Nursing and Midwifery Council (NMC)

Nursing and Midwifery Council (NMC)

The Test of Competence (ToC)

The Nursing and Midwifery Council (NMC), the professional regulator for nurses and midwives in the United Kingdom (UK) has approved the development and administration of a two part test of competence for nurses and midwives seeking registration in the UK.

The first of these tests is a computer based test (CBT) and can be undertaken at various Pearson VUE test and professional centres.

Overview of the registration process for the TOC

Registration process
  1. Submit application for registration to the NMC
  2. Declare you meet all of the NMC’s eligibility requirements to take the Test of Competence
  3. Receive confirmation of eligibility and authorisation to test from the NMC
  4. Register and pay to take the test with Pearson VUE


Scheduling/booking a CBT test

Once the NMC has confirmed your eligibility and you have received your authorisation to test (ATT), you may book your CBT online or over the phone.

You must take the test within the validity dates of your ATT. These dates can only be extended by the NMC. Appointments can be made up to one business day in advance.

Attention: Please make sure that you check your spam and junk folders at it is possible that candidate correspondence from Pearson VUE could automatically go to one of these folders. All correspondence from Pearson VUE will end with “”.

Test accommodations or reasonable adjustments for the CBT.

Pearson VUE and the NMC is committed to ensuring access for all individuals with disabilities. Depending on your geographical region, reasonable adjustments may also be known as “special arrangements” or “test accommodations”.

Pearson VUE provides reasonable adjustments when possible to individuals with documented disabilities, who demonstrate a need.

Temporary personal circumstances which might affect a candidate’s performance (other than disabilities covered in the Equality Act 2010) will not usually be taken into account.

Last updated 2018-04-23