UK Nursing Fraud Probe Leaves Nigerian Nurses in Crisis

NEARLY 2,000 Nigerian nurses in the UK are caught in a career and personal crisis following allegations of widespread fraud in the UK Nursing and Midwifery Council’s (NMC) certification process. The scandal, tied to a Pearson VUE-affiliated test centre in Ibadan, Nigeria, has left many of these internationally educated professionals jobless, debt-ridden, and uncertain about their future.

The investigation, which began in 2022, has already led to the removal of nurses from the UK register, visa revocations, and denied applications for hundreds more. Despite their efforts to defend themselves, many affected nurses feel abandoned and unfairly punished by the system they trusted.

Fraud allegations at Yunnik test centre

The controversy revolves around Yunnik Technologies, a Pearson VUE-authorised test centre in Nigeria, where irregularities in test-taking times raised suspicions of proxy testing. Data revealed that nurses were completing the computer-based test (CBT), a crucial part of the UK’s nursing competency exam, in improbably short durations.

The CBT is designed to assess the competence of international nurses before they can practice in the UK. While most candidates sit for the test in their home countries, those who passed at Yunnik now face allegations of fraud.

The investigation’s fallout includes:

  • 16 individuals admitting to proxy testing.
  • 7 nurses removed from the UK nursing register.
  • 185 applications rejected outright.

Despite these figures, many nurses maintain their innocence, arguing that the alleged fraudulent activity stemmed from poor oversight and security lapses at the test centre.

Lives on hold amid investigations

For the affected nurses, the NMC investigation has turned their lives upside down.

Nurse A passed her CBT in Nigeria and her clinical exam (OSCE) in the UK before beginning work as a healthcare assistant. However, her application to join the register was rejected, despite retaking the CBT in the UK and submitting evidence of her capabilities.

‘When I had that rejection letter, I thought I had died,’ she told the Nursing Times,  a British nursing news outlet. describing how her life has spiralled into financial and emotional distress.

Now unemployed and struggling to pay rent, Nurse A is unable to pursue her master’s degree or any meaningful career opportunities. She fears the stigma of being flagged in a professional investigation will follow her for life.

Nurse B, a dual-registered nurse and midwife, also passed his CBT and OSCE but was denied registration. Despite providing character references and evidence of his skills, his rejection letter cited his quick test-taking time as grounds for suspicion. ‘This has tarnished my career,’ he told the Nursing Times,  adding that the stigma has made returning to Nigeria unthinkable.

Nurse C, a veteran with 18 years of experience, was hired by a private mental health provider in the UK before being dismissed after his CBT results were flagged. ‘They threw me into the cold,’ he said, highlighting the harsh treatment nurses are facing.

Calls for accountability

Many affected nurses and their advocates are pointing fingers at both Pearson VUE and the NMC for failing to uphold adequate standards at the Yunnik test centre.

Pearson VUE has admitted that the centre lacked essential security measures, including CCTV and biometric verification, which could have prevented fraudulent activity. While the company has since upgraded protocols at test centres globally, affected nurses argue that these improvements come too late to help them.

The NMC has also faced criticism for its slow investigation process, leaving nurses in limbo for months. Representatives of the NMC admitted during a webinar that they failed to monitor the Yunnik test centre adequately, visiting it only once after it opened.

Support for affected nurses

The Nigerian Nurses Charitable Association UK (NNCAUK) has stepped in to support nurses during this crisis. The organisation has been providing professional and emotional guidance while advocating for fair treatment.

Felicia Kwaku, lead for education at NNCAUK, urged employers to avoid prematurely dismissing affected nurses. She stated: ‘We have a number of vulnerable people who have lost jobs and livelihoods. Employers need to wait for the full investigation to conclude.’

Despite the challenges, NNCAUK president Wendy Olayiwola expressed hope for a resolution: ‘The end is near. These nurses deserve to move on with their lives and fulfil their dreams of being nurses.’

NMC’s stance

The NMC has defended its actions, asserting that public safety and professional standards are its top priorities. ‘We cannot compromise on maintaining trust in the nursing profession, but we aim to ensure fairness in all proceedings,’ the Nursing Times quotes a spokesperson as saying.

However, nurses argue that they have become collateral damage in a flawed system. Many believe the NMC should take responsibility for leading them to a poorly managed test centre and then punishing them for its shortcomings.

Hope for justice

As the investigations continue, affected nurses and their supporters are calling for expedited hearings and greater accountability from the NMC and Pearson VUE. These nurses, many of whom have dedicated their lives to healthcare, hope for a fair chance to clear their names and rebuild their futures.

For now, their lives remain in limbo, marked by financial struggles, emotional strain, and an uncertain professional path.