February 05, 2024
Cracking the Code: Decoding the Competence Assessment Programme for Nurses Moving to New Zealand
by Arunachalam

The Competence Assessment Programme (CAP) can occasionally seem like a complex puzzle that is difficult to understand for internationally qualified nurses who wish to practice in New Zealand. It doesn't have to be a difficult task, though. In this blog we will provide a thorough explanation of each step of the process, from application to registration, and will also seek to dispel the complexities surrounding the CAP procedure.
What is Competence Assessment Programme (CAP)?
The cap is an important step for internationally trained nurses wishing to register in New Zealand. It is a program for assessing the proficiency of nurses who have finished their education and training outside of Australia or New Zealand. The main objective of CAP is to enable nurses to deliver safe and efficient patient care within the New Zealand healthcare system.
What Are the Key Stages of the CAP Process?
1. Eligibility Assessment: The process starts with an eligibility assessment, where you are required to meet a particular criterion. These requirements frequently include English language fluency, a recognised nursing degree, and related work experience. To find out if you are eligible for the CAP, it is crucial to carefully check the Nursing Council of New Zealand's (NCNZ) qualifying requirements.
2. Application: Following verification of eligibility, you may move on to the application stage. This entails submitting the CAP application form together with the necessary paperwork and payment. To prevent delays, it's essential to be careful throughout this phase.
3. Competence Assessment: The competence assessment is the core of the CAP. A written exam, an Objective Structured Clinical Examination (OSCE), and a clinical placement are the three main components of this stage. Each component evaluates many facets of nursing practice, including as theoretical understanding, clinical competency, and cultural sensitivity.
- Written Exam: This is typically a multiple-choice test administered on a computer to gauge your theoretical nursing knowledge. If you want to succeed in this written exam, you need to prepare thoroughly, and it is advised that you use the study materials suggested by NCNZ.
- Objective Structured Clinical Examination (OSCE): The OSCE assesses your clinical skills in a controlled setting. You may have to complete a variety of nursing-related tasks and scenarios while being observed by the examiners. In this stage, practicing your clinical abilities and looking for advice from mentors or lecturers can be quite beneficial.
- Clinical Placement: During the clinical placement, you'll work at a New Zealand healthcare facility under the supervision of a registered nurse. This is an opportunity for you to show that you can care for patients safely and effectively. During this stage, it is important that you develop effective communication skills, cultural sensitivity, and adapt to the healthcare system.
4. Competence Assessment Result: You'll get your results after finishing the competence assessment components. Based on your performance you may get a recommendation for registration, you may be required to take up additional education or training, or, in rare situations, a determination that you are not qualified for registration.
5. Registration: You will be qualified to apply for registration with the NCNZ if you pass the CAP and satisfy all prerequisites. You can begin practicing nursing in New Zealand once your registration has been authorised.
What are the challenges that you will face in the CAP Journey?
Most of the internationally qualified nurses encounter common hurdles and challenges while navigating the CAP process. Listed below are some of the typical challenges you will face and how to overcome them:
1. Cultural Competence: Trying to adapt to a new healthcare system and trying to understand the cultural nuances can be daunting. If you want to overcome this challenge, you should engage in cultural competency training and seek guidance from local mentors or colleagues.
2. English Language Proficiency: It is essential to demonstrate your proficiency in English during the CAP process. To strengthen your language skills try investing in language courses, practice English in healthcare settings, and consider taking the International English Language Testing System (IELTS) or Occupational English Test (OET).
3. Exam Preparation: It can be overwhelming to prepare for the written examination and OSCE. To enhance your chances of success, you should use study materials recommended by the NCNZ, seek guidance from experienced nurses, and consider enrolling in review courses.
4. Clinical Placement: The clinical placement phase can be challenging due to differences in healthcare practices. Be proactive, ask questions, and use the opportunity to learn from experienced nurses. You should also build a strong professional network which can be extremely beneficial.
5. Documentation and Administrative Requirements: Going through the process of paperwork and administrative aspects of the CAP can be tedious and take a lot of time. So, stay organised, double-check all documentation requirements, and take the help of professional advisers if needed.
News updates on possible changes in CAP
CAP Letters published in July 2023 indicates that the CAP Program should be completed within a year. Whereas the duration was earlier 2 years, new modification announced in 2022 regarding OSCE is presumed to come into effect by 2024. Beginning early 2024, the CAP will be replaced by assessments of competence through a theoretical exam (exam) and objective structured clinical assessment (OSCE). When the new model comes into effect, nurses are no longer required to complete a CAP before joining the Register.
Conclusion
The Competence Assessment Programme (CAP) may appear complex and challenging, but with the right guidance and preparation, you can successfully navigate this process. Contact our experts at MWT Education Consultancy for further information.

Written by
Arunachalam
ENQUIRE NOW
October 10, 2025
GCAN Online: A Globally Recognized Pathway for Nurses
Advance your nursing career with the Graduate Certificate in Advanced Nursing (GCAN Online) from IHM, Australia. Gain global recognition, study flexibly, and progress toward a Master’s degree with expert guidance from MWT Education Consultancy.
September 30, 2025
RN Registration in Australia – Complete Guide
MWT’s complete guide to Australian nursing registration covers AHPRA requirements, NCLEX-RN, OSCE, eligibility, challenges, and tips to help you succeed as a Registered Nurse in Australia.
September 09, 2025
Australia’s Nursing Workforce: Key Insights for Future Students
Australia faces a major nursing shortage to 2035, creating strong career opportunities for future nurses. Learn about government workforce strategies, advanced roles, and new international registration pathways.
August 14, 2025
What is the Right Intake for Your Study Abroad Journey?
Confused about which intake to choose for your study abroad journey? Learn about January, May, and September intakes in top countries like Canada, UK, Australia, and New Zealand—and how to pick the right one for your goals.
July 31, 2025
OET vs IELTS: Which Test is Right for Nurses?
Confused between OET and IELTS for nursing registration abroad? Compare test formats, ease of use for nurses, costs, and preparation tips to choose the right English test for your nursing career.
July 14, 2025
Student Pre-Departure Checklist
Heading abroad for studies? Stay stress-free with this complete pre-departure checklist covering documents, insurance, accommodation, forex, packing tips, and travel essentials. A must-read guide for international students in 2025.
July 08, 2025
Nursing Registration: NMC, AHPRA, NCNZ & NMBI
Explore the role of nursing regulatory bodies like NMC (UK), AHPRA (Australia), NCNZ (New Zealand), and NMBI (Ireland). Learn about document requirements, timelines, and how international qualifications are assessed.
June 25, 2025
U.S. Resumes Student Visas in 2025: What Indian Students Need to Know
Stay informed about the latest US Visa changes The update was confirmed by ICEF Monitor and marks a crucial moment for students planning to begin studies in the United States this Fall.
May 30, 2025
CRICOS: The Essential Guide for International Students
Discover the meaning and significance of CRICOS in our comprehensive guide
May 15, 2025
NMBI Registration & Nursing Opportunities in Ireland
Discover the abundant career opportunities in Ireland. Explore more with MWT Education Consultancy!