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Scores & requirements

OET score requirements: Grade B, C+ and what each regulator asks for

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.

Understand your result

OET scores and grades

Each sub-test is reported separately in steps of 10, with a grade from A (highest) to E (lowest).

Choose your regulator

OET score requirements by regulator

The scores below are minimum requirements for each sub-test.

Regulator requirements · Checked 27 October 2026
Regulator / who it is forListeningReadingWritingSpeakingNotes
NMCUK nurses and midwivesB (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 doctorsB (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 midwivesB (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 nursesB (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 PathwaysB (350)B (350)C+ (300)B (350)OET Medicine. Reach all required scores in one test administration.
AustraliaAHPRA / NMBA / Medical BoardCheck AHPRA's Accepted English language tests page; we could not verify the current figures on 27 October 2026.

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.

GMC

UK doctors

Listening
B (350)
Reading
B (350)
Writing
B (350)
Speaking
B (350)

Medicine version. All four B grades from the same test, in your most recent sitting. Certificates valid for up to 2 years.

NMBI

Ireland nurses and midwives

Listening
B (350)
Reading
B (350)
Writing
C+ (300)
Speaking
B (350)

Results must be less than 2 years old. Combined results and OET@Home are not accepted.

Nursing Council NZ

New Zealand nurses

Listening
B (350)
Reading
B (350)
Writing
C+ (300)
Speaking
B (350)

Sittings can be combined if the required scores are reached within 12 months of the first sitting. OET@Home is not accepted.

ECFMG

USA doctors · 2027 Pathways

Listening
B (350)
Reading
B (350)
Writing
C+ (300)
Speaking
B (350)

OET Medicine. Reach all required scores in one test administration.

Checked . Requirements change; confirm on the regulator's page before you book.

Regulator sources

Planning your tests

Combining sittings and validity

NMC · 12 months / 2 years

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 →

New Zealand · 12 months

Sittings can be combined if the required scores are reached within 12 months of the first sitting.

Check regulator guidance →

NMBI · no combined results

Combined results are not accepted. Results must be less than 2 years old.

Check regulator guidance →
OET TIP practice

See an estimated grade before test day

  • Estimated grade and criteria points for Writing and Speaking
  • A practice estimate, not an official score

Coming soon to the App Store and Google Play

Estimated Writing grade and criteria points
FAQ

Questions

What does OET Grade B mean?

Grade B means a score of 350 or above in a sub-test. OET reports each sub-test separately; there is no overall score.

Is C+ enough for the NMC?

Yes, for Writing only. The NMC requires C+ (300 or above) in Writing and B (350 or above) in Listening, Reading and Speaking.

Can I combine OET results from two tests?

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.

What score does ECFMG need?

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.