Supervised Practice/Adaptation Course/Overseas Nurses Programmes (ONP)

Good news for overseas Nurses who wish to find temporary and permanent employment in the United Kingdom.


Nursing is a blend of science and technology with the art of caring and compassion. It is a career filled with endless personal and professional rewards. As a nurse you spend your life helping others, using skills that blend scientific knowledge with compassion and caring. There are a few professions that offer such a rewarding combination of high tech and high touch.

Nursing is the United Kingdom largest health care profession. With the aging population growing steadily, there will be no shortage of jobs for nurses well into the future. In most parts of the country the average age of nurses is growing, meaning that more nurses are retiring, thus furthering the nursing shortage. So, as the current crop of Baby Boomer-age nurses nears retirement, fewer trained nurses are in the pipeline to replace them. This translates into more job opportunities with the potential of higher starting salaries.

For qualified nurses, the United Kingdom is a great place to live and work. Salaries are high, standards of living are excellent, and medical facilities and training are among the best in the world. Nursing in the United Kingdom is a great opportunity for you to earn good money and advance your career while improving patients lives. The starting salary is excellent and once you are a Registered nurse you will also have the option to work extra hours for extra money.

The National Health Service (NHS) is strongly committed to training and professional development. You will be encouraged and supported in reaching higher nursing grades, learning new skills and developing your career. The better qualified you are, the more the patients (and you) will benefit.

All nurses receive paid holiday and sick leave, a pension, comfortable working facilities, and the opportunity to work in a world-class medical environment.


The NHS Trust you work for will determine your salary, which will stay within the scale for your grade. When you undertake a period of supervised practice, generally you will start as a B Grade Nurse receiving salary in the scale of £11,825 - £13,920 per year. In inner London the salary payable is £17,253. Some hospitals generally in London choose to appoint supervised practice nurses to Grade C where you can expect an annual salary of between £13,465 and £16.525 to £18,240 per annum. In inner London the salary payable is £21,573.

When you reach E Grade status, as a specialised and experienced Staff Nurse able to take charge of a ward, your pay will be up to £21,325 (£24,658 in inner London per year).

Your salary will be paid directly into your bank account in 12 monthly instalments. All salaries rise annually.

When you work within certain hours, you will be paid these premium hourly rates:

Monday to Friday between 8 pm and 6 am, all day Saturday: Plain time (basic rate) + 30%

Sundays and Bank holidays: Plain time + 60%

If you have to work more than your contracted 37.5 hours a week, in the first instance you will be given extra time off duty. Where this cannot be guaranteed you will receive overtime pay at these rates:

Weekdays (other than public holidays) or Saturdays: Plain time + one half.

Sundays and Public Holidays: Double plain time.


You will normally be required to work under supervised practice also known as adaptation course until you qualify under the United Kingdom system.

As detailed in the Job Description throughout the supervised practice period, the Supervised Practice Nurse will develop competencies in order to undertake the following responsibilities:

  • Communicating effectively with patients, other staff in the Trust, external organisations and the general public.
  • Sharing ideas, information and feedback in order to empower patients and members of the health care team.
Clinical Practice and Decision-Making
  • Assess, plan, implement and evaluate patient care, and make changes as necessary.
  • Safely administer prescribed medication and monitor effects.
  • Ensure documentation is accurate and up to date.
  • Demonstrate an inquiring approach towards patient care.
  • Educate patients and relatives where appropriate.
  • Ensure patients views are taken into account in the decision-making process.
  • Participate in the development of the ward/department Philosophy of Nursing and convey this within practice.
Quality of Care
  • Demonstrate evidence-based practice
  • Demonstrate an awareness of the Trust programme of nursing, and adult and participate as appropriate in the quality audit programme.
Personal and Professional Development and Training
  • Actively participate in team meetings.
  • Develop an understanding of clinical supervision programmes.
  • Improve clinical practices through reflection.
  • Identify and pursue own educational and professional development.


When you start work as a B Grade nurse, you will be entitled to 4 weeks annual leave, exclusive of statutory and public holidays. This remains the same as a C Grade nurse but when you qualify as a D Grade nurse your entitlement will increase to 5 weeks annual leave. The amount of leave you can take in one period is decided by your manager at the NHS Trust.

During your first year of service, your occupational sick pay entitlement is 1 month full pay and (after completing 4 months service) 2 months half pay. After one year service, this rises to 2 month full pay and 2 months half pay. Your occupational sick pay entitlement continues to rise for each year of service until reaching 6 months full pay and 6 months half pay after 5 years service.


Facilities available to nurses vary from Trust to Trust but all hospitals will have a canteen serving food and drink, and usually chapel or prayer room (which is not restricted to one particular religious denomination). Many hospitals also have childcare facilities, where you can leave your children to be cared for while you are at work.

Subsidised accommodation will be provided for you by the Trust that you will be working for. In this case your rent will be usually be deducted from your salary, and it is generally cheaper than equivalent accommodation in the area. Most nurses accommodation is very close to the hospital they work in.

The accommodation normally consists of your own private room in a shared, furnished block of apartments, with communal kitchen, bathroom and lounge facilities. You will be sharing these facilities with other nurses, many of whom are likely to have come from your own country of origin. If a friend is transferring to the same hospital as you, you can sometimes arrange to live in the same accommodation as them, provided you inform the Trust early in the selection process.

Nurses who want to live with their partner and/or children generally find their own accommodation and the NHS Trusts may give them advice in finding their own house or apartment.


Working Hours

Nurses are contracted to work 37.5 hours per week or 70 hours per fortnight, which excludes your lunch and other breaks. Nurses work on rotating shifts, including morning, afternoon and night shifts, which will be arranged by the NHS Trust you work for.


Most NHS Trusts require that nurses wear uniforms and your NHS Trust will provide the uniform free of charge and make no charge for its laundry. You will have to provide your own shoes which must be made of black leather and comfortable. Where the employing authority requires staff to wear their own clothes in circumstances where uniform would otherwise be worn, a clothing and/or laundry allowance will be paid.

Trade Unions

Trade Unions are organisations which represent the interests of members of a profession or work sector. They are independent of employers and they distribute information and provide communication between members. They also provide support if you have problems at work or feel that you have been unfairly treated. Most nurses belong to at least one Trade Union.


We understand that making the move to the United Kingdom will also change your family lives.

Many nurses take the opportunity to share their income with their loved ones back home: transferring money is a simple process and a great opportunity to improve their lives. It is also very easy for your partner or other family members to join you, and finding work in the United Kingdom.

Your move to the UK can bring benefits to your family and your partner family. While leaving your extended family behind can be a difficult experience, the money you earn can help support them back home. Sending money home to help pay for schooling, rent, or food is a straightforward process – there are a range of easy-to-use money transferring services on offer, which provide safe channels for your money to reach the right people.


It can be hard to leave your husband/wife behind, but your move in the UK could provide them with great opportunities. If they stay in your home country, your higher salary means you can improve your partner life by sending money to cover living costs, or to provide training for their career. And if they choose to join you in the UK, they too could benefit from all the country has to offer.

The UK has one of the largest economies in the world which provides opportunities for career advancement in a variety of areas. Whether your partner wants to work in public services or private enterprise, in manual or office work, there are opportunities for everyone here. Higher salaries mean that many nurses live with their husbands/wives and use their money to support their family, whether they are back home or here in the UK.

English is the most widely spoken business language in the world, and living, working and studying here means your partner can greatly improve their English usage. This will be a huge advantage in the international business world and also open up English-speaking cultures for them.

Adult education in the UK is highly accessible and often subsidised or even free. Colleges and Universities run courses on all possible subjects, offering internationally recognised qualifications in professional and academic disciplines. Training is also encouraged in many jobs so your partner could take the opportunity to advance their career or even to learn a completely new job.

Of course, your partner can enjoy life in the UK, sharing its great and varied leisure activities with you. They can be assured that plenty of other people from the same background already live in the UK, and that there is a place for everyone here.


One of the hardest parts of moving to the UK is parting from your children but your move can improve their lives in the present and the future. Your higher salary will help you provide them with the things they need and if you choose to bring them to the UK they will benefit from living in a stable and prosperous country.

When you live and work in the UK, your children will have access to free state-run education of a high standard, in schools situated to near to where you live and work. Schools with modern facilities provide them with the skills that will prepare them for a variety of careers in the future.

Schools in many areas are very multicultural with people from different cultures and religious learning together. You could also choose to send your children to “faith schools”, where they will be educated according to your religious doctrine, whether Catholic or Hindu, Muslim or Anglican.

Children from ages 4 to 18 can attend schools or colleges, while most hospitals have childcare facilities to look after your children while you are at work – these make it easier for you to work to support your children. There are plenty of extra-curricular activities for your children to take part in – sports clubs, youth clubs, Scouts and Guides all offer a variety of activities for them to enjoy after school.

Looking to the future, your children ability to use the English Language will be a great advantage in the international business world, while experiencing a different culture will broaden their horizons greatly. In the meantime your children will be supported by free healthcare from the NHS and other kinds of help from the UK welfare state where necessary.


Nurses looking to work in the UK will need to show the following qualities and qualifications for their application to be considered.

  • Registered nurse experience in your country of origin.
  • High standard of written or spoken English
  • Evidence of Continued Professional Development
  • Clinical competence in line with experience
  • Knowledge and understanding of equal opportunities
  • Commitment to completing the supervised practice programme

The NHS regard the following as Essential qualities.

  • Acting upon the assessment of total patient needs to evaluate and re-establish plans of care
  • Working independently, as well as part of the health care team
  • Ability to discuss needs for nursing research and evidence in practice
  • Knowledge of relevant nursing procedures
  • Understanding the need for establishing standards of delivery of high quality nursing care
  • Knowing your own learning and development needs

If you want to work in the United Kingdom as a Nurse you will need to have a Supervised period of practice for at least three to six months and this where we come in.

Nursing Consultancy Services prides itself on providing a first class service to all its applicants. Our application process is fast and effective. Our staff is entirely made up of registered nurses thus ensuring that your application is handled by someone who is familiar with your background and skills.

Your next step is to complete our application form and send it together with the consultancy fee so that we can start process your application. The sooner you send your application the quicker you will start working in the United Kingdom.

A move to the UK will change your life and the lives of your family. A bright future awaits you.

We look forward to hearing from you.

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