NHS: Boris Johnson’s proposes to let Africa and India educate our medics, engineers, scientists and technicians – then poach them
Early this morning Radio 5 reported that Boris Johnson has promised to lure more medics educated in poorer countries by halving the cost of the ‘NHS visa’ and speeding up the application process. This followed an announcement of measures to attract specialists in science, engineering and technology.
Boris Johnson proposes to intensify the harmful practice of importing doctors, nurses, workers in agriculture, service industries and IT experts from poorer countries. Rather than bearing the costs of educating our own, he advocates depriving developing countries of the able young enterprising citizens they desperately need.
In March, the Telegraph quoted figures from the General Medical Council showing that last year Britain imported more doctors than it trains. New figures show a steep rise in the numbers recruited from overseas. 53% of those joining the medical register came from overseas to do so – a rise from 39% in 2015.
This is the first time since 2006 that overseas doctors have outnumbered UK medics joining the register
NHS Providers, representing hospital, mental health, ambulance and community services, has written to Boris Johnson to demand action (FT 5.11.19). It made ominous references to ‘a complicated pension problem’ and advises recycling some unused employer pension contributions as salary.
Rule changes introduced in 2016 meant that rising numbers of consultants and other senior staff were facing unexpected tax bills linked to the value of their pensions. The FT article alleges that some high earners are left some facing effective marginal tax rates of more than 100% and in June the Guardian reported that some staff have had to remortgage their homes to cover their tax bills, while others were faced with the choice of cutting their hours.
Raise job satisfaction: as austerity continues, news of distressing delays and anecdotal accounts of neglect in NHS hospitals abound. A Labour government could:
- heed Simon Stevens, head of the NHS: “We need to train more health professionals in this country and that includes doctors. We’ve got five new medical schools coming online as we speak which will be a 25% increase in undergraduate medical places – arguably, that needs to be more”;
- reduce ratio of managers to medical staff;
- train nurses on the wards for the first three years before they undertake part-time university or technical education and
- as pledged by the Department of Health in 2007, bring back matrons who would once more be responsible for all the nursing and domestic staff, overseeing all patient care, and the efficient running of the hospital.
“We’re emptying Romania of doctors” a moral issue
Simon Stevens, speaking at the Spectator Health Summit in London, said the health service must stop “denuding low income countries of health professionals they need” amid warnings of a growing moral crisis. We need to do so in a way that is ethical so we are not, certainly, denuding low income countries of health professionals they clearly need,”
See https://thenewleam.com/2018/01/crisis-public-health-system-india/ There were many excellent photographs of long queues to see doctors in rural India but Alamy demanded a high price for them.
In March. the Telegraph reported that cancer surgeon Professor J Meirion Thomas told the conference: “We’re emptying Romania of doctors … they’re coming from eastern Europe, they’re coming from Pakistan, India, Egypt and they’re coming from Nigeria . . .
“I think there is a moral issue here. We are poaching doctors from abroad and have done for decades. They are coming from countries where they have been trained at public expense and where they are sorely needed.”
Over the past few years we’ve seen a trend in which the Labour Party has become Greener and the Green Party has become “Leftier”. I fervently wish for further rapprochement.
While feeling despair at the head-in-sand attitudes and empty rhetoric in much of Westminster, Whitehall and the City – especially the City – I was enthralled by a presentation given in my constituency of Stroud last month by Alan Simpson, Jeremy Corbyn and John McDonnell’s advisor on climate change and sustainable economics. If anyone is unfamiliar with his policy ideas, I urge them to look him up and read these essays.
A future Labour government will do its utmost to adopt Simpson’s plans, which include:
- local renewal energy cooperatives,
- an agricultural policy reset to penalise high greenhouse gas emissions,
- a far more locally-based economy (community wealth building – thriving in many locations and now to be adopted in Stroud),
- a far more integrated, publicly-owned transport system…
- and of course real measures to curb tax “avoidance” by the heavyweight national and global corporations, and tackle our hideous income inequality.
- First and foremost though – greenhouse emissions must be HALVED every ten years.
We should all be taking notice of the wonderful Greta Thunberg’s message
Real change can’t come too soon, and the only way we’re ever going to see real change in the UK is to put a Labour/Green government? into power at the earliest possible opportunity.
I can’t see how diluting the non-Conservative vote at the next general election is going to achieve anything except more Tory-led acceleration to destruction.
I realise some will find their tribal loyalties tested – but the nightmare we’ve created transcends such petty concerns.
Murdoch Times warns of a ‘revolution’ – so always keep ahold of nurse for fear of finding something worse
Today in the Sunday Times leader, the un-named author/s summarised the results of the local elections before moving on to what they called “The real story of these elections . . . the journey towards self-destruction of a once-great political party, the Tories” – opening the way for a Labour government led by Jeremy Corbyn.
The Momentum myth
They described the ‘hard-left takeover’ of what until four years ago was a moderate, centre-left party continuing. “Should it succeed in taking Mr Corbyn and John McDonnell into Downing Street, the revolution would be complete”. Pictured, so-called ‘hard-left’ revolutionaries in our second city: stable, thoughtful, courteous, concerned.
The so-called progress that has enriched Britain’s 1% since the 1980s – they forecast – would be destroyed in several ways:
- plans to renationalise the water industry without anything like full compensation for shareholders,
- which could easily be the template for other parts of the economy,
- the return of state control
- and the re-unionisation of the workforce
It could easily happen:
“The Tories and Labour were tied on 31% each in Thursday’s elections. This would be enough, in our first-past-the-post system, to give the Tories 279 Commons seats and Labour 268. Mr Corbyn, under these circumstances, could form an alliance with the Scottish National Party to govern, a prospect that would not only guarantee a swathe of left-wing policies but would also bring the break-up of the United Kingdom much closer”.
And once the Brexit Party is added to the mix, with its capacity to damage the Tories in a general election as well as the forthcoming European elections, Labour’s chances would improve immeasurably. It might just win with a low share of the vote. The Tories would have brought this about, but the whole country would be the loser:
“Mr Corbyn can still win . . . Italy may be the ‘sick man of Europe’ for now, but under Labour that title would be up for grabs again”.
Ed: The 1% might well feel sick, but the 99% would benefit enormously from having a uniquely caring, corporate-free, incorruptible prime minister.