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Nursing Midwifery Council (NMC) Test of Competence

New scenarios and skills will be introduced to the current test of competence OSCEs from June 14th 2021

As part of the ongoing test of competence, some updates have been made to the current 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 to the current tests from the 14th June:

  • 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.

Please visit our NILE site for updates 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 Clinical Skills section of the NILE site.

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

Timings for new skills stations starting June 14th

  • The timings for the 3 new OSCE skills stations are as follows:
  • Insertion of fine-bore nasogastric tube – 8 mins
  • Intravenous flush and VIP assessment – 8 mins
  • Pressure area assessment – 8 mins
  • We are introducing these from 14th June for the current OSCE.
  • Please note candidates will be given 8 minutes to complete each of these stations.

Changes to the New Test of Competence August 2021

We use the Test of Competence (ToC) to assess the skills and knowledge of people wanting to join our register from overseas or re-join our register after a long period away from practice.

Since 2019, we’ve been working in partnership with Alpha Plus to develop a new test that reflects our new standards for nurses and standards for midwives.

The NMC guide has details for the new test and supporting resources to help candidates, recruiters and employers prepare.

Find a list of resources to help you prepare for the new test on the NMC website.

We have a list of support materials available to you. Scroll down to find the support materials under ‘2021 New Test of Competence’.

For previous announcements including our reopening in July 2020, please see our announcement archive.

Announcement archive

We provide Part two of the NMC’s Test of Competence for nurses and midwives seeking registration with the NMC. We have a designated test centre at our Innovation Centre, located directly opposite Northampton Train Station.

To understand our processes, please refer to the candidate journey document that is available to download.

We are aware that some organisations and consultancies are offering OSCE preparation training sessions for candidates for Part two of the Test of Competence. Please be aware that by attending these courses you do so at your own discretion. These training sessions are not endorsed or approved by either the University of Northampton or the NMC and could prepare you inaccurately for the exam.

We have developed a downloadable guide book to help you prepare for your exam.

As part of the review of the overseas registration process we have listened to feedback from applicants, employers and recruiters about how we best support applicants taking the Objective Structured Clinical Examination (OSCE).

As a result, we’re pleased to let you know that in conjunction with all three test centres we have revised and updated our test supporting materials.

The Top Tips document is available on NILE in the ‘All Candidates’ section.  Further documents will be available in the next upcoming weeks.

We’ll review the guidance document regularly, so candidates need to check NILE regularly to make sure they are using the latest version.

Find out more about the Test of Competence

Test Centre location

The purpose built Test Centre is located at:

The University of Northampton Innovation Centre
Green Street
Get directions to the Test Centre

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