessment stages.

Step 3: Formal Application and Documentation

Once you pass the CBT, you will be invited to submit a full application to the NMC.

This stage involves providing detailed evidence of your health, character, and professional standing.

You must provide a police clearance certificate from your home country to verify your criminal record.

The NMC will also contact your local nursing regulator, such as the Nursing and Midwifery Council of Nigeria or Ghana, for verification.

You will also need to undergo a health evaluation to ensure you are fit to practice.

At this point, you will pay the registration fee, which is currently £153.

Step 4: The Test of Competence – Part 2 (OSCE)

The final hurdle is the Objective Structured Clinical Examination (OSCE), which must be taken in the UK.

Most African nurses travel to the UK on a Health and Care Worker visa to complete this practical test.

The OSCE consists of 10 stations that simulate real-life clinical scenarios and nursing skills.

You will be tested on your ability to assess, plan, implement, and evaluate patient care.

The exam fee is £794, and it is usually taken at a specialized university test center.

Once you pass the OSCE, the NMC will complete its final review of your application.

Receiving Your NMC PIN

After the NMC verifies your OSCE results and final documents, they will issue your Registration PIN.

This unique number allows you to legally practice as a Registered Nurse in the United Kingdom.

Your name will then appear on the NMC register, visible to all NHS trusts and private employers.

With your PIN in hand, you are ready to begin your professional life and enjoy the benefits of working in the NHS.

Always keep your portal login details safe, as you will use them for future revalidation every three years.