Around 75% of the people who take the test of competence (TOC) are successful. Candidates who have taken the test have told us that it is challenging. It takes a significant amount of time to collate the required documentation and prepare for the interview.
We encourage you to read this document, which gives some insight into the TOC process from individuals that have experienced it first-hand.
We therefore encourage applicants to apply as soon as possible to allow us enough time to check the completeness of applications and to gain a place at the next available test of competence interview date.
Visit our ‘support for applicants’ section in the page below for useful information and resources that will help you to pass the test of competence.
The TOC process is based on ensuring that you know and understand the Code. By demonstrating your understanding of the standards outlined in the Code, we can be sure that you meet the requirements to be able to practise safely in the UK.
Applying for the test of competence
Applications for the TOC are accepted on a first come first served basis as we only have a limited amount of spaces available for each interview. You are encouraged to send us your application as soon as possible to increase your chances of being accepted on your chosen date. All spaces may be filled before the closing date
Please read all the information carefully before you complete and submit your application
Please do not send us a paper copy of any documents. Send all of the documents listed below by email only to email@example.com. All documents should be in pdf format. Please email them to us all at the same time, failing to do so will result in your application taking longer to process and, as a consequence, you may miss your first choice interview date
If any of your documents are not in English, you must enclose a certified translation of the document with the original. For the purposes of registration, certified translations can only be provided by translators who are members of the Institute of Translation & Interpreting, consular officials or similar
Submit all the documents and payment listed below.
Information required to apply for the TOC
1. Transcript from the educational institution which awarded your chiropractic qualification.
The transcript must give details of how it meets the registration requirements and include:
- your full name
- your chiropractic qualification
- the date you achieved your qualification
- a list of course codes and names
- the total number of study hours (this is not the grades or points), this can include
- clinic hours and nominal hours allocated for self-directed learning. If this does not
- appear on the transcript, you will need to provide an additional letter from the
- college giving the total course hours. We cannot accept course or module
- descriptions with the study hours, we need confirmation that you have actually
- done the study hours
Please refer to our rules on the qualification requirements for overseas applicants here.
If the hours you have completed are below the requirement as set out in the above
guidance document you may still be able to apply, however, in such circumstances we will
review each application on a case by case basis.
2. The Evidence of Practice Questionnaire (EPQ)
The EPQ provides us with evidence of how you meet the standards in the Code. The questionnaire forms a key part of your application and will be assessed by the Test of Competence Assessment Panel.
The evidence of practice questionnaire includes the following sections:
- Section 1: Profile of your caseload
- Section 2: A neuromusculoskeletal case presentation
- Section 3: A case presentation in which the patient was considered unsuitable for hiropractic treatment/ was referred to another healthcare practitioner
- Section 4: A case presentation in which you concluded that certain techniques were unsuitable (contra-indicated)
- • Section 5: Definition of Acronyms and Abbreviations if used
- • Section 6: Application of patient management through the completion of a table showing the different forms of assessment and care you use
- • Section 7: Learning undertaken in the last three years As well as documenting your past or current practice, the replies that you give in your evidence of practice questionnaire should also outline how you intend to ensure compliance with the Code in similar circumstances. You should give enough detail to
- reassure the panel that you understand the actions you took, can reflect on why you took these particular courses of action and any issues that may have arisen.
3. Anonymised patient records
To support your answers to sections 2, 3 and 4 of the evidence of practice questionnaire
you must email anonymised patient records. Patient records are a compulsory part of
your supporting evidence and you will not able to attend the TOC interview without it.
Please remember that when submitting your records:
- Each patient record must be submitted as one document rather than single, individual pages. Patient records not collated will be rejected
- You must clearly label each record to show the section of the evidence of practice
- questionnaire to which it refers
- Ensure complete patients records are submitted which include the patient's past
- and present treatments
- Ensure that you include the original (initial) patient notes where possible
- Patient notes must be indexed in the correct chronological order and the pages paginated
- Handwritten notes submitted must be accompanied by a typed written transcript
- Please ensure all references relating to patient names, date of birth, addresses, your
- name and licence number are all redacted (removed), but remember to leave the
- patient's gender, age, status (e.g. single or married) and dates of visits
If you are an educationalist not treating patients we will accept the clinical cases of
chiropractic students you have supervised rather than those you have assessed or cared
for directly. In this case you must make sure your role and the actions you took in relation
to the patient are made clear.
If you are a recent graduate we will accept patient notes taken as part of your supervised
practical sessions within your course.
We recommend that you obtain real anonymised patient records where possible. We will
accept patient records taken while observing or shadowing chiropractic care. You may
create patient records based on real cases only if you have exhausted all other options of
obtaining real records; however, please ensure that you make explicit on your application
that you have not provided real patient records and also be aware that you will be subject
to a longer, more intensive, interview to ensure that you meet the standards.
The General Chiropractic Council provides information for overseas educational
institutions and employers who may hold responsibility for the patient records that you
wish to submit.
The General Chiropractic Council stipulates that patient confidentiality must be
protected by anonymising patient records. Applicants must therefore ensure that all
personal data within the records are redacted or deleted before being submitted to us. All
anonymised records are used for the sole purpose of the test of competence. The General
Chiropractic Council does not use these records for any other purpose, nor are they
shared with third parties.
You must provide an up-to-date copy of your CV/resume that includes all of your work
history, especially related to chiropractic.
5. Passport copy
Send us a copy of the pages from your passport that has your photo and personal details.
6. You will be invited to fill in our diversity monitoring form.
7. Pay the test fee of £2,000
It is a requirement of the TOC interview that the fee of £2,000 is paid before your place is
confirmed. It is not possible to pay the fee after the interview or by instalments. Fees are
reviewed annually and subject to change.
You can pay by card or electronic bank transfer.
If you make an electronic payment to us direct from your bank, please include your
surname and reference ‘TOC’ so that we can easily trace your payment.
If you are paying by card, please complete the card payment form and return to us
We will take the fee once a place on the TOC interview has been confirmed. Please note we
will not notify you beforehand. If you do not give us your credit card details, you will
receive a request for payment once we have confirmed your interview date. Please do not
attempt to make any payments before we have confirmed your place on the TOC.
English Language Skills
If the Chiropractic programme you attended was not conducted in English, we will ask you to provide evidence that you meet the English Language requirements in our Guidance on English Language for Applicants.
After we have received your information
Once we have received all of your paperwork by email, we will check it to ensure it is correct and fully complete. If there are any missing parts, or if the information required has not been fully provided we will let you know. Please note that in the case that we have not received all the required information, your application will be delayed.
Withdrawal and refunds
You should only apply for the TOC if you are confident that you will be prepared in time and you will be able to attend an interview day.
If you withdraw your application for the TOC after your place has been confirmed anytime up to 1 day before the closing date, we will refund 50% of your fee.
If you withdraw your application on or after the closing date, no part of your fee will be refunded unless we agree that you have an exceptional mitigating circumstance, in which case a full refund will be given.