I understand what you are saying starlight, maybe the ppl u encountered did not use English as their first language, however I'm Scottish born here and completed all my education in English, I do not speak any other language. I feel a tat annoyed. I actually sat the ielts a couple years ago and did not score high enough! Maybe due to the fact I was 9 months pregnant and was stressing myself? I thought I read somewhere tht other skills did not need to do ielts anymore, was hoping this was the same for nurses? But it's not oh well need to get my technique sorted!