OET GUIDES · LAST REVIEWED 9 JULY 2026
The NMC clubbing rule explained: combining OET scores across two sittings
By the MedEngly clinical team, led by a UK based IMG doctor who came through this pathway.
Missing grade B in a single OET subtest does not always mean a full resit. The NMC has a rule, sometimes called clubbing or combining, that lets nursing and midwifery candidates combine results from two sittings within a set window, provided each sitting clears a lower threshold.
The rule is the NMC's to set and it has changed before, so treat the figures below as a starting point and confirm the current version on nmc.org.uk before you plan a resit around it.
How combining currently works
The NMC has allowed candidates to combine their best scores from two OET sittings within a 12 month window, rather than requiring grade B across all four subtests in a single sitting. To combine, each individual sitting commonly needs to clear a lower bar: at least C+ (300) in Writing and at least C (250) in Listening, Reading and Speaking, with the overall combined picture still needing to reach grade B (350) in each subtest across the two sittings.
In practice this means a candidate who scores B in three subtests but C+ in Writing on one sitting does not necessarily need to retake everything: retaking Writing alone, provided the second attempt clears the required combined threshold, can be enough.
Why the 12 month window matters
The NMC extended the combining window from six months to 12, which gives more room to prepare properly for a single-subtest resit rather than rushing it. If your first sitting is early in that window, you have meaningfully more time to target the weak subtest specifically before the second sitting needs to happen.
When a single-subtest resit beats a full retake
If you are close to the combining thresholds on your other three subtests and one subtest is clearly the outlier, a targeted single-subtest resit within the window is usually cheaper, faster and less draining than sitting the whole exam again. If more than one subtest is below the combining threshold, or your first sitting falls outside what NMC will accept for combining, a full retake may be the more reliable route: work out which situation you are in before you book anything.
What NMC also accepts as supplementary evidence
For candidates who have taken the test at least twice and narrowly missed the required score, or who trained in English in a country where English is not the majority language, the NMC has also accepted supporting evidence from employers alongside test results. This is a separate, narrower route and its conditions are set by the NMC, so confirm current eligibility directly rather than assuming it applies to your situation.
COMMON QUESTIONS
Can I combine OET scores from two different sittings for NMC?
The NMC has allowed combining scores from two sittings within a 12 month window, provided each sitting clears at least C+ (300) in Writing and C (250) in the other three domains, with the combined picture reaching grade B (350) in each subtest. This is the NMC's rule and is reviewed, so confirm the current version on nmc.org.uk before relying on it.
Do I need to retake all four OET subtests if I miss grade B in one?
Not necessarily. If your other subtests are at or near grade B and the combining thresholds are met, a single-subtest resit within the current window can be enough, rather than a full retake. Confirm eligibility for combining with the NMC before you plan around it.
How long is the NMC combining window for OET scores?
The NMC has set this at 12 months between the two sittings being combined, extended from an earlier six month window. This detail is set by the NMC and can change, so verify the current window before booking a resit.
What OET score does NMC require for nurses and midwives?
NMC has commonly required grade B, 350, in each of the four subtests, with the combining rule above as a route when one subtest falls short in a single sitting. Always confirm the current required grade directly with the NMC.
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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.