What remote areas calling out for F3s?
People in the UK may be willing to move but:
- People from overseas who would like higher UK salaries and the chance of resettling their families are equally interested. Competition rates will be very high, with overseas applicants supported by agencies, who are making a fortune placing doctors in the UK.
- Young doctors in those remote areas are disproportionately affected by the increased competition for training places. Not a lot of research going on. Lots of vacancies so more time just keeping the system going. Adverse contractual terms compared with England. Less access to the overachieving culture and knowledge of the system that you might find in a London teaching hospital.
DD, post lockdown, chose to head for a more remote area. She knows only two of her peers who have training numbers. As I said, one of the two F3 positions in the speciality she would like to go into will be taken by an excellent local candidate who has already spent a year or more locuming.
Yes there are empty training positions as the super high flyers who get training numbers are reluctant to commit to six years in a remote corner of the UK. (And some then switch to England as soon as they can.) But the department can't appoint their good F2.
(Though some odd things are happening as Consultants do their best to help either the brilliant F2 that they hate to lose from the profession, or their friends child....)
So for DD It is zero hours NHS bank or agency work. The oversupply is such that bank rates in DDs nearest Trust are now so low it is barely worth bothering. So she will sign for an agency there and bank in a Trust 40 minutes drive away.
And she is relatively lucky. Elsewhere in the country you can't live off the very limited number of bank shifts you are likely to get. The stories about doctors driving ubers are real and becoming more common.
The big problem with Australia is that it is effectively a one way ticket. It is probably harder to find a substantive contract in the UK if you are on the other side of the world, rather than visible as a regular and respected locum.