NHS staffing crisis: Plans to halve number of medics being recruited from abroad

Published

12 months ago

June 30, 2023

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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”.

Politics latest: ‘Hugely important day for NHS’, minister says

“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.

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.

UK

Beaming Kate returns to royal events at Trooping the Colour – her first public appearance since cancer diagnosis

Published

8 hours ago

June 15, 2024

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Beaming Kate returns to royal events at Trooping the Colour - her first public appearance since cancer diagnosis

The Princess of Wales joined the Royal Family on the balcony of Buckingham Palace for the Trooping the Colour flypast – after making her first public appearance since the announcement of her cancer diagnosis.

Kate, 42, wearing a pale outfit, was earlier pictured arriving at Buckingham Palace in a car sat alongside her children and her husband the Prince of Wales ahead of the event to celebrate the King’s official birthday.

The princess, who has been receiving treatment for an undisclosed form of cancer since late February, and her three children Prince George, Princess Charlotte, and Prince Louis, were cheered by crowds along The Mall as they left the palace in a carriage for the ceremony.

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The future queen looked relaxed as she travelled along one of London’s most famous thoroughfares with her family in a carriage.

She could be seen smiling and talking to her children in the carriage before they arrived at Horse Guards Parade in Whitehall.

William rode on horseback for the procession, alongside the Princess Royal, and the Duke of Edinburgh.

The King, who is also undergoing cancer treatment, rode in a carriage with the Queen, a departure from last year because of his illness, and inspected the officers and guardsmen from the coach rather than from a horse.

When the royal carriages finally came to a stop, Louis was the first to leave, followed by his elder brother George, and sister Charlotte.

Finally, Kate stepped down wearing a Jenny Packham dress, hat by Philip Treacy, and the Irish Guards Regimental Brooch, as she is the regiment’s colonel.

In another change from last year, Kate did not join senior family members on a dais, but watched the military spectacle – also known as the Birthday Parade – from a balcony in the Duke of Wellington’s former office with her children.

Prince Louis, six, at one point seemed to be distracted by a blind cord and was seen yawning while watching the parade before dancing along during the quick march of the Scots Guards to Highland Laddie.

Heavy rain began to fall as the royal procession made its way back to Buckingham Palace but the King and Queen, as well as Kate and her children, were protected from the downpour in their covered carriage.

Princess Charlotte, nine, smiled and waved enthusiastically to the crowds who braved the weather, while her brothers also smiled and waved to the sea of umbrellas along The Mall.

A 41-gun salute was then fired by the King’s Troop Royal Horse Artillery in nearby Green Park before Kate and her family joined the King and Queen, as well as other royals, on the Buckingham Palace balcony to watch the RAF flypast.

They smiled and waved to the cheering crowds before standing proudly as the national anthem was played, with the flypast ending with the Red Arrows trailing their trademark red, white and blue colours.

Ahead of the event, Kate said: “I’m looking forward to attending the King’s Birthday Parade this weekend with my family and hope to join a few public engagements over the summer, but equally knowing I am not out of the woods yet.

“I am learning how to be patient, especially with uncertainty.

“Taking each day as it comes, listening to my body, and allowing myself to take this much needed time to heal.”

Her appearance was in doubt after she missed the final Trooping rehearsal last weekend.

This is Kate’s first official outing of 2024 after she missed engagements at the start of the year when she was admitted to hospital for abdominal treatment.

At the time her condition was thought to be non-cancerous, but tests after the successful operation found the disease, and Kate disclosed the diagnosis in March.

A time frame has not yet been set for Kate’s return to a full schedule of public engagements.

UK

General election: Voters annoyed at government’s broken promises, admits minister

Published

8 hours ago

June 15, 2024

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General election: Voters annoyed at government's broken promises, admits minister

People are “really annoyed” the government has not always kept its promises, a Tory minister has said as he acknowledged the election was “tough” after 14 years in power.

Speaking to Sky News Johnny Mercer admitted the campaign had been “up and down”, but insisted the polls showing the party lagging behind were not reflected on the doorstep.

He warned voters against giving Labour “unchecked power” by backing Nigel Farage’s Reform UK, after a poll put his party one percentage point above the Conservatives.

It comes after a survey by YouGov for The Times put Reform UK at 19%, compared to the Conservatives at 18%.

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The veterans minister and former army officer, who is battling to be re-elected to the Devon seat of Plymouth Moor View, also disputed the findings of an IPSOS survey that indicated six in 10 people would accept higher taxes if it meant more money for the NHS.

He made his comments as Rishi Sunak remained away from the campaign trail for another day after attending the G7 summit in Italy.

The prime minister was also due to attend the Trooping the Colour ceremony to celebrate the official birthday of the King before jetting off again to attend a Ukraine Peace summit in Switzerland.

Mr Mercer told Sky News: “I’ve never found six out of ten people on the doors who want to pay more in tax in Plymouth.

“I respect all these surveys. I respect all the polls. There’s one poll that matters on 4 July.

“I don’t find six out of 10 people want to pay more tax. I find they want to bring their taxes down.

“They want better public services. They understand the challenge in the NHS.

“They also understand it’s got record funding and record numbers of doctors and nurses. But we’re up against a huge rise in demand, particularly under the pandemic, which is really, really difficult.”

He added: “Of course, people are annoyed. People are really annoyed that we’ve made promises and that we haven’t always met them.

“I think we’ve got a job of work to get over how hard the prime minister works on this, how difficult government is.

“But, no, I think people want to pay less tax. You have a clear choice in this election now, haven’t you.

“You have got the Conservatives clearly saying we’re going to reduce and continue to reduce tax… and a Labour government coming in, who is clearly going to raise taxes.”

Mr Mercer went on: “This election is tough, right? And it was always going to be tough after 14 years in power, and clearly the campaign’s been up and down as well.”

But insisting the Tories had a “bold plan”, he warned: “If you vote for Reform, you’re going to get a Labour government, you’ll get unchecked power from a Labour government to come in and change the face of this country into something that I don’t believe it is, I don’t think it is a left-wing country.”

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Mr Mercer rejected the Tory brand was “toxic” as he defended the absence of Conservative branding in his election literature.

He said: “Anyone looking at those leaflets can see that I’m in the Conservative Party and everybody has always known I’m in the Conservative Party.”

He added: “It’s blue… It’s got me on there talking about my record in government. So which part of it is not clear that I’m in the Conservative Party?

“I think it does say on the back who I’m campaigning for. “

Meanwhile, Labour’s shadow work and pensions secretary Liz Kendall defended her party’s claim NHS waiting lists could rise to 10 million despite a thinktank saying it was “highly unlikely”.

Responding to the Institute for Fiscal Studies’ criticism, Ms Kendall told Sky News: “We’re saying that if there’s another five years of the Conservatives, you could see 10 million people waiting in pain or feeling they have to try and pay to go private to deal with their problem.”

She said it was a “reasonable assumption” that was based on what had already happened under the Conservatives and “if the trend continues in the future, as it has done in the past, that’s what we’re likely to see”.

The Tories have dismissed the Labour attack as “scaremongering”.

Elsewhere, Liberal Democrat leader Sir Ed Davey is on the campaign trail in Surrey as he continues his party’s efforts to chip away at the “blue wall”, a collection of typically safe Conservative seats in southern England.

Other candidates in Plymouth Moor View are:

Shaun Hooper, Reform UK
Sarah Martin, Liberal Democrat
Georgia Nelson, Greens
Fred Thomas, Labour

UK

Beaming Kate returns to royal events at Trooping the Colour – her first public appearance since cancer diagnosis

Published

11 hours ago