How to become a nurse without A levels: your pathway to university

Results day is one of the most emotional days of the year. For some, it brings relief and celebration. For others, it can feel like the end of a dream. If you wanted to study nursing at university but your A level results didn’t go as planned, it’s easy to think that your chances are over.

But here’s the truth: your journey to nursing is still possible. In fact, there’s a clear alternative route that thousands of students in the UK take every year, the Access to HE Diploma in Nursing.

Can you become a nurse without A levels?

Yes. While A levels are the traditional path into university, they are not the only way. Many universities across the UK accept the Access to HE Diploma as an equivalent qualification. This means you can still apply for a nursing degree without A levels.

The Access to HE Diploma in Nursing is designed for people just like you—whether you’re a recent student who didn’t get the results you expected, or an adult learner who’s ready for a career change.

If you’re also exploring other options in health and social care, check out our guide on how to start a career in health and social care in the UK for practical tips and career pathways.

What is the Access to HE Diploma in Nursing?

The Access to HE Diploma in Nursing is a nationally recognised qualification that prepares you for university-level study. Instead of repeating A levels or giving up on your goal, you can take this focused pathway that develops the skills, knowledge, and confidence you’ll need for a nursing degree.

You’ll cover subjects such as:

• Human biology and health sciences

• Psychology and sociology

• Study skills to prepare you for university assessments

The best part? We provide flexible and online study options, so you can learn at your own pace and fit it around your life.

Why choose this route into nursing?

For many students in London and across the UK, the Access to HE Diploma has become the lifeline that keeps their nursing dream alive. It offers:

• Recognition: universities across the UK accept it for nursing entry

• Flexibility: online and part-time options available

• Relevance: tailored specifically to healthcare and nursing careers

Unlike traditional A levels, this diploma focuses directly on the skills and qualities a health and social care worker needs, making the transition into your nursing degree smoother.

Who is this diploma for?

This pathway is ideal if:

• You didn’t get the A level grades you hoped for

• You left school without A levels but now want to pursue nursing

• You’re working in care already and want to progress into a nursing career

• You’re an adult learner or career changer looking for a fresh start

Nursing is about more than grades. It’s about empathy, resilience, and commitment, the very qualities you already carry with you.

How London Cactus College can help you achieve your dream

At London Cactus College, we understand that not everyone takes the same path to nursing. That’s why we offer the Access to HE Diploma in Nursing, a recognised route that opens the door to university and a future NHS career.

What makes studying with us different?

• You’ll learn from NHS-registered tutors who bring real-world experience into the classroom
• You can study flexibly, so your learning fits around work, family, or shifts
• You’ll receive career and university application support, helping you take the next step with confidence
• Funding support is available through the Advanced Learner Loan, making your journey more affordable

This means you can build the skills, confidence, and qualifications you need, without worrying about A levels holding you back.

Final thoughts: your results don’t define your future

Becoming a nurse is about more than grades, it’s about compassion, resilience, and the drive to make a difference. If your A level results didn’t go as planned, don’t let that hold you back. With the Access to HE Diploma in Nursing at London Cactus College, your dream of becoming a nurse is still within reach.

Results day is just one moment. Your journey is bigger than that. You bring the passion, we’ll provide the pathway.