Begin your subsequent registration

Once you're on our register, you can apply to add another nursing, midwifery or nursing associate qualification to your existing registration. This is known as subsequent registration.

This guide is for people who want to add a qualification gained outside the UK. The steps are similar to our process for initial registration.

There's a different process if you want to register another qualification gained in the UK.

How to apply

You should read this guide in full to understand the evidence you need to support your application before you begin.

Once you're ready, you can begin your application in your NMC Online account.

• Log in to your NMC Online account
• Select ‘Add an Overseas Qualification’ from the 'My registration' menu

Then follow the steps to begin your application and submit your evidence.

Who can apply

To add a qualification that you gained outside the UK you must have:

• an active NMC registration
• an NMC Online account or be able to create one using your Pin number
• a qualification that would allow you to register in your country of training.

If you didn't register the qualification in your country of training, but were able to use the qualification to register in another country please contact us before applying.

Types of qualifications you can add

You can apply to add another nursing, midwifery or nursing associate qualification to your existing registration record.

For example, if you're currently on our register as a registered adult nurse, you could add a children’s nursing qualification.

You cannot add clinical specialisms such as neonatal nursing, cancer nursing or critical care nursing though.

You also cannot use the same qualification you used before to join a different part of our register. You need to have completed another course that would allow you to register in your country of training.

If you did a combined programme, please contact us before applying.

Choosing a field of nursing

If you're adding a nursing qualification, we'll ask you to choose the relevant field of nursing. 

Your qualification doesn’t need to be specific to the field of nursing you are applying to, but you’ll need to complete the specific Test of Competence to show you have the relevant knowledge and skills for the field you choose.

Your qualification must be different to the one you used before to join another part of our register.

Costs

The total cost of fees and tests is £1,040.

This includes the cost of the CBT and OSCE if you need to take the Test of Competence, but doesn't include the cost if you need to resit tests. 

Breakdown of costs

Qualification evaluation fee - £140.
Paid to NMC on submission of eligibility and qualification application. This fee is non-refundable.

Computer based test (CBT) cost - £83.
Paid to test provider before test.

Objective structured clinical examination (OSCE) cost - £794.
Paid to test provider before exam.

Subsequent registration fee - £23.
Paid to NMC on submission of registration application. This fee is refundable in certain circumstances.