Adaptation Nursing at Ashford and St Peters Hospitals

Welcome to Ashford and St Peters Hospitals! We are an NHS Foundation Trust located in Surrey, UK.

ASPH (Ashford and St Peters Hospitals) are the largest provider of acute hospital services in the Surrey area, serving a population of over 410,000 people. Over the last year we have;

  • Treated 31,500 emergency admissions
  • Admitted 28,176 people for planned inpatient and day case treatment
  • Treated 41,042 patients in our outpatient clinics
  • Cared for over 1,700 COVID patients

The trust is split across two hospital sites; Ashford Hospital, situated in Ashford (Surrey) and St Peters Hospital, situated in Chertsey.

Ashford Hospital is our smaller hospital site;

Ashford hospital provides the majority of our day surgical services, outpatients services, ophthalmology, inpatient rehabilitation, as well as the Ashford Walk-in Centre. There are plans to develop it further.

St Peters Hospital is our main hospital site;

Over the Years, St Peters Hospital has been rebuilt and extended to include maternity services, a department/clinic area, our theatre complex and provides our inpatient medical services and emergency care.

London can be reached by train from both Ashford and Chertsey, from Ashford it takes about 40 minutes and from Chertsey about 50 minutes. Click Here to see a map detailing the location of each site.

Find out what makes our staff proud to be a part of team ASPH;

For an A-Z list of all of our departments and the services they provide, please Click Here to view our main website.

Objective Structured Clinical Exam (OSCE) Programme

In order to complete your NMC registration to practice as a Nurse in the UK, you will need to undertake Part two of the Test of Competence, this is a practical exam known as the OSCE. In this part you'll be tested on your clinical and communication skills.

The new OSCE has 10 stations;

  • Four stations will continue to be linked together around a scenario: the APIE (one station for assessment, planning, implementation and evaluation)
  • Four stations to test skills (two pairs of two skills)
  • Two new stations to assess the candidate's values and behaviours and evidence-based practice.

When you join the Trust you will attend a 5 week OSCE preparation programme, not only will this provide you the support and guidance to pass the OSCE it will also greatly assist you with your transition into nursing in the UK.

The Trust has their own dedicated training team which includes nurses that have been through the OSCE exam already and there is a dedicated clinical training room on the Ashford Hospital site where the training is held.

For more infomration about the OSCE exam and requirements, please have a look at the NMC website: Click Here

Adapting to life in the UK

Relocating to a new country will be a challenging process and life in the UK is likely to be very different to what you are used to. Before you embark on your journey, we expect you to have done your own research in to the difficulties you may face to ensure it is the correct decision for you. The ASPH team are here to support you through the process, please do no be afraid to speak up if you feel you are struggling.

Travel and Transport

Between Hosptial Sites
ASPH provides a hospital hopper bus for travel between the two Hospital sites free of charge to all staff, you must present your Hospital ID when boarding the bus.
To view the hopper bus timetable Click Here

Ashford train station is about an 18-minute walk from Ashford Hospital and Chertsey train station is about a 30 minute walk from St Peters Hospital. Trains can be taken to a wide variety of places including Central London.

Buses can be taken to local areas, there are bus stops both the Ashford and St Peters sites. Lists of the locations the busses go to can be found on the stop itself. You will need an oyster card or contactless payment to ride the bus, oyster cards can be purchased online following your arrival in the UK on the Transport for London website.

Money and Finances

The currency used in the UK is the Pound Sterling. We advise that you arrive in the UK with funds to cover your first 6 weeks here, as it could be up to 4 weeks before you receive your first salary and you will need to cover your costs until then, including costs of essentials such as food. You will be assisted in opening a UK bank account once you are here, this is usually a straight-forward process.

Ashford and St Peters will cover the following costs for you;

  • Certificate of Sponsorship
  • Visa fee
  • Immigration Skills Surcharge
  • Your flight to the UK
  • First 8 weeks of rent

ASPH will cover the cost of your OSCE exam, however this will be on a Loan basis and you will be required to pay it back through salary deduction over 18 months. If you leave the Trust within 3 years of joining, you will be required to repay all costs mentioned above.

You will need to cover the following costs yourself;

  • IELTS exam
  • Medical exam
  • CBT
  • NMC application
  • Final NMC payment

Your starting salary will be the top point of band 4 on NHS agenda for change payscales. This will be your salary until you pass your OSCE exam, you will move up to the first point of Band 5 after passing the exam. To view the NHS agenda for change payscales Click Here

In the UK we pay income tax, this is a tax you pay on your earnings. Please take in to account that the salary offered to you is your salary before tax. You will also have money deducted each month to cover your OSCE exam loan (mentioned above).

Challenges to Consider

Many people relocating to the UK may have only experienced what life is like in the country through television and movies before they arrive, with images of London and its red buses, black cabs, and Big Ben often coming to mind. However, the reality of everyday life in the United Kingdom is going to be very different from what you see on the screen and taking time to adjust to your new surrounding is to be expected. Adapting to a new way of life can be overwhelming at first and with starting a new job as well it may take some months before you feel at home.

The food in the UK is likely be quite different to what you are used to and you may want to consider the adjustments you will have to make. You can drink tap water in the UK, although many people purchase filters and softeners to improve the quality.The UK has a variety of supermarket chains such as Lidl, Aldi, Tesco, Asda, Morrisons, and Sainsbury. Many of these chains will have their “own brand” products of staple items which can make the weekly shop more affordable. Supermarkets stock a wide vareity of food and you will find oriental food sections in them. Make sure to do your research in to the costs of food in the UK and account for this when reviewing your finances. You can drink tap water in the UK, although many people purchase filters and softeners to improve the quality.

The UK is famous for its rain, which it does see a lot of! Our coldest months are October – March, temperatures can fall below zero during these months and we often see some snow! April – June sees slightly warmer ‘spring’ weather and July – September are our summer months when temperatures are usually around 25-30 degrees. Our weather is very varied, so make sure to pack suitable clothing for all seasons!

Opening a UK Bank Account

To receive your salary and make settling into the UK easier you will need to open a UK Bank account. We highly recommend opening an account with one of the main national Banks such as Barclays, HSBC, NatWest, and Lloyds. Alternatively, you can open an account with a building society; member-owned institutions that are very popular in the UK. Building societies include Nationwide and Yorkshire Building Society. The recruitment team can assist you with this and have contact with a local Bank. Before moving into your accommodation, you can also sign up for a mobile bank in the UK. These banks typically offer easier sign-up procedures, and include:

  • Monzo
  • Revolut

However, it is advised you transfer to one of the main accounts once you have settled into the accommodation.

UK Sim Card

You will need to get a UK SIM card; this will be a more affordable way to keep in touch with friends and family back home and ensure you are contactable in the UK. There are two options when it comes to a UK SIM card: a prepaid SIM or a mobile phone contract. The right option for you will depend on your circumstances, and there are several different UK mobile operators to choose from, which includes Virgin Mobile, O2, Three.

For more information on living in the UK, please visit the UK Government’s official website

UK Work Visa

If Successful in being offered an Adaptation Nurse role with ASPH and completing relevant pre-employment clearances, you will be issued a Certificate of Sponsorship to apply for a Tier 2 Skilled Worker visa.

Skilled Worker Visa

The Skilled worker visa will allow you to come and work in the UK as an Adaptation Nurse for Ashford and St Peters Hospitals. If you are successful in being offered an Adaptation Nurse role and completing mandatory pre-employmet checks, ASPH will issue you with a certificate of sponsorship, which you will use to apply for the Skilled worker visa from within your home country.

ASPH will sponsor you as a Skilled worker for 3 years and will extend the sponsorship if necessary. Initially you will work as an Adaptation Nurse until you have passed the OSCE exam and received your NMC pin number, your sponsorship will then be updated which will allow you to work as a Registered Staff Nurse.

Sponsoring Dependants

As a skilled worker visa holder, you will be able to sponsor ‘dependants' to come and live with you. A dependant can be one of the following;

  • A husband
  • A child under 18

If you plan on applying for a visa for a dependant, it is important to consider the following;

  • Applying for a visa for a partner is a lot more complicated than applying for a visa for someone you are married to
  • If you are a single parent applying to bring a child, you will have to prove that their other parent gives permission
  • Children over 18 are no longer considered dependants

Things to do in Surrey

Ashford and St Peters Hospitals sit within Surrey, UK. There are so many things to do in Surrey, from visiting award-winning Surrey Hills vineyards and relaxing at country pubs, restaurants and hotels to exploring ancient heathland, stunning hilltop views, beautiful waterways and charming towns and villages. You will never be stuck for things to do on a day off.

About Surrey

The county of Surrey extends from Greater London in the north to the Sussex and Hampshire borders in the south, with Kent in the east and Berkshire in the west.

Surrey is England's most wooded county and home to rolling hills and valleys, as well as some of the best gardens in Britain. It contains over 20 National Trust properties (which you can visit for free with a National Trust membership) and has plenty of historic landmarks to discover, such as Hampton Court Palace or the site of the sealing of the Magna Carta.

Surrey is known for its green open spaces, including the Surrey Hills which was named 'an area of outstanding national beauty'.

To find out more about what Surrey has to see and do, please explore the Visit Surrey website: Click Here

Childcare in the UK

The following information is to provide a brief overview of child care provision and costs in the UK, however you are strongly advised to undertake your own independent research.

The law on leaving your child on their own

The law does not say an age when you can leave a child on their own, but it’s an offence to leave a child alone if it places them at risk.

Use your judgement on how mature your child is before you decide to leave them alone, for example at home or in a car.

The National Society for the Prevention of Cruelty to Children (NSPCC) says;

Parents can be prosecuted if they leave a child unsupervised ‘in a manner likely to cause unnecessary suffering or injury to health.

Average cost of Child care

How much will a day nursery place cost?

The typical cost of a full-time day nursery place is about £210 a week for a child younger than two. In some areas, such as London, the average cost rises to £280. Day nursery places tend to be more expensive for children under two. It gets a little cheaper as your child gets older. This is because babies and toddlers need more hands-on care, so the nursery has to employ more staff.

How much will a childminder cost?

On average, childminders charge just under £200 per child per week for full-time care. This may be higher depending on when you want to drop off and pick up your child. Some childminders may offer a discount if she is caring for more than one of your children. Childminders are self-employed, so you won’t have to pay any tax on top of the fee. But you may find that childminders charge more if you live in an area where there’s high demand.

Most child minders do not offer early morning starts, evenings or overnight child care.

How much will it cost to hire a nanny?

A nanny is usually the most expensive childcare option. The average take-home salary for a live-in nanny ranges from £300 to £350 per week, depending on where you live. Day nannies charge between £400 and £475 per week. When you hire a nanny you become an employer, and need to pay tax and national insurance for your employee. You’ll also need to set up and contribute to a pension if she's between 23 and state retirement age. If you're unable to cover the cost of a nanny on your own, consider sharing one with another family to ease the expense.

How much will an au pair cost?

Hiring an au pair is one of the least expensive childcare options. Au pairs are not classed as employees but as a member of the family. However, you do need to pay your au pair, as well as providing room and board.

If an au pair works 25 hours per week, you must pay a minimum of £70. This increases to £85 per week if she works 30 hours. If an au pair does extra babysitting outside her set hours, you’ll need to pay her more. You will also have another mouth to feed, and you’ll need to calculate extra heating, electricity and water costs. And you should always pay the au pair’s share if you’re all going out for a family lunch or outing.

Bear in mind that au pairs do not have formal training in childcare. As such, an au pair is not suitable if your child is under two years old.

Leaving a child alone with siblings

If your child has an older sibling or step-sibling, you might feel more comfortable leaving them home together, especially if one child is older.

There’s no legal age a child can babysit – but if you leave your children with someone who’s under 16 you’re still responsible for their wellbeing.

You should also think carefully about leaving your child alone with an older brother or sister. If they fall out, you won’t be around to make the peace.

General advice on leaving older children

Keep talking to your child. Whether they're 12 years old or almost 18 years old, there might be reasons that they don’t feel safe in the house alone or ready to look after their siblings. Just because your child is older doesn’t necessarily mean they‘re ready to look after themselves or know what to do in an emergency. It can help to go over the ground rules and remind them how to stay safe at home.

Remember – you should never leave a child home alone if they don’t feel ready, or if you don’t feel they’re ready – particularly if they’re nervous or have complex needs.

For further information please visit

School Education in England

In each country of the United Kingdom there are five stages of education: early years, primary, secondary, further education (FE) and higher education (HE). The law states that full time education is compulsory for all children between the ages of 5 (4 in Northern Ireland) and 16, the compulsory school age. Although in England, compulsory education or training has been extended to 18 for those born on or after 1 September 1997. This full-time education does not need to be at a school and some parents choose to home educate. Before they reach compulsory school age, children can be educated at nursery if parents wish, though there is only limited government funding for such places. Further Education is non-compulsory, and covers non-advanced education which can be taken at further (including tertiary) education colleges and Higher Education institutions (HEIs). The fifth stage, Higher Education, is study beyond A levels or BTECs (and their equivalent) which, for most full-time students, takes place in universities and other Higher Education institutions and colleges.

The National Curriculum (NC), established in 1988, provides a framework for education in England and Wales between the ages of 5 and 18. Though the National Curriculum is compulsory, some private schools, academies, free schools and home educators design their own curricula. Most schools in the UK expect students to wear a school uniform and the costs can vary greatly on the type of school and their uniform requirements so this is something to consider when researching schools in this area. On average the costs are between £200 to £300 per school year per child.

For a lot of schools there will be elements of the uniform that is branded (i.e. has the school logo) as an example a school uniform shop in Staines is selling this PE kit for one its local senior schools for £87.

This of course does not include things like trainers, possibly football boots and other accessories maybe shin guards or mouth guards depending on the sports. The same school has a uniform that consists of a blazer, jumper, skirt and tie all with school logo the total for this is £93.96

Again of course this doesn’t include shirts, shoes, socks, school bag, lunch box and stationary etc. From the research this is fairly typical for the schools in this locality Again this is an a brief overview of education for school age children and costs of uniform which are both important factors when considering relocating to the UK with a family and as always you are encouraged to undertake your own research.

Further information can also be found here

Onsite Hospital Accommodation

The team at ASPH understand the importance of accommodation that is not only affordable, but also comfortable place that you can call home. We have partnered with the following three accommodation providers;

The accommodation offered by each provider is onsite and is single accommodation only, more detials about each provider can be found below. You will sign up to a minimum 6 month tenancy agreement. If you wish to leave before the 6 month period is complete you may be liable to pay for the remaining months of the agreement. You will be sent a detailed tenancy agreement to sign ahead of moving in. Unfortunately we do not have accommodation available to rent for less than a 6 month period.

A2 Dominion

The A2 Dominion Group is close to Ashford Hospital and provides single rooms with shared kitchen and dining area. Each room benefits from;

  • En-suite facilities with shared kitchen and dining area
  • Fully furnished
  • All kitchens are equipped with white goods (except washing machines)
  • Onsite laundrette
  • Rent for an en-suite room for one person includes utilities and council tax and is approx. £530.13pcm, a deposit of one months rent is also required.

    For more information about A2 Dominion accommodation, to view the A2 information book Click Here


    Optivo provide accommodation on the St Peter’s Hospital site, with over 390 units of accommodation, ranging from rooms in 4 and 5 bedroom house shares, to 1 bedroom flats. This accommodation is fully furnished and linen is provided. Residents provide their own crockery, cutlery, and pans etc. There is a laundry room provided on site, and charges are made for the use of the machines. Broadband internet service is also provided. The rentals are inclusive of heating, hot water, lighting and Wifi.

    For more information about rent costs for each room, please take a look through the Optivo information book Click Here


    Sandgates accommodation is within easy reach of St Peter’s Hospital (approx. 10 minute walk), Chertsey railway station and town centre. The accommodation comprises of En Suite Bedsit’s, Single Studio Flats and Two Bedroom Flats. All properties are fully furnished.

    Rent ranges from £503.70pcm for the bedsit rooms, to £1,122.80 per calendar month + council tax band C (£1,734.78 per year) for a 2 bedroom flat. For more information on the renting costs of all the rooms offered by Sandgates, please take a look through the Sandgates information book Click Here

    For more information about our staff accommodation, please contact our accommodation officer via email to;

    Privately sourced Accommodation

    Long term you may want to source your own accommodation, live with friends, or have you family relocate and join you in the UK. Rental costs in the UK can vary greatly depending on your location and the type of property you are looking for. Some rentals include utility bills in the contract, although most will have these as an extra cost. The average private monthly rental costs in Surrey range from £1,000 to £1,800 per month for a 1-to-3-bedroom property. Websites such as and are helpful when looking for accommodation.

    Utility Bills

    As well as rental costs in most properties you will need to arrange your utility bills which include gas, electric, water and council tax. We advise you undertake some research regarding the average monthly costs and shop around where possible. is a very helpful website you may want to take a look at, containing information surrounding the different types of household bills.

    Other Bills

    In terms of home entertainment, broadband, telephone, and satellite TV costs can be bundled into one expense if you buy a package from a provider such as Sky, Virgin Media, or BT. However, packages vary depending on the channels you want, for example sports and cinema packages so it is worth shopping around to find a package that suits you, using a website such as will help you to do this. You can expect to pay around £30 to £40 a month for a high-speed broadband and landline package.

    Career Pathway

    ASPH understand that your professional development is important to you. Whilst you play the main role in growing your career, we are keen to support our staff and offer opportunitys wherever possible. After you have completed your OSCE exam and Registered with the NMC you will join our Preceptorship programme.

    Preceptorship Programme

    In keeping with the mandates put in to place by the Nursing and Midwifery Council (NMC), ASPH offers a structured preceptorship program to all newly registered nurses. The aim is to intergrate and welcome you in to your team and place of work. This is mandatory for all new staff.

    The team at ASPH is cognisant of the wealth of knowledge and experience that overseas nurses bring to the Trust, as such our aim is to help you as a professional, new to nursing in the UK, translate your knowledge and experience into everyday practice, grow in confidence and understand how to apply the NMC Code in your day-to-day work.

    Preceptorship will be offered to you as the next step after completing part two of the Test of Competence - the OSCE. Preceptorship spans over one year. The team will ‘meet and greet’ you briefly during OSCE training. Preceptorship offers structured support delivered in the clinical ward setting and study days. Support in the clinical areas is usually in collaboration with the Ward Manager, Clinical practice Educators, Charge Nurses and Senior Staff Nurses.

    The study days will be divided over 9 days, including Medicine Management, (competency requirement for administration of medicines). Presentations done on study days are relevant to current practice and seek to address different clinical and wellbeing issues. Facilitators are from different specialities, as we seek to expose you to the diverse roles offered within the Trust.

    After the OSCE

    Passing your OSCE exam and registering with the NMC as a staff Nurse is just the beginning. Committed, conscientious induviduals can take steps to develop from a Staff Nurse role in to a Deputy Sister role followed by a Sister role, right up to a Matron role.

    Staff Benefits and Wellbeing

    ASPH puts a strong focus on supporting the wellbeing of its staff, we strive to have a workforce of happy and healthy individuals. Bullying, harassment and victimisation of any kind is unacceptable behaviour and will not be tolerated. We have a dedicated wellbeing team and have introduced many wellbeing initiatives.

    Cultural Wellbeing

    There are Multifaith Capels located at both Ashford and St Peters Hospital sites. All patients, staff and visitors are welcome to attend services and to use the Multi-Faith Centres at any time for prayer and times of quiet reflection. Both centre’s consist of:

    Emotional Wellbeing

    If you feel you are struggling and are in need of support, please do not be afraid to speak up! The team at are here to support you every step of the way. There are also a range of helplines and associations available;

    Physical Wellbeing

    Physical wellbeing initiatives include our new Wellbeing Hub, based at St Peters Hospital and coming soon to Ashford. It offers a gym and relaxation zone, as well as a range of physical fitness classes for staff to participate in.
    For full details please visit our wellbeing hub page; Click Here

    Staff Benefits

    Ashford and St Peters work with local companies and organisations to provide staff with various discounts and benefit schemes, more information can be found in our benefits booklet and on the staff benefits webpage.

    Benefits Booklet: Click Here

    Staff Benefits webpage: Click Here

    To enquire about any of the benefits mentioned, please contact our retention officer via email to;

    Contacts and Latest News

    If you are interested in becoming an Adaptation Nurse with Ashford and St Peters Hospitals please send your CV in to us via email to;

    Alternativley, please contact a member of the nursing recrutiment team;
    Dawn Bricker (Resourcing Lead for Nuring) via email to;
    Farah Choudrey (Nursing Recruitment Officer) via email to;
    Lisa Punter (Lead Nurse for Workforce) via email to;

    For your CV to be considered you must be ready for the part 2 of your OSCE exam and have passed your CBT.

    Check out our social media to see out latest news and what we've been up to recently;