The official sample tests on the OET website are the right place to start — they are the real task. This page covers the part samples cannot give you: what the five criteria actually reward, and why most nurses who fail Writing had nothing wrong with their English.
Six bands across five criteria. A letter can be fluent English and still land a C.
Is the reason for writing clear in the first line? A referral that opens with the patient's history rather than the ask loses marks here.
Did you select the right case notes? Marks come from what you left out as much as what you put in.
No padding, no copied case-note fragments. Every sentence earns its place or costs you.
Written to a named health professional, not to a patient or an examiner. Register is professional, not conversational.
Logical paragraphing, correct letter conventions, and a structure the recipient can act on quickly.
A model answer shows you a finished letter. It cannot show you the decision that produced it — which of the case notes the writer dropped, and why. That decision is where the marks are, and it is invisible in the output.
So the practice that moves a C to a B is not reading more samples. It is planning your own letter, having the plan checked before you commit forty minutes to it, and then writing it. That is exactly what the OET Idea Builder does: you note what belongs in the letter and in what order, your ideas get checked, then you write it for real.
And the person checking it matters. EEC's OET faculty are OET-trained MBBS doctors or Registered Nurses — people who have written real referral letters, not general English teachers who have read about them.
Cambridge Boxhill publishes official sample tests with nursing referral-letter tasks on the OET website — start there, because they are the real thing. What samples cannot tell you is why your own letter would lose marks, which is where a scored attempt matters more than another model answer.
You get case notes and 45 minutes: five to read, forty to write. Usually a referral letter to another health professional, occasionally a discharge or transfer letter. Around 180-200 words, addressed to a named recipient, selecting only the case-note detail that reader actually needs.
Five criteria, each banded: Purpose, Content, Conciseness and Clarity, Genre and Style, and Organisation and Layout, plus Language. Grade B needs consistent strength across all of them — a letter with perfect grammar still drops if it dumps every case note in rather than selecting.
Because the task is not an English test in the usual sense — it is a selection test. The marks go to choosing which case notes the recipient needs and in what order. Most C grades are well-written letters that included everything, or that buried the reason for referral.
Plan before you write. EEC's OET Idea Builder has you note which case details belong in the letter and in what order, checks that plan, and only then has you write it for real — the step that turns a well-written letter into a Grade B one. The course includes 30 full mocks with instant AI scoring.
Writing usually needs the most drilling of the four sub-tests. Most working nurses are exam-ready after a 1-month intensive, provided the writing practice is scored rather than self-assessed — you cannot mark your own selection decisions.
EEC's OET course is ₹7,500 — one month of daily live classes taught by an MBBS doctor or Registered Nurse, with 30 full mocks and the OET Idea Builder.
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