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Doctor Training
17 January 2023
Lead MP
Anthony Browne
Responding Minister
Will Quince
Tags
NHSEducationEmployment
Word Count: 13765
Other Contributors: 14
At a Glance
Anthony Browne raised concerns about doctor training in Westminster Hall. A government minister responded.
Key Requests to Government:
The Government should commit to training enough doctors for the UK's needs by increasing medical school places and launching a feasibility study into doubling these places to around 15,000 by 2029. Additionally, they should provide funding previously allocated during covid for additional medical school places.
How the Debate Unfolded
MPs spoke in turn to share their views and ask questions. Here's what each person said:
Lead Contributor
Opened the debate
The UK does not train enough doctors for its own needs, leading to a reliance on international recruitment which harms the NHS and developing countries. There are currently 132,000 vacancies in the NHS, including 10,000 for doctors. The UK has only 2.8 doctors per 1,000 people compared to an OECD average of 3.5, highlighting a significant shortfall. The shortage exacerbates financial issues as hospitals hire locums costing £6 billion annually.
Andrew Selous
Con
Caroleig
Andrew Selous highlighted the distress of British students being turned down from medical school despite having the necessary grades. He mentioned that his constituency is facing a shortage of GPs and cited an instance where 30 planned primary care expansions were scrapped due to lack of funding. He emphasized the need for integrated healthcare hubs and criticised the inadequate allocation of section 106 funds towards health, stating only £187 million out of £7 billion was used for such purposes.
Newton Abbot
Anne Marie Morris highlighted the specific challenges in rural areas, including an ageing population with complex health needs and difficulty attracting qualified doctors due to misconceptions about rural life. She emphasized the need for tailored medical training and education to address these issues, referencing successful models from Scotland and Australia.
East Kilbride
My hon. Friend makes a compelling point about not needing a massive expansion of medical schools to expand the number of medics we are training. The University of Central Lancashire in Burnley already trains medics but focuses more on an international programme, willing to switch that over to train far more UK students.
Falmouth and Camborne
Mackrory thanked doctors for their work during the pandemic and highlighted Cornwall's slight increase in GPs, despite more part-time work. She praised initiatives that encourage trainees to stay in Cornwall but noted geographical challenges in sharing staff with other areas. She emphasized the importance of fair funding to support healthcare workers' respite periods, called for addressing housing issues affecting healthcare employment, and supported additional training places.
David Johnston
Con
Dartford
David Johnston discussed the growth in medical trainee numbers from 2,671 to 4,000 over recent years but raised concerns about the shift towards portfolio careers among GP trainees, with only one of a cohort intending to be a salaried GP. He also pointed out the lack of social mobility within medicine, noting that only 6% of doctors come from working-class backgrounds and stressed the importance of addressing this issue for better representation.
Feryal Clark
Lab
Enfield North
Clark criticised the government's decision to cut medical school places by 30%, highlighting that there are over 133,000 NHS vacancies, including 10,000 for doctors. She noted that the Royal College of Physicians census found a 52% vacancy rate for consultant physician posts in 2021, the highest on record. Clark also mentioned that the Three Counties Medical School at the University of Worcester had been told it would not receive funding for domestic students despite the NHS Herefordshire and Worcestershire integrated care board spending over £70 million annually on locum staff due to a lack of doctors.
James Sunderland
Con
Bracknell
I commend my hon. Friend on his excellent speech and agree with every single word. He alludes to the high salaries paid to locums, which prevent doctors from getting contracts for surgeries locally, a problem in Bracknell. I suggest we need to bring doctors back from retirement and other professions to improve inflow at every level across the whole of the service.
Jim Shannon
DUP
Strangford
Jim Shannon thanked the hon. Member for South Cambridgeshire and expressed concern about the lack of sufficient staffing in the NHS, particularly doctors. He noted that Northern Ireland faces issues with limited medical school places at Queen's University Belfast, which offers only 100 places annually. He highlighted a shortfall of junior doctors willing to stay after completing their studies, resulting in many leaving for other regions or countries. Shannon also raised concerns about the planned three-day strike by more than 173,000 members of the British Medical Association's junior doctor group due to staff pay issues and excessive rota hours.
Kevin Foster
Con
Torbay and South Devon
Discussed the increasing demand for healthcare professionals, noting that while medical school places have increased from 6,000 to 7,500 annually in England since 2018, it may not be sufficient to meet future demands. Emphasised the importance of international recruitment but highlighted its limitations due to global shortages. Cited the Health and Social Care Committee's recommendation for increasing medical school places by 5,000 to 14,500 per year and lifting the cap on international student places.
Mark Fletcher
Con
North East Bedfordshire
Mark Fletcher highlighted the increasing number of doctors since 2010 and pointed out that working practices are changing, with more part-time working. He emphasised the need for reform in general practice due to its strain on the hospital system and the importance of utilising technology in healthcare delivery. Asked the hon. Lady a question during her speech.
Martyn Day
SNP
West Dunbartonshire
The MP expressed gratitude towards NHS staff and highlighted the challenges in recruiting qualified staff due to Brexit. He cited a Nuffield Trust report suggesting that NHS England could be short of 12,000 permanent hospital doctors and over 50,000 nurses and midwives. The Scottish Government's workforce strategy aims to grow the NHS workforce by 1% over five years.
Rachel Maclean
Con
Redditch
Ms Maclean congratulated her colleagues on the need for more training places for doctors, emphasizing its role in social mobility and rural development. She highlighted local efforts to train doctors through the Three Counties Medical School, funded by the University of Worcester with 20 places but lacking government funding. She urged the Minister to support full funding for the medical school to provide opportunities for young people in Redditch and Worcestershire.
Richard Graham
Con
Gloucester
Called for support from the Minister regarding the Three Counties Medical School serving Worcestershire, Herefordshire, and Gloucestershire, building on established partnerships. Suggested that all 14 MPs representing these counties should work together with the Minister to advocate for this project.
Greg Knight
Con
East Yorkshire
Agrees that training more doctors is essential but calls for a feasibility study to explore how to achieve the target of increasing training places, suggesting existing resources could be optimised. Emphasises the need for international cooperation and knowledge sharing.
Government Response
Will Quince
Government Response
Responded to concerns about doctor training, highlighting the creation of additional medical school places and the lifting of caps on student numbers during the pandemic. Discussed ongoing efforts to improve retention and working conditions for NHS staff, as well as plans to develop a long-term workforce plan for the next 15 years. Addressed issues related to international recruitment, pension challenges, and specialty training placements.
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Assessment & feedback
Summary accuracy
About Westminster Hall Debates
Westminster Hall debates are a chance for MPs to raise important issues affecting their constituents and get a response from a government minister. Unlike Prime Minister's Questions, these debates are more in-depth and collaborative. The MP who secured the debate speaks first, other MPs can contribute, and a minister responds with the government's position.