NHS: Boris Johnson 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.”