NHS Graduate Management Training Scheme Preparation & Practice Tests (2026)
Last updated: 12 November 2026 | Trusted by thousands worldwide.
The NHS Graduate Management Training Scheme (GMTS), often simply called the NHS graduate scheme, is a fast-track programme for future non-clinical NHS leaders.
After the online application, selection includes two online assessments, the Future Potential Assessment and the Alignment Assessment, followed by a half-day Virtual Assessment Centre. Knowing what each stage involves makes it much easier to prepare with confidence.
Our PrepPack takes you from numerical, verbal, and logical reasoning and situational judgement practice to interview and assessment centre preparation, supported by video tutorials and study guides.
Realistic practice tests & study guides
Created by experts with a focus on accuracy
What's Included:
- 68 Aptitude & Reasoning Practice Sessions
- 2 Situational Judgement Tests
- 3 Interview Preparation Materials
- 19 Study Guides & Video Tutorials
- 4 Personality Questionnaires & Guides
- 1,500+ Practice Questions
- FREE Assessment Centre Preparation
Inside Our NHS Graduate Scheme PrepPack
Our NHS Graduate Scheme PrepPack doesn’t replicate the NHS’s own assessments. Instead, it’s designed to help you build the underlying skills that may be tested at each stage of the scheme, from reasoning and situational judgement to interviews and group exercises, so you can approach every stage with confidence.
- 68 Aptitude & Reasoning Practice Sessions: Start with a diagnostic test that shows where to focus, then build your numerical, verbal, and logical reasoning across 37 practice sessions, from percentages and ratios to tables, graphs, and written passages. Also strengthen your critical reasoning with 30 exercises on inferences, assumptions, deduction, interpretation, and arguments, including full-length simulations.
- 2 Situational Judgement Tests: Practise choosing the most appropriate response to realistic workplace dilemmas.
- 3 Interview Preparation Materials: Get ready for video answers and interviews with a preparation video, an interview guide, and a guide to the most common questions.
- 19 Study Guides & Video Tutorials: Learn the techniques step by step, from arithmetic refreshers to table and graph analysis.
- 4 Personality Questionnaires & Guides: Understand your own working style and motivations.
- FREE - 26 Assessment Centre Preparation Materials: Practise the kinds of exercises assessment centres often use, with 2 case studies, 2 in-tray exercises, and 7 group and role play exercises, supported by 15 guides, model presentations, scoring forms, and worked solutions.
In total, you get 1,500+ practice questions to prepare with, and your progress is tracked as you go, so you can see where to focus next.
Ready To Start Building Your NHS Graduate Scheme Skills?
Everything you need to build the skills behind each stage of the NHS Graduate Management Training Scheme is in one PrepPack, with access from one week to three months to suit your timeline.
NHS Graduate Scheme Application Process
The NHS Graduate Management Training Scheme gives graduates a structured, paid way into NHS leadership, with no clinical background required.
You’re employed on a fixed-term contract and learn on the job. Placements at NHS organisations across England give you hands-on experience, and you work on real projects that improve services and support staff.
Alongside this, a funded postgraduate qualification builds the knowledge behind your practice, so that, at the end of the scheme, you can apply for management roles.
Selection looks at your potential as well as your achievements
Here’s what to expect at each of the four application stages:
You’ll start by registering and completing the online application form, including choosing your specialism.
The NHS recruits for potential, not your degree subject, university, or work experience, so for most specialisms you can apply whatever you’ve studied.
Applications usually open in September and close in late October. The earlier you apply, the more time you’ll have to complete the assessments that follow.
Stage 1 is a strengths-based online assessment that gives you an insight into the work you could be doing on the scheme. It looks at your strengths and potential, not your degree subject or work experience.
The Future Potential Assessment takes about 45 minutes to complete but there's no time limit, so you can work through it at your own pace. You can also practise each question type before you start, and you’ll receive a feedback report when you finish.
As soon as you’re notified of success at Stage 1, you can take the Alignment Assessment, which works like an online interview.
It combines work-based scenarios with video questions (where you record your answers on camera without a live interviewer), giving you the chance to show how your experiences, motivations, and values align with the NHS.
The assessment takes about 60 minutes, and only the video questions are timed, with preparation time before each recording.
Every response is reviewed by a person, not artificial intelligence, and you’ll receive a feedback report when you finish.
If you’re successful at Stage 2, you’ll be invited to a half-day Virtual Assessment Centre, which has run in January and February in recent years.
You’ll complete several exercises and meet the NHS team and other candidates
Our PrepPack includes free assessment centre preparation, so you can practise the kinds of exercises assessment centres often use.
After the assessment centre, successful candidates are matched to available NHS placements, using their assessment scores and stated preferences.
Want To Prepare For Every Stage?
From situational judgement and interviews to group exercises, our PrepPack helps you build the skills each stage calls on, with 1,500+ practice questions and free assessment centre preparation included.
NHS Graduate Scheme Specialisms
There are five specialisms to choose from, and most take two years, while Finance and Engineering & Estates Management take two and a half.
Here’s what each one involves:
- General Management: You’ll gain experience across operational management, strategy, transformation, and service improvement, so you can lead teams and help shape how healthcare is delivered.
- Finance: You’ll develop professional finance expertise while helping NHS organisations make the best use of their resources, building a strong foundation for a career in NHS financial management.
- Human Resources: You’ll build expertise in workforce planning and organisational development, with a route to a CIPD-accredited qualification along the way.
- Digital Health Informatics: You’ll use data and digital technology to improve how NHS services work and how teams use information.
- Engineering & Estates Management: You’ll develop technical and leadership skills across hospital infrastructure, engineering systems, and major capital projects that keep patient care safe and effective.
Throughout, you’re supported by placement managers, programme managers, education support, and trainee buddies, so you’re never working things out alone.
NHS Graduate Scheme Entry Requirements
For General Management, Human Resources, Finance, and Digital Health Informatics, you need at least a 2:2 degree in any subject, so your degree doesn’t have to be in health or management. A postgraduate qualification, such as an MBA, Master’s, or PhD, or a health or management qualification at degree level, also meets the requirement.
You don’t need any work experience, but you do need the right to work in the UK for the full length of the scheme.
Finance and Digital Health Informatics have no set numeracy requirement, though the NHS recommends showing numerate ability, for example, through a numerate degree subject.
Engineering and Estates Management has stricter requirements: You’ll need at least a 2:2 in mechanical, electrical, or building services engineering, from a course accredited by the Engineering Council. An MEng (Hons), whether taken as a four-year course or as a BEng plus Master’s, isn’t accepted for this specialism.
If you don’t have a degree, the NHS accepts certain health and management qualifications at degree level, such as:
- NVQ Level 5 in Management
- Diploma in Management Studies (DMS)
- Diploma in Nursing, Midwifery or Health Visiting (Dip HE Nursing)
- Diploma in Social Work (DSW) or Certificate of Qualification in Social Work (CQSW)
A Certificate in Management Studies, or a DipHE in any subject other than those above, isn’t accepted. The NHS’s full entry requirements list every accepted qualification.
Ready To Take The Next Step Towards NHS Leadership?
Whether you’re about to apply or already working through the assessments, our PrepPack gives you a place to build the skills each stage calls on, at your own pace.
NHS Graduate Scheme FAQs
This is Stage 1 of the NHS Graduate Management Training Scheme selection process. It's a strengths-based online assessment that gives you an insight into the work you could be doing on the scheme. It takes about 45 minutes, isn’t time limited, and looks at your strengths and potential rather than your degree subject. You can practise each question type first.
Once you’ve applied, your NHS account includes hints and tips videos and practice tests similar to the real assessment, which also let you check your equipment and internet connection. Use these first, then build your confidence with extra practice in the skills it draws on. Because the assessment is strengths-based, answer honestly and consistently rather than trying to guess the right response.
Partly. Stage 2 combines work-based scenarios with video questions, where you record your answers on camera with time to prepare first and no live interviewer. The assessment takes about 60 minutes, only the video questions are timed, and a person reviews every response, not artificial intelligence.
Once you’ve applied, the NHS adds preparation materials to your account at each stage, including practice for every question type. Our PrepPack builds on this with extra practice tests, study guides, and interview preparation, so you can keep building the skills each stage draws on.
In recent years, applications have opened in September and closed in late October, with the online assessments following in November, Virtual Assessment Centres running in January and February, and successful candidates starting on the first Monday in September. The NHS publishes the exact dates for each intake on its Apply page.
For the latest entries, trainees start on just over £31k, rising to just over £33.5k after 12 months. You’re employed throughout the scheme on a fixed-term contract, so you earn a salary while you train and study for your funded postgraduate qualification. The NHS updates its pay figures for each intake.
You'll have instant access to your PrepPack, which includes all your practice tests. You can start practising immediately, learning from detailed explanations and guides, while tracking your performance with accurate, tailored questions to help you understand the correct approach to solving your assessment.
After your purchase, you'll receive two emails. The first contains your payment receipt, and the second includes a login link along with information about our general terms, conditions, and refund policy. To access your PrepPack, simply log in and reset your password.
No, there's no limit. Your progress is saved in your account, allowing you to revisit previous attempts. Our performance tracker helps you focus on the test sections that require more attention.
Yes, you can extend your practice period. Simply contact our customer success team via c.serv@jobtestprep.com.
Why Trust JobTestPrep?
Founded in 1992, JobTestPrep has over thirty years of experience helping candidates navigate competitive recruitment processes, including those taking the NHS Graduate Management Training Scheme Tests. We offer over 220 expert-developed preparation courses, and have supported over a million job-seekers worldwide. In addition to our professionally designed PrepPacks, we also offer advanced AI-powered tools like our CV Analyser and our Interview Prep and Adaptive Learning systems. Together, these resources help candidates across the UK and beyond strengthen their applications, improve their performance, and achieve outstanding results.
Maya Strauss, Psychometric Test Developer at JobTestPrep
Hi, I’m Maya Strauss. With a BA in Psychology and extensive experience in education and content development, I specialise in creating a variety of gamified, aptitude, and personality assessments. At JobTestPrep, I create test questions and provide expert tips to help candidates perform their best. If you have a question about our NHS Graduate Management Training Scheme PrepPack, please contact me at:
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