Blog · Healthcare English

English for healthcare workers — language for the NHS

The specific English demands of clinical settings in the UK.

By Phil Harmon·July 2026·6 min read

The four communication contexts healthcare workers most need

Patient communication

Explaining diagnoses, procedures and medications in plain English. Checking understanding. Showing empathy. Managing difficult conversations.

Clinical handover — SBAR

Situation, Background, Assessment, Recommendation. The standard handover structure in UK healthcare. Knowing the language of each section is essential.

Documentation

UK clinical notes must be precise, objective and legally defensible. This is distinct from general writing skills.

Multidisciplinary communication

Working with doctors, allied health professionals and managers requires switching between registers. Professional assertiveness has specific language conventions.

SELT and OET — two different requirements

For a UK Health and Care Worker visa you need a B1 SELT. For NMC or GMC registration you need OET or IELTS. See our SELT for nurses guide.

See our Business English page and corporate training programmes for healthcare team training.

Frequently asked questions

The NMC currently accepts OET grade B or IELTS Academic 7.0+ (with minimum scores in each component). Check current NMC requirements directly as these can change.
General Business English or specific healthcare communication courses can both be effective. A specialist Business English teacher with healthcare sector experience is the most efficient option.

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