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Riaan Vlok, a family doctor from South Africa’s North West Province, said that the benefits on offer in Britain were such that he had decided to abandon private practice in his homeland for locum work on the NHS.
Dr Vlok, 49, is part of a growing foreign workforce brought in to help to support primary care services as more British GPs give up out-of-hours work and the profession struggles to attract junior doctors to general practice.
Health recruitment agencies in rural South Africa said that the number of doctors expressing an interest in working in Britain had risen sharply in recent months as word got round on how much they could earn. The influx follows the recruitment of GPs from Germany and Polish dentists.
On GPNet, a website directory of family doctors in South Africa, advertisements offer doctors £7,300 to work for a month or £16,000 for ten weeks’ work. Other attractions offered include free flights, a “meet and greet” on arrival in Britain and the chance to travel around Europe.
Dr Vlok now spends a month at a time working as GP cover in surgeries in Mansfield and Ashfield in Nottinghamshire. He returns home for a fortnight’s holiday every four weeks. He said that although the hours could be long and the climate less agreeable, he enjoyed the contrast of British life with that on his ranch near Pretoria, where he lives with his wife and son. “I love my job,” he said. “It is like night and day. A change is as good as a holiday.”
While family doctors in South Africa earn similar salaries to those in Britain — around £75,000 a year — the hourly locum rate is much higher and comes without the overheads of running a surgery. Dr Vlok said that he was paid £200 for seeing 16 patients in a two-hour session and he normally worked about 12 sessions each week, earning £2,400. “It is similar to South Africa,” said Dr Vlok, who practised in his homeland for 18 years. “But here I keep what I make and walk out. I can make more money as a temporary GP here than operating a private practice back home.”
The Department of Health said that though use of doctors from some foreign countries with overstretched healthcare systems was being phased out, a bilateral agreement existed with the South African Government that allowed for a limited interchange of staff.
John Howard, chairman of the Royal College of GPs International Committee, said that hiring from abroad did not address the essential problem. “With a current shortage of GPs the profession is placed in the position of having to recruit from abroad,” he said.
“We understand GPs from South Africa are recruited and feel this is unfortunate as South Africa, along with other African countries, does need its doctors. We would like to see more doctors in the UK training to be GPs.”
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