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NMC SIFE FAQs: Guidance for Employers

The Nursing and Midwifery Council (NMC) has introduced additional supporting information called SIFE, which applicants can provide as evidence that they meet the NMC's English language requirements.

SIFE can be used by applicants who have worked for 12 months in non-registered practice in a health and social care setting in the UK and either trained in English but in a country where English is not the majority spoken language, or missed the required score by 0.5 (IELTS) or half a grade (OET) on one of the four language domains. SIFE can only be used as supplementary evidence by those who trained and qualified in a country where English is not a majority spoken language.

The SIFE form can evidence listening and speaking competence, while a transcript from the educational institution that delivered the training is required as evidence of writing and reading competence. Applicants who narrowly missed out on the required test score by 0.5 (IELTS) or half a grade (OET) in one of the four language domains and who have exhausted test combining options will be able to use SIFE as additional evidence to support their application from summer 2023.


You can find an extensive list of FAQs regarding the use of the SIFE route on the NMC website here.

Go to the NMC website

If you are an employer within the NHS or Private Healthcare and require advice on collation of supporting information for one of your candidates eligible to register with the NMC using the SIFE route please contact

Written by Peter Rodway

Peter works with NHS England, NHS Trusts, CCGs and international partners to create and deliver English language training that enables overseas doctors and nurse to pass the OET and IELTS tests they need to work in the UK, so helping alleviate unprecedented staff shortages and ensuring patients and their families get the support they need. Peter has worked for over 15 years in English teaching, teacher training, school management and commercial director roles. He founded SLC in 2012 to use his experience to bring high quality, impactful, technology-enhanced training to those sectors where effective communication is critical.

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