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“Those doctors are needed there. We should be training young people here to do the work, not relying on taking medical staff from countries that haven’t run out of sick people.” In this clip, Jimmy Carr discusses the problems he sees in the UK relying on foreign-trained doctors, arguing...

303,284 Aufrufe • vor 7 Monaten •via X (Twitter)

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UK medical graduates are being shut out of becoming GPs & consultants in their own home country. They trained here, worked here, and carry £100,000 in student loans; but the Government has not yet prioritised them for UK specialist training. Every year, a strict Government imposed cap on speciality training numbers blocks thousands of doctors from progressing in their careers. In 2025 alone, there were 20,000 more applications than training places. Despite that, UK trained doctors aren’t being prioritised for these limited posts. In 2024, 12,743 training places were available; with 10,628 UK medical graduates and 14,868 international applicants. By 2025, that rose to 12,305 UK graduates and 20,803 international applicants. The result? High waiting lists. A shortage of doctors. And thousands of highly trained UK medical graduates left with nowhere to go and facing unemployment. International medical graduates already working in the NHS deserve fairness and protection too. But it’s staggering that the very doctors trained in the UK at high personal and public cost are being blocked from serving the country they trained in. How can Britain be short of doctors, yet stop its own from becoming GPs and consultants? It’s indefensible. The Government must lift the speciality training numbers cap, expand training numbers and post CCT places, prioritise UK medical graduates, and protect international medical graduates already working here. Because right now, the NHS is wasting its future - and the public is paying for it.

Dr Haseena Wazir

46,237 Aufrufe • vor 9 Monaten

People often say that we need immigration because without it, the NHS would collapse. This just is not true. At the moment, we're not training enough medics in this country - but this is a choice. We do not need to rely on staff from overseas. The NHS has a deeply unusual setup when it comes to its workforce. The Government sets the rules for who can qualify as a medical professional, decides how many medical training places to offer, and controls the flow of medical graduates into the NHS. It decides how much to charge students, and under what conditions. And because the NHS is by far the country's main employer of medical professionals, the Government also has effective control over the pay and conditions of those who qualify, and is responsible for deciding where medical trainees go, and when. So the Health Service isn't subject to the same labour market forces as other organisations. The Government controls both the supply *and* the demand of its own workforce. In 2025, we had 15,723 British-trained doctors competing for 12,833 NHS training posts. Those British-trained doctors had already been whittled down from the thousands of people who apply to train as doctors every year, of whom only half are accepted. Hundreds of those rejected each year have three A* grades at A Level. The reason that we don't offer more medical degrees is because, at the moment, the NHS doesn't have enough training places for British-trained doctors. But at the same time, under the current system, British-trained doctors aren't given priority when it comes to the training places that we *do* have. So not only were those 15,723 British-trained doctors competing with each other for just 12,833 training places, they were also competing with 25,257 doctors trained overseas. This is rubbish for those British doctors, and a colossal waste of money for the rest of us, because it costs taxpayers about a quarter of a million pounds to educate each doctor to the point of graduating. But perhaps this means the NHS gets the very best doctors? No. In fact, doctors trained overseas are 2.5 times more likely to be referred to the GMC, the regulator responsible for maintaining standards in the medical profession. The GMC hears cases relating to professional misconduct and medical malpractice. Exchanging British-trained doctors for those trained overseas is not always a like-for-like swap. But here’s the craziest twist of all. The training places we do have are *randomly allocated*. No priority for British doctors, despite the fact we’ve paid to teach them. And no priority for the best graduates, despite the fact we need their skills. Top performing students have no choice over where they go, and aren't given priority when allocating new training places. They often have to wait months to find out where they're being posted, and will often receive very little notice before being asked to pick up sticks and relocate to another part of the country. Last summer, one of my constituents qualified as a doctor. He graduated with one of the very highest marks in the year, in the top three, from one of the most competitive medical schools in the country. He is clearly an outstanding student and will make an incredible doctor. In any sane system he would have been placed immediately, and been able to choose his location and specialism to keep him incentivised and happy within the NHS, and to make the most of his obviously considerable talents. Instead, because of the mismanagement of places and the lottery system, he wasn’t placed in the first round of allocations. He wasn’t placed in the second round. He wasn’t even placed in the third round, or even the fourth. With less than four weeks to go he still had no placement and no sense of where he would be spending the next few years of his life, including whether he might be able to live close to his partner, another doctor qualifying at the same time as him. He might not have got a training placement at all. Fortunately, the Government is looking to change the system, so that British-trained doctors are prioritised for training places. This is a great change. We need to train more medical professionals in this country, including doctors. The Health Service does not need to rely on overseas doctors - there is plenty of talent right here. But we also need a system which prizes excellence, and provides clarity for medical trainees. The most talented, British-trained graduate doctors should clearly get top priority, and should be able to operate within a system that makes it possible to plan their lives and build a career here. Both medical trainees and patients would benefit from such a system. The alternative is more talented British doctors going abroad, and more reliance on migration.

Katie Lam

187,051 Aufrufe • vor 5 Monaten