Joe , I have not run across this particular problem , but what has happened to several Chinese ladies out here is that they finished their 2 year transition courses on nursing with top marks { mind you the courses and exams are all in English } and all of them have been well qualified nurses before , but now the nurses federation out here has told them to do the same course of English at a cost of some 7000 dollars to be accredited , mind you other South Asian countries including India do not have to do this , blatent discrimination , seems like in England the goal posts keep also moving , regards Sujuan and Robert .