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Newly trained doctors-you need to know this

316 replies

2020Raquet · 30/11/2025 04:05

DSS3 is about to be a newly qualified FY2 doctor along without about 8,000 from his cohort (number who qualified this year). There are about 1000 jobs for them to apply for in the NHS this year. So we, the tax payer have paid an average of £250,000 to £327,009 to train these doctors over the past 7-9 years and 87% will not have a job.

A simple google search (appreciate that not be the most accurate, so happy to be corrected if based on facts) show that 20,060 doctors immigrated to the U.K. in 2024.

DSS3 is emigrating because he has little other choice.

The doctors strikes are not based on money, but the fact that they come out of uni with £100’s of £1,000’s of debt in a job apparently vital in the U.K., but with no job prospects!!

AIBU to believe the system has failed.

OP posts:
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11
SumUp · 30/11/2025 09:42

QuantoDevoPagare · 30/11/2025 08:58

But the issue has been caused by international doctors applying for the roles. Otherwise the number of training places would match the numbers graduating from medical school.

Also it isn't just a problem for doctors. Many nurses seem to be in the same position.

The answer to me seems simple. Current Uk residents should get priority for jobs. If the vacancy can't be filled it should then be possible to consider overseas applicants.

No this is factually incorrect

Baloneyhahaboohoo · 30/11/2025 09:41

Well good luck to her an awful lot of money wasted on becoming a doctor hope she pays it back

Mullaghanish · 30/11/2025 09:40

https://www.nursinginpractice.com/latest-news/applications-to-uk-nursing-programmes-hit-record-low/ The government needs to do more to make nursing careers attractive, pay being a major factor. Furthermore stop putting junior staff at the forefront of care and put qualified registered nurses there. Studies have been done to say if the registered nurse to patient is more than 1 to 6, the death rate rises on the ward. qualitysafety.bmj.com/content/32/5/254 Is the latest in a long line of studies. And in my opinion get rid of titles such as Matron, to grades of nurse manager, so men can be attracted to the profession, to make a more equal workplace . all staff who come to the ward have to undertake the care certificate to instill values of person centred care, dignity choice. To enroll on the TNA program learners have to complete a level 3 diploma in healthcare which again cover the values expected in nursing.
i see first hand these attitudes of distrust of overseas nurses, affecting frontline care from dedicated healthcare assistants and nurses. I believe that anyone who has the guts to step up to attempt to help another human needs to be supported, no matter where they are from.

Applications to UK nursing programmes hit ‘record low’

Applications to study nursing in the UK have fallen for a fourth consecutive year and are down by more than 15,000 compared to 2021

https://www.nursinginpractice.com/latest-news/applications-to-uk-nursing-programmes-hit-record-low/

Legobricksinatub · 30/11/2025 09:38

Happyjoe · 30/11/2025 09:35

The training more I think is fairly new. I can remember the tories cutting doc training places, against the medical council's advice' because it saved money. They knew it was cheaper to have overseas staff in and they were advised that in about 10 years there would be a shortage of docs as they retired or moved away - we're at that stage now. I think now the NHS just can't afford to hire docs, despite being so badly needed. Thanks our governments!

The same tories cut bursaries for nurses, midwives, radiographers etc and the numbers applying dropped but they again, relied on foreign staff. I believe a bursary of some sort for nurses is back but not 100%.

The whole lot has been royally mucked up and they knew what they were doing and simply didn't care.

And yet they managed to employ 20,000 overseas doctors last year whilst simultaneously leaving 48% of British trained FY2s unemployed - despite in theory there being enough training places for nearly all of them.

ViciousCurrentBun · 30/11/2025 09:38

Stop with the racism accusations. My Father was an immigrant and spoke a decent level of English but his accent was very heavy, DH really struggled to understand him sometimes and did others. In times of stress people need clear communication.

Baloneyhahaboohoo · 30/11/2025 09:38

My late husband who had Parkinson’s - quadruple heart bypass - I simply couldn’t understand a word the doctor said he wasn’t English and gabbled away at a speed it was impossible to understand my husband was hospitalised many times I couldn’t understand a word and said I needed to speak to a person who could actually speak English I feel if people are in the NHS should at least speak English

Livelovebehappy · 30/11/2025 09:38

Fl0w3rP0w3r · 30/11/2025 05:24

Where there is still the death penalty for being gay and 93% do not accept homosexuals, where autistic people are seen as being possessed by evil and autism awareness is non existant….

Those with autism are far more likely to need psychiatric nurses.

When English is poor from any country there are also huge issues with understanding mental health, complexities and conditions like ND and yes safety. The people most vulnerable are being put the most at risk.

Edited

Agree. When there was the case of a British based Palestinian doctor suspended earlier this year for anti semetic posts on SM, it made me wonder about how potentially dangerous a situation could become, whereby she was treating someone Jewish. Would her beliefs affect what treatment she provided that person with? It’s really a myth perpetuated by those on the left that without immigration we would be screwed because we need doctors and care workers. We have enough trained doctors coming through, and we have enough people to fill health care posts if we reform the Welfare system to get people back to work. I hope your DSS gets a post OP without the need for him to go abroad. We need good quality doctors not someone coming in with a Mickey Mouse certificate from a country with low standards of training.

pocklechip · 30/11/2025 09:37

Happyjoe · 30/11/2025 09:35

The training more I think is fairly new. I can remember the tories cutting doc training places, against the medical council's advice' because it saved money. They knew it was cheaper to have overseas staff in and they were advised that in about 10 years there would be a shortage of docs as they retired or moved away - we're at that stage now. I think now the NHS just can't afford to hire docs, despite being so badly needed. Thanks our governments!

The same tories cut bursaries for nurses, midwives, radiographers etc and the numbers applying dropped but they again, relied on foreign staff. I believe a bursary of some sort for nurses is back but not 100%.

The whole lot has been royally mucked up and they knew what they were doing and simply didn't care.

Thanks for explaining, what a cock up indeed!

ScaryM0nster · 30/11/2025 09:35

One key point youre missing.

You’re comparing training posts with all qualified doctors from an immigration perspective.

Your many of those will be going into roles your relative isn’t qualified for.

Although I do agree, I can’t understand why visas are issues for training program places.

Happyjoe · 30/11/2025 09:35

pocklechip · 30/11/2025 09:29

Why do we have such a high proportion of immigrants as doctors if we have so many being trained here? I’ve had more interaction with the NHS than I’d have liked and from nurses up to the consultants through the process they were more often than not immigrants (all lovely by the way, not complaining about that directly but in the context of this thread).

The training more I think is fairly new. I can remember the tories cutting doc training places, against the medical council's advice' because it saved money. They knew it was cheaper to have overseas staff in and they were advised that in about 10 years there would be a shortage of docs as they retired or moved away - we're at that stage now. I think now the NHS just can't afford to hire docs, despite being so badly needed. Thanks our governments!

The same tories cut bursaries for nurses, midwives, radiographers etc and the numbers applying dropped but they again, relied on foreign staff. I believe a bursary of some sort for nurses is back but not 100%.

The whole lot has been royally mucked up and they knew what they were doing and simply didn't care.

Legobricksinatub · 30/11/2025 09:32

Youdontseehow · 30/11/2025 09:18

As a nurse, I’d say it is different with doctors though. A person has to be more academically clever to get into medicine in any country. Overseas doctors are also proportionately more likely to have come from a wealthier family and had a better education. They are less likely to hold extreme views such as a belief in witchcraft/demons affecting health and that FGM is a good thing.

The requirements for entry to nursing school are less and for carers, practically non existent. It’s seems anyone who can repeat the same old “I care” schpeel and become a carer in the UK and have access to some of our most vulnerable people.

Edited

Not necessarily that academic with doctors though. I was quite shocked to see how low A level results can be to get into medical schools in countries like Bulgaria. Or that you can be trained to be a doctor without speaking the local language - so never properly engaging with patients.

Youdontseehow · 30/11/2025 09:30

Dagda · 30/11/2025 09:20

@Youdontseehow say that only a minority of good overseas nurse and carers are working. Are you including European trained nurses in that? It just seems unlikely to me that a majority of foreigners are poorly trained. Other countries have functioning health systems as well.

Most overseas nurses are from India and the Philippines. My experience is that they have excellent training.

Edited

Indian medical and nursing schools traditionally followed a “British” style approach to education so yes, are generally better “prepared”. European nurses tend to hold similar cultural values.

There are problems with those coming from sub-Saharan Africa. They have huge corruption there whereby “agencies” can recruit basically anyone to get a visa to come and work in the UK caring sector.

These are places where for example, HIV rates are amongst the highest because women have no right to say no to sex with an infected partner. They practise FGM on young girls. They have some of the highest typhoid and other communicable diseases levels globally because they believe that demons are responsible for disease, not a lack of good hygiene.

Ask yourself this - would you want to be a patient in a hospital over there?

But yeah, let’s employ them in there 1000s to “care” for our vulnerable people.

Invinoveritaz · 30/11/2025 09:30

Theroadt · 30/11/2025 08:30

Well I can only speak from experience, two deliveries, cancer, continuing issues with eye and scan surveillance means I’m in hospital 4+ times/year. All the nurses have problems speaking clearly, the radiographers are all home-grown so no language issues, all the doctors non-fluent and hard to communicate with. Ao my LIVED EXPERIENCE is that it is highly stressful situation made far more stressful because of the communication issue. That is my experience and to tell me to shut ip is patronising.

I am also a frequent user of NHS due to my own ill health and my mothers. The last year I have had 4 stays in hospital and my mum has had 2.
i am not racist and I only speak as I find. My Indian consultant and surgeon was amazing and spoke English very clearly and was most articulate. I also had several Indian nurses care for me - again they were of a very high standard as were the Phillipinos . However, some of the Nigerian male nurses were imho quite misogynistic and I felt very vulnerable around them and they were not keen to answer the buzzer.
its very easy to accuse anyone who criticises the training and language skills of foreign medics of being racist but it’s far more nuanced than that in reality and cannot be remedied until people feel able to voice these concerns without being labelled as bigoted/ racist.

MimiGC · 30/11/2025 09:30

EleanorReally · 30/11/2025 05:57

i dont understand why this thread had descended into racism,
at a clinic yesterday everyone of these doctors was black,
they were doing their job, employed by the nhs
most of the doctors in my department are asian
why is that an issue. ?

Would you not think it odd if, on a visit to, say, Poland, you needed healthcare and discovered that most or all of the medics were from overseas, maybe from Bolivia or Vietnam? No questions, concerns, curiosity as to how this situation had come about and whether the Polish people were ok with it?

pocklechip · 30/11/2025 09:29

Why do we have such a high proportion of immigrants as doctors if we have so many being trained here? I’ve had more interaction with the NHS than I’d have liked and from nurses up to the consultants through the process they were more often than not immigrants (all lovely by the way, not complaining about that directly but in the context of this thread).

Happyjoe · 30/11/2025 09:29

Fl0w3rP0w3r · 30/11/2025 05:15

It’s not just doctors or maiming but the most vulnerable patients getting shockingly poor treatment and being put at risk by all levels of NHS staff when language and cultural differences are an issue- mental health, elderly, learning difficulties, disabilities ….

Yet you can’t complain or you’ll be accused of racism.

I had 2 years of chronic pelvic pain due to having a 10lb cyst removed, I could barely walk. GP's and consultants keep giving me pain killers. Then finally was sent to a pain clinic, where fluke would have it, an amazing man who knew his stuff looked after me. 1st treatment took away 50% of my pain, then two more treatments took away another 40%. He gave me back my life and never met a kinder, or more 'human' doc in my life, he even had a great sense of humour and am getting on a bit!

He was also training other pain management teams, up and down the country, challenging the out of date method of NHS treatment, specialising in ladies pain and pain in the elderly. He was also training some 'back home', in Iran where he was from. I am grateful for him more an any other UK born doctor who just wanted to give me codeine or tramadol - which has been proven not to work anyway! There was no cultural differences coming into play with my treatment, what an odd thing to say.

The NHS would be lost without foreign workers, it would collapse overnight.

Legobricksinatub · 30/11/2025 09:25

EleanorReally · 30/11/2025 05:57

i dont understand why this thread had descended into racism,
at a clinic yesterday everyone of these doctors was black,
they were doing their job, employed by the nhs
most of the doctors in my department are asian
why is that an issue. ?

And this is why thousands of British young doctors are being left unemployed despite the huge debts they have incurred and the huge cost of their train8ng to the tax payer - because suggesting British qualified and resident doctors should prioritised over overseas applicants is met with cries of ‘Racism!’

ToffeePennie · 30/11/2025 09:25

All I can say is, I would willingly give my left arm to be seen by a decent gynae right now. So it’s beyond a joke that there isn’t “enough jobs” because there’s certainly enough need for it!
My close relatives husband trained as a pharmacist, because he knew jobs were scarce but he’s ended up doing a GPs job anyway and prescribing all sorts because he has the relevant medical training.
The whole thing is ass-backwards and we need less middle management and more people with actual medical training on the ground, in hospitals, pharmacies and GP surgeries!!

SalmonOnFinnCrisp · 30/11/2025 09:22

Yanbu
Its a fucking disgrace.

My friend is a consultant anesthesiologist. She told me about this recently.

she also told me her dept needs 4 more consultants but theres no funding for roles. So now... they pair operations and give registrars the easier ones in a theatre opposite the consultant who ostensibly "oversees" both 😵‍💫

My friend said its literally just a matter of time until people start dying.

The international applications are a problem too. One of her cpworkers was on shift whe it opened and by the time the shift finished it was closed for applications due to volume of applicants.

Theres no reason they cant or shpuldnt change this system and prioritise uk applicants

Dagda · 30/11/2025 09:20

@Youdontseehow say that only a minority of good overseas nurse and carers are working. Are you including European trained nurses in that? It just seems unlikely to me that a majority of foreigners are poorly trained. Other countries have functioning health systems as well.

Most overseas nurses are from India and the Philippines. My experience is that they have excellent training.

QuantoDevoPagare · 30/11/2025 09:19

There is nothing racist about prioritising UK doctors and nurses for jobs. They are a very racially diverse group.

Everyone should write to their MP about it. Mine didn't want to take my point on board. She agreed with me there should be more training places. That's true but not the main point. We could triple the training places and still not have enough if any doctor anywhere on the planet can apply for them on the same basis as the young people who already live here.

I worry that this nonsense and incompetence on the part of the government and wider establishment will help Nigel Farage get voted in. I fear he hasn't changed too much from the teenager who sang nazi songs and bullied jewish and asian classmates and we will get a facist and a racist as our next prime minister.

Youdontseehow · 30/11/2025 09:18

tiredwardsister · 30/11/2025 09:08

I work with many many doctors of all nationalities the vast majority I’ve met speak good English, I accept that 30-40 years ago this might not have been the case especially in the specialities it was hard to recruit in. But in the last 20 years all I’ve met speak good English I rarely if ever see idiomatic differences. I’ve just had a Zimbabwean and a Greek doctor closely shadowing me both had arrived in the UK fairly recently. In both cases I observed caring interested doctors who took time with their patients and were perfectly understandable and in both cases the patients they met were very impressed and gave positive feedback.
I live and work in a region in the UK with a very strong accent (I’m not local) with some idiomatic differences that I’ve got used to now but I have at times completely misunderstood what my white British colleagues mean (much to their amusement) and they probably say the same thing about me and maybe even the patients I care for might say it and because the accent is so strong I frequently have to ask colleagues and staff to repeat something or slow down. But somehow or other we all get by.
Over the years I’ve listened to many of my colleagues “explaining” to patients what’s wrong with them. I’ve listened to highly educated white British colleagues explain to a patient that they have X or Y and I know what’s wrong with then
and don’t understand what they are trying to say. I’ve also been that relative listening to a doctor about a family members illness and I understood what we being implied (very poor prognosis etc) but my DH and his sister didn’t get it at all as it was all cloaked in a mixture of medical language and an inability to spell out the problem clearly. Again a white British doctor who was probably very articulate away from work but didn’t really know how to break very bad news.
On the other hand I watched an amazing Srilankan doctor born and educated there talk to a distressed parent about his child’s very poor prognosis.
We cannot generalise.

As a nurse, I’d say it is different with doctors though. A person has to be more academically clever to get into medicine in any country. Overseas doctors are also proportionately more likely to have come from a wealthier family and had a better education. They are less likely to hold extreme views such as a belief in witchcraft/demons affecting health and that FGM is a good thing.

The requirements for entry to nursing school are less and for carers, practically non existent. It’s seems anyone who can repeat the same old “I care” schpeel and become a carer in the UK and have access to some of our most vulnerable people.

tiredwardsister · 30/11/2025 09:15

”crowded crime-ridden country”
Another tedious generalisation, overall crime rates in the UK are falling, some parts of the UK may feel overcrowded especially in the SE but many aren’t. I accept this maybe the case where you live and I’m sorry you feel like this it must be awful but it certainly isn’t the case where I and many many others live.

Fl0w3rP0w3r · 30/11/2025 09:14

Youdontseehow · 30/11/2025 09:01

I think this is partly true. And I will start by saying that there are some excellent overseas nurses and carers working in our health services - but in my substantial experience, they are the minority. I’ll also say that not all UK trained nurses are great and some leave a lot to be desired.

To practice in the UK, overseas nurses need to provide evidence of meeting NMC English requirements for example having been taught and assessed in English, or pass the English language test. They also need to pass the NMC OSCE - so there are checks there.

So for me, it’s more about the differences in cultural aspects. One of our regional hospitals is now about 70% staffed by Nigerian nurses and porters/domiciliary staff. I’ve experience of the level/type of care from a professional and personal perspective. And they just don’t have the same overall empathy and caring values as locally trained nurses.

For example, one Nigerian patient (an elderly gentleman with prostate cancer who was actually the father of a nurse who’d come here) told me that in Nigeria, most of the hospitals didn’t even have call buzzers so there was no expectation to answer them. Families were expected to come into the hospital to care for their relatives - the nurses/nurse assistants didn’t do “personal care”.

They are also not educated about dignity and person-centred care - patients are just expected to do as they are told, not to have a person centred care plan like our student nurses are required to learn.

There is also the challenge of not being conversant with local dialect/colloquialisms and really thick accents which make communication very challenging - an English language test cannot test this. There was the case where someone died in a care home in England because the nurse making the 999 call could not fully communicate the problem owing to her spoken English.

As a nurse, I feel quite strongly about this and I’ve written about this on many threads- no young 20 something adult Nigerian male is coming to the UK because his dream is to look after elderly British people with dementia, frailty and multiple health conditions - they are coming for the visa and the money and T&C’s the NHS offers.

We really need to make nursing more attractive and be able to fully staff our own places of care.

And agree about the doctors - one medical student (who is about to qualify) I spoke to last week told me he had a 1-in-14 chance of getting any job, anywhere in the UK. Ok they are not bad odds if you’re gambling, but we should be employing all graduating doctors who want to practise medicine or else it’s just been a massive waste of money.

Thank you for recognising this and explaining it better than me.

Imdunfer · 30/11/2025 09:12

2020Raquet · 30/11/2025 04:05

DSS3 is about to be a newly qualified FY2 doctor along without about 8,000 from his cohort (number who qualified this year). There are about 1000 jobs for them to apply for in the NHS this year. So we, the tax payer have paid an average of £250,000 to £327,009 to train these doctors over the past 7-9 years and 87% will not have a job.

A simple google search (appreciate that not be the most accurate, so happy to be corrected if based on facts) show that 20,060 doctors immigrated to the U.K. in 2024.

DSS3 is emigrating because he has little other choice.

The doctors strikes are not based on money, but the fact that they come out of uni with £100’s of £1,000’s of debt in a job apparently vital in the U.K., but with no job prospects!!

AIBU to believe the system has failed.

It's complete and utter lunacy, isn't it?