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Can a US RN Work in England?

Published in International Nursing Careers 4 mins read

Yes, a US Registered Nurse (RN) can absolutely work in England, provided they meet the necessary registration, visa, and employment requirements set by the UK authorities. The United Kingdom actively recruits international healthcare professionals, and nursing is consistently on the UK's Shortage Occupation List, which can be an advantage for applicants.

Pathways for US RNs to Work in England

Working as a registered nurse in England involves a structured process that ensures international nurses meet the high standards of care expected within the UK healthcare system, including the National Health Service (NHS).

Key Requirements for US RNs

To practice nursing in England, US RNs must first register with the Nursing and Midwifery Council (NMC), which is the regulatory body for nurses and midwives in the UK. This process typically involves several key stages:

  • NMC Application: Submit an online application to the NMC, providing details of your nursing qualifications and experience.
  • English Language Proficiency: Demonstrate your English language skills by achieving the required scores in either the International English Language Testing System (IELTS) or the Occupational English Test (OET).
  • Competence Test: This usually consists of two parts:
    • Computer-Based Test (CBT): A multiple-choice exam testing theoretical nursing knowledge.
    • Objective Structured Clinical Examination (OSCE): A practical exam assessing clinical skills in a simulated environment, often taken upon arrival in the UK.
  • Health and Character Declaration: Provide declarations confirming your good health and character, including a criminal record check.

UK Visa Options for Nurses

Once NMC registration is underway or complete, the next crucial step is securing the appropriate visa to live and work in the UK. For nurses, the primary options are the Health and Care Worker visa or the Skilled Worker visa.

Visa Type Key Features Benefits for Nurses
Health and Care Worker Visa Specifically designed for qualified health and care professionals who have a job offer from an approved UK employer (e.g., NHS trusts, private hospitals). Faster processing, usually no Immigration Health Surcharge, pathway to indefinite leave to remain. Allows work within the NHS.
Skilled Worker Visa A broader visa category for individuals with a job offer in an eligible skilled occupation from a licensed sponsor. Offers flexibility for various skilled roles. Nursing is an eligible occupation and on the Shortage Occupation List, which can aid applications.

The Health and Care Worker visa is particularly beneficial for nurses as it allows you to work directly with the NHS, the UK's publicly funded healthcare system, or other approved healthcare providers. The fact that nursing is on the UK's Shortage Occupation List means that it is easier for employers to sponsor nurses for these visas, offering a significant advantage during the application process.

Finding Employment in England

The demand for nurses across the UK is high, offering numerous opportunities for qualified US RNs.

  • NHS Trusts: The NHS is the largest employer of nurses in the UK. Many NHS trusts actively recruit international nurses and may offer sponsorship for visas.
  • Private Healthcare Providers: Private hospitals, clinics, and care homes also offer roles for registered nurses.
  • Recruitment Agencies: Specialized healthcare recruitment agencies can assist US RNs in finding suitable positions, navigating the application process, and even providing support with relocation.

Practical Steps for US RNs Considering England:

  1. Research Thoroughly: Understand the full NMC registration process and visa requirements.
  2. Prepare Documentation: Gather all necessary academic transcripts, professional licenses, and identity documents.
  3. Language Test: Book and pass the IELTS or OET with the required scores.
  4. NMC Application: Start your NMC application as early as possible via their official website.
  5. Job Search: Begin looking for nursing vacancies on platforms like NHS Jobs, major private hospital career pages, or reputable recruitment agencies.
  6. Visa Application: Once you have a Certificate of Sponsorship from a UK employer, apply for your chosen visa.

By meticulously following these steps and meeting the necessary criteria, a US Registered Nurse can successfully transition to working in England and contribute to its diverse healthcare landscape.