Nigel Hawkes, Health Editor
2 for 1 tickets to Singin' In The Rain, this coming Monday. Book now
MPs have criticised the Government over a training scheme that handed NHS jobs to foreign doctors at the expense of British candidates.
In a highly critical report, members of the Commons Select Committee on Health lambasted poor planning, bad coordination with the Home Office over immigration controls and inadequate leadership by the Department of Health.
They described shortlisting as disastrous and administration as nothing short of chaotic when the scheme, known as Modernising Medical Careers (MMC), was introduced last year. It was designed to select young doctors from tens of thousands of applicants for training places, which would eventually qualify them to become consultants.
But it caused a huge row in the medical profession after more than a thousand British-trained junior doctors were left without training posts, while many from outside the EU were given jobs.
The report said that attempts to limit the number of applications from foreign doctors were badly managed, while governance systems were overcomplicated, with roles ill-defined and lines of accountability irrational and blurred.
Members stopped short of calling for the resignation of Sir Liam Donaldson, the Chief Medical Officer, because they said he was not solely responsible, but the committee said he had been “seriously damaged”.
The medical profession does not escape criticism either. Its leaders were described as “ineffective, divided by factional interests and unable to speak with a coherent voice”, while the Academy of the Medical Royal Colleges was said to be “weak and tokenistic”. But members acknowledged that the Royal Colleges and the British Medical Association warned the Department of Health of problems, and that it chose to ignore them.
“We recommend that the department ensures that it heeds such warnings in future,” the report says.
The worst failing was the Government’s inability to prevent open access to training posts from applicants from across the world, even though it had expanded medical schools to make Britain self-sufficient in doctors.
Sir Liam told the committee that he did not have “sole or overall responsibility” for attempts to restrict foreign applicants, an excuse characterised as “weak and unconvincing”, MPs said.
Richard Taylor MP, a former hospital consultant and a member of the committee, said that the department had simply tried to blame the debacle on the complexity of the MMC governance structures.
A Department of Health spokesman said: “We understand and have apologised for the problems that the 2007 recruitment process created.
“Since then we have created the MMC Programme Board, over half of which are representatives of the medical profession and junior doctors, to advise ministers on junior doctor training and recruitment. Every single recommendation of that board has been accepted and implemented.
“We now need to consider the committee’s report and findings carefully before publishing our response.”
The committee expressed amazement that the Government had no alternative plan should the House of Lords rule that its moves to favour British-trained doctors were illegal.
Last week, after the report was written, that was exactly how the law lords did rule, upholding an appeal by British Physicians of Indian Origin (Bapio) that the guidance to favour British-trained doctors was unlawful.
Asked what he thought the Government should now do, Kevin Barron MP, chairman of the committee, said that plans to discourage foreign applicants by charging them for training was impractical. New primary legislation might prove effective, he said.
The Department of Health is already resigned to another blizzard of bad publicity this summer, as the number of applicants will exceed number of training places by a ratio of about three to one. Many British-trained doctors face disappointment.
But the failure to find a way of excluding foreign doctors under the Highly Skilled Migrants Programme means that the problems will persist for several years, until new immigration rules take effect. Hamish Meldrum, chairman of the BMA, said the report was a damning indictment of the Government’s failure to listen. “The medical profession’s concerns were repeatedly and arrogantly disregarded. Thousands of junior doctors paid the price,” he said.
Andrew Lansley, the Shadow Health Secretary, said the report underlined the chaos over doctors’ training, but that the select committee had erred in rejecting the recommendation of an earlier committee, chaired by Sir John Tooke, that a new body be set up to oversee medical training - Medical Education England.

Enjoy screenings of all the classic films you love, plus take advantage of two-for-one tickets
Have you ever dreamed of owning your own racehorse or a beautiful painting?
Enjoy comfort, safety, space and great design. Plus enter our great competition
Times Online's new TV show helps you make the right decisions for your pet
Are you California dreaming? Explore the wonders of the Golden State. Also enter our fantastic competition
Do you have what it takes to be a Times photographer?
Your brain is capable of more than you might think...
Find out to make the most of your money with our wealth management guides
Need help with your property? We have an entire how to guide - buying, selling, letting, moving, to help you
We are seeking entries for the inaugural Sunday Times Best Green Companies Awards
Enjoy some wonderful inspiring wildlife moments
An interactive preview of the brand new For Your Eyes Only exhibition

Love Sudoku? Play our brand new interactive game: with added functionality and daily prizes

Are you irritable when you return from work? Drained of emotion? You could be suffering from boreout
Prepare for some shock and awe, petrol lovers. Despite the greens trying to wipe it out, the car is about to offer us the most exciting year ever
We've trawled the brochures and websites to find this summer’s best holidays for every taste and budget

Direct from the farms

Overseas contacts and local business information
2007/07
£57,500
South East England
2007/07
£40,995
South East England
2006/06
£41,995
South East England
Great car insurance deals online
£40-55k+benefits+uncapped commission
Morgan Keating
South East
Up to £30,000
GLE
London
£
c£75,000 + executive benefits
Morgan Keating
London and South
Unpaid with travel expenses
Network Rail
Globrix, the property search engine
Visit Times Online Property for homes for sale or rent
Residential development site with planning permission
£1,500,000
Mortgages, bank accounts & money transfers to help you buy abroad
Dinarobin Hotel Golf & Spa 7 nights
From £1830 per person – saving £530.
Walking & multi-activity holidays in Cauterets. Stylish self-catering apartments.
From 350€ for 7 nights.
SAVE 25% on Sandals Luxury Resorts
Great travel insurance deals online
Contact our advertising team for advertising and sponsorship in Times Online, The Times and The Sunday Times. Search globrix.com to buy or rent UK property.
© Copyright 2008 Times Newspapers Ltd.
This service is provided on Times Newspapers' standard Terms and Conditions. Please read our Privacy Policy.To inquire about a licence to reproduce material from Times Online, The Times or The Sunday Times, click here.This website is published by a member of the News International Group. News International Limited, 1 Virginia St, London E98 1XY, is the holding company for the News International group and is registered in England No 81701. VAT number GB 243 8054 69.
To Scottish Doc
who you are to say that doctors from Ghana, Trinidad, Serbia & Croatia can hardly communicate effectively with patients & families and who's clinical skills are way under yours when panel of X UK consultants decided they ARE better then "MANY of the people in you year of graduating)
Bob, Norwich,
I am a Scot who has seen training posts not given to MANY of the people in my year of graduating (2003) and given to outside EU doctors (Ghana,Trinidad,Serbia,Croatia) who can hardly communicate effectively with patients &families and who's clinical skills are way under par.Unfair is an understatmnt
Scottish Doc, Scotland,
You can say what u want.The system is not right if u pay of £250000 to train us-only to fail us.I came close to quiting,friends of mine have,career paths have been shifted-for the better/worse-time will tell.How can u giv a training post to non-EU before an EU doc, let alone a UKgraduate?Madness
Matt Strachan, Inverness,
It's been an absolute disaster.
When I left the UK, I had applied for upwards of 40 jobs in all corners, with barely an interview. The Dept of Health denied a problem and washed their hands.
I, for one, have no qualms about further my medical career overseas, and won't be hurrying back.
James Crompton, Melbourne, Australia
If I was a patient needing surgery, I'll prefer to be operated upon by the MOST competent & skilled surgeon,and that can happen ONLY if doctors were selected on the basis of MERITOCRACY rather than bureaucracy.My choice may be different if I was insecure about facing fair competition...
Tyler, Cardiff,
These "IMG" are the ones who bailed NHS out of severe shortage.Its their yrs of service and experience that is recognised, when they r offered training post. But the GMC could have done better by not calling in 1000s of IMG when only 100s were needed. All for the millions in PLAB fee they raked.
Zakir, Newcastle, UK
I am a foreign doctor working in NHS and I personally can see that NHS is short of junior doctors, there are so many vacancies- I am sure many others would agree with me. So whats the hue & cry about British doctors not getting jobs? Dont winge, just apply for posts.
Joseph, Sheffield, UK
The judgement is being misunderstood & unfortunately being played like Doctors sitting in India are taking away jobs of british graduates.Case specifically refers to doctors who were here since2--4 years. Same people who bailed NHS out of its manpower crisis, only they will be considered on par.
bhushan joshi, Manchester, UK
Surely all doctors appointed were done so on merit, which would in turn seem to suggest that the rest who failed were, in part, down to the fact that they were simply not good enough. Fair competition i say. The DoH lost the case on basic judicial review principles and it had nothing to do with HRA.
hanif, Manchester, UK
I would respect the government if they at least followed good business sense. Poaching all other countries medical professionals is a good move financially for the NHS. It is not so good if you embarked on a huge increase in the home grown ones too. Maybe we should hold the MPs to account.
John, Egremont,
jobs for British workers as Brown promised,
But lets be realistic promises from Browns lips are like water and electric they just don't mix ,what with this and Euro referendums who in there right mind honestly believed it, the latest report from migrationwatch says it will increase Numbers here.
Tony Winchester, Southend , G.B.
This report is completely over the top!! It's outrageous that this group of MPs should criticise an eminent public servant like Liam Donaldson who has been leading on issues such as eradicating smoking, meningitis and other public health risks. Saving lives is much more important than bureaucracy.
mike lincoln, wakefield,
This would not have happened in Australia.
The House of Lords is wrong and should be told so!!
It is utterly unbelievable that we have spent £millions of pounds traing our young doctors and have given their jobs to foreigners!
What about all those young medics?
Trish Niblock, Edinburgh, UK
Good point Chris from Woodbridge. The government make the sounds the electorate want to hear, but continue with their mass immigration policy.
They must think that voters don't understand they are being betrayed.
Roger, Norwich,
But this cannot be true. Surely it's British jobs for British workers isn't it?
The Prime Minister promised it would be, so what can have gone wrong?
doug, Manchester,
These foreign interest pressure groups should be told in no uncertain terms the human rights act doesn't apply. British should come first in Britain.
If only this was actually true. We know it isn't from the deporting terrorists fiasco.
Dr Nicholas Ashley, Huntingdon, England
Is there a single policy that this discredited government has implemented that has actually worked? I can't think of a single one. What a completely wasted decade
D Case, Newquay,
Last year was a disaster on a personal scale for thousands of doctors; my career will never be the same. Should anything like this happen again then I will be quicker to leave the country, having come very close to it this time.
Liam Donaldson and Carol Black must resign.
Brian Wood, Cambridge,
I do not believe even this government could have been that incompetent, therefore it is yet another example of the ethnic cleansing of the English middle class as English doctors will simply emigrate to be replaced by aliens. We are governed by traitors.
John, London, UK
Everything Brown & Co have touched has ended up in disaster.
People are voting with their feet and leaving the country, from doctors to companies. What a shambles.
There is no doubt at all that the country is or soon will be in a worse state than when Labour came to power.
MikeS, York,
Disgraceful. And why are we allowing a body representing foreign interestests (the British Physicians of Indian Origin - Bapio) to dictate UK law and policy?
Michael, Bedford,
There are examples of bodies representing immigrants over powering weak government bodies (often by shouting loudest backed up by the counterproductive HR act) throughout British institutions. When will the government and other bodies start representing the people and do what is best for Britain
David Cartright, Birmingham,
I am a British Citizen and a Medical Student in my penultimate year of Study. I am absolutely incensed at the the contemptible way the goverment is treating the Medical Profession. I am resigned to pursuing my medical career in Austrailia. It's British patients who will be left paying the price.
Gary Heron, London, United Kingdom
So much for Brown's claims about British jobs for British workers. Seems like the points system is not worth much either
Chris, Woodbridge, Suffolk