Performances on the Writing and Speaking sub-tests are each rated by at least two trained Assessors. Audio files and scripts are assigned to Assessors at random to avoid any conflict of interest. Test-day Interlocutor is not involved in the assessment process.

Writing and Speaking Assessors are monitored for accuracy and consistency, and the scores they award are adjusted to take into account any leniency or severity. If two Assessors award different scores to the performance, script and/or audio file will be referred to at least one other senior Assessor not previously involved in your assessment.

For the Writing sub-test, each Assessor scores your performance according to six criteria: Purpose, Content, Conciseness & Clarity, Genre & Style, Organisation & Layout, and Language. Each criterion is assigned a band score from 0 to 7, except Purpose, which has a band score of 0 to 3. A score of 350 (previously grade B) for Writing requires a high level of performance on all six criteria.

For the Speaking sub-test, each Assessor scores performance according to nine criteria. The four linguistically-oriented criteria are Intelligibility, Fluency, Appropriateness of Language, and Resources of Grammar and Expression. They are assessed on a scale from 0 to 6. Clinical communication criteria include Indicators of Relationship Building, Indicators of Understanding & Incorporating the Patient’s Perspective, Indicators of Providing Structure, Indicators for Information Gathering and Indicators for Information Giving. They are assessed on a scale from 0 to 3. A high level of performance on all nine criteria is required in order to achieve a score of 350 (previously grade B) on the speaking test.