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The Test of Competence 2021 (ToC 21) is a two-part assessment for nurses trained outside the European Economic Area (EEA) requiring admission to the Nursing and Midwifery Council (NMC) register. It consists of an objective computer-based test (CBT) and a practical objective structured clinical examination (OSCE). The CBT assesses knowledge and understanding primarily through numeracy and clinical content, while the OSCE evaluates practical skills. ToC 21 ensures candidates meet the required levels of knowledge, understanding, application, and clinical skills to practice safely in the UK. It applies to nurses whose qualifications are deemed non-comparable to NMC standards and those returning to practice after a period away from clinical work. Candidates typically complete the CBT before the OSCE, with the CBT potentially taken in their home country. The test aligns with the Future Nurse standards and assesses proficiency across seven platforms and specific procedures/skills outlined in annexes A and B. Results are provided in a format that demonstrates candidates' readiness for UK practice.