Of course pay matters — but what you’re describing is about basic dignity, retention, and sanity.
A junior doctor filling in notes on the floor because there isn’t a desk isn’t a “first world problem”, it’s a systems failure. Lockers, desks, safe storage, somewhere to sit — these are minimum standards in almost any professional workplace, yet somehow the NHS treats them like luxury add-ons.
The exam fees issue is another huge one that barely gets airtime. Most professions:
pay for exams
reimburse on passing
treat training as investment
In medicine, doctors are expected to personally fund mandatory exams that run into thousands — while already carrying eye-watering student loan debt and working antisocial hours. It’s not about prestige exams; it’s about being allowed to progress at all.
And the student loan interest point is spot on. We’ve created a perverse situation where:
doctors who stay in the NHS pay huge interest for decades
those who leave for Australia, NZ, or Canada often repay little or nothing. So loyalty is effectively punished. That’s not a recruitment problem — it’s a policy choice.
The training bottleneck is perhaps the most maddening part. The idea that we can have:
overflowing A&E departments
rota gaps everywhere
exhausted staff
and doctors reapplying for training posts with no guarantee of progression
…is genuinely absurd. You don’t tell pilots mid-flight they might not be allowed to finish training next year.
What your son is asking for isn’t unreasonable or greedy. It’s:
a functioning workplace
funded training
fair treatment for staying
and a system that doesn’t actively drive people away
If the NHS wants doctors to stay, it has to stop behaving like their commitment is infinite and cost-free.
This isn’t about strikes being “selfish.” It’s about whether we want a healthcare system staffed by people who are treated like professionals — or one that runs on guilt, burnout, and goodwill until it collapses.
And judging by the current state of A&E, we already know where the latter leads.
I’m at a point where I think anyone who gets a job outside the UK should go for it, take everything with them, and fully embrace the freedom.