The NMBA English language skills standard
The English language skills registration standard (2025) took effect on 18 March 2025 and applies to all nurses and midwives applying for initial registration, whether they qualified in Australia or overseas. It does not apply to students or to non-practising registration (NMBA).
The NMBA points to Ahpra's accepted English language tests page for the scores. From 23 April 2026 the National Boards updated the minimums to align with score concordance research and the scores the Department of Home Affairs sets for migration. Which table applies depends on your test date.
Minimum scores for tests taken on or after 23 April 2026
All tests must be taken at a test centre. OET results from any profession-specific version are accepted (Ahpra).
| Test | Overall | Listening | Reading | Writing | Speaking |
|---|---|---|---|---|---|
| IELTS Academic | 7 | 7 | 7 | 6.5 | 7 |
| OET | Not applicable | 350 | 360 | 350 | 360 |
| PTE Academic | 63 | 58 | 59 | 60 | 76 |
| TOEFL iBT | 91 | 22 | 22 | 23 | 24 |
| Cambridge C1 Advanced | 178 | 175 | 179 | 180 | 194 |
| Cambridge C2 Proficiency | 185 | 185 | 185 | 176 | 185 |
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Take a free scored IELTS mock →Minimum scores for tests taken before 23 April 2026
If your first test was on or before 22 April 2026 and your second on or after 23 April 2026, the first must meet these older scores and the second the new ones (Ahpra).
| Test | Overall | Listening | Reading | Writing | Speaking |
|---|---|---|---|---|---|
| IELTS Academic | 7 | 7 | 7 | 6.5 | 7 |
| OET | Not stated | B | B | C+ | B |
| PTE Academic | 66 | 66 | 66 | 56 | 66 |
| TOEFL iBT | 94 | 24 | 24 | 24 | 23 |
| Cambridge C1 or C2 | 185 | 185 | 185 | 176 | 185 |
Two sittings, One Skill Retake and validity
You can use one sitting, or a maximum of two sittings within 12 months, if you sit all four components each time. For IELTS you need 7 overall in each sitting, and no component in either sitting may be below 6.5. For OET (new scores), no sitting may fall below 320 listening, 340 reading, 350 writing and 350 speaking. For PTE (new scores), you need 63 overall in each sitting.
IELTS One Skill Retake is accepted as an extra flexibility and is not counted as an additional sitting, provided it is within 60 days of the result you rely on. At-home, indicative or remotely proctored versions are not accepted, except the OET computer-based test at a test centre, which has one remotely proctored element.
Results are generally valid for two years before you lodge your application, with some exceptions listed by Ahpra. Regulators change these rules, sometimes at short notice. Confirm the current scores on the Ahpra page before you book a test.
Frequently asked questions
What IELTS score do nurses need for Australia?+
IELTS Academic with 7 overall, 7 in listening, reading and speaking, and 6.5 in writing. This did not change on 23 April 2026.
Is PTE accepted by the NMBA?+
Yes. For tests from 23 April 2026 you need 63 overall with 58 listening, 59 reading, 60 writing and 76 speaking. Before that date it was 66 overall with 56 in writing.
Can I combine two IELTS results?+
Yes, up to two sittings within 12 months, with 7 overall in each and no component below 6.5 in either. One Skill Retake within 60 days does not count as another sitting.
How long is the result valid?+
Generally two years before you lodge your application for registration.
Does the NMBA accept IELTS Online or OET@Home?+
No. At-home and remotely proctored versions are not accepted, except OET on computer at a test centre.
Keep reading
Related
- OET vs IELTS for nurses
- IELTS for Australia
- PTE to IELTS score converter
- IELTS One Skill Retake explained
- All 711 guides
Verified against the linked official sources on 30 September 2026. Rules change: confirm on the official page before you book or apply.
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