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The government plans to more than halve the number of NHS staff being recruited from abroad in the next 15 years, according to its long term workforce plan.

On Thursday, a preview of the plan announced the intention to funnel £2.4bn into solving the severe staffing crisis in NHS England.

The full document, which was published this morning, said the service aims to train more NHS staff domestically to “reduce reliance on international recruitment and agency staff”.

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“In 15 years’ time, we expect around 9-10.5% of our workforce to be recruited from overseas, compared to nearly a quarter now,” the NHS plan said.

The report also says:

• Half a million trainees will begin clinical training over the next six years
• The NHS hopes to recruit 300,000 new staff and retain 130,000 extra healthcare workers
• Training places will be expanded across the sector including: GPs (50%), adult nurses (92%), pharmacists (29%), dentists (40%), dental therapy and hygiene professionals (28%), healthcare scientists (13%)
• From autumn, recently retired consultant doctors will be given the option to return to work across England through the NHS Emeritus Doctor Scheme
• Almost a quarter of NHS staff (22%) will be trained via apprenticeship by 2031/32
• New medical degree apprenticeships will train 2,000 doctors by 2031/32
• Staff will be supported to access the new childcare measures announced in the recent budget
• The shortfall in mental health nursing is of “particular concern”, with plans to boost this by 73%

NHS ‘reliant on overseas staff’

The NHS, the report said, is “particularly reliant on international recruitment” to fill workforce gaps. The total proportion of NHS workers with non-UK nationalities – across all professions – has grown to more than 17%.

Since 2017, there has been a 2% increase in UK-trained medical graduates joining the workforce. By comparison, in the same time period, there has been a 121% rise in international medical graduates.

Of the doctors who joined the UK workforce in 2023, 50% were international medical graduates.

And, in 2022/23, about half of new nursing registrants in England were trained overseas.

“This leaves the NHS exposed to high marginal labour costs and risks the sustainability of services in the longer term given the growing global demand for skilled healthcare staff,” the report said.

But achieving the productivity improvements outlined in the plan is depending on ” a sustained increase in capital investment in the ageing NHS estate” and investing in digital infrastructure to allow the NHS to make the most of new technologies.

This includes replacing equipment that has passed its recommended lifespan and expanding “capacity to accommodate the increased demand for healthcare from an ageing population”.

“This would enable staff to function more efficiently, and shorten diagnosis and treatment times in areas such as cancer,” the report said.

New roles will be ‘trained and regulated properly’

Vacancies currently stand at 112,000, and there are fears shortfalls could grow to 360,000 by 2037.

Shorter medical degrees, apprenticeships so staff can “earn while they learn” and more medical school places in the areas of greatest need were among the previous headline announcements.

The Prime Minister has insisted people being brought into new roles in the NHS will be “trained properly and they’ll be regulated properly”.

Rishi Sunak said the General Medical Council (GMC) will bring new roles like physician associates into its remit as regulator.

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PM: ‘We’re improving culture, leadership and wellbeing’ in NHS

As the Conservatives have now been in power for 13 years, critics – including Labour’s shadow health secretary Wes Streeting – have been asking why the party hasn’t acted sooner.

He said governments from all parties had “ducked” the workforce challenge for decades but said “overcoming this won’t be quick or easy”.

He added: “It’s only possible because of the difficult decisions we’re taking elsewhere to cut the debt and by prioritising the NHS there will be other things that we can’t afford.

“But the NHS is too important. So we’re making the tough calls, and doing things differently, to protect the long term future of the NHS and this country.”

No mention of pay

And while the plan focuses on retention and training, as waves of strikes continue across the health service, the preview contained no mention of pay other than to say: “Everyone working in the NHS should be recognised and rewarded fairly to help ensure we attract and retain the staff we need to provide the best possible care for patients.”

In response to questions about this, the prime minister said everyone would like to be paid more, but the government’s job is to “make sure that we reward people fairly and well for the work they are doing” but also bring down inflation.

He said he is “really pleased” the NHS staff council, which represents over a million NHS workers, voted to accept the government’s pay offer, adding: “I think they did recognise that it was fair and reasonable and rewarded their members for their hard work.

“”And I’m very grateful to all them for doing that because I know that fundamentally what they care about is working really hard, to deliver excellent healthcare.”

Unite General Secretary Sharon Graham said: “This looks like a bold plan to transform the training of new staff in the NHS. But the devil is in the detail as usual. There is a promise of funding for training for three years, but nothing about money for current staff.

“If there is not enough money to pay NHS staff a decent wage now, and transform current wage structures, then all the aspirations for more staffing in the training plan will fail to address the current crisis in the recruitment and retention of staff. That is what is at the heart of the current staff exodus”.

Analysis: No benefits in the short term

England will not see the benefits of the NHS workforce plan in the short term.

Essentially what this plan does is to grow the workforce, to retrain the workforce where it needs to with the addition of extra technology, and essentially to retain that workforce.

The government wants to work towards a plan over the next five, 10 and 15 years where it is less dependent on overseas-trained health professionals.

Essentially what this means is that we won’t see the benefits of this long-term workforce plan in the short term and it won’t do anything to address things like social care or NHS estates.

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‘Wonderful’ British man, 31, killed in New Orleans attack is named

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'Wonderful' British man, 31, killed in New Orleans attack is named

A 31-year-old British man is one of 14 people who were killed when an alleged Islamic State supporter drove a truck into crowds celebrating the New Year in New Orleans.

Edward Pettifer, from Chelsea, west London was killed in the attack, the Metropolitan Police confirmed.

His family said it was “devastated” by his death.

“He was a wonderful son, brother, grandson, nephew and a friend to so many,” the family said in a statement.

“We will all miss him terribly. Our thoughts are with the other families who have lost their family members due to this terrible attack. We request that we can grieve the loss of Ed as a family in private.”

New Orleans’ coroner said the preliminary cause of death for Mr Pettifer was blunt force injuries.

Dozens of people were injured when 42-year-old army veteran Shamsud-Din Jabbar‘s rented truck rammed into people in New Orleans’ famous Bourbon Street in the early hours of New Year’s Day.

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The Federal Bureau of Investigation (FBI) said the attack was “premeditated” and an “evil” act of terrorism, and added Jabbar was “100% inspired by ISIS”, also known as Islamic State.

The Foreign, Commonwealth and Development Office told Sky News: “We are supporting the family of a British national who has died in New Orleans and are in contact with local authorities.”

The coroner has also identified the majority of the victims in the attack.

They are:

  • Andrew Dauphin, 26, from Montgomery, Alabama
  • Kareem Badawi, 23, from Baton Rouge, Louisiana
  • Brandon Taylor, 43, from Harvey, Louisiana
  • Hubert Gauthreaux, 21, from Gretna, Louisiana
  • Matthew Tenedorio, 25, from Picayune, Mississippi
  • Ni’Kyra Dedeaux, 18, from Gulfport, Mississippi
  • Nicole Perez, 27, from Metairie, Louisiana
  • Reggie Hunter, 37, from Prairieville, Louisiana
  • Martin Bech, 27, from New York City, New York
  • Terrence Kennedy, 63, from New Orleans, Louisiana
  • Elliot Wilkinson, 40, from Slidell, Louisiana
  • William DiMaio, 25, from Holmdel, New Jersey
Victims of the New Orleans attack, clockwise from top left: Reggie Hunter, Martin 'Tiger' Bech, Nicole Perez and Matthew Tenedorio
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Some of the victims of the New Orleans attack, clockwise from top left: Reggie Hunter, Martin ‘Tiger’ Bech, Nicole Perez and Matthew Tenedorio

Billy DiMaio (L) and Terrence Kennedy
Image:
William DiMaio (left) and Terrence Kennedy

The identity of one other victim is unknown, with efforts to identity the female continuing.

The preliminary cause of death for all the victims is blunt force injuries, according to the New Orleans coroner.

The FBI has also revealed that before his attack, Jabbar set fire to a house he had rented in an effort to destroy evidence.

He had placed accelerants throughout the house in his effort to destroy it, according to the Bureau of Alcohol, Tobacco, Firearms.

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But the fire, which was started in the hallway, had extinguished itself before spreading to other rooms.

Bomb-making materials were found both at the rented accommodation in New Orleans and Jabbar’s home in Houston, Texas. A home-made device suspected of being a rifle silencer was also found in the New Orleans home.

Federal authorities also revealed on Friday that Jabbar had reserved the vehicle used in the deadly attack more than six weeks earlier.

The FBI has said 35 people were injured in the attack, but it expects this number to rise in the coming days as more people go to hospital or contact the bureau.

The University Medical Centre New Orleans said it treated 30 patients who were injured in the attack. Some 13 remain in the hospital’s care, including eight in the intensive care unit.

Meanwhile, federal investigators say Jabbar used a very rare explosive compound in the two functional improvised explosive devices (IEDs) placed by him before the attack, according to Sky’s US partner network NBC News.

The explosive has never been used in any US or European terror attack, officials said. Authorities are now investigating how Jabbar knew how to make this homemade explosive, and why the IEDs did not go off.

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Nigel Farage rejects Tommy Robinson after support from Elon Musk

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Nigel Farage rejects Tommy Robinson after support from Elon Musk

Nigel Farage has said Tommy Robinson “won’t be” joining Reform UK after Elon Musk showed support for the jailed far-right activist on social media.

The billionaire owner of X, who has spoken positively about Reform UK and is reportedly considering making a donation to the party, has been critical of the government’s handling of child sexual exploitation across a number of towns and cities more than a decade ago.

While the Reform UK leader described the billionaire owner of X as “an absolute hero figure, particularly to young people in this country”, he distanced himself and his party from Robinson, who is currently serving an 18-month prison sentence for contempt of court.

Mr Musk endorsed the far-right activist and claimed Robinson was “telling the truth” about grooming gangs, writing on X: “Free Tommy Robinson”.

Speaking to broadcasters ahead of the start of Reform UK’s East Midlands Conference tonight, party leader Mr Farage did not directly address Mr Musk’s comments, but said: “He has a whole range of opinions, some of which I agree with very strongly, and others of which I’m more reticent about.”

He went on to say that having Mr Musk’s support is “very helpful to our cause”, describing him as “an absolute hero figure, particularly to young people in this country”.

He continued: “Everyone says, well, what about his comments on Tommy Robinson? Look, my position is perfectly clear on that. I never wanted Tommy Robinson to join UKIP, I don’t want him to join Reform UK, and he won’t be.”

Reform UK leader Nigel Farage speaking to broadcasters
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Reform UK leader Nigel Farage has said that Tommy Robinson will not be joining the party

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Later on GB News, Mr Farage added that Mr Musk “sees Robinson as one of these people that fought against the grooming gangs”.

“But of course the truth is Tommy Robinson’s in prison not for that, but for contempt of court,” he said.

Mr Farage added: “We’re a political party aiming to win the next general election. He’s not what we need.”

How did Elon Musk become involved?

The online campaign from Mr Musk began after it emerged that Home Office minister Jess Phillips had denied requests from Oldham Council to lead a public inquiry into child sexual exploitation in the borough, as the Conservatives had done in 2022.

In a letter to the authority in Greater Manchester, Ms Phillips said she believes it is “for Oldham Council alone to decide to commission an inquiry into child sexual exploitation locally, rather than for the government to intervene”.

An Oldham Council spokesman previously said: “Survivors sit at the heart of our work to end child sexual exploitation. Whatever happens in terms of future inquiries, we have promised them that their wishes will be paramount, and we will not renege on that pledge.”

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Mr Musk posted on X multiple times about the scandal, and claimed Sir Keir Starmer had failed to bring “rape gangs” to justice when he led the Crown Prosecution Service (CPS). In 2013, Sir Keir introduced new guidelines for how child sexual abuse victims should be treated and how a case should be built and presented in court.

The SpaceX and Tesla boss also endorsed posts about Robinson.

Robinson, who is 42 years old and whose real name is Stephen Yaxley-Lennon, admitted at Woolwich Crown Court in October to breaching an injunction banning him from repeating libellous allegations against a Syrian refugee schoolboy, after he was successfully sued for libel in 2021.

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Calls for more research into flat head syndrome in babies and whether helmet therapy works

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Calls for more research into flat head syndrome in babies and whether helmet therapy works

A specialist team in Bristol says more research is needed into flat head syndrome, a condition which is thought to affect up to 40% of babies.

Southmead Hospital runs the only NHS clinic offering helmet therapy for infants with flattened heads.

The advice to lie babies on their backs to prevent cot deaths is one of the most successful public health interventions, but can cause babies to develop a flat head.

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3D software is used to help create bespoke helmets with a 3D printer

Most cases are mild and self-correct over time, but babies with moderate to severe cases can be referred to experts in Bristol for cosmetic treatment.

The reconstructive science team takes photos of babies’ heads which are run through 3D software, to help create bespoke helmets with a 3D printer.

Babies usually from the age of six months are advised to wear the helmets for 23 hours a day.

The helmet corrects the condition by relieving pressure on the flat side.

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It is a unique clinic; the only NHS trust in the country offering helmet therapy for babies with flat heads, known as plagiocephaly or brachycephaly.

Elsewhere, parents have to go privately, and at a cost of £2,500, it can be prohibitively expensive.

Mum Becky Darby and baby Leo
Image:
Mum Becky Darby and baby Leo

‘There’s not a lot of information out there’

We met mum Becky Darby and her one-year-old son Leo at the Bristol clinic.

Becky says she became worried about the shape of his head when he was four months old. “One side of his head was flat and the rest was perfectly round, but where he was constantly lying on it, it was getting flatter,” she said.

Becky was frustrated by the lack of guidance.

“I didn’t know what I was doing, and there’s not a lot of information out there,” she said.

Leo has been wearing his helmet for five months, and his progress is regularly monitored.

Disputed evidence

Data around flat head syndrome is scarce, and scientists at the clinic are carrying out research to investigate further.

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Becky Darby said getting the helmet treatment was the ‘best decision’ she has made

The NHS has said the evidence that the helmets work is “not clear”, and that they can cause other problems like skin irritation and rashes.

“These helmets and headbands generally are not recommended,” according to the NHS.

Senior reconstructive scientist Amy Davey wants to increase awareness and is creating a tool to assess babies, which will help find the “right treatment pathway” for infants.

“There certainly needs to be more research into providing understanding behind when and where we can go and help with helmet therapy, and where there are alternatives,” she said.

Clinicians agree that more research is needed but warn parents should not be put off lying sleeping babies on their backs.

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Leo and mum Becky Darby

Parents still advised to lie babies on their backs

Dr Joanna Garstang is a community paediatrician and adviser for the cot death charity the Lullaby Trust.

She told us that while flat head syndrome is common, “in nearly all cases it just resolves spontaneously as the baby grows and begins to sit up and crawl”.

Lying babies on their backs is a public health success story, reducing the number of sudden infant deaths by 90% since the late 1980s.

“Even if parents are worried about flat head, putting the baby on the back to sleep is by far the safest way for the baby to sleep. If they’re worried about flat head they should talk to their GP or health visitor,” Dr Garstang said.

Becky Darby says choosing helmet therapy is “the best decision” that she took.

As for Leo, his helmet is working and should be off soon.

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