Nursing and Midwifery Board Registration Standard English Language Skills - April 2025

Sep 2, 2026

This document sets out the minimum English language test requirements for nursing and midwifery board registration. It specifies acceptable test types and the required overall and component scores for major examinations, including Cambridge C1 Advanced/C2 Proficiency, IELTS Academic, OET, PTE Academic, and TOEFL iBT. It also defines limits on how many test sittings are permitted within a 12-month period and the minimum scores allowed in each listening, reading, speaking, and writing component.

LanguageEnglish

CategoryExam

FormatPDF

Pages8

Reading Time20 min

AccessFree to download

Test requirements

Cambridge C1 Advanced/C2 Proficiency

IELTS Academic

OET

PTE Academic

TOEFL iBT

| Test | Overall score needed2 | Component scores needed | Test results accepted from
l one test sitting, or
l a maximum of two test sittings ina 12-month period only if: | | --- | --- | --- | --- | | Cambridge
(C1 Advanced or C2 Proficiency)
(Paper and computer attest centre only) | Minimum
score of 185 | Minimum overall score of 185 in each of the three components:
• listening
• reading
• speaking and minimum score of 176 in the one component of:
• writing. | l you are tested in all four components in each sitting
l you achieve a minimum score of 185 in each component for listening, reading and speaking and a minimum score of 176 for writing across the two sittings, and
l when using two test sittings no score in any component of the test(s) for either test sitting is below 176. | | IELTS
(Academicpaper and computer attest centre only) | Overall score of 7 | Minimum score of 7 in each of the three components:
• listening
• reading, and
• speaking. and minimum score of 6.5 in the one component:
• writing. | l you achieve a minimum overall score of 7 in each sitting, and
l you achieve a minimum score of 7 in each component for listening, reading and speaking and a minimum score of 6.5 for writing across the two sittings, and
l when using two test sittings no score in any component of the test(s) for either test sitting is below 6.5. | | OET (on paper or computer based in testing centre)(any profession specific OET test can be accepted) | | Minimum score of B in each of the three components:
• listening
• reading
• speaking and minimum score of C+ in the one component:
• writing. | l you are tested in all four components in each sitting, and
l you achieve a minimum score of Bin each component for listening, reading and speaking and a minimum score of C+ for writing across the two sittings, and
l when using two test sittings no score in any component of the test(s) for either test sitting is below C+ . | | PTE Academic
(computer attest centre only) | Minimum overall score of 66 | Minimum score of 66 in each of the three communicative skills:
• listening
• reading
• speaking and minimum score of 56 in one communicative skill:
• writing | l a minimum overall score of 66 is achieved in each sitting, and
l you achieve a minimum score of 66 in each of the communicative skills of listening, reading and speaking and a minimum score of 56 in writing across the two sittings, and
l when using two test sittings no score in any of the communicative skills for either test sitting is below 56. | | Test | Overall score needed2 | Component scores needed | Test results accepted from
l one test sitting, or
l a maximum of two test sittings ina 12-month period only if: | | --- | --- | --- | --- | | TOEFL iBT
(computer attest centre only) | Minimum total score of 94 | • 24 for listening
• 24 for reading
• 24 for writing, and
• 23 for speaking | l a minimum total score of 94 is achieved in each sitting, and
l you achieve a minimum score of 24 for listening, 24 for reading, 24 for writing and 23 for speaking across the two sittings, and
l when using two test sittings no score in any of the test sitting sections is below:
• 20 for listening
• 19 for reading
• 24 for writing, and
• 20 for speaking. |

FAQs

Which English language tests are accepted for registration standard requirements?

The document lists Cambridge (C1 Advanced or C2 Proficiency), IELTS Academic, OET, PTE Academic, and TOEFL iBT as accepted tests (with specified testing centre conditions).

What overall and component score targets are required for IELTS Academic?

IELTS Academic requires an overall score of 7, with minimum component scores of 7 for listening, reading, and speaking, and 6.5 for writing.

How are multiple test sittings within a 12-month period handled?

Acceptance allows either one test sitting or a maximum of two sittings within 12 months, provided the required overall/component thresholds are met and no component score for either sitting falls below the stated minimum.

Sep 2, 2026

Uploaded by Lucas Vance