Who can apply through the international route?

You need training undertaken and a qualification attained outside the UK, relevant to a regulated profession, and no previous HCPC registration; every application is assessed against the standards of proficiency for the profession.

What happens after I apply?

The HCPC's process: review of completeness and certification, plagiarism checks, assessment of the regulated education, training and experience, then a first decision; six months to supply missing documents; application volumes are very high.

Do I need IELTS if I trained in English?

No English evidence when the primary qualification is from a qualifying country (the USA, Canada, Australia, New Zealand, Ireland, Malta, Kenya, the Caribbean Commonwealth and others on the list). India, the Philippines, Nigeria, Pakistan and South Africa are not on the list, so paramedics who trained there need the test.

← Paramedics in the UK outcomeOS

🇬🇧 United Kingdom · Paramedics

How much does HCPC international registration cost, and what IELTS score do paramedics need?

The HCPC charges a £678.38 scrutiny fee to assess an international application and £370.02 to register, £1,048.40 in all, and asks paramedics for IELTS 7.0 overall with no element below 6.5, unless their qualification is from a country on its list.

Checked 31 Oct 2026 · HCPC ↗

Fees

Step	Fee
Scrutiny fee, to assess your applicationYou pay	£678.38
Registration, once the HCPC accepts youYou pay	£370.02
Total	£1,048.40

English

IELTS	7.0 overall, with no element below 6.5
How old the result can be	No more than 2 years old when the HCPC receives your application
No test needed	No English evidence when the primary qualification is from a qualifying country (the USA, Canada, Australia, New Zealand, Ireland, Malta, Kenya, the Caribbean Commonwealth and others on the list)

Good to know

Who can apply through the international route?: You need training undertaken and a qualification attained outside the UK, relevant to a regulated profession, and no previous HCPC registration; every application is assessed against the standards of proficiency for the profession.
What happens after I apply?: The HCPC's process: review of completeness and certification, plagiarism checks, assessment of the regulated education, training and experience, then a first decision; six months to supply missing documents; application volumes are very high.
Do I need IELTS if I trained in English?: No English evidence when the primary qualification is from a qualifying country (the USA, Canada, Australia, New Zealand, Ireland, Malta, Kenya, the Caribbean Commonwealth and others on the list). India, the Philippines, Nigeria, Pakistan and South Africa are not on the list, so paramedics who trained there need the test.

What to do next

Tell us where you trained and your English scores, and we show which of the HCPC's steps you have left, with each fee and how long it takes.

Sources

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