NMC
UK nurses and midwives
- Listening
- B (350)
- Reading
- B (350)
- Writing
- C+ (300)
- Speaking
- B (350)
Two sittings can be combined within 12 months of each other. Take all four sub-tests each time; OET only. Results valid for 2 years.
OET has no overall score: each sub-test gets a score from 0–500 and a letter grade. Most nurse regulators below ask for B (350) in Listening, Reading and Speaking, and C+ (300) in Writing. The GMC asks for B in all four.
Each sub-test is reported separately in steps of 10, with a grade from A (highest) to E (lowest).
The scores below are minimum requirements for each sub-test.
| Regulator / who it is for | Listening | Reading | Writing | Speaking | Notes |
|---|---|---|---|---|---|
| NMCUK nurses and midwives | B (350) | B (350) | C+ (300) | B (350) | Two sittings can be combined within 12 months of each other. Take all four sub-tests each time; OET only. Results valid for 2 years. |
| GMCUK doctors | B (350) | B (350) | B (350) | B (350) | Medicine version. All four B grades from the same test, in your most recent sitting. Certificates valid for up to 2 years. |
| NMBIIreland nurses and midwives | B (350) | B (350) | C+ (300) | B (350) | Results must be less than 2 years old. Combined results and OET@Home are not accepted. |
| Nursing Council NZNew Zealand nurses | B (350) | B (350) | C+ (300) | B (350) | Sittings can be combined if the required scores are reached within 12 months of the first sitting. OET@Home is not accepted. |
| ECFMGUSA doctors · 2027 Pathways | B (350) | B (350) | C+ (300) | B (350) | OET Medicine. Reach all required scores in one test administration. |
| AustraliaAHPRA / NMBA / Medical Board | Check AHPRA's Accepted English language tests page; we could not verify the current figures on 27 October 2026. | ||||
UK nurses and midwives
Two sittings can be combined within 12 months of each other. Take all four sub-tests each time; OET only. Results valid for 2 years.
UK doctors
Medicine version. All four B grades from the same test, in your most recent sitting. Certificates valid for up to 2 years.
Ireland nurses and midwives
Results must be less than 2 years old. Combined results and OET@Home are not accepted.
New Zealand nurses
Sittings can be combined if the required scores are reached within 12 months of the first sitting. OET@Home is not accepted.
USA doctors · 2027 Pathways
OET Medicine. Reach all required scores in one test administration.
AHPRA / NMBA / Medical Board
Checked . Requirements change; confirm on the regulator's page before you book.
Two sittings can be combined within 12 months of each other, with all four sub-tests taken each time and OET results only. Results are valid for 2 years.
Check regulator guidance →Sittings can be combined if the required scores are reached within 12 months of the first sitting.
Check regulator guidance →Combined results are not accepted. Results must be less than 2 years old.
Check regulator guidance →Coming soon to the App Store and Google Play

Grade B means a score of 350 or above in a sub-test. OET reports each sub-test separately; there is no overall score.
Yes, for Writing only. The NMC requires C+ (300 or above) in Writing and B (350 or above) in Listening, Reading and Speaking.
The NMC allows two sittings within 12 months of each other, with all four sub-tests taken each time and OET results only. NMBI does not accept combined results. Confirm the conditions with your regulator.
For the 2027 Pathways, ECFMG requires OET Medicine scores of 350 in Listening, 350 in Reading, 350 in Speaking and 300 in Writing, all in one test administration.