So one last post and then I'm gone. To anyone who says I shouldn't be on this thread,why not? I am a taxpayer and an NHS patient and I am married to a doctor. I have been very interested in education for a long time, not least while advising our own children not to be doctors. I am nothing to do with BAPIO, although that fanciful illusion is entertaining.
I have tried to bring an acceptance of reality,and while I have been accused of describing medical students as 'rubbish ' etc this is not true. I had hoped to make people realise the truth of the unemployment problem. Perhaps I have not explained it clearly enough though.
The NHS has a pyramidal employment structure. Many doctors on the bottom layer to do all of the more unskilled work. At every stage of training the layer gets smaller, and the number of people in it gets fewer. In order for that number to get smaller some people have to not be able to progress.
If the number of new graduates is now 12000 a year, how do you suggest that we get that number down to the 7000 (3000 for hospital doctors and 4000 GP) entrants to specialist training? That reduction in numbers has always happened and I think that many people don't realise that. 5000 doctors from every year will not have a long term career in the health service. There is nowhere for them to go in the system. If the number of LED jobs is increased it is only going to help as a one off, people will not move on from those jobs.
It is very unlikely that training posts will be increased because there is nowhere for them to go without an increase in consultant numbers. Wes Streeting explicitly said yesterday that there will be no more consultants, he intends for more to 'be done on apps, on the phone, and on the High Street'. Some of it by nurses.
Weaker candidates are not going to get jobs. They might lose out now to better IMG s, or later on to better British candidates. Whichever way you cut it we are training 5000 people too many every year. We could double the number of consultants but then the whole NHS would have to be twice as big as it is now. To reiterate, Wes Streeting has said it will not get any bigger.