For Nigerian nurses eyeing UK practice, the burning question remains: Is NCLEX required? The straightforward answer is no – the UK uses its own licensing system completely separate from the NCLEX exam. Instead, you’ll need to pass the NMC’s specific assessments (CBT and OSCE) and meet other requirements designed for the UK healthcare system.
Confused about the process? Don’t worry, you’re not alone. Many nurses mix up UK and US requirements. This guide breaks down exactly what you need (and don’t need) to get your visa and pass your exams as a nurse in the UK in 2025.
Understanding UK Nursing Registration: What Nigerian Nurses Must Know
The UK nursing profession operates under completely different regulatory systems than the US or Canada. While America requires NCLEX, the UK pathway is governed by the Nursing and Midwifery Council (NMC), with its own unique processes.
Why NCLEX Isn’t Accepted for UK Registration
NCLEX (National Council Licensure Examination) is specifically designed for nurses seeking licensure in the United States and Canada. The exam evaluates nursing knowledge based on American healthcare protocols and standards.
The UK doesn’t recognize NCLEX because:
- It tests knowledge of US healthcare systems and protocols
- It doesn’t align with UK-specific nursing standards and practices
- The NMC has established its own assessment framework tailored to UK healthcare needs
Understanding this difference from the start saves you time, money, and unnecessary stress. Many Nigerian nurses waste months studying for NCLEX only to discover it doesn’t help their UK journey at all!
The NMC Test of Competence: Your Actual UK Pathway
Instead of NCLEX, you’ll need to pass the NMC’s Test of Competence (ToC), which comprises:
- Computer-Based Test (CBT) – A multiple-choice assessment of your theoretical nursing knowledge
- Objective Structured Clinical Examination (OSCE) – A practical exam testing your clinical skills in simulated UK healthcare scenarios
This two-part assessment ensures you have both the knowledge and practical skills needed for safe and effective nursing practice in the UK healthcare system.
Step-by-Step UK Registration Process for Nigerian Nurses
The path to UK nursing registration involves several clearly defined steps. Here’s your roadmap, with approximate timelines based on typical experiences:
Step 1: Eligibility and Initial Application
First, confirm your eligibility and start your application through the NMC online portal:
- Qualification requirement: Hold a recognized nursing qualification (diploma or degree)
- Current registration: Maintain active, unrestricted registration with the NMCN
- Initial NMC fee: £140 (non-refundable qualification evaluation fee)
- Documentation: Valid international passport (minimum 3 months validity)
This initial screening determines if your Nigerian nursing education meets UK standards. The NMC evaluates each qualification individually, so your specific nursing program will be assessed.
Step 2: English Language Requirements
As a Nigerian nurse, you must demonstrate English language proficiency through one of two accepted tests:
IELTS Academic:
- Overall score of at least 7.0
- Minimum 7.0 in Reading, Listening, and Speaking
- Minimum 6.5 in Writing
Occupational English Test (OET):
- Minimum Grade B in Reading, Listening, and Speaking
- Minimum Grade C+ in Writing
Budget alert! English tests in Nigeria cost approximately ₦249,000-₦266,000 per attempt. Many nurses need multiple tries to achieve the required scores, so factor this into your budget.
Pro tip: Scores from two tests taken within 12 months can potentially be combined if you meet minimum requirements in all areas in both sittings.
Step 3: Taking the Test of Competence
Once your eligibility is confirmed and you’ve met the English language requirements, you’ll proceed to the Test of Competence:
Computer-Based Test (CBT)
- Location: Available at Pearson VUE test centers worldwide, including Nigeria
- Format: Multiple-choice questions assessing theoretical nursing knowledge
- Cost: £83
- Validity: Pass results remain valid for 2 years
- Warning: Due to recent investigations at certain test centers in Nigeria (particularly Yunnik Technologies), ensure you take your CBT at a reputable center
Objective Structured Clinical Examination (OSCE)
- Location: Must be taken in the UK at an approved test center
- Format: Practical clinical skills assessment in simulated scenarios
- Cost: £794
- Attempts: Usually 3 attempts permitted within a specified timeframe
- Timing: Typically required within 12 weeks of arriving in the UK on your visa
Critical difference: Unlike NCLEX which can be completed entirely outside the US, the UK pathway requires you to physically travel to the UK for the OSCE component.
Step 4: Verification and Final Registration
After passing both parts of the Test of Competence, you’ll need to complete the verification process:
- Required documents:
- Identity proof
- Qualification certificates and transcripts
- NMCN verification of good standing
- Health declaration
- Character references/police clearance
- Final registration fee: £153
- Processing time: Typically 30-90 days for final assessment
This step has become particularly challenging due to verification issues with the NMCN (more on this below).
Current Challenges for Nigerian Nurses: The NMCN Verification Crisis
Nigerian nurses currently face significant obstacles that aren’t always mentioned in standard guides:
The NMCN Verification Situation
A major roadblock for many Nigerian nurses has been the suspension or severe delays in the verification process by the Nursing and Midwifery Council of Nigeria (NMCN).
Since February 2024, many nurses have reported that the NMCN verification portal has been closed or experiencing significant delays. This verification is mandatory for your NMC application to proceed.
The situation has created a bottleneck for Nigerian nurses, with many unable to complete their UK registration despite meeting all other requirements. NANNM (National Association of Nigeria Nurses and Midwives) is negotiating to resolve these issues, but nurses should prepare for potential delays.
NMC Investigation and Impact on Nigerian Nurses
In 2023-2024, the UK’s NMC launched investigations into alleged fraudulent activity at a CBT center in Ibadan (Yunnik Technologies). This has had serious consequences:
- Hundreds of Nigerian nurses had their CBT results invalidated
- Over 700 applicants faced allegations of fraudulent entry
- Some nurses have had their NMC registration revoked
- Others have faced visa issues or even deportation notices
This situation highlights the critical importance of integrity in the application process. The NMC is offering free CBT re-sits for those with invalidated tests, but fraud allegations require separate disciplinary processes.
Wetin dey happen now? Investigations and appeals are ongoing. If you’re planning your UK journey, ensure you only use approved, reputable test centers and follow all procedures correctly.
UK vs. US Nursing Paths: Comparing Requirements
Many Nigerian nurses consider both the UK and US for international opportunities. Understanding the differences helps you make an informed decision:
| Requirement | UK (NMC) | US (NCLEX) |
|---|---|---|
| Primary Exam | CBT + OSCE | NCLEX-RN/PN |
| English Test | IELTS/OET | TOEFL/IELTS (if non-exempt) |
| Visa Type | Health and Care Visa | EB-3 or H-1B |
| Processing Time | 6-12 months (with delays) | 12+ months (CGFNS evaluation) |
| Location Requirements | OSCE must be taken in UK | NCLEX can be taken internationally |
| Cost Range | £1,100-£1,500 (excluding travel) | $750-$1,500 (excluding CGFNS) |
Key differences:
- The UK pathway requires physical presence in the UK for the OSCE
- US pathway requires CGFNS credential evaluation before NCLEX
- UK typically offers faster processing times when NMCN verification is working properly
- US often has longer green card processing times than UK permanent residency
Finding a UK Nursing Job and Visa Application
Once you’ve passed your CBT and are working toward completing your NMC registration, you can begin the job search and visa process:
Securing Employment in the UK
The primary employer for nurses in the UK is the National Health Service (NHS). Many Nigerian nurses find positions through:
- Direct NHS Trust recruitment (many have international recruitment teams)
- UK nursing agencies specializing in international placements
- Online platforms like NHS Jobs or specific Trust websites
Most employers offer sponsorship packages that include:
- OSCE fees coverage or reimbursement
- Accommodation support (temporary or subsidized)
- Relocation allowance
- Pastoral support and orientation programs
No be small thing! UK nursing salaries start at approximately £27,055 annually (around £2,300 monthly) compared to the average Nigerian nurse salary of roughly £64 monthly.
Health and Care Visa Process
With a job offer and sponsorship, you’ll apply for the Health and Care Visa:
- Certificate of Sponsorship (CoS): Provided by your employer
- Visa application fee: Reduced for healthcare workers
- Healthcare surcharge: Discounted for nurses
- Processing time: Usually 3-6 weeks
- Additional requirements: Tuberculosis test results, proof of funds
This visa allows you to live and work in the UK for up to 5 years before applying for permanent residency.
FAQs: Nigerian Nurses and UK Registration
Can I use my NCLEX to work in the UK? No, the UK does not recognize or accept NCLEX results. You must complete the NMC’s specific Test of Competence (CBT and OSCE).
Why is the NMCN verification delayed? The verification system has experienced administrative challenges and policy disputes. NANNM is actively negotiating to resolve these issues and reopen the portal.
Can I take the OSCE in Nigeria? No, the OSCE must be taken at an approved test center in the UK. Unlike the CBT, there are no international OSCE centers.
How long does the entire UK registration process take? With current verification delays, the process typically takes 6-12 months from initial application to final registration.
What’s the cost breakdown for the entire process?
- NMC application fee: £140
- English language test: ₦249,000-₦266,000
- CBT: £83
- OSCE: £794
- Final registration: £153
- Total NMC fees: approximately £1,170 (excluding travel and visa costs)
Are Nigerian nursing qualifications recognized in the UK? Yes, Nigerian nursing qualifications are generally recognized, but each application is evaluated individually by the NMC.
Final Thoughts: Your UK Nursing Journey
The path to UK nursing registration requires careful planning, especially with current challenges. While the NCLEX is not part of this journey, focusing on the NMC’s specific requirements will set you up for success.
Nigerian nurses continue to make valuable contributions to the UK healthcare system despite the hurdles. With proper preparation and accurate information, your dream of practicing nursing in the UK is achievable.
Start by assessing your eligibility on the NMC website, preparing thoroughly for your English language test, and researching reputable UK employers with strong track records of supporting international nurses.