If you’re an EU or international physiotherapist planning to work in the UK in 2025, there’s one hurdle you absolutely must clear before you can start practising: registration with the Health and Care Professions Council (HCPC).
While HCPC registration has always been essential, recent changes mean the process is stricter and more detailed than in previous years, especially when it comes to proving your clinical experience and English language proficiency.
Now for everyone outside the UK
Before Brexit, EU-trained physios could apply through a mutual recognition route. That’s no longer the case.
Since January 2021, all overseas-trained physiotherapists, including those from the EU, must apply via the international route. This means:
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Your application will be assessed in full against UK standards of education and practice.
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You must provide detailed evidence of your clinical training hours across key areas: neurology, respiratory care, and musculoskeletal practice.
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If your training is not equivalent, the HCPC may ask you to complete adaptation training or submit further proof of competence before registration is granted.
Pro tip: Gather all course syllabi, placement records, and reference letters before you start your application. Missing details can delay the process by months.
No more self-declarations
Another big change for 2025: self-declaring that English is your “first language” is no longer accepted for HCPC registration.
Now, all international applicants must meet one of the approved evidence routes:
1. Pass an Approved Test
The HCPC accepts:
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IELTS Academic – overall 7.0, with no element below 6.5
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OET (Occupational English Test) – minimum grade B in all sub-tests
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TOEFL iBT – minimum total score 100, with set minimums in reading, listening, speaking, and writing
2. Use your degree as evidence
If your qualifying physiotherapy degree was taught and examined entirely in English in an HCPC-approved English-speaking country, you can use this as proof. You’ll still need official confirmation from your university.
Timing your application and visa
One of the most common pitfalls for international physios is starting the visa process before HCPC registration is complete.
While some NHS trusts may interview you before you’re registered, most will only issue a job offer (and therefore start your Skilled Worker / Health and Care visa process) once they have your HCPC registration number.
In 2025, HCPC processing can take several months, so it’s best to start your registration at least six months before you hope to move to the UK. This will help ensure your job offer, visa application, and relocation plans all line up smoothly.
Why this matters
Without HCPC registration, you cannot work as a physiotherapist in the UK, even if you have years of experience abroad. Employers will expect your registration number before they can offer you a contract, and visa applications (like the Health and Care visa) often require proof you’ve completed the process or are close to it.
By preparing your clinical evidence and English language documents early, you’ll be ready to hit the ground running and avoid the frustration of delays.
Useful links
Bottom line: The HCPC is raising the bar for overseas applicants but with the right preparation, you can navigate the process smoothly. Start gathering your documents today, and your 2025 move to the UK could be much closer than you think.