Betsi Cadwaladr University Health Board (BCUHB), located in Wales, has been dedicated to ensuring high standards in patient care by recruiting and training international nurses. Case study NHS OSCE highlights how the Board faced challenges in preparing overseas nurses for the Objective Structured Clinical Examination (OSCE), a mandatory requirement for obtaining Nursing and Midwifery Council (NMC) registration in the UK. To streamline and enhance the OSCE training process, BCUHB collaborated with Mentor Merlin, a leading provider of CPD-accredited OSCE training programmes.
Resource Constraints: The Health Board required a training provider that could supply comprehensive learning materials and structured training within a flexible framework.
To address these challenges, BCUHB partnered with Mentor Merlin, leveraging its well-structured, CPD-accredited OSCE training programme. The key elements of this collaboration included:
Aspiring nurses enrolled in Mentor Merlin’s specialized OSCE programme embark on a structured journey towards 100% success, guided by expert training and personalised support. With each passing cohort, Mentor Merlin consistently refined the approach, ensuring that the candidates receive the most up-to-date knowledge, focused mentoring, and hands-on practice.
To date, out of 252 Cohort candidates, 153 of them successfully passed on their first attempt, demonstrating that more than half of the candidates achieved success on their first go itself. This consistent track record reflects the effectiveness of the training model. After each result, Mentor Merlin analyses performance, prepares detailed reports, and introduces new training strategies to further enhance outcomes.
The unwavering commitment to continuous improvement has played a key role in enhancing outcomes, enabling each batch to achieve better results than the previous one. This remarkable progress is a testament to the dedicated efforts of Mentor Merlin’s team and the perseverance of BCUHB candidates, making success not just a possibility – but a promise.


A structured training approach led to a higher success rate among candidates taking the OSCE for the first time. After Cohort 10, none of the cohort pass percentage went below 50%. And for the last 5 cohorts the pass percentage was above 80%. Whereas the *National Average for First attempt OSCE Pass Percentage remains just above 40% according to the UK NMC official website.
https://www.nmc.org.uk/registration/joining-the-register/toc/pass-rates-and-candidate-numbers/2024/
