UK Nurse Registration for Irish Nurses
Ireland is one of the closest and most straightforward routes onto the UK nursing register. Irish-trained general nurses hold an EU-recognised qualification, and Irish citizens can already live and work in the UK under the Common Travel Area — so for many the process is shorter than for other internationally-educated nurses.
An Irish-trained nurse can usually join the UK NMC register without the CBT or OSCE, because a general-care Irish qualification meets the EU automatic-recognition standard. Irish citizens also work in the UK under the Common Travel Area, so no Health and Care Worker visa is needed. Confirm your exact position with the NMC. Source: NMC (nmc.org.uk). Information as of 2026-07.
At a glance
The key facts for a nurse who trained in the Republic of Ireland.
- Regulator you register from
- NMBI (Nursing and Midwifery Board of Ireland)
- UK registration route
- EU automatic recognition — often no CBT/OSCE
- English test
- Usually exempt (majority English-speaking)
- Right to work in the UK
- Common Travel Area — no visa for Irish citizens
- Typical starting NHS band
- Band 5 — indicatively £29,970–£36,483 a year (NHS Agenda for Change, England, 2024/25)
Your route to the UK register
EU/EEA-trained general nurses can use the automatic-recognition route, which is often shorter than the full overseas process.
EU automatic-recognition route
General-care ("adult") nursing qualifications that meet the EU automatic-recognition requirements are recognised by the NMC without the Test of Competence — that means no CBT and no OSCE. If the NMC finds gaps between your training and UK standards, it may ask you to complete an aptitude test or Test of Competence, so check how your specific qualification is assessed.
Your regulator and qualification
The NMC assesses your registration with the Nursing and Midwifery Board of Ireland (NMBI — Bord Altranais agus Cnáimhseachais na hÉireann) and your nursing qualification. Keep your certificates, transcripts and registration evidence organised — verification by your institution and regulator is often the stage that determines your timeline.
How you apply for a role
You apply directly, on your own account, to NHS trusts and other licensed UK employers. Gera does not recruit, place, match or sponsor — this is information only, to help you approach the process yourself.
The NMC pathway, step by step
Even on the recognition route it helps to understand the full six-stage pathway — the stages the NMC may still apply if it finds gaps in your qualification.
- 1
Create an NMC account and check eligibility
You begin by opening an account on the NMC online portal and completing an eligibility self-assessment. The NMC checks that your nursing qualification and clinical experience map to a UK part of the register (for example, Registered Nurse — Adult). You will need your qualification certificates, transcripts, and proof of registration with the nursing regulator in your country of training.
- 2
Provide evidence of English language competence
You must show the NMC that your English meets the required standard — normally an IELTS Academic or OET result, unless you qualify for an exemption (for example, a nursing qualification that was taught and examined in English, or recent registration/practice in a majority English-speaking country). The exact accepted routes and scores are published by the NMC and are summarised on our English requirements page.
- 3
Pass the Computer Based Test (CBT) — Test of Competence Part 1
The CBT is the first part of the NMC Test of Competence. It is a multiple-choice exam delivered at Pearson VUE test centres in many countries (and, for some parts, remotely). It has a numeracy section and a clinical section based on the standards expected of a UK-registered nurse. You can sit the CBT from your home country before travelling to the UK.
- 4
Submit your registration application and supporting documents
You complete the full NMC application, upload your qualifications, and arrange for your training institution and regulator to verify your records and provide references. The NMC assesses your documents, identity, health and character declarations. This is the stage where most timelines vary, so keep your paperwork complete and responsive.
- 5
Pass the OSCE — Test of Competence Part 2
The Objective Structured Clinical Examination (OSCE) is taken in person at an approved test centre in the UK. It assesses whether you can apply nursing knowledge safely across assessment, planning, implementation and evaluation, plus practical clinical skills. Many internationally-educated nurses arrive in the UK on a role that supports OSCE preparation and sit the OSCE within their first weeks.
- 6
Pay the registration fee and receive your NMC PIN
Once every requirement is met, you pay the NMC annual registration fee and are entered on the register. You receive an NMC PIN, which is the number that confirms you are a registered nurse in the UK and can practise. Registration is then renewed each year, with revalidation every three years.
English language
You may be exempt from an English test
Ireland is a majority English-speaking country, so Irish-trained nurses are normally exempt from sitting IELTS or OET. The NMC sets and periodically reviews which countries it treats as majority English-speaking and the recency rules — confirm your exemption with the NMC before applying.
Right to work in the UK
Visa and sponsorship
Irish citizens do not need a Health and Care Worker visa or employer sponsorship: the Common Travel Area between the UK and Ireland gives Irish citizens the right to live and work in the UK. This is separate from Brexit and continues to apply. If you are not an Irish citizen, normal UK immigration rules apply.
Typical NHS band and pay
Where you start
Newly registered nurses in England normally start on Agenda for Change Band 5 — indicatively £29,970–£36,483 a year (NHS Agenda for Change, England, 2024/25). Pay is negotiated and updated each year, and Scotland, Wales and Northern Ireland run separate scales — treat these as indicative snapshots and confirm the current figures.
Indicative NMC cost
What the NMC process costs
If your qualification meets the EU automatic-recognition requirements, the NMC indicates a total of about £293 — a £140 assessment fee plus the £153 initial registration fee — with no CBT or OSCE fee. Figures are set by the NMC and change; confirm the current amounts at nmc.org.uk before you budget.
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We are not a recruitment agency and never charge nurses a placement fee. The checklist is general information, not immigration advice.
Frequently asked questions
Can a Irish-trained nurse work in the UK?+
Yes. Nurses who trained in the Republic of Ireland can practise in the UK once they join the NMC register. As an EU/EEA-trained general nurse you may qualify for automatic recognition, which can remove the CBT and OSCE. Ireland is an EU/EEA country and is not on the WHO 2023 Health Workforce Support and Safeguards List or the UK Code of Practice amber list (which currently lists only Kenya and Nepal). This page is general pathway information; you apply on your own account.
Do Irish-trained nurses still have to sit the CBT and OSCE?+
General-care ("adult") nursing qualifications that meet the EU automatic-recognition requirements are recognised by the NMC without the Test of Competence — that means no CBT and no OSCE. If the NMC finds gaps between your training and UK standards, it may ask you to complete an aptitude test or Test of Competence, so check how your specific qualification is assessed.
What English evidence do Irish-trained nurses need for the NMC?+
Ireland is a majority English-speaking country, so Irish-trained nurses are normally exempt from sitting IELTS or OET. The NMC sets and periodically reviews which countries it treats as majority English-speaking and the recency rules — confirm your exemption with the NMC before applying.
Do I need a visa to work as a nurse in the UK?+
Irish citizens do not need a Health and Care Worker visa or employer sponsorship: the Common Travel Area between the UK and Ireland gives Irish citizens the right to live and work in the UK. This is separate from Brexit and continues to apply. If you are not an Irish citizen, normal UK immigration rules apply.
What does NMC registration cost for a Irish nurse?+
If your qualification meets the EU automatic-recognition requirements, the NMC indicates a total of about £293 — a £140 assessment fee plus the £153 initial registration fee — with no CBT or OSCE fee. Figures are set by the NMC and change; confirm the current amounts at nmc.org.uk before you budget.
Does Gera place Irish-trained nurses into NHS jobs?+
No. Gera is not a recruitment agency. We do not place nurses, do not match you to specific vacancies, and never charge you a fee. This page is free information. You apply directly and on your own account to NHS trusts and other licensed employers, and any visa sponsorship comes from that employer.
What would I earn once registered?+
A newly registered nurse in England normally starts on NHS Agenda for Change Band 5 — indicatively £29,970 to £36,483 a year for 2024/25, plus a High Cost Area Supplement for London roles. See the NHS pay bands page for the full, sourced breakdown.
Pathway information for other countries
We publish country pages only for source countries that are not on the WHO 2023 Safeguards (red) List or the UK amber list. We do not actively recruit from any WHO-safeguard-list country.
More UK nurse-registration guides
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Important — please read
This is general information to help internationally-educated nurses understand the UK registration pathway. It is not recruitment, immigration or legal advice. Gera is not a recruitment agency: we do not place nurses into NHS jobs, do not match candidates to specific vacancies, and never charge a nurse a placement fee. You apply on your own account, directly to NHS trusts and other licensed employers. Requirements, fees and pay scales change — always confirm the current position with the NMC (nmc.org.uk), UK Visas and Immigration (gov.uk) and NHS Employers (nhsemployers.org).