Health Matters
Dependence on international doctors highlights workforce emergency in the NHS, says BMA
News
Aug 5th, 2022

Responding to a BBC analysis of NHS Digital data, which shows that NHS in England is becoming increasingly reliant on international doctors rather than those who trained in the UK, Dr Kitty Mohan, chair of the international committee at the BMA, said:

“This analysis illustrates the workforce emergency facing the NHS, which has become increasingly dependent on international recruitment due to chronic staffing shortages underpinned a by lack of effective workforce planning by Government.

“The NHS has grown heavily reliant on doctors from overseas who have and continue to make an enormous contribution to our health service. This was evidenced during the pandemic as international doctors were front and centre of the battle on the NHS frontline – with a disproportionate number sadly losing their lives to the virus.

“The simple fact is that we do not have enough doctors, nurses and other healthcare staff to meet the growing and increasingly complex healthcare needs of our population. Doctors are cutting their hours or making plans to leave the health service altogether for a range of reasons – including years of pay erosion, punitive pension taxation rulespunishing workloads, stress and exhaustion, restrictive immigration rules, and sadly, verbal and physical abuse.

"The Government has had multiple opportunities to put this right by listening to calls from the BMA and more than 100 expert organisations to include the need for independent, long-term workforce projections and assessments in the Health and Care Act, which it roundly rejected.

"We are calling for the Government and NHS England to publish a long-term workforce strategy as soon as possible. It must be transparent, made publicly available and include details of current workforce numbers and future workforce requirement based on patient need.

“It is vital that the Government leaves no stone unturned in finding solutions to the NHS workforce crisis. As well as trying to recruit and retain doctors here in the UK, it is crucial that we ensure that international staff feel welcomed and valued and have the appropriate support to work here in the NHS where they are so badly needed – this week’s strengthening of the international recruitment code of practice is a welcome step, but there is much more to be done.”

1 Comments:
Paul Walker
The UK government has never understood the need for manpower planning for doctors.
As a sixth former in 1958 who was keen to become a doctor I was advised by my headmaster to do something else because the Willink Report indicated that there were too many doctors ! I ignored the advice and in the 1960's another report - The Todd Report - indicated that we needed to train a lot more doctors !!. And ever since manpower planning for doctors and other health care professionals has been either absent or inadequate, So what's new ?
This is just one symptom of a profound truth about healthcare and the NHS which is that the government is and has always been incompetent in dealing with either. One would not perhaps expect mere politicians to be competent but one should expect the civil servants advising them to be competent. But they clearly aren't.
The sooner the NHS is removed from the control of the government and given its own independent status and governance the better. This is long overdue
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