For a long time NHS (National Health Service, UK) depended on overseas doctors (or International Medical Graduates) especially from developing countries. Whether it is acute shortage of doctors needed for expansion of services or to cope with introduction of European working time directive or to fill in places where local graduates don’t want to fill or don’t want to go. Many doctors from developing countries tried to come to UK for better job, better salary and better training opportunities in NHS. So for long time there has been good symbiosis between NHS and overseas doctors for long time.
Although the symbiosis was good for both, there were some hiccups. Like exploitation of overseas doctors by General Medical Council(GMC, London) and Home office. For example GMC has collected fees approximately 800 pounds for conducting both parts of PLAB exams (but can you ever imagine irony of passing both exams, you are not given registration, but are eligible for registration). Home office on other side charged 500 pounds for every visa extension ( an overseas doctors on average extend visa twice an year, that helps home office exploit each doctor around 1000 pounds in a year).
This emigration of doctors have no direct problems or consequences on their home country, but if you think ethically these people are now serving rich and advantaged rather than doing their job serving poor and disadvantaged. (This is my view)
The present symbiosis is going to rapidly come to an end following an announcements by Lord Warner one in March and recently. In March Lord Warner announced that there no more visas for overseas doctors hoping to train in UK. This decision will help to put the exploitation of and by overseas doctors. But I think there is also hidden, secretive, and a very mean reason behind this decision. All the doctors who have left their home country and what ever little fortune they had to look for better life and training opportunities to UK have no where to go. Some of these overseas doctors have mortgages to pay and kids to raise. Now all the hope of a nice future is gone. Now no one can apply for a specialist registrar (SpR) job. So what can they do try to join some thing to just stay here, the alternatives are service jobs with less money and no progression, that is staff grade and trust grade jobs. That is forcing people to go in that way, only mean people can do that.
This mean nature is more obvious with recent announcement by Lord Warner when he said that people with HSMP are not to be short-listed if their visa does not cover the duration of the whole job. What an intelligent way of saying you guys you are not allowed to apply for SpR jobs or General Practice requirement, because they are the only jobs that require visa more than 3 years and at best a HSMP visa holder can have 3 years or less of visa.
So dear overseas doctor friends we are been forced go to menial jobs, thanks to hypocrisy of British Raj. Dear friend what can we do. Can we negotiate our way, but we need very good support from various people including local people, doctors, politicians, and policy makers and overseas doctors associations. But 7 months after initial announcement we are still getting more bad news, still no light at the end of tunnel.
What do we do now. Shall we move to better shores and forget this as a hiccup in life, yes forget it, this is the easiest thing to do. It is a cowardly move but is worth for oneself or for family. Or think about your family and children’s future and go for menial jobs, yes may be your kid will fulfill your dreams. Or fight against it, legally - go for it is risky and costly but may have good results. What is the fate of people protesting and fighting legally - I don’t know.
Dear friends I have thought about all the problems and still thinking and breaking brains regarding what can we do. Can we fight against all these with out having to lose any thing in our lives. Can we prevent emigration and make people stay in our home land, probably by improving better training and better life and better salary (yes it is possible think about medical tourism). Friends let us share the ideas to fight, to survive and to have better life. To contact please leave a comment or discuss at forums.
Dr Sreeram Penna