Nigerian Nurses Coming to the UK: Complete 2026 Guide

NMC CBT exam, OSCE, OET test, Skilled Worker visa and salary guide. Everything you need to work as a nurse in the UK from Nigeria.

Updated June 2026 NMC Registered Pathway Skilled Worker Visa NHS Band 5 to Band 7
Quick summary: Nigerian nurses can work in the UK on a Skilled Worker visa. You need to pass the NMC CBT (computer-based test), an English test (OET or IELTS UKVI), secure a sponsoring employer, then pass the OSCE (Observed Structured Clinical Examination) in the UK to gain full NMC registration. The full process typically takes 6 to 18 months.

Step-by-step pathway for Nigerian nurses

1

Verify your Nigerian nursing qualification

The NMC accepts degrees from recognised Nigerian nursing schools. You must hold a degree-level qualification (BSc Nursing or equivalent). A diploma may need additional top-up training. Check the NMC website for your specific qualification category.

2

Pass an approved English language test

You need either OET (Grade B in all four skills: Listening, Reading, Writing, Speaking) or IELTS UKVI Academic (7.0 overall, minimum 6.5 in each element). OET is designed for healthcare professionals and uses clinical scenarios, so many Nigerian nurses find it more relevant.

3

Apply to the NMC and pass the CBT

Submit your NMC application with your qualification documents and English test results. If approved, you will sit the NMC CBT, a computer-based nursing knowledge test available at test centres in Nigeria (Lagos and Abuja) as well as the UK.

4

Find a UK employer who can sponsor you

Your employer must hold a Skilled Worker sponsor licence. NHS Trusts, private hospitals and care providers can sponsor Nigerian nurses. They issue a Certificate of Sponsorship (CoS) tied to your job offer. Use VisaPath Pro's COS Jobs tool to find verified sponsors.

5

Apply for your Skilled Worker visa

With a CoS from your employer and a conditional NMC offer, you apply for a Skilled Worker visa. Processing takes 3 to 8 weeks. The current visa application fee (2026) is £1,420 for up to 3 years. Your employer may cover this cost, especially NHS Trusts.

6

Complete your OSCE in the UK

After arriving, you work under supervision and complete the Objective Structured Clinical Examination (OSCE). This is a practical clinical skills test held at approved test centres. On passing, the NMC grants full registration and you can practise independently.

English test requirements for Nigerian nurses

TestMinimum ScoreValidityNotes
OET (Occupational English Test)Grade B in all 4 skills2 yearsHealthcare-specific scenarios. Recommended for nurses.
IELTS UKVI Academic7.0 overall, 6.5 in each2 yearsGeneral academic format. Accepted by NMC.
PTE Academic UKVI65 overall, 59 in each2 yearsComputer-based. Less common for nursing.
LanguageCert SELTB2 in all skills2 yearsAccepted for NMC and visa purposes.

NHS salary bands for nurses in the UK (2026)

BandRoleSalary RangeLondon Supplement
Band 5Registered Nurse (newly qualified)£29,970 to £36,483+£5,132
Band 6Specialist / Senior Nurse£37,338 to £44,962+£5,765
Band 7Advanced Nurse Practitioner£46,148 to £52,809+£6,469
Band 8aNurse Consultant / Lead£53,755 to £60,504+£7,128
Important: Nigerian nurses arriving in the UK as Band 5 often progress to Band 6 within 2 to 3 years with experience and further training. The NHS also offers a clinical career ladder, preceptorship programmes and CPD funding.

NMC CBT exam: what to expect

The NMC CBT is a 120-question multiple choice exam covering nursing knowledge across four domains: professional values, communication, nursing practice and leadership. You have 3 hours and 15 minutes to complete it. The pass mark is approximately 60%. VisaPath Pro has over 3,200 practice exam questions including CBT-style nursing questions.

CBT test centres in Nigeria:
Lagos (Victoria Island) and Abuja. Available most weekdays. Book through Pearson VUE.
CBT results:
You receive results immediately at the test centre. A pass is valid for 2 years while you complete the rest of the NMC process.

Skilled Worker visa costs and requirements (2026)

CostAmountWho pays
Visa application fee (up to 3 years)£1,420Applicant or employer
Visa application fee (over 3 years)£2,770Applicant or employer
Immigration Health Surcharge (per year)£1,035Applicant
Biometric enrolmentIncludedApplicant
Certificate of SponsorshipEmployer coversEmployer

NHS Trusts commonly cover visa fees and the Immigration Health Surcharge as part of the recruitment package for international nurses. Always confirm this with your employer before applying.

Frequently asked questions

Can Nigerian nurses work in the UK without IELTS?
Yes. You can use OET instead of IELTS UKVI. OET (Occupational English Test) is specifically designed for healthcare professionals and is accepted by both the NMC and the Home Office for visa purposes. Many Nigerian nurses prefer OET because the content is clinical and more relevant to their work.
Can my family come with me to the UK?
Yes. Your spouse, civil partner and children under 18 can apply as Skilled Worker dependants. They can live and work in the UK while your visa is valid. Dependant visa fees apply separately per person.
How many years until I can apply for ILR (permanent residence)?
After 5 continuous years on a Skilled Worker visa, you can apply for Indefinite Leave to Remain (ILR). After a further year of ILR, you may be eligible for British citizenship, subject to the Life in the UK test and other requirements.
Do I need to take the Life in the UK test?
The Life in the UK test is required when you apply for ILR (indefinite leave to remain) after 5 years, not when you first arrive. It tests knowledge of British history, culture and values. VisaPath Pro has a full practice test module to help you prepare.
Which NHS Trust recruits the most Nigerian nurses?
Many NHS Trusts in England, Scotland and Wales actively recruit internationally. Trusts in London, Birmingham, Manchester and Leeds are particularly active. Use VisaPath Pro's COS Jobs tool to search by sector and city for verified nurse sponsoring employers.

Practice your NMC CBT and OET on VisaPath Pro

3,200+ exam questions covering NMC CBT, OET, IELTS UKVI, Life in the UK and more. Use our VisaScore tool to check your Skilled Worker visa eligibility before you apply.

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This page provides general information only and is not legal advice. Immigration rules change frequently. Always verify requirements on the official NMC website and GOV.UK before making decisions.