Return to practice: nursing

If you are no longer a registered nurse, there are three ways you can return:

• readmission
• a return to practice course
• a Test of Competence (ToC)

Readmission

You might be able to re-register with the NMC without doing a course or a test. You'll need:

• 450 registered practice hours over the last three years or 750 hours over the last five, including any practice hours gained on the COVID-19 temporary register 
• 35 hours of continuing professional development (CPD) in the last three years
• to provide three character references

You can apply directly through the NMC website or if you want to use hours worked through the COVID-19 temporary register, you'll need to email the NMC to request a readmission pack.

Further information on requirements and process is also available on the NMC website.

Return to practice course 

Depending on how long you have been out of practice, the course can take between three and 12 months to complete.

By the end, you'll have the skills and knowledge to be able to return with confidence.

Find out more on the Health Careers website  

NMC test of competence

You may find that the test of competence is a more appropriate route back into practice.

It’s made up of two parts:

• a multiple-choice computer based test (CBT)
• a practical test known as the Objective Structured Clinical Examination (OSCE)

Applying

You can apply through the NMC website. On the NMC website there are also lots of preparation materials and essential reading to help you prepare for the test.

Financial support

There is a cost for taking the test and the NHS will pay this but you may have to pay up front. You can then claim reimbursement once you have registered with the NMC and are in employment.

If you would like to find out more about returning to nursing please visit the Health Careers website.