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  • NMC
  • Nursing and Midwifery Council:

    NMC is established in 2002, the Nursing & Midwifery Council (NMC) is the UK regulator for nursing and midwifery professions with a stated aim to safeguard the health and wellbeing of the public. The NMC maintains a register of all nurses, midwives and specialist community public health nurses eligible to practise within the UK and by setting and reviewing standards for their education, training, conduct and performance. The NMC also investigates allegations of impaired fitness to practise (ie. where these standards are not met).There are currently close to 700,000 nurses and midwives on the NMC register, making the NMC the largest healthcare regulator in the UK.

    Minimum requiered International English Language Testing (IELTS)  score for NMC registration:

     

     

    All non EU trained applicants to the nurses or midwives part of the register must complete and provide evidence of the International English Language Test (IELTS) before submitting their application to the NMC. 

    You must complete the academic version of the IELTS test and achieve:

    ·         At least 7.0 in the listening and reading sections

    ·         At least 7.0 in the writing and speaking sections

    ·         At least 7.0 (out of a possible 9) overall 

    NMC will not accept applicants who score lower than this standard.

     

    FAQs - International English Language Test (IELTS)

       

    1. Why has the NMC for the past nine months expected nurses to pass an IELTS test and not midwives?

    In the past midwifery applicants have been required to undertake the English language test but this previously could be taken within the Midwifery Adaptation Course. This has been part of the evidence required by the NMC on completion of the course to enable registration as a midwife. The new standard requires midwifery applicants to submit their IELTS score as part of the initial part of the application process.

    2. Why has the NMC decided to set the minimum language pass score for nursing and midwifery at 7.0 when previously it had been 6.5?

    As a result of public consultations for both nursing (November 2003) and midwifery (October 2005) and evidence collected from the British Council, the NMC decided that a score of 7 was the lowest level acceptable for language skills. This applies equally to nurses and midwives who apply for registration from the 1 February 2007.

    3. I was given an NMC assessment letter before 1 February 2007. Does this mean I will have to obtain an IELTS score of 7.0?

    No. If you received your NMC assessment letter before the 1 February 2007 the new standard for English language does not apply to you. It will affect all applicants who apply for registration from the 1 February 2007.

    4. I sat and passed IELTS at the required level more than two years ago. Will the NMC still accept this now?

    The British Council states that they cannot verify an IELTS test score that is older than two years. Where the test score is more than two years old, it can only be accepted as evidence of present level of ability if the person can prove that they have actively used or tried to improve their English language proficiency. You are therefore advised to resit your IELTS test in these circumstances.

    5. I live in a country where there is no British Council test centre. Will the NMC still expect me to undertake a test before I start the application process?

    The British Council has over 300 test centres in over 100 countries. A full list of test centres is available on the IELTS website www.ielts.org. If there is no IELTS test centre in your country please access the IELTS website for more information, or alternatively contact the British Council directly for assistance. All overseas applicants who apply for NMC registration must meet the standard for English language. There is no exception to this requirement

    6. Why does the NMC use the British Council’s International English Language Testing System (IELTS) for overseas-trained nurses and midwives?

    The NMC uses the British Council’s International English Language Testing System because it has international use and recognition within nursing and midwifery. Most other healthcare regulators in the UK also use it.

    7. Why does the NMC expect nurses and midwives from Australia, New Zealand, South Africa, Canada and the USA to pass an English language test before applying for registration? Will the NMC consider waiving the IELTS requirements for these countries in the future?

    All overseas applicants are required to meet the NMC standard for English language regardless of where they come from. This ensures that all applicants meet the same standard in a system that is equitable, fair and non-discriminatory. There are no plans by the NMC at present to waive the IELTS requirements for these countries.

    8. Why does the NMC require overseas applicants to undertake an IELTS test and not applicants who are EU nationals who were trained in the EU?

    Under European Legislation the NMC is not allowed to ask EU trained EU nationals to demonstrate language competency as a requirement for registration in the UK. All applicants, who were trained outside the EU, are required by the NMC Education, Registration and Registration Appeals Rules 2004 to provide evidence that they have sufficient knowledge of English to enable them to practice as a nurse or midwife safely and competently in the UK.

    The English language score of 7.0 is considered to be the standard of English that is required in order to function competently and expertly in a degree holding profession and as a registrant. For applicants from outside of the EU it is regarded to be a principle competency needed to ensure the required standard can be met via the mechanisms of the Overseas Nursing Programme or the Midwifery Adaptation Course.

     

    Registering as a nurse or midwife in the United Kingdom:

    For applicants from countries outside the European Economic Area

    Note: If you trained as a nurse or midwife outside the European Economic Area (EEA), this Booklet is for you.

    If you are a European Union (EU) National and were trained in an EU country then you Should apply for registration through the EU registration route.

    Warning: It is a criminal offence in the United Kingdom (UK) to pose as a nurse or midwife or to provide false or misleading information. If at any point in the application process wediscover that your application is fraudulent, we will not continue with your application and you may be liable for prosecution. If, after registration, we discover that any part of your application was fraudulent; we will remove you from the Register. In addition, you will then be liable for prosecution.

    Finding your way through this booklet:

    􀃎 Introduction - page 4

    􀃎 The context of nursing practice in the UK - page 5

    􀃎 The context of midwifery practice in the UK - page 6

    􀃎 How to apply to register as a nurse or midwife - page 8

    􀃎 General requirements to join the Register - page 10

    􀃎 Specific requirements for nurses - page 11

    􀃎 Specific requirements for midwives - page 13

    􀃎 How we assess your application – page 15

    􀃎 The Overseas Nurses Programme - page 16

    􀃎 The Adaptation to Midwifery Programme - page 17

    􀃎 If your application is unsuccessful - page 18

    􀃎 Useful contacts - page 19

    4

    1. Introduction:

    If you want to work as a nurse or a midwife in the UK you must register with the Nursing

    and Midwifery Council. The NMC regulates all the nurses and midwives working in the UK.

    Established by the UK government, we safeguard the health and wellbeing of the public by

    setting high professional standards of education and conduct for nurses and midwives.

    The NMC Register has three parts

    nurses

    midwives

    specialist community public health nurses

    The nurses part of the Register is divided into four fields of practice

    adult nursing

    mental health nursing

    learning disabilities nursing

    children’s nursing

    You can apply to be on the nurses or midwives parts of the Register, as long as you meet

    our standards.

    If you are a nurse it is likely that you have trained as a general nurse. As a result, you should

    apply for registration with us as an adult nurse.

    If you want to register on more than one part of the Register, you should apply for each

    part at the same time.

    You can apply for registration as a nurse or midwife in the UK even if you do not live here.

    You do not need to come to the UK for us to consider the first part of the application.

    However, once you have been approved to proceed to apply for an Overseas Nursing

    Programme or Adaptation to Midwifery Programme you will need to be in the UK to attend

    the university and clinical placement.

    Once registered with the NMC, you can work in the National Health Service or private

    health. The employment climate in the UK is very changeable. We can not help you find a job

    or give you references from any of the information you give us.

    To work as a nurse or midwife in the UK, you must meet immigration conditions.

    Immigration in the UK is handled by Work Permits UK, so you should contact them for

    information. We cannot help you with your work permit application.

    Before you apply, we think it is important for you to understand the context of nursing and

    midwifery practice in the UK, and the type of training and education that students

    undertake.

    􀃎 For information about nursing, go to page 5

    􀃎 For information about midwifery, go to page 6

    5

    2. The context of nursing practice in the UK:

    Becoming a nurse:

    All registered nurses trained in the UK will have completed a pre-registration nursing

    programme. The NMC sets standards for the length and content of these programmes,

    which take place in approved education institutions (usually universities). Only nurses who

    have successfully completed an approved programme and who have met the NMC

    requirements of good health and good character can apply to join the Register as a nurse.

    Requirements for renewal of registration as a nurse with the NMC:

    Registration is renewed every three years and on each occasion, evidence of continued

    professional development must be provided. This standard requires the applicant to

    demonstrate 450 hours of practice activity and undertake a minimum of 35 hours of

    learning activity relevant to your practice during the three years prior to the renewal of

    registration. This continuing professional development is known as PREP (Postregistration

    education and practice) and is the professional standard set by the NMC.

    Whatever the terms of nursing employment, every registrant must provide evidence of

    continued professional development in order to sustain registration as a nurse with the

    NMC.

    Responsibility and sphere of practice:

    Registered nurses may work in a variety of health related settings including the National

    Health Service, private hospitals, nursing homes or in the community. In any circumstance

    the nurse is accountable for his or her own practice. This responsibility cannot be

    delegated elsewhere as the nurse is recognised as an autonomous practitioner. However,

    each nurse must ensure that their sphere of practice is competent and evidence based, by

    targeting required learning and experience to maintain their expertise, whatever the

    circumstances of employment.

    􀃎 If you would like to apply to register as a nurse in the UK, go to page 8 for more

    information

    6

    3. The context of midwifery practice in the UK:

    1.Becoming a midwife:

    All registered midwives will have completed a midwifery programme of education. The NMC

    sets standards for the length and content of such programmes. These programmes take

    place in education institutions (usually universities). Only students who have successfully

    completed an approved midwifery programme of education and who have met the NMC

    requirements of good health and good character can apply to join the Register as a

    midwife.

    2.Requirements for renewal of registration as a midwife with the NMC:

    Registration is renewed every three years and on each occasion, evidence of continued

    professional development must be provided. This standard requires the applicant to

    demonstrate 450 hours of practice activity and undertake a minimum of 35 hours of

    learning activity relevant to their practice during the three years before the renewal of

    registration.

    Whatever the terms of midwifery employment, every registrant must provide evidence of

    this continued professional development in order to sustain registration as a midwife with

    the NMC.

    3.Practising as a midwife in the UK:

    Registration on the midwives part of the NMC Register provides evidence of qualification

    and continued professional development. However registration alone does not permit

    registered midwives to practise their profession.

    Annually, midwives must notify the local supervising authority of their Intention to Practise.

    The NMC sends each midwife a personalised Intention to Practise form every year. This

    form enables the local supervising authority to check and monitor that each midwife is

    eligible to practise.

    Completion and submission of the annual Intention to Practise notification to the local

    supervising authority is a legal requirement of every midwife who works in the UK.

    4. Responsibility and sphere of practice:

    Midwives can work in the National Health Service (NHS), private hospitals, with nursing and

    midwifery employment agencies or as independent practitioners working as part of a

    private business. In any circumstance midwives are accountable for their own practice.

    This responsibility cannot be delegated elsewhere as midwives are recognised as

    autonomous practitioners. The conditions in which midwives work vary widely and practice

    takes place in a variety of environments. However, midwives must ensure that they are

    competent in their sphere of practice, and using evidence-based learning and experience

    to sustain their expertise, whatever the circumstances of their employment.

    5. Supervision of midwives:

    The UK is the only place in the world where supervision of midwives occurs. Supervision of

    midwives has been in place since the inception of the profession in 1902 and is a statutory

    7

    requirement protected by law. The function of supervision of midwives is to safeguard the

    health and wellbeing of women by providing professional advice and guidance to midwife

    practitioners and to service providers.

    Each midwife has a named supervisor of midwives who in turn is appointed by the local

    supervising authority’s midwifery officer. Supervision of midwives is based within regional

    health authorities, and overseen by the NMC. Women and families, employer organisations

    and midwives can talk directly to supervisors of midwives about any concerns they have

    about the safety of care as practised by a midwife.

    The local supervising authority’s midwifery officer can put in place mechanisms to support

    further education and practice developments for a midwife, or suspend a midwife from

    practice. The midwife could then by referred to the NMC for investigation that might

    result in removal from the Register. This important process supports the self-regulation

    of the profession.

    􀃎 If you would like to apply to register as a midwife in the UK, go to page 8 for

    more information

    8

    4. How to apply to register as a nurse or midwife:

    We have given you a personal reference number. You will need this every time you contact us.

    Stage 1:

    For us to begin processing your application

    You will have to pay an administration fee when you apply

    You should return the initial application form with your choice of registration ticked

    You should also send us certified (signed by a solicitor) photocopies of your

    registration certificate

    passport (details page)

    birth certificate

    marriage, civil partnership or deed poll certificate (if you do not use the name on

    your birth certificate)

    You should also send us your International English Language Testing System (IELTS)

    candidate number and test score

    Stage 2:

    When we receive the documents listed above and the required fee we will send you an

    application pack, which contains

    your application form

    your post-registration experience form

    two employment references

    transcript of training form

    registration authority/licensing body form

    We will give you detailed information to help you complete the forms and tell you what information we need. You must not photocopy the application forms. But you should send certified photocopies of all your supporting documents as we cannot return original documents. If any of these documents are not in English, you will need to translate them.You must fill in the application form in English. No one else must fill in the form for you.Make sure all the forms are signed and dated.

    You must return the completed application forms and supporting documents within six months. If you cannot do this, we will close your file and keep your application fee. If you ask us for a second pack, you will have to pay a second fee. If you have difficulty meeting the six month deadline, you should ask for an extension. We will only give you one extension.Your application forms and documents should be sent by post or special delivery. We cannot accept faxed or emailed applications.

    9

    If you decide to apply, you should read the rest of this booklet carefully and consider if you

    meet the requirements as they are described. Once you have submitted your application

    fee, the NMC will not refund this sum should your application fail to meet the required standards.

    Special advice for refugees and asylum seekers:

    If you are a refugee or asylum seeker, you could contact us for advice before you make an

    application.

    If you want to apply for registration, you must fill in the application form in full. If you can

    not fill in any part of the form, send it to us with a supporting letter saying why.

    However you will at the very least need to send us certified photocopies of

    • your nursing or midwifery diplomas and registration certificates

    • your transcript of training broken down into theoretical and clinical hours of study

    • employment references confirming your good health and good character

    If you cannot provide any of these documents, we may not be able to assess your

    application, because we need as much information as possible about your training and

    experience. Agencies who support asylum seekers and refugees may be able to help you to get the information you need to apply for registration with us.

    Please keep copies of all documents that you send to us, as we cannot return them to you.

    If you decide to apply for registration, you must send us, with your application form

    • a copy of your immigration letter

    • a copy of your UK Home Office letter confirming your status

    • a letter from social security

    • a UK Home Office PIN card

    If you can provide these documents, you will not need to pay the application fee.

    10

    5. General requirements to join the Register:

    Language requirements:

    English is the main language that is spoken and written in the UK and you must be able to

    show that you can communicate clearly and effectively. You must complete the academic

    version of the IELTS test and achieve an overall average score of seven (out of a possible

    nine) and at least seven in each of the listening, reading, writing, and speaking sections. We

    will not accept lower scores.

    We will independently verify your scores with the IELTS organisation. Please note that the

    NMC considers an IELTS test result to have a validity of no more than two years.

    Practice requirements:

    When you apply you must have been practising as a registered nurse or midwife for at

    least 12 months (full-time or the part-time equivalent) after qualifying. Also, if you have

    been qualified for longer than this, you must have practised for at least 450 hours in the

    previous three years.

    If you do meet NMC requirements, but have not practised as a nurse for more than five

    years, you will have to take a longer version of the Overseas Nurses Programme. If you

    have not gained 12 months post-registration experience after you qualified as a nurse

    then you should not apply for registration.

    Education requirements:

    You must have successfully completed at least 10 years of school education before

    starting a post-secondary education nursing or midwifery programme, leading to

    registration in your home country as a first level registered nurse or midwife. In the UK,

    post-secondary school nursing and midwifery programmes generally start at the minimum

    age of 17 years and 6 months. If you started your training at an age earlier than this, your

    application is unlikely to be successful.

    􀃎 Specific requirements for nurses can be found on page 11

    􀃎 Specific requirements for midwives can be found on page 13

    11

    6. Specific requirements for nurses:

    We will not accept your application if you are a second level nurse or the equivalent, for

    example an enrolled nurse, a licensed practical nurse, a vocational nurse, a state certified

    nurse, a nursery nurse, a nurse midwife technician, a nurse aid and so on.

    Also, we do not accept medical qualifications as a basis for registration. If you have trained

    as a doctor or a medical technician in your home country, you will not be eligible for

    registration with us, even if this qualification allows you to carry out the duties of a nurse

    in your home country.

    Your training programme must have been entirely focused on nursing. The NMC will not

    accept nursing qualifications that contain what it considers to be general education.

    For all three year nursing courses, at least half (or 2300 hours) must be in clinical or

    practical training, and at least one third (or 1533 hours) must be theoretical training.

    1. Adult (general) nursing:

    You must have completed a three year full time course at post secondary level leading to

    registration as a general nurse.

    This must include theoretical and practical instruction in

    general and specialist medicine

    general and specialist surgery

    childcare and paediatrics

    maternity (obstetric) care

    mental health and psychiatry

    care of the elderly

    community/primary care nursing

    2. Mental health nursing:

    You must have completed either

    a three year general nursing course followed by a twelve month mental health

    nursing course, or

    a three year full time mental health nursing course

    Either route must include theoretical and practical instruction in

    mental health nursing in a range of care settings, including acute and

    enduring/chronic illness

    care for children and young people who have mental health problems

    specialist mental healthcare (eg. substance abuse, challenging behaviour and care in

    secure and locked environments)

    care for elderly adults who have mental health problems

    continuing care and rehabilitation

    community care

    12

    3. Children’s nursing:

    You must have completed either

    a three year general nursing course followed by a 12 month children’s nursing course,

    or

    a three year full time children’s nursing course

    Either route must include theoretical and practical instruction in

    care for children in a range of care settings, including specialist medicine and

    surgery

    care for children in emergency, neonatal and high-dependency environments

    care for children at home, in school and in the community

    working with families and carers to care for sick children of all ages

    4. Learning disabilities nursing:

    You must have completed either

    a three year general nursing course followed by a 12 month learning disabilities

    nursing course, or

    a three year full time learning disabilities nursing course

    Either route must include theoretical and practical instruction in

    learning disability nursing in a range of care environments, including residential and

    day-care settings

    learning disability nursing in a range of environments to support people who have

    complex needs and mental health problems

    care for people of all ages (from childhood to old age) who have learning disabilities

    working with families and carers to support people who have learning disabilities

    continuing care and rehabilitation

    If you have completed a 12 month programme post-registration in mental health, learning

    disabilities or children’s nursing, we can only consider you for registration if you have also

    undertaken training for at least three years in general nursing that meets the standards

    set out above. If you did comprehensive or general nurse training in your home country, you

    will only be able to apply for registration in the UK as an adult nurse. If you did your mental

    health, learning disabilities or children’s nursing as a joint course with general nursing, it is

    very unlikely that it will meet our standards.

    We may consider some postgraduate programmes as ‘specialist’, so you cannot use them

    as a basis for applying for registration. For example, you could not use courses in

    paediatric oncology, neonatology or paediatric critical care for registration as a children’s

    nurse. Similarly, a certificate in postgraduate forensic psychiatry may not be suitable for

    registration as a mental health nurse. If you have taken this type of programme, you should

    check with us before you apply.

    􀃎 For more information on how we will assess your application, go to page 15

    13

    7. Specific requirements for midwives:

    We will not accept your application if the education and training you undertook was not

    specific to the role of the midwife, allowing you to meet the specific requirements of

    midwifery practice. Combined nursing, child health and midwifery courses are not

    acceptable.

    You must have completed a three year (5000 hours) full time or if you are already a

    registered nurse in the UK, an 18 month (2500 hours) course focused entirely on midwifery,

    with a balance of half practical/clinical training and half theoretical training. The

    calculation we use will be based on the hours of theoretical study and clinically supervised

    learning.

    This must include theoretical and practical instruction in

    advising pregnant women, involving 100 pre-natal examinations

    carrying out 40 deliveries

    taking part in breech deliveries either as clinical practice or simulation

    performing episiotomy and suturing of episiotomy or tears

    supervising and caring for 40 women who are at risk in pregnancy, labour or the

    post-natal period

    supervising and caring for 100 post-natal women and healthy new-born babies

    observation and care for new-born babies who need special care, (this may include

    neonatology)

    caring for women who have pathological conditions relating to gynaecology or

    obstetrics

    an introduction to medicine and surgery

    experience as a midwife working in a primary or community care setting

    Post-qualification experience:

    You must meet the following requirements prior to submission of your application

    The Nursing and Midwifery Council will require further evidence of your experience as a

    midwife and indication of good health and character.

    You must have completed a minimum of one year (full-time or part time equivalent) in

    midwifery practice following your registration in the country in which you trained.

    If you have not practised midwifery in the five years prior to your application to the NMC,

    you must return to midwifery practice in your home country. (There is special guidance for

    Refugees and Asylum seekers on page 6.) This return to practise must be for a minimum of

    12 weeks (450 hours) full time or equivalent part time hours and references will be

    required from employers to assure the NMC that return to competence in midwifery

    practice was achieved by the end of the return to practise period.

    Continued professional development:

    You must provide evidence of continued professional development (35 hours over each

    period of three years) since the original registration as a midwife.

    14

    You must demonstrate evidence of good health and good character by the provision of

    two references signed by either senior midwifery managers or a midwifery tutor if your

    recent experience has been in education.

    􀃎 For more information on how we will assess your application, go to page 15

    15

    8. How we assess your application:

    We will assess your application on its merits, so we cannot tell you what our decision is

    likely to be beforehand.

    We check your application form and documents against the relevant standards, depending

    on the part of the register you are applying for. If we need any more information, we will

    ask for it at that stage. We can not give you a decision until we have received all of the

    information that we need. The more information you can give us, the quicker we will be able

    to make a decision.

    When we have checked all of the necessary information, you can expect to receive an

    assessment letter with the decision within three months.

    If your application is successful:

    If you meet our minimum standards, you will have to carry out extra education or clinical

    practice before registration. If you are a nurse you will have to undertake the Overseas

    Nurses Programme. If you are a midwife you will be required to undertake the Adaptation

    to Midwifery Programme. These courses are run by universities in the UK.

    Places across the UK are limited for the Overseas Nurses Programme and for Adaptation

    to Midwifery Programmes. If you are not already living in the UK, we strongly advise you not

    to travel to the UK without having a confirmed place on a course.

    􀃎 More information on the Overseas Nurses Programme can be found on page 16

    􀃎 More information on the Adaptation to Midwifery Programme can be found on

    page 17

    16

    9. The Overseas Nurses Programme:

    If your application meets our minimum standards, you will have to undertake all or part of

    the Overseas Nurses Programme. This standard relates to the assessment of your ability

    to practise in a UK healthcare environment and was developed to be comparable to the

    requirements made of UK trained nurses. The core component of the programme is 20

    days protected learning time (which everyone must undertake) plus, where appropriate, a

    period of supervised practice.

    The protected learning time will contain study specifically relevant to the practice of

    nursing in the UK for example covering the structure of the UK health care system, the

    NMC Code of Professional Conduct and your personal accountability as a registered nurse.

    The programme contains competencies designed to ensure fitness for practice in the UK.

    You will achieve these within the field in which you are qualified to practise (adult, mental

    health, learning disabilities or children’s nursing). You will receive a list of the competencies

    when you are officially informed by the NMC that you must do the programme.

    If you have had educational and practice experience in your home country that closely

    matches UK requirements for entry to the Register, you will only have to take the 20

    protected learning days to adapt your previous education and experience to working in

    healthcare in the UK.

    If you also have to take a period of supervised practice, you may take this only in practice

    settings that have been properly audited by the approved educational institution

    responsible for the programme. The approved educational institution will arrange those

    placements as part of the programme as well as an appropriate mentor for you. Your

    mentor will be a registered nurse on the same sub-part of the Register to the one you are

    applying for and will meet our standards for mentors.

    Please go to www.nmc-uk.org and follow the link for “Overseas” to access the most up to

    date information regarding the Overseas Nurses Programme.

    Placement on the NMC Register as a nurse:

    On successful completion of the Overseas Nurses Programme you will be entered on to the

    NMC Register as a nurse.

    17

    10. The Adaptation to Midwifery Programme:

    If your application meets our minimum standards, you will be required to undertake an

    Adaptation to Midwifery Programme. This programme will prepare and assess your ability

    to practice in a UK health environment and meets the same standards as are the

    requirements of UK-trained midwives as they enter the NMC Register.

    The content of the Adaptation to Midwifery Programme will include

    The framework of supervision of midwives

    The role of the NMC as regulator of the profession

    Demonstrate a women-centred approach to care based on partnership, which

    respects the individuality of the woman and her family

    Promote ethical and non-discriminatory practices

    Reflect the quality dimension of care through the setting and maintenance of

    appropriate standards

    Develop the concept of lifelong learning and continued professional development

    Encompass key skills including appropriate communications with women and with

    professional colleagues

    Take account of the changing nature and context of midwifery practice

    Base practice on the best available evidence

    Placement on the NMC Register as a midwife:

    On successful completion of a Midwifery Adaptation Programme you will be entered on to

    the NMC Register as a midwife.

    Please go to www.nmc-uk.org and follow the link for Registration to access the most up to

    date information regarding the Adaptation to Midwifery Programme.

    18

    11. If your application is not successful:

    If you do not meet the minimum standards your application for registration will be

    rejected. In this case we will explain why and give you advice on what options are available.

    What if you disagree with our decision and want to complain?

    You may disagree with our decision and want to complain to us about this. This may be

    because

    you think that we have not taken account of all your experience

    you think that we have misunderstood information you have given us

    you have more information that you could send us

    If this is the case, you should write to us explaining why you disagree and setting out any

    concerns or questions you have. We will then handle your complaint under our complaints

    procedure.

    However, please note that you are not allowed to complain about our standards. When the

    NMC sets a standard we develop it in consultation with key stakeholders, and our Council

    finally agrees it. We cannot change a standard to suit your needs. Instead you must be able

    to show that you do meet the necessary standard.

    If you disagree with our response and explanation, you can provide us with more

    information. If you are still not satisfied with our decision when it has gone through our

    complaints procedure, you may make a complaint to the Director of Standards and

    Registrations.

    What if you still disagree with our decision and want to appeal?

    An appeal may only be made if the Registrar has made a decision. The Registrar does not

    become involved in making decisions on applications from overseas nurses and midwives

    until they have provided complete evidence that they have met our standard.

    When the Registrar has assessed this evidence (including supporting references for good

    health and good character) they will decide whether you may go onto our Register. If the

    Registrar turns down your application, you may appeal to our Council, whose decision is

    final. You must appeal in line with part 4 of the Registration Appeals of the NMC.

    19

    12. Useful contacts:

    NHS Careers

    PO Box 376

    Bristol

    BS99 3EY

    +44 845 6060 655

    www.nhscareers.nhs.uk

    NHS Careers International Nurses Advice Line

    + 44 8458 505888 (0900 to 1700 GMT only)

    British Council

    British Council Information Centre

    5th Floor, Bridgewater House

    58 Whitworth Street

    Manchester

    M1 6BB

    +44 161 957 7755

    www.britishcouncil.org

    International English Language Testing System (IELTS)

    www.ielts.org

    Work Permits UK

    DFEE

    Moorfoot

    Sheffield

    www.workingintheuk.gov.uk

    Praxis (support for refugees and asylum seekers)

    Pott Street

    London

    E2 0EF

    +44 20 7729 7985

    www.praxis.org.uk

    The Refugee Council

    Head Office

    240-250 Ferndale Road

    London

    SW9 8BB

    +44 20 7346 6700

    www.refugeecouncil.org.uk

    The information in this booklet is correct as of September 2008. Please check our website for

    updates.

    23 Portland Place, London W1B 1PZ

    +44 (0)20 7333 9333

    advice@nmc-uk.org


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