To anyone visiting. ( I dont know if anyone does, this is a comment I left on the telegraph link below) Its a response to someone so just read it as it is or go and have a look at the comment
http://www.telegraph.co.uk/news/2018/01/03/real-reason-nhs-knees-has-little-do-ae/#comments
I have seen people leave these shores, and the reason that there has been a 90% reduction in overseas applicants to the NHS is longstanding,
10 years or so ago, the NHS refused to extend the working capabilities of the doctors who came from abroad, because they were allowed four years at one point, but they could extend it if they needed to for training and getting the exams that they needed. The government told them in no uncertain terms that they would not let them extend it further and that four years was all they got. That by way of explanation is not enough time to do both parts of a royal college exam. So all the indian doctors who were lined up to come here, went to Ireland instead because it doesn't mind if doctors come and stay... That was one of the first nails in the employment stakes.
The next nail was increasing the number of medical school places almost doubling them, and causing real problems on a course when you cant sit in the lecture theatre because there are too many people inside or you have to find a place on the stairs. Also the number had historically been kept low so that everyone could get a job,
The working time directive was starting to impact on surgical and other disciplines training, because the more operations you do the more practice and safety you get.
Nail 4, from 2010 no doctor has received a decent pay rise and most have experienced a cut of upto £1000 over that time. It is inconceivable that anyone would come from abroad and accept that kind of treatment unless they were desperate. They have their self respect. As a result the NZ and Aussie doctors decided to go back home or to Australia, where the jobs are plenty and you get paid better, and theres no working time directive either, My colleague regularly works 70 + hours a week at the age of 47
Nail 5 Australia is a net importer of doctors from the UK and NZ. do you know why the New zealanders all rush off to Australia? They need to pay back their university loans, and the UK lot are fed up with the NHS and want sunshine and sand etc,
Nail 6
They changed the pension rights and the scheme and so a vast cohort of people who had built up a decent pension and who knew they would be shortchanged if they didnt retire there and then, made a big difference. All your experienced doctors over the age of 50 made decisions to leave the NHS due to the pensions debacle culminating in a vast drove leaving by the end of 2012.
Nail 7 The NHS inherently bullies staff. especially junior medical staff. And especially indians because they are used to the old lot who did everything because they were still in awe post colonial era, but we are in a different era now, where before letters were the way to tell people back home, now its five minutes on your phone on whatsapp. News spreads of the conditions the pay and the pension and every thing else, and of course only people who actually want to come here, despite that will apply...
The next nail was increasing the number of medical school places almost doubling them, and causing real problems on a course when you cant sit in the lecture theatre because there are too many people inside or you have to find a place on the stairs. Also the number had historically been kept low so that everyone could get a job,
The working time directive was starting to impact on surgical and other disciplines training, because the more operations you do the more practice and safety you get.
Nail 4, from 2010 no doctor has received a decent pay rise and most have experienced a cut of upto £1000 over that time. It is inconceivable that anyone would come from abroad and accept that kind of treatment unless they were desperate. They have their self respect. As a result the NZ and Aussie doctors decided to go back home or to Australia, where the jobs are plenty and you get paid better, and theres no working time directive either, My colleague regularly works 70 + hours a week at the age of 47
Nail 5 Australia is a net importer of doctors from the UK and NZ. do you know why the New zealanders all rush off to Australia? They need to pay back their university loans, and the UK lot are fed up with the NHS and want sunshine and sand etc,
Nail 6
They changed the pension rights and the scheme and so a vast cohort of people who had built up a decent pension and who knew they would be shortchanged if they didnt retire there and then, made a big difference. All your experienced doctors over the age of 50 made decisions to leave the NHS due to the pensions debacle culminating in a vast drove leaving by the end of 2012.
Nail 7 The NHS inherently bullies staff. especially junior medical staff. And especially indians because they are used to the old lot who did everything because they were still in awe post colonial era, but we are in a different era now, where before letters were the way to tell people back home, now its five minutes on your phone on whatsapp. News spreads of the conditions the pay and the pension and every thing else, and of course only people who actually want to come here, despite that will apply...
Nail 8
I met a locum consultant when I was being investigated for something and he was from the EU and he asked me what I was upto workwise as it said doctor. I said I retired, I didnt tell him why, but he said good on you I wish I could. They work you like crap here in the NHS.
Nail 9
Pay in real terms is down. Who'd want to work in a service that screws them? Your best and brightest are beating a path abroad the moment theyve done the requisite time to get fully registered and ready to fly. They dont want to stay. Because they can see what will happen if they stay, to their health. Why on earth would you seek torture in a grey raining mess like the UK NHS when you can have that torture in either tropical or desert like conditions in Australia... and be paid more for it.
nail 10, they have made the locum agencies reduce the amount of money given to the doctors that fill in for job shortages, they have "mandated from on high" that locums will not get the kind of money they are worth. if you pay peanuts you get monkeys. And these are just some of the reasons that the NHS is haemorrhaging staff, and this is no dripping tap, this is a flowing tap.
nail 10, they have made the locum agencies reduce the amount of money given to the doctors that fill in for job shortages, they have "mandated from on high" that locums will not get the kind of money they are worth. if you pay peanuts you get monkeys. And these are just some of the reasons that the NHS is haemorrhaging staff, and this is no dripping tap, this is a flowing tap.
10 years ago is also when the Labour government were in charge and therefore to blame, I lay the blame at Labour's door and its PFI stuff and at the conservatives door, and at the governments doors and the whole way that they have changed the NHS from bad to worse in the last 22 years.
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