Overseas applicants

What you need to know if you trained outside the UK, or are applying from abroad.

Start with the equivalence route

If you trained overseas, apply through the equivalence route. A later UK qualification does not automatically remove the requirements that relate to your original overseas qualification.

If you have mixed training and are unsure which qualification applies, ask the RCT.

Applying from outside the UK

You must be based in the UK to apply. You meet this if you live and work in the UK, or if you have a confirmed UK job. If you are applying from abroad with a job offer, send a signed copy of your job description with your application.

  • Proposers. You need two UK-based proposers. One must be your prospective line manager or head of department. The other must be able to comment on your scope and level of practice. At least one proposer should hold relevant professional registration, for example RCT, HCPC, EngC, GMC or NMC.
  • Supervision. If your new role is a supervised or training post, your employer arranges the supervision. The RCT does not approve posts. There is no minimum period of supervised UK practice.
  • Evidence of practice. Practice outside the UK is accepted as evidence on the same basis as UK practice.
  • Documents. Send your transcript and course curriculum with your application, not before.
  • English language. You need your English language test result when you apply. See the requirements below.
  • Guidance. Before you apply, the RCT’s guidance is limited to the requirements published on this website. Once you are ready to submit, the RCT can discuss your application with you.
  • After you register. RCT registration applies to practice in the UK only. If you later move overseas to work, this is treated as a career break.

Qualification comparison

Provide a UK ENIC statement of comparability for each overseas qualification you submit. The statement compares your qualification with UK levels. It is not evidence of English language ability.

Visit UK ENIC

English language evidence

The role of the RCT is to keep the public and patients safe. Therefore, the RCT requires a specific standard of English language proficiency to ensure that miscommunication between registrants and patients is prevented.

If you trained overseas and are not from a country the UK Home Office recognises as majority English-speaking, you must provide evidence of your English language ability.

You are exempt if you are a British citizen and provide proof, such as a UK passport, or if you have completed an undergraduate degree at a UK university and provide a certified copy of your certificate.

A UK Master’s degree or other postgraduate course does not exempt you if you were primarily educated and trained in a country that is not majority English-speaking. University entry requirements for postgraduate study are less rigorous than the RCT’s English language standards. Being taught in English does not, by itself, exempt you. Your current employment or employment history, including work in the NHS, does not exempt you either.

Check the Home Office country guidance.

The RCT accepts the following tests:

IELTS

Academic or General: overall 7 or above, with at least 6.5 in every component.

OET

Writing at least B. No more than one other component below B, and none below C+.

Combining results and resitting components

IELTS: you can combine two sittings if each has an overall score of at least 7 and the four component requirements are met across the two.

OET: writing must reach B in at least one sitting, and the other component requirements must be met across the two.

You can resit only the components that need improvement. Other regulators’ requirements may differ.

Allow verification of OET results

Use your myOET account to give the RCT permission to verify your results.

OET result verification instructions

Next steps

Continue to the equivalence route.