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Ministers are aiming to more than halve the number of NHS staff being recruited from abroad in the next 15 years, according to the government’s 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.

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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.

The plan, along with new retention measures, could mean the health service has at least an extra 60,000 doctors, 170,000 more nurses and 71,000 more allied health professionals in place by 2036/37.

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.

Analysis: There is ambition, but also assumptions

There’s a great deal of ambition in the NHS Workforce Plan. The projections are based on current data but also make some assumptions.

On page 10 it says: “The Plan is based on an ambitious labour productivity assumption of up to 2% (at a range of 1.5–2%). This ambition requires continued effort to achieve operational excellence, reducing the administrative burden through technological advancement and better infrastructure, care delivered in more efficient and appropriate settings.”

That labour productivity is also very much dependent on a tired, burned-out workforce that is on its knees. It is fine to introduce new technology to drive greater efficiencies but critical to its success is a workforce that can rise to that challenge.

If the plan delivers on that ambition only then will the government see its goal of reducing reliance on overseas doctors.

The global pool of available qualified doctors is shrinking as healthcare systems around the world make their own recoveries from the pandemic.

Nearly a quarter of the NHS workforce is recruited from overseas at present. In the next 15 years, if the plan’s ambitions are met, the Government hopes to reduce this to around 9%.

That is a huge fall. We will not know if that is achievable for at least the next 5 years when the benefits of the extra training places, apprenticeship schemes and reduced studying time might begin to be felt.

And this will only happen if the world stays pandemic-free in the meantime.

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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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”.

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Man holding Palestinian flag seen climbing up Palace of Westminster

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Man holding Palestinian flag seen climbing up Palace of Westminster

Police have been called to the Palace of Westminster after a man was seen climbing up the tower which houses Big Ben.

Video on social media shows a barefoot man stood on a ledge several metres up the Elizabeth Tower holding a Palestinian flag.

Police said they were called to the scene at 7:24am this morning.

A fire engine has now raised a cherry picker to the same height as the man’s position on the tower.

Three people standing on the crane are engaging with the man who is several feet away.

The protester has been sharing videos on Instagram from his viewpoint on the tower as a woman in plain clothes speaks to him from the cherry picker.

The woman says: “At some point you have to come down, how long do you think you are going to be there, how long do you think you are able to be there?”

Her voice is then barely audible as she appears to say “your message was to say ‘Free Palestine'” before she encourages to him come down.

A large red stain which appears to be blood can be seen on the side of the tower around the protester’s feet.

The bare-footed protester is holding a Palestinian flag. Pic: PA
Image:
The bare-footed protester is holding a Palestinian flag. Pic: PA

A Met Police spokesperson said: “At 7.24am on Saturday March 8 officers were alerted to a man climbing up the Elizabeth Tower at the Houses of Parliament.

“Officers are at the scene working to bring the incident to a safe conclusion. They are being assisted by the London Fire Brigade and the London Ambulance Service.”

Bridge Street, which is at the north end of Westminster Bridge, has been closed to allow the emergency services to deal with the incident, police confirmed.

Pic: AP
Image:
Pic: AP

The man who has climbed up Big Ben this morning
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The man before the cherry picker was raised

A spokesman for London Fire Brigade (LFB) said crews from Lambeth, Chelsea, Soho and Islington fire stations have been deployed.

At least nine emergency service vehicles have lined the street in central London as crowds look on from beyond a police cordon.

xx
Pic: PA
Image:
Pic: PA

The protest in Westminster comes as the Palestine Action group said it had sprayed “Gaza is not for sale” on Donald Trump’s Turnberry golf course in Scotland.

Sharing an image of the vandalism on Saturday morning, the group wrote on X: “Whilst Trump attempts to treat Gaza as his own property, he should know his own property is within reach.”

The Turnberry protest comes after the American president claimed the US will “take over the Gaza Strip and we will do a job with it too”.

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Five years on from COVID, one survivor reflects on having to fight for his life

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Five years on from COVID, one survivor reflects on having to fight for his life

Mark Hammersley is a survivor. Standing in the Welsh sun, smiling broadly with an outreaching hand to welcome me, he looks the picture of good health. 

There is no sign of the trauma. Or the desperate battle for life he fought and won.

Mark Hammersley, who was treated for COVID in an intensive care unit in October 2020
Image:
Mark Hammersley, who was treated for COVID in an intensive care unit in October 2020

I first met Mark as he gasped for air in Warrington Hospital’s intensive care unit. It was October 2020 and the country was in the grip of the second wave of the COVID pandemic.

“The first 24 hours was critical. I was unconscious really in many ways,” Mark reminds me.

He doesn’t need to. The image of Mark wearing a breathing mask attached by a tube to a CPAP machine will stay with me for a very long time.

He had been admitted after becoming poorly while moving house. Mark was 57 then and his underlying health conditions put him at serious risk.

His raspy voice was barely audible over the constant bleeping of the ICU’s life-saving diagnostic machines.

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“I’ve got diabetes and I’m overweight so they’re my risk factors. So to be honest for me it’s still early days,” he told me at the time. His underlying health issues meant Mark had to shield for most of the year. And until then it had worked.

Standing next to his bed I asked Mark if he was concerned about his health, about the possible outcome.

“I’m worried yes,” he replied. “But I’m feeling safe if that makes sense.”

Mark tells me now that the doctors treating him were not sure he would make it through the night. They had warned his wife that he was not likely to survive. But instead of inducing Mark into a coma and putting him on life support using a ventilator, the doctors gambled by using a CPAP machine.

Doctors caring for COVID patients in 2020. Pic: PA
Image:
Doctors caring for COVID patients in 2020. Pic: PA

The Continuous Positive Airway Pressure unit crucially keeps airways from narrowing or collapsing.

And that decision, Mark is convinced, ultimately saved his life. He is aware that the outcomes for COVID patients put on ventilators were not good.

Five years on and Mark is still feeling the impact of that devastating infection. But he is a relieved man.

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“I have been told that I have scarring on my lungs but it’s not affecting their functionality, whether it will later on in life I don’t know,” he says.

“So at the moment it’s still a process but I’m a lot better than I was certainly five years ago and it affects you in different ways. When I was in hospital and afterwards I had a lot of muscular pain so for about 18 months I probably couldn’t even put a shirt on properly.”

Paramedics and staff at the Royal Liverpool University Hospital wearing various items of PPE as the UK continues in lockdown to help curb the spread of the coronavirus. PA Photo. Picture date: Saturday April 18, 2020. See PA story HEALTH Coronavirus. Photo credit should read: Peter Byrne/PA Wire
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Paramedics and staff at the Royal Liverpool University Hospital in April 2020. Pic: PA

In the ICU bed next to Mark’s I also interviewed a young grandmother. She was sat upright and also breathing with the help of a CPAP machine. But she was much more talkative and alert compared to Mark. She was confident her treatment was going well.

But when I returned to the hospital a few weeks later to follow up with both patients I was told she had died shortly after filming.

Mark was aware. He knows that he will live with the long-term health complications from COVID for the rest of his life. But he’s still thankful, every single day for that opportunity.

Chief Medical Officer for England Chris Whitty, Britain's Prime Minister Boris Johnson and Chief Scientific Adviser Patrick Vallance are pictured during a news conference about coronavirus at Downing Street in London, Britain March 9, 2020. Alberto Pezzali/Pool via REUTERS
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Chris Whitty, Boris Johnson and Patrick Vallance during a COVID news conference on 9 March, 2020. Pic: Reuters

File photo dated 04/11/23 of the National Covid Memorial Wall in London. The first Sunday in March will be marked with a UK-wide day of reflection as people remember all those who died during the pandemic. March 3 will be the first annual day of reflection since the UK Commission on Covid Commemoration published its final report in September, recommending the event be held each year on the first Sunday of March. Issue date: Friday January 19, 2024.
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The National COVID Memorial Wall in London. File pic: PA

The UK will mark the five-year anniversary of the start of the COVID pandemic on Sunday.

The deadly virus shut down the world after it spread from Wuhan in China at the start of 2020.

Between March of that year and July 2022, an estimated 180,000 people died after contracting COVID in England and Wales, according to figures published by The King’s Fund thinktank.

The UK government said Sunday’s day of reflection will be an opportunity for the public to remember those who lost their lives, as well as reflect on the impact the virus had on everyday life and pay tribute the frontline workers.

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Reform UK MP Rupert Lowe reported to police over alleged threats towards party chairman

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Reform UK MP Rupert Lowe reported to police over alleged threats towards party chairman

Reform UK has suspended MP Rupert Lowe and reported him to the police over alleged threats of physical violence towards the party’s chairman.

A statement from chair Zia Yusuf and chief whip Lee Anderson MP also said the party has received complaints from two female employees about alleged serious bullying in Mr Lowe’s offices.

Mr Yusuf and Mr Anderson said “we understand complaints have been made to parliamentary authorities”.

Mr Lowe, 67, has released a statement saying the allegations were “untrue and false”, the accusations of physical threats were “outrageous and entirely untrue”, and he referenced a “vexatious complaint” made by another staff member.

Rupert Lowe. File pic: PA
Image:
Rupert Lowe. File pic: PA

Mr Lowe, the MP for Great Yarmouth, has had the whip suspended, meaning he will sit as an independent MP in the House of Commons.

Mr Yusuf and Mr Anderson said in their statement that Mr Lowe had “on at least two occasions made threats of physical violence against” Mr Yusuf.

The statement said: “It is with regret that we feel obligated to disclose that the party received complaints from two female employees about serious bullying in the offices of the member of parliament for Great Yarmouth, Rupert Lowe.”

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Claims of ‘disturbing pattern of behaviour’

It added: “Evidence was provided to us of workplace bullying, the targeting of female staff who raised concerns, and evidence of derogatory and discriminatory remarks made about women, including reference to a perceived disability.

“We feel we have a duty of care to all our staff, whether employed directly or indirectly. Accordingly, we appointed an independent King’s Counsel to conduct an investigation into the veracity of these complaints. To date, Mr Lowe has yet to cooperate with this investigation.

“In addition to these allegations of a disturbing pattern of behaviour, Mr Lowe has on at least two occasions made threats of physical violence against our party chairman. Accordingly, this matter is with the police.

Reform stands for the highest standards of conduct in public life, and we will apply these standards without fear nor favour, including within our own party.”

(L-R) Nigel Farage and party chairman Zia Yusuf. Pic: PA
Image:
(L-R) Reform UK leader Nigel Farage and party chairman Zia Yusuf. Pic: PA

Rumblings of leadership challenge

Earlier this week, Mr Lowe appeared to question Nigel Farage’s leadership of Reform UK.

In an interview with the Daily Mail, Mr Lowe said: “Nigel is a fiercely independent individual and is extremely good at what we have done so far. He has got messianic qualities.

“Will those messianic qualities distil into sage leadership?

“I don’t know.”

He added: “I’m not going to be by Nigel’s side at the next election unless we have a proper plan to change the way we govern from top to bottom.”

During Mr Farage’s online falling out with Elon Musk, in which the Tesla businessman said Reform needed a new leader, Mr Lowe drew praise from Mr Musk.

And in the interview with the Daily Mail, Mr Lowe noted that he was “barely six months into being an MP” and “in the betting to be the next prime minister.”

‘Disappointed but not surprised’

In his response to the allegations, Mr Lowe said on Friday the party leadership had a “complete inability to accept even the most mild constructive criticism without such a malicious reaction”.

He said in a statement posted on X: “I am disappointed, but not surprised, to read Reform’s untrue and false allegations. Let me be abundantly clear – this investigation is based on zero credible evidence against me, as has been repeatedly stated by the neutral investigator. None has been provided.

“I have cooperated and spoken at length with the KC they instructed, at great cost to the party, to investigate a minor staff matter.”

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He claimed the lawyer was “dismayed” the statement from Reform UK had been published – and that the investigation had not even started.

Mr Lowe claimed the lawyer told him that “no credible evidence has been given”.

The MP added that he was sent an initial letter of complaint last Friday from the party with “no evidence provided”.

“I have never made any derogatory comments about women, or those with disabilities. This is a lie. These allegations are not even referring to me. I will be seeking legal advice immediately,” he added.

Analysis: Could Musk have triggered mess within Reform?


Liz Bates is a political correspondent

Liz Bates

Political correspondent

@wizbates

It sounds too weird to be true, but Elon Musk may very well be the reason that Reform UK is embroiled in a messy public battle with one of its five MPs.

Detailed and damning statements released on Friday look to be the culmination of months of growing division between Nigel Farage and Great Yarmouth MP Rupert Lowe.

The allegations against him are serious, numerous and have triggered three possible investigations – from the party, the parliamentary authorities and the police.

His rebuttal is equally robust, indicating he will fight hard to clear his name.

But is this battle just about his behaviour? Or is it because of his leadership ambitions? And were they ignited after a bizarre intervention from across the pond?

In January, Musk posted on X, calling for Farage to step down, saying he wasn’t up to the job, and later suggested Lowe could step up as he ‘makes a lot of sense’.

Two months later and relations had broken down beyond repair, with a war of words erupting this week in the papers, in which Lowe called Farage messianic and he responded saying the MP probably wanted to be prime minister.

There is no doubt that an endorsement from the world’s richest man would flatter the ego of any aspiring politician.

But given Friday’s revelations, it seems that instead of kick-starting his rise to the top of Reform, Musk’s meddling has instead severed his ties with the party for good.

When it comes to his parliamentary career, salvaging his reputation could also prove difficult as other critical accounts of his character emerge.

Sky News has heard from Labour MP Mike Kane about an incident which took place in the Commons last December, during which he says he was “manhandled” by the then Reform MP.

The Transport minister described an angry scene in which Lowe had to be restrained by Reform’s deputy leader, Richard Tice, and eventually broken up by the Sergeant at Arms.

Mr Lowe did not wish to comment on the claim, but it adds yet another obstacle in the fight for his political future.

‘Vexatious’ complaint

Mr Lowe continued: “It is no surprise that this vexatious statement has been issued the day after my reasonable and constructive questions of Nigel and the Reform structure. It was issued on X late on a Friday afternoon, with no prior warning.

“All I stated was that communication needs to improve, delegation needs to improve, structure needs to improve – these are all reasonable requests of a party looking to form the next government. I stand by everything I said.”

His response added: “I do not believe that Reform members will be pleased to know that their membership fees are being spent on instructing expensive lawyers to investigate their own MPs, over matters that are entirely baseless and have been dealt with in the correct Parliamentary procedure, with HR’s full involvement and support.

“The staff member in question only raised a vexatious complaint once disciplinary proceedings had been initiated against them for serious wrongdoing. The other individual mentioned, dropped her appeal.”

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Mr Lowe said he had been trying to change the way Reform is run “behind the scenes” for many months, and urged his supporters to “stay with the party”.

He said: “This is our party as much as it is Nigel’s.”

A Metropolitan Police spokesperson said: “On Thursday, 6 March we received an allegation of verbal threats made by a 67-year-old man on Friday, 13 December.

“Officers are carrying out an assessment of the allegations to determine what further action may be required.”

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