General Enquiry


General Enquiry





Here at Optima we understand that moving to the UK to progress your nursing career is a life changing experience. The opportunity to do so offers an enormous amount of potential for you and your family however we appreciate that it may be stressful. Our recruitment consultants are here to make the transition go as smoothly as possible!

We work with Employers across the UK who are fully vetted and compliant with UK procedures.

We are able to communicate with you via various methods including telephone, email and via Skype.


We also provide:


A full information pack detailing information about the employer and the location in which they are based to support your choice. We know how important it is to be sure that you and your family will be happy and settled in the location you are moving to.

We provide application support and interview tips as well as a training program to assist you with your IELTS, CBT & OSCE*.

We provide guidance with your NMC application, Visa application support and help with getting your National Insurance number.

We also guide you through the process by arranging your flights, transfers and accommodation! You will be met at the airport and chauffeured to your accommodation.

As part of the process there are two items that you will need to fund yourselves, which are to pay for the IELTS UKVI test £249 & NMC initial registration £140. These payments only come at the relevant part of the process, not upfront, and are paid directly to the relevant body. Never to Optima.

Not only do you not pay for the process, but your relocation is even paid for on your behalf! This includes your flight to the UK as well as your first month’s accommodation! The employer will be paying and supporting the rest of the process.


The process


Pre – Screen: – Telephone contact to assess your suitability by checking skills, Qualifications, Experience, IELTS test level

Interview: – Via skype and further discussion around your experience

Compliance: – Passport, Proof of address, NBI (police check), References, Nursing Degree

CBT: – Computer Based Training

Visa Application: – We will guide you through the visa application process to enable you to live and work in the UK

Arrive in UK: – You will be met and chauffeured to your accommodation

Induction: – Induction with your new employer

OSCE: – Practical assessment, we will guide and train you prior to assessment

NMC pin: – Receive your NMC pin as a fully registered nurse


Start Your Journey today

Recruitment of overseas nurses


Nurses have trained outside the European Economic Area (EEA) and want to work in the UK as a registered nurse must gain professional registration with the Nursing and Midwifery Council (NMC). Applicants are tested for competence through a two-part process to gain registration.

  • Part one – computer-based multiple-choice examination which is accessible around the world for applicants to access in their home countries.
  • Part two – practical objective structured clinical examination (OSCE) which will always be held in the UK.

The immigration rules changed in March 2015 to allow for an individual nurse to come to the UK to prepare for the OSCE.


Rules for employers and overseas nurse applicants


  • All overseas applicants need to pass a computer-based test (CBT) and comply with all other initial requirements of the NMC overseas nursing process (including achieving level seven IELTS) to be eligible to sit the OSCE and complete their registration. In June 2016, the NMC issued guidance on how an overseas applicant can meet the required level of seven in the IELTS exam.
  • An individual entering the UK to take a nursing role has up to three months from the employment start date noted on the certificate of sponsorship (CoS) to sit the OSCE exam. During this period, they can be legally employed as a pre-registration candidate.
  • Employers must ensure that before a certificate of sponsorship is applied for:
    • the individual has passed part one of the NMC test of competence
    • the individual has been issued with an offer of employment, and
    • the individual has achieved a level 7.0 in the IELTS exam.
  • In any applications for restricted certificates of sponsorship, you are required to send the following evidence in support of the application:
    • a copy of the employment offer letter
    • a copy of the email confirmation from the NMC to show the individual has passed the CBT, and
    • evidence that a Resident Labour Market Test (RLMT) has been carried out.
  • The general Tier 2 minimum salary requirement of £20,800 is temporarily removed in these circumstances, though employers are still advised to place nurses in an interim position with a salary at least equivalent to that of a band 3 role.
  • Applicants may sit the OSCE up to three times as part of one application (applies to applications started after 06 April 2017).
    If an applicant is unsuccessful at their first OSCE, they must wait a minimum of 10 working days before they can take the examination again.
  • If an applicant is unsuccessful at their second OSCE, they must wait a minimum of three months from the date of their second attempt before they can take the OSCE for the third time.
  • If the applicant is unsuccessful after their permitted attempts, the employer must stop sponsoring them and as a result their leave to remain period will be shortened.
  • Upon successful completion of the OSCE and awarding of NMC registration, employers need to commit to ongoing employment of the individual as a registered nurse on a salary of at least £20,800.
  • Employers must be able to provide evidence of the above arrangement if requested.

Employers or individuals with queries about individual NMC registrations are advised to contact the NMC directly.


Nursing included on shortage occupation list


Nursing was added to the shortage occupation list on 15 October 2015 but in a change to the rules, employers have been required to still carry out a RLMT before recruiting a non-EEA nurse from 24 November 2016. Find out more information in our Tier 2 policy changes section.

The continuation of nursing on the shortage occupation list means:

  • applications for restricted certificates of sponsorship (RCoS) will be prioritised by the UK Visas and Immigration (UKVI) points allocation system – increasing the likelihood of nursing applications being granted
  • the requirement to earn £35,000 or more to qualify for permanent settlement in the UK (indefinite leave to remain) will not apply to individuals for whom nursing has appeared on the shortage occupation list at any time during their employment in a nursing role – they will still need to meet all the other settlement criteria.


Applying for a certificate of sponsorship – need to know


  • The first allocation panel to consider nurses as a shortage occupation was in December 2015.
  • The Home Office has been clear that employers must only apply for certificates when you need them and when you are certain they will be used. The individual being sponsored must have a job offer from you and either:
    • have obtained full registration with the Nursing and Midwifery Council
    • have passed the NMC’s CBT of competence (part one)
    • have obtained the NMC’s permission before 30 April 2015 to undertake the overseas nursing programme, and be sponsored to undertake a supervised practice placement as part of the programme, which has been approved by the Nursing and Midwifery Council.
  • You are required to provide evidence of the above in any applications for restricted certificates of sponsorship. You must send a copy of the employment offer letter and a copy of the email confirmation from the NMC to show the individual has passed the CBT. This evidence should be sent to to support your application.

We are still working within an overall cap of certificates. The inclusion of nursing is likely to have an impact on the success of other applications from health and other business, its therefore really important that we uphold these requirements from the Home Office to ensure we do not create a surplus of unused certificates.


Overseas NMC registration process


This page provides information for employers about the Nursing and Midwifery Council’s (NMC) registration process for nurses and midwives trained outside of the European Economic Area (EEA).

Click on the links below for further information about the NMC registration process:

For more information on the objective structured clinical examination (OSCE) process, please visit our OSCE page.


The NMC registration process


All nurses and midwives trained outside of the EEA are tested for competence through a two-part process as part of the NMC registration process:

  • part one – this is a computer-based, multiple-choice examination which is accessible by applicants in their home countries
  • part two – this is a practical objective structured clinical examination (OSCE) which is always held in the UK.

As well as the test of competence, overseas applicants are required to have achieved level 7.0 of the international English language testing system (IELTS) before starting the NMC registration process. Further details of the full process can be found on the NMC website.


Overseas registration – avoiding common application errors


In June 2015, the NMC released an update on progress of the new overseas registration process. It includes the most common errors in application forms, which can cause significant delays to the overall registration timeline. Employers can play an important role in helping applicants to understand the registration process and to avoid delays in the process caused by mistakes made in applications.

The NMC runs a dedicated employer helpline to answer questions about the overseas registration process – please phone 020 7681 5954. The NMC’s website also has a useful list of frequently asked questions about the overseas registration process.

Applicants with individual queries about the status of their registration are advised to contact the NMC directly.

For more information about general visa requirements, please visit our Tier 2 visas, immigration points-based system and employer sponsorship web pages.


Optima Nursing & Care Service LTD
9 & 10 Ridge House,
Ridge House Drive,
Festival Park,

Office: +44 (0) 1782 409 333
Fax: +44 (0) 1782 631 991