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If you have decided to pursue nursing jobs in the UK as an international nurse, it is essential to fully understand the registration process. One of the most important stages of this journey is completing the OSCE exam.
By the time you reach this stage, you will usually have passed the first part of the Test of Competence, the CBT, and received approval from the Nursing and Midwifery Council to sit the OSCE exam in the UK. For many nurses, this is the final major step before registration.
In this guide, we explain what the OSCE exam is, how it works, the OSCE pass mark, how it is graded, how to prepare, and what happens if you need to resit.
What is an OSCE exam?
Many candidates ask about the OSCE exam and how it differs from the CBT. The key difference is that the OSCE is the practical part of the NMC Test of Competence. While the CBT tests theory, the OSCE medical assessment focuses on hands-on clinical practice.
The OSCE exam for nurses takes place in a simulated clinical environment where you are assessed on your ability to carry out real nursing tasks safely and professionally. This includes patient assessment, medication administration, infection control and communication.
Passing the OSCE nursing assessment proves that you can apply your knowledge safely in a UK healthcare setting.
How is an OSCE implemented?
The OSCE exam in the UK can be taken at approved test centres. You will rotate through a series of structured clinical stations that reflect real workplace scenarios.
Each candidate follows the same assessment structure to ensure fairness. Examiners observe your performance, mark your skills and record whether you meet the expected professional standards.
What is an OSCE station?
An OSCE station is an individual scenario that tests one specific skill or behaviour. During the OSCE exam for nurses, you complete ten stations in total.
These include:
- Four linked stations following one patient scenario using the APIE format
- Four stations that test two pairs of clinical skills
- Two stations focused on professional values, behaviours and evidence-based practice
Each OSCE station has timed instructions and clear task objectives.
How is an OSCE graded?
The OSCE exam is graded independently at each station. Examiners follow detailed marking criteria set by the NMC. You must pass each station separately to pass the full OSCE medical assessment.
Your performance is judged on safety, accuracy, professionalism and communication. Any unsafe action can result in the failure of that station.
What do you have to do in the OSCE exam?
During the OSCE exam for nurses, you will be asked to demonstrate:
- Patient communication and consent
- Vital sign monitoring
- Safe medication administration
- Infection prevention techniques
- Clinical decision making
- Accurate patient documentation
The OSCE nursing exam evaluates whether you can function safely and confidently in a real UK clinical environment.
What is the pass mark for an OSCE?
The OSCE pass mark varies slightly depending on the station. Most stations require a minimum score between 60 and 90 per cent to pass.
To pass the full OSCE exam in the UK, you must successfully pass all ten stations. Failing a single critical safety step can lead to the failure of that station.
How should I prepare for an OSCE?
Preparation is the key to success in the OSCE exam for nurses. Start by reviewing:
- The NMC Code of Professional Conduct
- OSCE blueprints and test specifications
- Official OSCE candidate handbooks
- Clinical procedure guidelines
Most successful candidates receive preparation support from an employer or recruitment agency. At WESolutions, we support nurses with structured preparation, mock tests and clinical guidance to improve confidence. Contact us today and let our expert guide you with the preparations you need.
What if I fail the OSCE for the third time?
You can attempt the OSCE exam in the UK up to three times. If you fail on your third attempt, you must wait six months before reapplying.
Re-sits only apply to failed stations. The resit fee is £397 if you need to repeat up to seven stations. If eight or more stations are failed, the full fee of £794 applies again.
A minimum waiting period of ten days is required between attempts.
Why is the OSCE Exam Important?
The OSCE medical assessment is a legal requirement for international nurse registration. You cannot gain NMC registration without passing the OSCE exam for nurses.
It confirms your clinical competence, protects patient safety, and ensures that all nurses working in the UK meet the same national standards.
How Much Does the OSCE Exam Cost?
The current OSCE exam UK fee is £794. This applies to your first attempt. The reduced resit fee is £397 if you need to resit 7 or fewer stations. Resit fees apply depending on the number of failed stations.
This cost is paid directly to the approved OSCE test centre when you book your assessment.
OSCE Exam Preparation Tips for Nurses
Here are some proven tips for passing the OSCE exam for nurses:
- Always introduce yourself clearly to the patient
- Gain consent before any procedure
- Perform proper hand hygiene
- Check patient identity and allergies
- Read station instructions carefully
- Stay calm and follow safe procedures
- Manage your time at each station
Good communication and patient safety are just as important as technical skill.
Key Skills Tested in the OSCE Exam for Nurses
The OSCE nursing exam tests five core areas:
- Communication and compassion
- Clinical procedures and infection control
- Critical thinking and prioritisation
- Professional conduct and ethics
- Record keeping and documentation
Mastering these areas is essential for passing the OSCE exam confidently.
Final Thoughts
The OSCE exam for nurses is the final practical step on your journey to NMC registration. While it is challenging, thousands of international nurses pass their OSCE exam in the UK every year with the right preparation and support.
At WESolutions, we work closely with nurses through every stage of the OSCE process, from booking and preparation to placement into UK nursing roles. If you need guidance, mock support, or career advice, our specialist recruitment team is always ready to help.
Your UK nursing career is closer than you think.
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