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New Immigration Rules To Restrict International Medical Graduates' Access To UK Post-graduate Medical Training
New immigration rules that will restrict international medical
graduates' (IMGs) access to UK post-graduate medical training were
today welcomed by the Health Secretary Alan Johnson.
The Home Office has laid immigration rules implementing the first
part of the new Points Based System, which is the Tier 1 (General)
route for highly skilled migrants. The rules impose a condition on
Tier 1 (General) migrants and Highly Skilled Migrants prohibiting
them from taking a post as a doctor in training.
The new rules take effect from 29th February. They will not impact on
recruitment until 2009 and will prohibit the following people from
accessing post-graduate medical training posts:
From February 29th
- Migrants from overseas who are applying to the Highly Skilled
Migrant Programme (HSMP)
- Migrants already in the UK who are applying to switch to Tier 1
(General)
From April 1st
- Migrants in India who are applying for entry clearance as a Tier 1
(General) Migrant.
The following people will be exempt from the regulations:
- Those who currently have leave to remain in the UK as a Highly
Skilled Migrant
- Postgraduate doctors or dentists who are seeking leave to remain as
a Tier 1 (General) Migrant
The new immigration rules are expected to reduce the potential pool
of new migrant applicants by between 3,000 to 5,000 in 2009.
These are temporary changes to the immigration rules. The Department
of Health is considering longer-term solutions that will ensure the
policy of self-sufficiency is achieved.
Because of the high numbers of potential IMG applicants that will be
exempt from the Home Office regulations - currently estimated at
around 10,000 -Â without further action on top of the new immigration
rules the Department estimates around 700 to 1,100 UK doctors will be
displaced and unable to secure a training place in 2009, 2010 and
beyond.
Therefore, the Department is today beginning a consultation setting
out proposals for managing applications to the foundation and
specialty training programmes from Highly Skilled Migrant doctors
with leave to remain in the UK. Our preferred option is to implement
guidance stating that IMGs should be considered for post-graduate and
specialty training posts in the NHS only if there are no suitable UK
or European Economic Area (EEA) applicants.
The Department consulted on issuing this guidance for specialty
recruitment in both 2007 and 2008. The Court of Appeal ruled that
this guidance was unlawful. However, the House of Lords is hearing
the Department's appeal on February 28th and we expect a decision in
May. If the Department's appeal is successful, the guidance could be
implemented in time for the next round of recruitment on June 1st.
Most international medical graduates who come to work or train in the
NHS do not stay very long - over half leave within four years of
joining the NHS. Ultimately, the NHS loses the trained GPs and
consultants it needs when IMGs leave.
Alan Johnson said:
"Doctors from overseas have played an invaluable role in the NHS for
many years and will continue to do so. They have helped us fill key
shortage areas such as psychiatry, obstetrics and gynaecology, and
paediatrics. But as the number of UK medical school graduates
expands, there should be less need to rely on overseas doctors for
these specialties.
"It can cost up to £250,000 to train a UK medical student and, with
the increase in UK medical schools, we are moving to a policy of
self-sufficiency. If UK medical graduates cannot access specialist
training because of a large number of applicants from outside Europe,
then it is only right that we should consider what needs to be done.
"I cannot stress enough that we are not closing the door to
international doctors working in the NHS. These new rules only apply
to training places in the UK. International doctors will still be
able to come and work in the NHS in thousands of other non-training
posts and will still be able to fill training places in shortage
specialties."
Notes
1. The Department of Health's consultation paper on International
Medical Graduates is available via the MMC website at http://www.mmc.nhs.uk.
The consultation will end on May 6th.
2. Tier 1 (General) of the Points-Based system is coming into effect
in India on 1 April and will be rolled out worldwide by the end of
the summer. It will be replacing the Highly Skilled Migrant
Programme. By placing a condition on new migrants in the HSMP from
February 29th we are ensuring that IMGs from India are not being
disadvantaged.
3. Increased investment in medical training since 1997 means that the
NHS no longer relies so heavily upon doctors from outside Europe. We
now have four new medical schools and medical school places in
England have increased from 3,749 in 1997 to 6,451 in 2007.
4. In the 2007 specialty recruitment, there were nearly 28,000
applicants for around 15,500 training places in England, a ratio of
2:1. Around 45% of applicants had trained outside the EEA.
5. It is estimated that at the end of the recruitment in 2007, over
1,300 applicants from UK medical schools had not secured a training
place in 2007 because of competition from applicants who trained
outside the EEA. We expect a similar number to be affected this
year. This does not mean that they cannot work as doctors as there
are other employment opportunities for UK medical graduates in the
NHS. It does, however, mean that they were not able to progress their
careers in a training place.
6. The forecast for 2008 is that competition will be even higher than
in 2007, with a forecast competition ratio of 3:1. Over half of
applicants are likely to have trained outside the EEA.
7. Tier 1 (General) of the Points-Based system is coming into effect
in India on 1 April and will be rolled out worldwide by the end of
the summer. It will be replacing the Highly Skilled Migrant
Programme. By placing a condition on new migrants in the HSMP from
February 29th we are ensuring that IMGs from India are not being
disadvantaged.
8. For media enquiries on changes to the immigration regulations,
please call the Home Office press office on 020 7035 3535
9. For media enquiries in the Department of Health's consultation,
please call the Newsdesk on 020 7 210 5221
http://www.dh.gov.uk
Noi reguli de imigrare pentru a restricþiona internaþionale medicale de absolventi "acces la Regatul Unit post-universitare medicale de formare - New Immigration Rules To Restrict International Medical Graduates' Access To UK Post-graduate Medical Training - articole medicale engleza - startsanatate