Becoming a nurse in the UK is a dream for many people who want to make a real difference in healthcare. However, one of the most common misconceptions is that A-Levels are the only route into nursing.
In 2026, with ongoing NHS workforce shortages and increasing demand for healthcare professionals, alternative pathways into nursing are more important than ever. The good news is:
you do not need A-Levels to become a nurse in the UK.
This guide explains how you can start your nursing journey without traditional qualifications and what routes universities actually accept.
Do You Need A-Levels to Become a Nurse in the UK?
While A-Levels are one option, UK universities also accept recognised alternative qualifications, particularly for adult learners, career changers, and those returning to education.
Universities focus on whether you can:
- Cope with degree-level study
- Demonstrate academic readiness
- Show commitment to healthcare
One of the most widely accepted alternatives is the Access to Higher Education Diploma (Nursing & Midwifery).
Alternative Routes Into Nursing Without A-Levels
1. Access to Higher Education Diploma (Nursing & Midwifery)
The Access to HE Diploma is a Level 3 qualification designed specifically for people who do not have A-Levels but want to progress to university.
It is:
- Ofqual regulated
- Recognised by UK universities
- Designed for learners aged 19+
- Accepted for nursing, midwifery and allied health degrees
Many universities actively prefer Access Diplomas for mature learners because they prepare students for academic writing, research, and healthcare study.
2. NVQ / Work-Based Routes (Limited for Nursing Degrees)
NVQs and work-based qualifications are valuable for employment in care settings. However, most nursing degree programmes do not accept NVQs alone for entry.
They are often better suited for:
- Career progression within care roles
- Meeting workplace requirements
If your goal is a nursing degree, an Access to HE Diploma is usually the most direct and reliable route.
What Is an Access to HE Diploma in Nursing & Midwifery?
An Access to Higher Education Diploma (Nursing & Midwifery) prepares learners for undergraduate degrees such as:
- Adult Nursing
- Nursing (Children and Young People)
- Mental Health Nursing
- Midwifery
- Paramedic Science
- Occupational Therapy
What Does the Course Cover?
Typical modules include:
- Professional Healthcare Practice
- Human Physiology
- Study Skills for Higher Education
- Optional specialist healthcare units
The course is academic, structured, and aligned with university expectations.
UCAS Points Explained
An Access to HE Diploma can carry up to 144 UCAS tariff points, depending on grades achieved.
To put this into perspective:
- 144 UCAS points = 3 A-Levels at Grade A
- Universities assess both grades and subject relevance
This makes the Access Diploma a fully credible university entry qualification.
Entry Requirements for Access to Nursing Courses
While requirements may vary slightly, most providers expect:
- GCSE English and Maths at grade C/4 or above
or - Level 2 Functional Skills in English and Maths
If you do not yet have these, many colleges allow you to study Functional Skills alongside or before starting the Access Diploma.
Learners must usually be aged 19 or over.
Can You Study an Access to Nursing Course Online?
Yes. Many learners now choose online or blended study, especially if they are:
- Working full-time
- Managing family responsibilities
- Returning to education after a long break
At London College of Professional Studies (LCPS), the Access to HE Diploma (Nursing & Midwifery) is delivered 100% online, allowing learners to study flexibly while receiving full academic support.
Learners benefit from:
- 24/7 access to an online learning portal
- Expert tutor guidance
- Detailed assignment feedback
- Full academic and administrative support
What Careers Can This Lead To?
After completing an Access to HE Diploma, learners can progress to university and then into careers such as:
- NHS Nurse or Midwife
- Mental Health Nurse
- Paramedic
- Occupational Therapist
- Community Health Worker
Graduates work across:
- The NHS
- Private healthcare providers
- Community and social care services
- Education and research
Are You Too Old to Become a Nurse?
Absolutely not.
Many nursing students in the UK begin their journey in their 20s, 30s, 40s and beyond. Universities value life experience, maturity, and commitment — qualities often demonstrated by Access Diploma learners.
Final Discussion
If you want to become a nurse in the UK but don’t have A-Levels, you still have a clear and recognised pathway.
An Access to Higher Education Diploma in Nursing & Midwifery is one of the most effective ways to progress into a nursing degree and a rewarding healthcare career.
If you’re exploring your options, consider speaking to an admissions advisor to understand whether this route is right for you.
