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Junior Doctors Unemployment in August

1000 replies

PurpleFairyLights · 17/05/2025 22:13

Name changed but long term poster. Have a child that is in this situation with 100k of student debt.

https://www.itv.com/news/granada/2025-05-07/bma-we-could-potentially-see-thousands-of-unemployed-doctors

Unbelievable this was allowed. Most countries protect their medical graduates.

OP posts:
Thread gallery
46
OneMorePiece · 01/06/2025 21:03

KnickerFolder · 01/06/2025 20:49

BAPIO is a not for profit organisation registered with the Charity Commission.

The BAPIO Training Academy Limited is a private limited company with 6 shareholders.

Check the price out of one of its courses : up to £32k per IMG to be paid directly into a UK bank account. Non refundable deposits taken from IMGs.

goocampusuk.com/mrcp-mba

Clavinova · 01/06/2025 21:23

OneMorePiece · 01/06/2025 21:03

Check the price out of one of its courses : up to £32k per IMG to be paid directly into a UK bank account. Non refundable deposits taken from IMGs.

goocampusuk.com/mrcp-mba

Is that price for the 4 year course?

OneMorePiece · 01/06/2025 21:25

I meant to write non refundable application fees from each IMG not deposits. My mistake. Not sure exactly what 4 year course you mean Clavinova. That's an example of one of them.

Clavinova · 01/06/2025 21:45

mumsneedwine · 01/06/2025 15:24

This is awful. Same take home pay as 20 years ago, and money is worth so much less now.

Dr Mucci first posted that payslip in Jan 2023 - FY2 doctors (her colleague at the time) have obviously had a pay rise since. The payslip seems to show a decent amount of supplementary pay for working extra hours, plus the old senior house officer grade seems to cross more than one grade, so was she actually the equivalent to an FY2 in 2005 or a slightly higher grade?

https://en.wikipedia.org/wiki/Foundation_doctor

PurpleFairyLights · 01/06/2025 21:46

OneMorePiece · 01/06/2025 19:35

BAPIO Training Academy is a training arm of BAPIO. BTA is a lucrative business running courses, some charged at over £30k to place new IMGs in NHS posts. Fast tracking, licensing exam (PLAB) exemptions etc. They have obtained a licence to sponsor IMGs from the GMC, making the whole process smoother for IMGs.

Interestingly, the BMA Council Chair from 2017 -2022, Dr Chaand Nagpaul is on the advisory board of the BAPIO Training Academy.

Also if you go on the BAPIO website, in the main picture, the jolly looking lady laughing while they pose for the picture is Dr Navina Evans who is the Chief Workforce Training and Education Officer in the NHS. Not sure if she still is though.

Placing all these IMGs in various roles in the NHS and getting recommendations implemented possibly a breeze for BAPIO. Somehow the workforce planners seemed to have overlooked the cohort of doctors facing unemployment.

Surely this should be looked at immediately.

Is the new BMA chair a member of Bapio?

OP posts:
Clavinova · 01/06/2025 21:46

OneMorePiece · 01/06/2025 21:25

I meant to write non refundable application fees from each IMG not deposits. My mistake. Not sure exactly what 4 year course you mean Clavinova. That's an example of one of them.

From your link;

Work & study for 2 years in India + 2 years in the UK under experienced faculties.

OneMorePiece · 01/06/2025 21:48

Clavinova · 01/06/2025 21:46

From your link;

Work & study for 2 years in India + 2 years in the UK under experienced faculties.

Wasn't sure if you were referring to the course in the link or whether another 4 year course you had in mind possibly being the same as this course. Anyway as I said it's just an example.

Clavinova · 01/06/2025 21:51

PurpleFairyLights
Is it too much to ask that they are not competing with 33,000 non UK graduates on top of the 12,000+ UK graduates a year?

Are the 12,000 UK graduates not already included in the 33,000 total?

PurpleFairyLights · 01/06/2025 21:52

I am currently working on a document. The more you look the more concerning the situation is.

Simple question for Wes. Why are they allowing doctors from India to enter the NHS workforce when we have unemployed doctors that were trained in UK?

OP posts:
OneMorePiece · 01/06/2025 22:00

No, the current BMA chair is Philip Banfield but the one when the RLMT was removed in 2021 was Chaand Nagpaul. He is on the advisory board of BAPIO Training Academy.

PurpleFairyLights · 01/06/2025 22:00

Clavinova · 01/06/2025 21:51

PurpleFairyLights
Is it too much to ask that they are not competing with 33,000 non UK graduates on top of the 12,000+ UK graduates a year?

Are the 12,000 UK graduates not already included in the 33,000 total?

Hi just checked you are right must have misread a table. There were 20,000 IMGs applying for training to start in 2025

OP posts:
PurpleFairyLights · 01/06/2025 22:02

OneMorePiece · 01/06/2025 22:00

No, the current BMA chair is Philip Banfield but the one when the RLMT was removed in 2021 was Chaand Nagpaul. He is on the advisory board of BAPIO Training Academy.

Thanks. Do you know what Philip Banfields opinion is on priority for UK grads?

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PurpleFairyLights · 01/06/2025 22:18

OneMorePiece · 01/06/2025 22:13

And this too (see below) but note the dates of each article.

Since then there has most recently been a report in the Times about Wes 's position.

https://www.bmj.com/content/388/bmj.r157#:~:text=The%20BMA%20has%20apologised%20for,applying%20for%20specialty%20training%20posts.

We just don't know until they publish further details on where UKMGs will end up. Perhaps more information released with the new NHS 10 year Health Plan.

The problem is that applications for 2026 training open in October so they need to do something now as this October there will be the new F2s applying plus the UK grads that did not get a training place this year.

OP posts:
OneMorePiece · 01/06/2025 22:25

Yes, I know what you mean. Think I recall reading somewhere that the NHS 10 year Health Plan is out this June so hopefully there will be further details then.

Clavinova · 01/06/2025 22:46

OneMorePiece · 31/05/2025 22:25

Quoted directly from a BAPIO newsletter. :

'The UK has a moral obligation to support the health systems of source countries. This could include financial compensation for training costs, partnerships to strengthen healthcare infrastructure, and bilateral agreements to manage migration more ethically. Programs like the Tropical Health and Education Trust (THET) have shown promise but need to be scaled up.'

It just seems that they are getting as much out of the NHS as they can in what looks like an India first policy.

I don't understand why in addition to helping to place Indian IMGs sponsored by BAPIO in the NHS, there is also an expectation on the UK to do a lot of work out in India to compensate India for taking their workforce. How much of taxpayer's money and the NHS budget is spent keeping BAPIO satisfied? Also, isn't the UK helping India already? When they have an extra 70k plus Indian medical students graduating from Indian medical schools than they have postgraduate Indian training places, after placing many Indian IMGs in the NHS, training capacity in the NHS is reduced for UK doctors. It just seems to me that our NHS and politicians, perhaps too fearful of being called racist if they don't oblige, are ever ready to accommodate all recommendations and requests by this lobby group.

This lobby group is calling out the UK on the ethics of recruiting from India yet happy to charge wealthy IMGs tens of thousands of pounds to be fast tracked into the UK. What a bunch of hypocrites!

Personally, I think you have misrepresented this article/editorial.

My impression on reading was not of an 'India first policy' or the 'expectation on the UK to do a lot of work out in India' - the examples given just before your quote were for other regions;

For instance, sub-Saharan Africa bears 24% of the global disease burden but has only 3% of the world’s healthcare workforce. Countries like Nigeria and the Philippines invest heavily in training healthcare professionals, only to lose them to high-income countries like the UK.

The reference to the WHO and active recruitment from countries with critical shortages would not apply to India either. Likewise the THET partnership referred to has a country presence in Ethiopia, Tanzania, Uganda, Zambia, Somaliland and Myanmar.

There was certainly a call for more support for Indian and other IMGs who had chosen to work in the UK - better induction, career progression etc.

https://bapio.co.uk/the-winds-of-change-for-international-healthcare-professionals-a-call-for-fairness-and-ethical-recruitment/

OneMorePiece · 01/06/2025 22:53

Clavinova · 01/06/2025 22:46

Personally, I think you have misrepresented this article/editorial.

My impression on reading was not of an 'India first policy' or the 'expectation on the UK to do a lot of work out in India' - the examples given just before your quote were for other regions;

For instance, sub-Saharan Africa bears 24% of the global disease burden but has only 3% of the world’s healthcare workforce. Countries like Nigeria and the Philippines invest heavily in training healthcare professionals, only to lose them to high-income countries like the UK.

The reference to the WHO and active recruitment from countries with critical shortages would not apply to India either. Likewise the THET partnership referred to has a country presence in Ethiopia, Tanzania, Uganda, Zambia, Somaliland and Myanmar.

There was certainly a call for more support for Indian and other IMGs who had chosen to work in the UK - better induction, career progression etc.

https://bapio.co.uk/the-winds-of-change-for-international-healthcare-professionals-a-call-for-fairness-and-ethical-recruitment/

The India first approach idea is not based solely on this article though. It's a matter of opinion.

OneMorePiece · 01/06/2025 23:08

OneMorePiece · 01/06/2025 22:53

The India first approach idea is not based solely on this article though. It's a matter of opinion.

And the opinion is based on the information and facts out there all of which would be a pain to link every time we have a further point to add to the discussion.

livingroom2025 · 02/06/2025 01:20

I’m only halfway through the thread
Why do our hospital departments have no staff?

for instance my routine dermatology appointment has been pushed back 6 months - the secretary has in her own words said “please complain to PALS, we are asking everyone to then we will get some staff”

gynae - was 3 endometriosis consultants, now down to 1, waiting lists are a year just to be seen let alone operated on

LeviOceanStar · 02/06/2025 06:29

livingroom2025 · 02/06/2025 01:20

I’m only halfway through the thread
Why do our hospital departments have no staff?

for instance my routine dermatology appointment has been pushed back 6 months - the secretary has in her own words said “please complain to PALS, we are asking everyone to then we will get some staff”

gynae - was 3 endometriosis consultants, now down to 1, waiting lists are a year just to be seen let alone operated on

Basically because the hospitals don't have enough money to pay for enough staff.

Consultants might be somewhat overpaid relative to some other countries too.

But nurses are not and we have shortages of them in hospitals too. But simulataneously British nursing graduates are unemployed as nurses have been brought in from overseas. The real problem is that the hospitals don't have enough money to employ enough staff.

I have no issue with doctors and nurses coming from overseas if posts are first advertised to British citizens. Though these are good jobs and ideally we would train enough of our own young people to do them.

It's a tricky question however to make sure the NHS is properly funded so that it can afford to employ enough staff. Aging population with already high taxation anf government debt. Most other developed countries employ more doctors and nurses relative to their populations than we do. But they often have some form of co-pay or insurance contribution required too.

mumsneedwine · 02/06/2025 08:11

And also the alphabet soup of other professions eg PAs, who are paid much more than nurses and doctors. But are less qualified. No, there is no sense in it !

PurpleFairyLights · 02/06/2025 09:31

385nfw · 18/05/2025 07:46

I think that's why the assumptions that we should also prefer high skilled migration over low one is so erroneous. In practice it de-skills the local population.

However, that's true for all jobs and not just medicine. Medicine isn't special in that way - but would people be happy to put in similar restrictions for other professions?

The government paying for them is not an argument as the government invests in all graduates as most student debt is written off at government expense.

Medicine is a special case because there is only one employer for UKMG - the NHS.

All other graduates will have many companies they can apply to.

OP posts:
385nfw · 02/06/2025 09:36

@PurpleFairyLights that'sliterally the same thing with academics.

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