Hi again. Looks like that the only option. Lots of food for thought from everyone. It`s really appreciated .... THANKS.x Obviously going to await APHRA and then contact Hospital and then take it from there. However will also look into doing the IELTS and skills assessment in meantime to increase my options. I will have a little rant though... born and bred in England . Been through the British education system . Have O`levels , A`Levels and a Diploma in nursing and still have to prove my English abilities and pay to do so!! Thanks again ALL