COVID-19 Updates: For advice and updates for staff, students, and applicants who may have concerns about the coronavirus outbreak please visit our Situation Updates page.

CTC Announcements

Announcements from the CTC

Please check the below accordions for previous CTC announcements. All announcements are dated at the top of the accordion.

Most recent announcement

Note to Trusts on Implementation Station

Dear Colleagues,

It may be helpful to remind all candidates coming to sit their Legacy ToC 2014 and ToC 2021 that any drug omitted must have the reason (code) and a signature documented. In addition, it may be helpful to remind those sitting their ToC 2021 to complete the administrator signature log, in order to ensure that all required documentation is complete.

We hope that this is helpful.

8 October 2021

Go back to the CTC landing page >

  • 23 September 2021

    For details of all station timings for the New ToC.

    OSCE Station Timings

  • 15 September 2021

    We strongly encourage all candidates perform a lateral flow test, prior to attending the Competence Test Centre.

    If the result of the lateral flow test is positive, candidates should not attend the Test Centre , but instead, send confirmation of the positive result into the Competence Test Centre via email, and we will reschedule to the next available and suitable date for the candidate. We also recommend that all candidates follow the most up to date government guidelines.


  • 7 September 2021

    Please be aware that due to staff numbers, actors will not be used for exams for a 2 week period, ending on 17 September 2021.

  • 26 July 2021

    Actors returning and changes to Assessment and Physiological observation stations

    Actors will be returning to the OSCE exam from 02 August 2021 for all scenarios. Therefore, the patient’s temperature, pulse, blood pressure and respiration will be taken physically as pre-COVID-19. There will no longer be a flashcard used in the Assessment and/or Physiological Observation stations.

    The timings of the stations will revert back to the original 15 minutes.

    In addition to this, to manage safety and risk, Actors will be wearing PPE throughout the exam and candidates will need to wear full Level 1 PPE – mask, apron and gloves.

    Please note: Candidates who sat their exam before the 2nd August and are due to resit the assessment station, will undertake the resit under the same conditions as their first attempt.

    In-Hospital Resuscitation (IHR) station returning

    The Adult Nursing In-Hospital Resuscitation (IHR) station will be returning from 02 August 2021. You will not be required to undertake any ventilations, but will be expected to verbalise what you would do instead.

    The timing of this station will revert back to the original 8 minutes.

  • 14 June 2021

    We have updated some of the new Test of Competence 2021 support materials:

    • You will now be able to find an illustrated equipment list: This is in line with requirements for both the new content being introduced for the current test as of 14 June as well as the new Test of Competence 2021. Each list covers all nursing fields as well as midwifery.
    • We also updated the red flags on the marking criteria for all APIE stations and some of the skills stations for the new test of competence support materials: These indicate any behaviour that is demonstrated during the OSCE that would be considered as unsafe or unacceptable and which would lead to an automatic failure of this station, irrespective of other performance demonstrated on that station.
    • We revised some of the timings of the mock OSCEs: This is now reflected in the published materials.


  • 26 April 2021

    We have had a few queries regarding the new skills and scenarios for Children, Adult and Midwifery being implemented on 1 June 2021 for the current Test of Competence:

    1. There is no change to the timings or marking criteria for the Children, Adult and Midwifery scenarios (APIE). A copy of the marking criteria for APIE for each field of practice can be accessed in the Nursing and Midwifery Fields section of this website and on the online learning platforms/websites of the other two Competence Test Centres.
    2. The marking criteria for the new Adult Nursing skills: insertion of fine bore nasogastric tube, pressure area assessment, visual infusion phlebitis (VIP) assessment and intravenous cannula flush (all 8 minute’s duration) can be found in the updated Adult Nursing Marking Criteria version 1.13 in the Nursing and Midwifery Fields section of this website and on the online learning platforms/websites of the other two Competence Test Centres.
    3. A copy of the Braden scale and a copy of the VIP assessment tool are available in the supporting documentation.
    4. The pressure area assessment skill is a written station.

    Please note these are new OSCE stations for the current Test of Competence, and not the new Test of Competence that will go live in August 2021. There will be some applicants that will still be able to continue taking the current OSCE for a set period of time after the new test has gone live, hence we are doing this refresh for general test maintenance purposes. For further information around the transitional arrangements when the new test goes live, please visit the NMC Website. If you want to register to receive NMC updates on this, please register on the same website to receive a notification when an announcement has been made.

  • 21 April 2021

    There have been a number of queries in regards to station length for the 3 new OSCE skills stations (Insertion of fine-bore nasogastric tube, Intravenous flush and VIP assessment, Pressure area assessment) that we are introducing as of 14th June for the current OSCE. Please note that applicants will be given 8 minutes to complete each of these stations.

  • 12 April 2021

    Dear Colleague,

    You will be aware that the new Test of Competence is being introduced in August 2021.  The existing Test of Competence will continue to be used for some time to allow candidates who have started their assessment under that route to complete their test.  As part of the ongoing maintenance of the test, some updates have been made to the Part 2 Objective Structured Clinical Examination (OSCE): – new scenarios and skills will be introduced from Monday 14th June.

    The following new materials will be introduced:

    • Adult nursing scenario (APIE): Fall and fracture
    • Children’s nursing scenario (APIE): Post-tonsillectomy bleed
    • Midwifery scenario (APIE): Post-natal visit
    • Adult nursing skill station: Fine bore nasogastric tube insertion
    • Adult nursing skill station: Visual infusion phlebitis (VIP) assessment and intravenous cannula flush
    • Adult nursing skill station: Pressure ulcer assessment

    We are pleased to let you know that test supporting materials have been updated by all three test centres.

    Updates have been made to:

    • Adult nursing marking criteria: – to include marking criteria for the three new skills stations
    • Candidate information booklet: – to include information about the three new skills stations

    There are also two new forms which you may want to refer to which are available in the Nursing and Midwifery Fields section of this website.

    Please note that the pressure ulcer assessment marking criteria does not follow the evidence set out in the Royal Marsden.  For this station you should refer to the evidence base given here:

    Healthcare Improvement Scotland. (2019). Braden Risk Assessment chart. Retrieved January 2021.

    Braden Risk Assessment Tool

    The test supporting materials are available in the Nursing and Midwifery Fields section of this website. We review these documents regularly, so please check this website to ensure that you are using the latest version.

  • 7 January 2021

    Local and national restrictions

    We’re aware of a number of local and national restrictions across the UK, however the Northampton Competence Test Centre objective structured clinical examination (OSCE) test centre will remain open during this time.

    The safety of candidates and test centre staff remains a priority for us and the centre will continue to operate in line with Covid-secure measures. Travelling to any of the three OSCE test centres to complete your OSCE is considered essential travel.

    We are monitoring any restrictions and their impact on OSCE test centres and will keep you updated of any changes.

    Questions about your OSCE booking

    If you have any questions about your OSCE booking or your circumstances change, please contact your test centre for support.

    For further details please visit the following Nursing and Midwifery Council webpage.

    For general information, please visit the NMC website.

    Announcement July 2020 – Reopening of the Competence Test Centre

    Dear Candidate the Nursing and Midwifery Council have announced that all three Competence Test Centres (CTC) will reopen on Monday 20th July 2020 and bookings can be made from 2nd July 2020.

    Due to COVID 19 a number of minor amendments have been made to the Test of Competence OSCEs:

    • (a) In-hospital resuscitation will not be tested unless a candidate needs to resit this particular skill. In these circumstances the candidate will be advised of the health and safety precautions the centre has in place.
    • (b) The assessment station (all scenarios) will not have an actor and therefore the patient’s temperature, pulse, blood pressure, respiration and oxygen saturation will not be measured. Please verbalise and explain how you would complete each vital sign. After you have explained each vital sign, the examiner will confirm verbally the individual measurement and hand you a flash card containing the data which must be documented correctly on the appropriate observation chart. You must document all observations accurately before the end of the station.

    You will therefore be assessed on your ability to document observations accurately. The station time has been reduced to 10 minutes.

    For general information, please visit the NMC website.

    Reopening FAQs

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