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Do I need a UK employer before sitting OSCE?

Almost always yes. OSCE is sat in the UK at an approved test centre, and most nurses arrive on a Health & Care Worker visa sponsored by an NHS or private employer.

Verified answerAnswered by Pathway advisorΒ· Last reviewed 24 Apr 2026

The answer

OSCE (Test of Competence Part 2) is taken inside the UK at NMC-approved centres β€” Oxford, Dundee, and London Northwick Park are the main ones. You travel to the UK to sit it.

For the vast majority of African candidates that travel happens on a Health & Care Worker visa, which requires a Certificate of Sponsorship (CoS) from a UK-based employer (NHS trust or qualifying private body). Without an employer, you generally cannot enter the UK as a working candidate to sit OSCE.

Most UK employers also fund the OSCE fee, the prep course, accommodation, and flights as part of their international-recruitment package. Confirm this in writing before signing.

There are rare visitor-visa routes for self-funded candidates, but the path is narrow and the visa rules can change β€” confirm directly with NMC and UK Visas & Immigration.

If that was confusing, here it is in plain English

OSCE is in the UK. UK = needs a visa. Visa for nursing = needs a UK employer who sponsors you. So: find the employer, then sit OSCE.

Your next step

Open the NMC OSCE guide and the UK pathway page for the employer-search flow.

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