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Because OET Writing is marked on six criteria, and Language is only one of them. Most candidates lose their grade somewhere they have never thought to look.
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Referral letter · marked
Dear Dr Chen,
I am writing to inform you that your patient has been discharged.
Mrs Ali first attended our clinic on 3 March complaining of chest pain. She was reviewed again on 11 March…
No name, no reason, no request. Purpose is decided here — and chronology buries it.
Estimated
320C+
B threshold
350 / 500
Language 5/7 — the English was never the problem. Conciseness at 2/7 is what held the whole letter at C+.
How you are scored
The other five are judgement, not grammar. That is why strong English speakers stall at C+ for months without knowing which lever to pull.
Grade B is 350 out of 500.
Most regulators want it.
Is your reason for writing clear by sentence two?
Did you select the notes this reader needs to act?
Did you summarise, or transcribe?
Is the register right for this reader?
Can they act on it quickly?
Grammar, vocabulary, spelling.
Every week
Not a feed of tips you scroll past. Short exercises with a right answer, and a room full of people arguing about it.
One sentence. One thing wrong. Find it.
Turn four case-note lines into one clinical sentence.
Everyone picks. Then we argue about why.
The distractor you fall for, every time.
This week
"3/7 cough. Sputum green. Temp 38.4."
Write it as one clinical sentence. Post yours.

Three ways in
Practice for all four sub-tests, weekly challenges, and somewhere to ask a question and get a real answer. Free to join, no card.
Real letters, scored line by line against all six criteria, then rebuilt to a Grade B.
When you want an expert on your own letters: all six criteria, annotated, with the sentences costing you marks.
And it is rarely grammar. Join free, then tell us which sub-test is costing you the most marks right now. That is the whole first step.
Join the community