What Do the New NMC OSCE Stations Introduced in 2026 Mean for Nursing Candidates?

From 23 February 2026, the Nursing and Midwifery Council (NMC) introduced updated OSCE stations across all four components of the exam: APIE, Skills, Professional Values, and Evidence-Based Practice. These updates now apply to all RN1 Adult Nursing candidates who sit the OSCE from this date onwards.

The changes were designed to better reflect real clinical practice within the NHS. While some station titles may appear unfamiliar at first, the core marking principles remain unchanged. Candidates are still assessed on safe decision-making, professional behaviour, structured clinical thinking, and clear communication.

Understanding how these updated stations align with the existing assessment criteria is key to preparing confidently for the OSCE.

APIE Scenario Focus: Recognising Suspected Deep Vein Thrombosis  

One of the new additions to the APIE station involves a scenario based on suspected Deep Vein Thrombosis (DVT). The purpose of this station is not to test diagnosis or treatment planning. Instead, it focuses on the candidate’s ability to perform a structured patient assessment, identify potential red-flag symptoms, and escalate concerns appropriately.

Examiners typically expect candidates to demonstrate a calm and logical assessment approach, recognise risk factors such as recent surgery or prolonged immobility, and communicate findings clearly.

Candidates who follow the APIE structure consistently and verbalise escalation at the correct time generally perform well in this station. However, rushing into treatment decisions or failing to explain clinical reasoning may result in lost marks.

Updated Skills Stations: Anti-Embolism Stockings and Pre-Operative Safety Checks  

The 2026 updates also introduced new skills stations, one of which is anti-embolism stockings.

This station assesses more than the technical procedure. Candidates are expected to demonstrate accurate patient identification, informed consent, correct leg measurement and education post application. Explaining the purpose of the stockings to the patient is also an important communication element that contributes to the overall score.

Another newly introduced station focuses on pre-operative checks. This scenario emphasises patient safety and professional accountability. Candidates must confirm patient identity, allergies, consent, fasting status, and readiness for surgery using a structured and organised approach.

Examiners tend to reward clarity, organisation, and attention to detail rather than speed in this station.

Professional Values Stations: Patient Deterioration and Confidentiality  

The Professional Values component now includes stations focusing on deteriorating patients and patient confidentiality.

In the deteriorating patient scenario, candidates are assessed on their ability to recognise signs of concern and escalate appropriately. The focus is not on performing assessments or procedures, but rather on demonstrating professional responsibility, patient advocacy, and timely escalation.

Promptly raising concerns while reassuring the patient is viewed positively. Attempting to manage the situation beyond the scope of the station can negatively impact the score.

Another professional values station focuses on protecting patient privacy. Candidates may be presented with situations where confidential information is requested or shared inappropriately.

The NMC expects nurses to maintain confidentiality, challenge unsafe behaviour professionally, and escalate concerns when required. This station reflects the expectations outlined in the NMC Code and mirrors common ethical situations encountered in NHS clinical practice.

Evidence-Based Practice: New Research Topics  

The Evidence-Based Practice (EBP) stations also include updated research topics, such as cholesterol and coffee, honey and propolis for HSV, and osteoporosis and exercise.

The structure of these stations remains unchanged. Candidates are given a scenario and three short research summaries. The task is to interpret the findings and explain them clearly, often as if communicating with a patient.

Importantly, these stations do not assess academic critique or guideline memorisation. Instead, examiners look for clear understanding, simple explanations, and patient-centred communication.

Overly complex responses or explanations that extend beyond the nursing role may result in lower marks.

Preparing Effectively for the Updated OSCE Format  

The 2026 OSCE updates reinforce what the exam has always been designed to assess: safe, professional, and reflective nursing practice.

Candidates who focus on structured responses, effective communication, and understanding the marking criteria are generally better prepared for success.

Rather than viewing the new stations as an additional challenge, they should be seen as opportunities to demonstrate readiness for real NHS clinical environments.

Final Thoughts  

The updated OSCE stations introduced in 2026 reflect modern healthcare priorities, including patient safety, ethical practice, and evidence-based care. With the right preparation strategy, these stations are manageable and predictable.

Focusing on clarity, structure, and professional behaviour will significantly improve confidence during the exam.

Start your OSCE preparation with Envertiz Academy today and take the next confident step towards your UK nursing career.