NMC UK APPLICATION
PROCESS FOR NURSES AND MIDWIVES
: A complete guide
from Nursing manthra.
NursingManthra here to
assist you for your dream come true to land of UK as a registered nurse. Here is the step-by-step guidance for
UK NMC process for nurses and midwives from all over the world.
If you are a nurse you must meet
the following requirements to begin your application with the NMC; UK( Nursing
and Midwifery Council , UK).
STEPS OF PROCESS:
STEP
1: DO SELF ASSESSMENT:
To ensure you are
eligible to apply, applicants must complete a self-assessment online.
Visit here to create an account. Once this is
complete you will receive confirmation of eligibility and authorization to book
the CBT exam, from the NMC.
First up all you have to register in NMC uk
website.
https://online.nmc-uk.org/Account/Login?ReturnUrl=%2f
1. passport –same name
should be there for all application. Recheck before you submit application
2. birth certificate
3. eligibility check ---proof of qualification of
nursing and registration certificate which is valid. Qualification evaluation
fee –140 pound
4. paperless
–completely online process—quickly
5. mail to nursing
council and university that you applied for overseas verification. nursing
council verification from your education state council.
6.health related
docuemnts ---registered general practitioners –email id , name , phone number
give to nmc
7. character
certificate---online nmc website
8. police clearance---passport
office through
9. nomination
letter---2 reference letter
10. oet /IELTS—pass
score -reference number for ielts
11. proof of training
in English ---transcript (medium of language and all details will be there in
transcript)
Documents to
upload to the NMC Portal:
- Passport
- Birth
Certificate
- Police
clearance
- Proof
of qualifications
Documents
to send by courier:(now online)-send mail
- 2
Employee references
- Declaration
of good health from GP
- Transcript
of training
- Verification
form from your nursing school
STEP 2: PASS OET/IELTS
From 1 November 2017 the Nursing
and Midwifery Council (NMC) will formally recognize OET – the Occupational English
Test – for
overseas-trained nurses and midwives who need to prove their level of English
proficiency for registration in the UK. The nurse should pass and meet the
scoring criteria for UK either OET or IELTS.
Prepare well for English
proficiency test. Get a good trainer and practice well, then only attempt exam,
as examination attempt cost you more. Watch so many informative lecture videos
regarding OET and IELTS and try to make notes, like that prepare your self for
one month by yourself, identify your weakest areas. Then seek help of a good
English trainer. If you get international trainers, it is well and good.
Validity for these tests
are 2 years.
Within 14 days you will
get mail from NMC that you are eligible for CBT exam after submission of
application.
This test of
competence examines your understanding, knowledge and application of
professional skills. The CBT exam is a computer-based exam made up of
theoretical practice-based knowledge. It is all multiple-choice questions (120 questions)
and it will take place in a test Centre or can be completed online, depending
on the country you are applying from.
They are
assessing UK guidelines and codes.
Click here to register for your test.
Pearson vue exam
site----
https://wsr.pearsonvue.com/testtaker/signin/SignInPage/NMC
Exam results are
emailed to candidates within 48 hours after taking the examination and you will
be awarded either a pass or a fail. The CBT is valid for two years. The exam
costs £130 and will be refunded by the Trust upon
arrival.
The NMC will
allow you to take the CBT exam a maximum of three times as part of your
registration application. However, you’ll need to wait at least 10 days between
each exam sitting.
If you are
unsuccessful after your permitted attempts, your application will close. You’ll
be required to submit a new application and will not be able to sit the CBT
again for a minimum of six months.
NMC aim to
process the application within 60 days, once we have
received all required documents. When everything is completed, you will be invited
to complete the OSCE exam in your assigned UK hospital.
Nursing MANTHRA
will assist you for the exam booking process if applicant needs our support.
Nursing manthra CBT review materials will help you to pass the exam. If you
need materials, please contact me in my whats app.
+971502515717-nursingmanthra.
TOPICS TO COVER
FOR EXAM:
Current overall
pass marks:
|
CBT EXAM |
REQUIRED OVERALL
PASSMARK |
|
Adult nursing |
68% |
|
Mental health nursing |
72% |
|
Learning and disability
nursing |
71% |
|
Children’s nursing |
71% |
|
Midwifery |
63% |
NURSING CBT PLAN:
General
nursing domains, generic competencies and essential skill clusters:
|
Domains |
Percentage of items from
each domain included in the CBT |
|
Professional values |
Approximately 27% |
|
Communication and interpersonal
skills |
Approximately 10% |
|
Nursing practice and
decision making |
Approximately 33% |
|
Leadership, management and
team working |
Approximately 13% |
|
Unique and specific nursing
field competencies within each domain |
Approximately 17% |
MIDWIFERY CBT PLAN:
DOMAINS WITH
ASSOCIATED COMPETENCIES AND ESSENTIAL SKILLS:
|
DOMAINS |
PERCENTAGE OF ITEMS FROM
EACH DOMAIN INCLUDED IN THE CBT |
|
Effective midwifery
practice |
Approximately 50% |
|
Professional and ethical
practice |
Approximately 28% |
|
Developing the individual
midwife and others |
Approximately 7% |
|
Achieving quality care
through evaluation and others |
Approximately 15% |
STEP 4: Obtain a
---COS-certificate of sponsorship:
After you pass
CBT exam, you attend interview from your employer in UK. Once you got selected,
they will issue you a certificate of sponsorship. The NHS trust or your
hospital will give. In some countries the recruiters directly conduct interview
and gives offer letter before completing the CBT and OET exam and will give time
frame to complete process within 6 months. In UAE and all like that interview
were conducted.
STEP 5: IMMIGRATION AND VISA
PROCESSING :
Immigration and visa processing has to be
done through an agency. You might need to pay a healthcare surcharge
(called the ‘immigration health surcharge’ or IHS) as part of your
immigration application (Around 1 lakh Indian rupees). your visa or immigration application is
granted. For visa around 40000 INR (Indian rupees) you have to pay. Don’t
worry these amounts will get refunded from your employer or trust. Some agency will carry out all these charges
by themselves and some will ask you to pay. Anyhow you have to keep all receipt
for each payemnt you have made from starting and apply to trust to get refund
of money. 10-15 working days you will get your visa stamped on your passport
and it is valid for 1 month. Within 1 month you have to reach UK.
STEP 6: TRAVEL TO UK
FROM YOUR COUNTRY AND JOB
Travel
to another country is always pleasuring and little worried also. Make sure you
are carries necessary items required for your daily living. As UK is having
cold climate, carry hot jacket, sweaters, woolen clothes, black shoe for uniform,
kitchen utensils and spices required for cooking. The thing is shopping is bit
expensive in UK, so better to carry important items which you required. Check
the Airlines instruction for the items allowed to carry and weight of luggage
etc.
Once
you reached at UK airport from your hospital or trust people will be there to
take you with their vehicle. You will get 1 month accommodation free of charge,
some places rarely they will give 3-month accommodation ,especially inner side
of UK. They will introduce the accommodation place. They will give some
pounds as pocket money for your emergency expenses during this one month around
800 pounds. Always carry some pound with you when you travel to UK. For some
emergency grocery shopping, drinking water etc. Because some times your pocket
money will get after 2 days especially during holidays. I think around 50 to 75
pound is more than enough to carry with you.
Get
your biometric residence permits card (BRP)—When you receive visa, you
will get a letter which mention the post office details where you will get BRP
card in UK. Make sure that after reaching UK within 15 days you have to collect
it.
You
can get sim card which cost 1 pound from any shopping Centre. Internet and
calling charges are expensive comparing to other country. So select the one
which is having international calling less price.
Open
bank account –you will get one leaflet package with full detaisl from your
employer. Letter from trust or employer will get to open account which mentions
salary detaisl and other complete information about you .
Normally
Duty hours will be 37.5 hours per week , about 3 to 4 days duty depends on
which department you are working.
STEP 7: OBJECTIVE
STRUCTURED CLINICAL EXAMINATION (OSCE):
This
exam may only be completed in the UK. Once you have successfully placed in a
hospital, you will be provided with an OSCE training programme by
the Trust, followed by the final exam. You have three attempts
to pass this exam.
This exam costs
£992 and may be reimbursed by the Trust, depending on what hospital you are
placed in. The exam is a practical exam and is made up of different nursing
scenarios along with separate skills stations. Each station has a strict
marking scheme in which all candidates are assessed against. You will be
assessed by a panel of examiners.
The exam will
take place roughly 4-6 weeks after starting in the hospital, this gives you a
sufficient amount of time to adjust to your new working environment and become
more comfortable with the apparatus etc.
A full refund will be
given only if more than three weeks’ notice is given of a cancellation or
re-schedule. The following refund rates apply:
•
Over three weeks of cancellation notice:
full refund.
•
Less than three weeks cancellation notice:
no refund unless in exceptional circumstances, for which a medical certificate
may be requested.
•
No refund will be given for non-attendance
or if no prior notice of cancellation is given (within the stated time above).
When you arrive, they will check the documents that
you are required to bring. Once all your documents have been checked, your
photograph will be taken and stored on our database. They store your photograph so that can prove that
you are the person they saw in case of identity theft. You must wear the
photographic ID produced at all times in the Test Centre. You will be asked to
store your belongings in a small locker before moving to the waiting rooms, so
please avoid bringing bulky clothing.
Unfortunately, they do not have room to allow friends
or family, including children, to wait for you while you are taking the OSCE.
Do not bring large suitcases to the assessment Centre as they have no storage
space for anything other than for small handbags/rucksack.
Once you have entered the competence test Centre
you will not be allowed to leave until the OSCE is finished. The use of mobile
phones is strictly prohibited once inside the test Centre. You will be asked to turn off your phone and
place it in the locker with your other valuables .Once your OSCE starts you
will then be under exam conditions until your OSCE is completed in full. Prior
to undertaking the OSCE the invigilator will provide a briefing on its format.
Employer
will usually pay the examination fee and your ticket fee to university for the
exam. Take the exam seriously. Most of the nationalities you can find
Philippines and Indians more during training. Try to inter act with other
nationalities, so that you will get some idea from them and can easily identify
your mistakes.
The OSCE comprises six stations, each lasting between
8-15 minutes. Four stations will be scenario based and relate to four stages of
the nursing and midwifery care process:
•
Assessment-
holistic patient-centered
•
Planning
•
Implementation
•
Evaluation
Two stations will be testing practical clinical
skills. Please remember that you will have done many of these nursing or
midwifery skills several times before. Make sure that you read the station
instructions and scenarios carefully. Do not be afraid to take the opportunity
to look at them again if you are unsure. You will not be penalised for this.
Dressing during the test day:
• Clothing: Please dress as you would in clinical practice. In the UK this is normally a clinical dress, tunic or polo shirt with smart trousers or scrubs. You must not wear jeans or shorts. Nurses and midwives in the UK frequently wear dark plain trousers and plain polo shirts/tunics and where possible candidates should be dressed in a similar manner. Candidates who wish to wear alternatives, for example, because of cultural or maternity requirements, should discuss this with the competence test Centre before arriving for the OSCE.
•
Shoes:
Must be plain flat black, rubber soled, enclosing the whole foot and not made
of porous or absorbent material.
•
Fingernails:
Must be kept short, unvarnished with
no extensions or decoration.
•
Hair:
Must
be tied up off the face and secured with simple hair ties/bobbles above the
collar of your tunic or polo shirt. Hair should be of a natural shade and
style. Facial hair should be kept clean trimmed and tidy.
•
Head
scarf / turban: Should you wear a head veil / turban,
please ensure it is appropriate in colour (plain black or navy), and it must be
tucked into the collar of your tunic or polo shirt.
•
Jewellery:
Plain “ball” ear studs are allowed to be worn (maximum of one per ear). No
tongue piercings should be worn. A single plain band wedding/commitment ring is
allowed. You must be bare beneath the elbow, no bracelets or wristwatches are
to be worn.
•
Makeup:
Must
be kept to a minimum and be discreet and natural.
•
Socks
/ tights: Flesh coloured /black tights or dark blue/black socks
with trousers.
Examination section:
a. Assessment station:
Previously you will
get real patients, now due to covid pandemic mannequins are placed as patient.
Please consider it is a real patient. You will get 5 minutes to read booklet
which is provided with patient full information before entering patient room.
Invigilator also will be there with you. Once you enter in patient room, you
can see complete room set up as in the hospital with monitors, patient bed,
calling bells, vital signs monitoring machines etc.
The examiner will
introduce the room set up to you initially. If you have any doubt there for
using a new machine like tympanic thermometer , you can request your examiner
can you use once as trial. They will allow you.
Assessment station
types of tools:
1. NEWS tool
2. neurological
Assessment (GCS) TOOL
3. Observation form
–vitals signs monitoring only
4. Patient health
questionnaire (PHQ)
5. MUST—malnutrition
universal score tool
Things to consider
during exam:
Never get confused.
Handwashing /hand hygiene is very must during entire exam process. Please make
sure that at least one time you verbalize hand hygiene steps to your examiner.
Follow strictly 5 moments of hand hygiene. Understand marking criteria for
exam. Identify priority problem of the patient during assessment section which
will help you make a good care plan at the end and will help you mistakes in
care plan. Verbalize always whatever procedure you are doing to patient even
you are taking any small things also.
b. performance
station:
Typical skills which may be tested either on their own
or within a nursing/midwifery scenario include:
•
Administration of Inhaled Medication (AIM)
•
Aseptic Non-touch Technique (ANTT)
•
Catheter Specimen of Urine (CSU)
•
Fluid Balance chart (FBC)
•
In-hospital resuscitation (without
defibrillation) (IHR)
•
Intramuscular injection (IM)
•
Mid-stream Urine and Urinalysis (MSU)
•
Peak Expiration Flow Rate (PEFR)
•
Removal of Urinary Catheter (RUC)
•
Subcutaneous injection (SC)
•
Paediatric BLS - infant and child
(children’s nursing)
•
Auscultation of foetal heart (midwifery)
•
Newborn examination (midwifery)
•
Palpation (midwifery)
•
Calculating drug dosages
•
Hand hygiene
•
Medication administration
•
Physiological observations
•
Safe disposal of sharps
•
Wound care
C, . Communication skills
Communication is central to nursing and midwifery
practice and will be assessed continually during the OSCE. They will assess the
full range of communication skills (verbal, non-verbal and written) by
observing the interaction between the candidate and a simulated patient (this
may be an actor or a manikin) and also by assessing your nursing or midwifery
documentation in each station.
The examiner will assess your approach to the patient
throughout the examination, and will assess your communication skills such as:
•
Clearly explaining care, diagnosis,
investigations and/or treatments.
•
Involving the patient in decision-making.
•
Communicating with relatives and health
care professionals.
•
Seeking and obtaining informed consent.
•
Active listening.
•
Dealing appropriately with an anxious
person or anxious relatives.
•
Providing clear instructions on discharge.
•
Providing advice on lifestyle, health
promotion or risk factors.
•
Demonstrating compassion and care during
communication.
•
Clear documentation which meets the
requirements of the NMC (2018) the Code.
•
Professional behaviour.
•
Professional attitude.
You should speak to the patient as you would any
person you are meeting for the first time. If you are being assessed using a
manikin, please remember to verbalise your actions and reasons for actions in
the same way that you would with a real patient. If you ask the simulated
patient a question the assessor will answer accordingly.
A. Approaching
the patient/manikin
•
Introduce yourself and explain or clarify
the purpose of the nursing or midwifery encounter.
•
Check what the patient wants you to call
them.
•
Be polite, respectful, non-judgemental and
maintain the patient’s dignity.
•
Be empathic and acknowledge the patient’s
emotions or concerns and show sensitivity to any discomfort.
•
Ensure you gain consent from the patient
prior to undertaking any procedures.
•
Be sensitive to personal space, stand or
sit at an appropriate distance from the actor/manikin and be aware of their
body language. You are too close if the actor moves back or recoils.
•
Treat a manikin as you would a real
patient.
B. Explaining
and advising
•
Establish what the patient already knows
and/or wants to know.
•
Explain clearly what you are going to do
and why, so that the patient can understand.
•
Remember to always check if the patient
has any questions and understands.
•
Offer appropriate reassurance.
•
Do not alarm the patient but you must be
able to explain the need for urgent action if it is required.
•
Do not routinely over-simplify names for
parts of the body. It is reasonable to expect that most people will know common
body names such as 'bladder', 'ovary', 'womb' and 'vein'. If you doubt a
patient’s understanding, check and alter your communication to meet their
individual needs.
•
Treat the manikin as you would a real
person.
C. Involving
the patient in management
•
Respect the patient’s autonomy and help
them to make a decision based on available evidencebased information.
•
Explain information and its implications
so that the patient can make an informed choice about their care.
•
Check the patient’s understanding and
feelings about the proposed nursing or midwifery interventions. They may not
always agree with your proposed plan of care.
•
Treat the manikin as you would a real
person.
D. Nursing or
midwifery assessment
•
You should be able to undertake an
accurate nursing or midwifery assessment and develop a plan of care.
•
Identify the patient’s nursing or
midwifery care needs accurately.
•
Listen attentively to the patient’s
problems and concerns.
•
Use clear language and questions at a
comfortable pace.
•
Clarify and check information and
summarise understanding.
•
Be able to plan safe and effective
person-centred care based on your nursing or midwifery assessment and
evidence-based best practice.
OSCE RESULT:
|
Result
|
Description
|
Outcome
|
Cost
|
|
Pass |
Passed all stations taken |
Congratulations! The NMC
will be in touch to issue your NMC PIN. |
N/A |
|
Fail 1-4 stations |
Failed up to four stations across both the APIE and/or skill stations |
Will require a resit at
50% cost. You will need to resit the stations you
failed only. If you need to resit the APIE station(s) you will be given your
original paperwork from the APIE stations you passed in your previous
attempt, in order to complete the resit stations in sequence. |
£397 |
|
Fail 5-6 stations |
Failed five or more stations across both the APIE and skill stations |
Will require a resit at
100% cost. You will need to resit the APIE station(s) you failed and the
skill station(s) you failed. You will be given the same scenario and your
original paperwork from the APIE stations you passed in your previous attempt
in order to complete the resit stations in sequence. |
£794 |
|
Full Fail |
Fail any station on their 3rd attempt. |
Will require 6 months to
elapse before you can reapply to the NMC. |
N/A |
There are so many you tube
videos which will help you to practice and understand OSCE.
STEP 8: IDENTIFICATION
CHECK:
- Applicants are required to attend a face-to-face
identification check at NMC office in London.
- At the ID interview produce
your passport which you already submitted.
- They will make final checks on
your previous registration, and take a photograph for their records.
STEP 8: FINAL
REGISTRATION:
- once NMC has received
notification that an applicant has successfully completed part two of the
test of competence and the ID check, they will be invited to complete
their final declaration and payment for registration online.
- Once both have been received,
you will be sent your PIN (personal identification number), confirming
that you are fully registered with the NMC.
- Your registration will then
show up on the NMC register online.
Reference
websites to follow for latest updates:
Nmc booklet
-----https://www.nmc.org.uk/globalassets/sitedocuments/registration/toc-14/toc-14-cbt-information-booklet.pdf
For more latest
information---https://www.nmc.org.uk/toc/
If you trained
in the EU: EU.enquiries@nmc-uk.org
If
you trained outside the EU: overseas.enquiries@nmc-uk.org
If you have
any questions do not hesitate to ask, and for CBT study materials ,you can whats app
us on +971502515717-nursing manthra.
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