Language tests Polina Ralutin was an experienced nurse in the Philippines and keen to take up a post in the NHS, at the Lister hospital, in Stevenage.
First, she had to pass an exam testing her knowledge of the English language. But she was surprised to find she had to analyse a text on jam-making for the exam.
She told the BBC's World Tonight programme: "I had to look at a diagram of the process and describe how to make it - there was a time limit, and it was very difficult to achieve in almost perfect English - how to make jam."
Polina passed the exam and took up her post in April 2016. But she knows several other nurses who failed, and she believes the test is too difficult.
"I have good friends who had to take it three times," she says. "I know plenty of others who struggled so much with it." BBC News
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