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Says £17,335 here?
http://www.studentloanrepayment.co.uk/portal/page?_pageid=93,3866911&_dad=portal&_schema=PORTAL
That £23k is the average salary - not a graduate salary, that'd be a lot lower presumably.
If nursing is a Uni course I wonder what sort of debt load a newly qualified nurse would have?
A quick Google shows that an RN earns, on average, £23k and change - student loans threshold is £17,335, so you'd be paying back your £40k from the off.
You'd have to be really committed to the concept of nursing to invest 40 large in it as a career path, I reckon.