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”.
“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%
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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%.
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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.
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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.”
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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.
A 15-year-old boy has died after being stabbed at a school in Sheffield.
Police were called to All Saints Catholic High School on Granville Road at 12.17pm on Monday after reports of a stabbing.
South Yorkshire Police said the boy “suffered serious injuries and despite the best efforts of the ambulance service, he sadly died a short time later”. The victim’s family has been informed.
A 15-year-old boy has been detained on suspicion of murder and remains in custody.
Speaking outside the force’s headquarters, Assistant Chief Constable Lindsey Butterfield said: “It is with great sadness that I share with you today, a teenager has died following the stabbing at a Sheffield school earlier today.
“Our thoughts are with the family of the boy, his friends and the whole school community.”
ACC Butterfield said the force’s officers are “working at pace to build a full picture of how this tragedy has unfolded”.
“We know that what has happened will cause significant distress and concern,” she said.
“I would like to reassure you that our officers will remain on scene and in the local area to offer reassurance to parents, staff and local residents as our investigation continues.”
‘Second school lockdown in a week’
It is the second time All Saints Catholic High School has gone into lockdown in a week, the PA news agency reported.
Headteacher Sean Pender sent a message to parents on 29 January, saying: “The reason for the lockdown was due to threatening behaviour between a small number of students where threats were made of physical violence.”
A 2023 Ofsted report rated the school, which had 1,398 pupils at the time, as “good”.
Inspectors found that most pupils behaved well and “a strong ethos of warmth and respect pervades this school”.
‘Avoid speculation’ – police
Meanwhile, ACC Butterfield warned the public to avoid sharing distressing content related to the stabbing on social media.
She said: “We urge you to be mindful that there are loved ones at the centre of this, and they are grieving the profound loss of a teenage boy in the most devastating of circumstances.
“We would therefore ask you to avoid speculation and the sharing of online content, which could be distressing to them and detrimental to our investigation.
“We urge anyone with any information that they believe can assist us to get in touch.”
Granville Road was closed from the tram stop to Fitzwalter Road, and police asked the public to avoid the area while emergency services carried out their work.
Education secretary Bridget Phillipson said she was “devastated” to hear about the stabbing.
“My heart goes out to his family, friends and the entire school community at this distressing time,” she said.
“We are in contact with the school and council to offer support. Investigations are now under way.”
‘Serious questions need answering’
Sheffield Heeley MP Louise Haigh has said “serious questions will have to be answered” after the “horrific news” of the fatal stabbing.
“A criminal investigation will now obviously take place, but serious questions will have to be answered about how this could have happened and I will be working with the school, the police and the council to make sure they are.”
South Yorkshire’s mayor, Oliver Coppard, said: “This morning a teenage boy went to school like thousands of others across South Yorkshire but won’t come home; a young man who was a member of our community, with his whole life ahead of him.
“The vast majority of our young people don’t carry knives, but one incidence of knife crime is one too many, because when we do see knife crime happen all too often the consequences are utterly devastating, as they have been today.”
A former British soldier who escaped from Wandsworth prison while awaiting trial for spying for Iran has been jailed for 14 years and three months.
Daniel Khalife, 23, sparked a nationwide manhunt after clinging to the underside of a food delivery lorry to break out of the Category B jail on 6 September last year.
He evaded capture for three days before he was spotted riding a stolen mountain bike along the canal towpath in Northolt, west London – about 14 miles away.
Khalife, who was a lance corporal in the Royal Signals, was being held on remand accused of using his role in the military to pass secret information to Iranian spies.
He was arrested after telling the British security services he wanted to be a “double agent” and claimed he had cultivated the relationship over more than two years in the national interest.
But he was found guilty of a charge under the Official Secrets Act and another under the Terrorism Act at the end of last year at Woolwich Crown Court, having admitted escaping from lawful custody part-way through his trial.
Sentencing Khalife, Mrs Justice Cheema-Grubb told him: “When you joined the Army as a young man, you had the makings of an exemplary soldier. However, through the repeated violation of your oath of service, you showed yourself to be, instead, a dangerous fool.”
She added: “You embarked on the course of conduct I have described because of a selfish desire to show off, to achieve by unregulated means what you were told will be difficult for you to achieve by conventional promotion.
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Watch Iran spy Daniel Khalife get jail sentence
“The mere fact that you started on this dangerous and fantastical plan demonstrates your immaturity and lack of wisdom, that you thought it was appropriate to insert yourself – an unauthorised, unqualified and uninformed junior soldier – into communication with an enemy state is perhaps the clearest indication of the degree of folly in your failure to understand at the most obvious level the risk you posed.”
She said he would have been a blackmail risk for his whole career had he not been caught.
The judge said Khalife contacted MI5 and MI6 in his attempts to become a double agent but was ignored. She added: “The greater mischief in your offending is that, having failed to engage any response from the intelligence services of the United Kingdom, you continued betraying your country and exposed others to the possibility of harm.”
There was no reaction from Khalife, who looked down as the judge read out his sentence.
The court heard Khalife, from Kingston, in southwest London, joined the Army aged 16, before contacting an Iranian middle-man through Facebook.
Giving evidence, he said he wanted to prove himself after a senior officer told him he would not be able to work in intelligence because his mother was born in Iran.
Khalife left material in public locations in exchange for cash in an old-fashioned spy tactic known as the “dead drop” or “dead letter box”.
He told his handlers he would stay in the military for 25-plus years for them and twice travelled from his barracks, in Staffordshire, to the Iranian embassy in South Kensington, in London.
The court heard he flew to Istanbul, where he stayed in the Hilton hotel between 4 and 10 August 2020, and “delivered a package” for Iranian agents.
The contact continued while he was deployed to Fort Hood, Texas, where he received training in Falcon, a military communications system and even after he was arrested and released on bail.
Khalife told the jury he was an English “patriot” and “not a terrorist or a traitor,” claiming he “thought he could be James Bond” but had only passed on fake or useless information.
But prosecutors said he “exposed military personnel to serious harm” when he shared sensitive information including a handwritten list of serving soldiers, including some in the SAS and SBS special services.
Khalife’s spying activities will not go down in the “annals of history,” his barrister told the court at his sentencing.
Gul Nawaz Hussain KC reminded the judge how they described his actions as more Scooby Doo than James Bond, adding: “What Daniel Khalife clearly chose to do was not born of malice, was not born of greed, religious fervour or ideological conviction.
“His intentions were neither sinister nor cynical.”
Mr Hussain told the court some of the documents Khalife had forged to pass to the Iranians were “laughably fake”.
Police said he had been planning his “pretty audacious” escape for “quite some time” and the court heard he wrote in his prison diary of a “failed” attempt on 21 August last year.
Khalife, who got a job in the prison kitchen, said he used the trousers inmates wore as uniform, to make a rope, which he attached to the Bidfood lorry on 1 September to test prison security as it made its daily deliveries.
“When I had made the decision to actually leave the prison I was going to do it properly,” he said, describing how he concealed himself, resting his back on the sling as the vehicle was searched.
The driver Balazs Werner said two guards told him someone was missing as they checked the truck with a torch and mirror and he was surprised he was allowed to drive off and that the prison was not in lockdown.
Khalife said he waited for the lorry to stop, dropped to the ground and lay in the prone position until it moved off.
MI5, the Ministry of Defence and counter-terrorism police launched a nationwide manhunt, fearing Khalife would try to flee to Tehran or get to the Iranian embassy in London.
He used the phone at the Rose of York pub in Richmond before a contact withdrew £400 from a nearby cashpoint, which he used to buy a sleeping bag, a mobile phone and a change of clothes.
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Khalife caught on CCTV
CCTV footage captured his movements as he bought clothes from Marks & Spencer, stole a hat from Mountain Warehouse, drank coffee at McDonald’s and even read about his escape in the newspaper.
The court heard that while he was on the run, Khalife was in contact with his Iranian handlers, who used the code name “David Smith”, and he sent the message: “I wait.”
When he was arrested on the footpath of the Grand Union Canal on 9 September Khalife told police: “My body aches. I f****d myself up under the lorry” and “I don’t know how immigrants do it”.
He told jurors his time on the run showed “what a foolish idea it was to have someone of my skillset in prison”.
The boss of GB Energy has told Sky News it could take 20 years to deliver a Labour government pledge of 1,000 jobs for Aberdeen.
Sir Keir Starmer promised voters his flagship green initiative, which will be headquartered in the northeast of Scotland, would cut consumer energy bills by as much as £300.
It is one of Labour’s five key missions for this parliament after a manifesto commitment to “save families hundreds of pounds on their bills, not just in the short term, but for good”.
In his first broadcast interview, Juergen Maier, appointed by Downing Street as GB Energy’s start-up chairman, suggested this was a “very long-term project” spanning decades and repeatedly refused to say when household prices would be slashed.
“I know that you are asking me for a date as to when I can bring that, but GB Energy has only just been brought into creation and we will bring energy bills down,” Mr Maier said.
The state-owned company will not supply power to homes but it will invest in new renewable projects while attempting to attract private investors.
Aberdeen HQ ‘nervous’
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Labour hopes GB Energy will help workers move from oil and gas and has pledged 1,000 jobs for Aberdeen, where the initiative will be based.
Aberdeen and Grampian Chamber of Commerce told Sky News the estimated 50,000 local people currently employed in the industry are “nervous”.
Chief executive Russell Borthwick said: “I think the [GB Energy] ambition is good. It needs some quick wins.
“Right now, this city is nervous. We need to give the industry more confidence that things are going to start moving more quickly.
“What we do have is not a great deal of progress. We’ve had a lot of positive meetings with GB Energy. I think we are really looking over the next six months for that to be delivered on.”
1,000 jobs in 20 years? ‘Absolutely’
It comes after Energy Minister Michael Shanks MP recently said the UK government had “not moved away” from an ambition of creating “over 1,000 jobs”.
Sky News pushed Mr Maier for clarity on this pledge given the looming crisis in the North Sea industry.
He said: “Great British Energy itself is going to create over the next five years, 200 or 300 jobs in Aberdeen. That will be the size of our team. I have said in the very long term when we become a major energy champion it may be many more than that.”
Pressed to define “long term”, he replied: “Look, we grow these companies. Energy companies grow over 10 or 20 years, and we are going to be around in 20 years.”
He said “absolutely” when asked directly if it could take two decades to fulfil the commitment of 1,000 jobs.
‘Huge risk of not delivering’
Unions told Sky News there is a risk of GB Energy over-promising and under-delivering.
Unite’s Scottish Secretary Derek Thomson said: “If you look at how many jobs are going to go in the northeast, if GB energy does not pick up the pace and start to move workers in there and start to create proper green jobs, then I’m afraid we could be looking at a desolation of the northeast.”
Prospect, which represents more than 22,000 workers across the energy industry, said the current vision seems risky.
Richard Hardy, Scotland secretary, said: “I don’t want to be accused of cynicism, but I do want to see a plan.
“If what happens is that it only creates 200 or 300 jobs, then I think most people would see that as being a failure. There is a huge risk for them in not actually delivering.
“They must understand the political risk they are taking in doing this. It has to be a success for them because otherwise it is going to be a stick to beat them with.”