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To become a State Registered Nurse (SRN) in the UK, you must complete approved qualifications, gain practical experience, and successfully register with the Nursing and Midwifery Council (NMC). This official licensure is the legal requirement to practice nursing, opening doors to diverse specialisms with average salaries ranging from £32,761 to £37,153 per year.
The pathway to becoming a State Registered Nurse is governed by the Nursing and Midwifery Council (NMC), the professional regulatory body that maintains a register of all nurses and midwives qualified to practice in the UK. The registration process varies depending on your training background. For those who completed their nursing degree in the UK, registration involves submitting course details alongside declarations of good health and character. For internationally educated nurses, the process typically requires passing a Test of Competence (ToC), which includes a computer-based test (CBT) and a practical objective structured clinical examination (OSCE). Based on our assessment experience, ensuring all your documentation is accurate and complete is the most critical step for a smooth application.
Once you are registered with the NMC, you will practice within a specific nursing field. Your pre-registration degree will determine your field of practice, which is recorded on the NMC register. The main fields include:
For a clearer comparison, the table below outlines the core patient groups for each field:
| Nursing Field | Abbreviation | Primary Patient Focus |
|---|---|---|
| Adult Nursing | RNA | Adults |
| Children's Nursing | RNC | Infants, children, and adolescents (0-18) |
| Mental Health Nursing | RNMH | Individuals with mental health conditions |
| Learning Disability Nursing | RNLD | Individuals with learning disabilities |
| Midwifery | RM | Women during pregnancy, childbirth, and postnatally |
After gaining experience as a registered nurse, many professionals choose to specialise further. Specialisms allow you to focus on a specific area of patient care or a particular clinical environment, often with corresponding salary variations. Here are eight examples of nursing specialisms and their primary duties:
In summary, the key steps to building a nursing career are: achieving NMC registration, selecting a field during your training, and later pursuing a specialism. Salary figures are indicative and can vary based on location, experience, and the specific employer. Gaining experience in your chosen field is the most effective way to progress into a specialised role.









