Northampton: 1 -5 October Closed
Northampton: 2 -6 October Closed
London: 3 -7 October Closed
Northampton: 6 -10 October Closed
Northampton: 7 -11 October Closed
London: 10-14 October Closed
Northampton: 11-15 October Closed
Northampton: 12-16 October Closed
Northampton: 16-20 October Closed
Northampton: 17-21 October Closed
London: 17-21 October Closed
Northampton: 21-25 OctoberClosed
London: 24-28 October Closed
Northampton: 26-30 October Closed
London: October 31- November 04 Closed
Northampton: 1- 5 November Closed
Northampton: 2- 6 November Closed
Northampton: 6- 10 November Closed
Northampton: 7- 11 November Closed
London: 7 – 11 November Closed
Northampton: 11-15 November Closed
Northampton: 12-16 November Closed
Northampton: 16-20 November Closed
Northampton: 17-21 November Closed
London: 21-25 November Closed
Northampton: 22-26 November Closed
Northampton: 23-27 November Closed
Northampton: – November 27 – December 01Closed
Northampton: 28- 02 November Closed
Northampton: 02 -06 December Closed
Northampton: 03- 07 December Closed
Northampton: 08 -12 December Closed


NMC Latest updates in CBT and OSCE

NMC Latest Updates ToC 21

NMC Latest updates in CBT and OSCE

Changes in NMC CBT Booking process

NMC latest update is changing the CBT and OSCE format. NMC will start testing candidates with the new ToC from 2 August 2021.

The Test of Competence (ToC) is used to assess the skills and knowledge of people wanting to join the UK NMC register from overseas or re-join the register after a long period away from practice.

Since 2019, NMC was working in partnership with AlphaPlus to develop a new test that reflects the new standards for nurses.

When is the new test launching?

NMC will start testing candidates with the new ToC from 2 August 2021.

Who will take the new test?

You will take the new ToC test if:

  1. You apply through NMC’s overseas registration route, and you need to take the ToC, after 2 August 2021
  2. If you apply to do the ToC as part of your return to practice after 2 August 2021
  3. You’ve started an application, but you’ve not yet taken either the CBT or the OSCE before 2 August 2021.

If you’ve sat an attempt at either the CBT or the OSCE before 2 August 2021, you will have up to 12 months to complete the current ToC. The current TOC will no longer be available for appointments after 12 months.

Computer-based test (CBT)
New structure

The new CBT is split into two parts. Part A will cover numeracy and Part B will cover clinical questions for nursing or midwifery.


The fee for sitting both parts of the new CBT will stay at £83. If you need to re-sit the new CBT, the following fees will apply:

  • Resit Part A and Part B: £83
  • Part A only: £50
  • Resit Part B only: £70
NMC latest updates Changes to CBT booking process

NMC is making some changes to the CBT booking process for nurses and midwives ahead of the launch of the new ToC.

Booking the current CBT
  • You can no longer book to sit the current CBT after 1 August 2021.
  • On 18 July, bookings will close for the current CBT. If you hold a CBT authorisation and you want to sit the current CBT by 1 August, you must book your CBT with Pearson VUE by 18 July.
  • If you’re eligible to take the current CBT after bookings close on 18 July, you need to contact us at [email protected] or the ToC team at [email protected] who will arrange this for you.
  • Do not book your CBT via your Pearson VUE account after 19 July if you’re taking the current CBT, as the appointments will be for the new CBT only.
  • If you started an application via the old overseas process before 7 October 2019 and your CBT is due to expire, you must contact [email protected] to get another authorisation to re-sit the current CBT if you have an OSCE decision letter. 
    ** Please do not re book your CBT via your Pearson VUE account.
Booking the new CBT
  • From 19 July, bookings for the new two-part CBT will open on Pearson VUE’s booking platform. You’ll have the option to sit the new CBT from 2 August 2021.
  • If you become eligible for the Test of Competence from 16 July 2021, you will no longer receive an ‘Authorisation to Test’ (ATT) email from Pearson VUE. Instead, if you are a new applicant, you will receive an email prompting you to log in to your Pearson VUE and book your CBT.

Contact us if you have any queries

Preparation materials

See our Crack Course page for links to preparation materials, including practice tests and resource lists.

Objective structured clinical examination (OSCE)

New structure

The new OSCE has 10 stations:

  • Four stations will continue to be linked around a scenario: the APIE (one station for assessment, planning, implementation and evaluation)
  • Four stations to test skills (two pairs of two skills)
  • Two new stations to assess the candidate’s values and behaviours and evidence-based practice.

They will assess each station against an updated list of relevant criteria.


The fee for the new OSCE will stay at £794. You’ll also pay the same reduced resit fee of £397 if you need to re-sit 7 or fewer stations.

Preparation materials

See our Crack Course page for links to preparation materials, including practice tests and resource lists.

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