OET GUIDES · LAST REVIEWED 9 JULY 2026
How OET Writing is actually scored: the six criteria explained
By the MedEngly clinical team, led by a UK based IMG doctor who came through this pathway.
Most candidates lose marks in OET Writing without knowing which criterion took them. The test does not give one impression mark: two trained assessors score your letter separately against six published criteria, and each criterion rewards a different, specific skill.
This guide explains each criterion in plain language, what the band scales mean, and the fastest realistic way to gain a band on each one.
The shape of the score
Your letter is scored against six criteria. Purpose is scored on a short scale of 0 to 3; the other five criteria are each scored 0 to 7. At least two assessors mark every script independently, and the criterion scores are converted to your overall numeric score on the 0 to 500 scale.
Grade B, which most regulators commonly ask for, corresponds to 350. Grade C+ covers 300 to 340. The practical consequence: a letter that is strong on four criteria and weak on two can still miss B, because every criterion contributes.
Purpose: is the reason for writing obvious?
Purpose asks one question: does the reader know, early and clearly, why you are writing and what you want them to do? A referral letter whose request only becomes clear in the final paragraph scores low here even if everything else is excellent.
To gain a band: state the purpose in your opening sentence, then make sure the letter develops it. If you are asking a community nurse to continue wound care, say so at the start, and make the specific requests explicit near the end.
Content: did the reader get what they need?
Content measures selection and accuracy. The case notes always contain more information than the reader needs; your job is to choose the facts this specific reader must have to act safely, and to report them without distortion.
The two classic failures are opposite: leaving out something the reader needs (an allergy, a medication change, an outstanding test) and including everything indiscriminately. To gain a band, read the task instruction first, decide what the reader's role requires, and check each case-note fact against that role before you write.
Conciseness and Clarity: is it an effective summary?
This criterion punishes copying the case notes wholesale, repetition, and padding. A letter can contain every needed fact and still score low here because the reader has to dig for it.
To gain a band: keep the body around the length the task asks for, roughly 180 to 200 words for a standard letter, group related facts into single sentences, and cut anything the reader does not need. If a sentence repeats something you have already said, delete it.
Genre and Style: does it sound like a professional letter?
Assessors check register, tone, and how technical the language is for the named reader. A letter to a consultant can carry clinical terminology; a letter to a patient or a social worker cannot. Casual phrasing, judgemental comments about the patient, and slang all belong here.
To gain a band: stay formal, factual, and neutral throughout, and match your vocabulary to what the reader can be expected to understand. Never editorialise about the patient's choices.
Organisation and Layout: can the reader navigate it?
This criterion covers letter format and logical structure: address block, date, salutation, a subject line, paragraphs that each do one job, and information sequenced so the reader can act on it.
To gain a band: give each paragraph a single function, usually current situation, relevant background, and requests. Put what the reader must do near the end where action points are expected.
Language: does the English carry the message?
Grammar, vocabulary, spelling, and punctuation are scored by their effect on the reader. Small errors that never obscure meaning cost less than errors that make the reader re-read. Range and precision raise the score; ambiguity lowers it.
To gain a band: prefer the sentence you can control over the impressive one you cannot, and proofread specifically for the errors you know you make. Most candidates have three or four recurring error types, not thirty.
COMMON QUESTIONS
What score is grade B in OET Writing?
Grade B corresponds to 350 on the 0 to 500 scale. Most regulators that accept OET commonly ask for B in each subtest, but always confirm the current requirement with your regulator.
How many assessors mark an OET Writing script?
At least two trained assessors score each script independently against the six published criteria. That is why one impressive paragraph cannot rescue a letter that fails on selection or structure.
Do spelling mistakes fail an OET letter?
Not by themselves. Language errors are weighed by their effect on the reader. Occasional slips that never obscure meaning cost far less than errors that force the reader to re-read or guess.
Which OET Writing criterion do candidates lose most marks on?
In our marking practice, Conciseness and Clarity and Content are the most common weak criteria: candidates either copy too much of the case notes into the letter or leave out information the reader needs. Both are selection skills and both improve quickly with focused practice.
PUT IT INTO PRACTICE
Reading about the criteria is the start; seeing them applied to your own letter is what moves the grade. Get one letter marked against all six criteria, free, no signup.
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Independent preparation guidance based on publicly available OET materials; not affiliated with, or endorsed by, OET or Cambridge Boxhill Language Assessment. Regulator requirements change: confirm current scores with the regulator you are registering with.