It's sufficient for the purposes of MN that I'm well informed
I don't think you are an NHS manager but from your statement and earlier posts assume you have some sort of NHS adjacent policy role. Not least because of your staunch defence of the current position. Context is important, and I would genuinely welcome some hint of where you are coming from.
It matters. A poster upthread whose DC is very keen on being a doctor suggested she was worried about him getting eight years down the line to find he had no job. The position DD and her friends are in, and essentially what this thread is about.
More frustrating in my case because I have friends overseas (I speak an Asian language and have maintained good links) whose DC have been able to access UK training, very much with the aim of returning home to work in the well paid private sector. Over the years I we have shared the various bumps in the parenting road, enough that I know DD and her friends are just as academic, indeed probably a lot more. (UK medical school had been the aim, luckily local private medical schools had lower entry standards. I also wonder about the cultural transition given the DC I know were brought up in relatively sheltered environments with servants and drivers etc.)
If anything I am more angry on behalf of DD's close friend, the one she is likely to go to Australia with. (They both plan to give temping with NHS Bank a go, and then Australia in the New Year as a fall back.) From a deprived part of the City, first in her family to go to University, and first in her school to get into medical school. A very impressive young woman, and someone who could be a role model. She did not get a training place this time round, in part presumably because of the greater demands put on them as opposed to those on the newer English contract, and as a result of the current immigration approach, massive competition which means that the entry level jobs that would allow her to have another go, are effectively out of reach.
Your posting is useful because it does allow people to understand NHS thinking, and to spot what appears to be a lack of empathy. Young people have worked hard for eight years only to find that the system does not value them or their skills. Those close to health policy should be worried about losing this cohort, but they are not.
I am deeply upset about DD's career seemingly ending before it starts and about the prospect of her having to go to the other side of the world to find work. The NHS attitude and your posts often have me close to tears, as I start googling visa opportunities for us should DD have to stay long term. . But useful all the same. I had originally thought that DD was being lazy in not finding a job, but now I know that many DC from earlier medic mum threads have struggled, and that DD is right when she claims that virtually no one in her year has training, and that the Fellow posts in the field she would like to enter have been allocated, on merit, to very capable doctors from the year before her. I am not surprised when a prospective tenant tells me that he applied for dozens of jobs, often taking hours after coming off night shift, before landing a 12 month contract, and that his mum was also very angry. Neighbours tell me about young people stuck in Australia as they cannot get a job back here. Or about the initial professional and cultural difficulties faced by staff new to the UK. An MP I frequently come across, tells me that it is an issue that is being raised in her surgery. She initially thought her constituent was exaggerating till I confirmed that sadly it was all too likely.
We have the entry level jobs that would allow our newly qualified doctors to stay in the country and gain experience. Some could then progress on to training and climb the professional ladder. Others might stay in "house" jobs. To me it seems crazy that we choose instead to recruit from Africa and Asia. Your posting helps us all understand why the NHS takes this approach.