Nigel Hawkes, Health Editor
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With 10,000 junior doctors facing blighted promotion prospects, the NHS has approached Voluntary Service Overseas (VSO) in the hope of finding them temporary work abroad.
The disclosure, in a leaked memo from Sian Thomas, the deputy director of NHS Employers, confirms that there will be 10,000 more junior doctors than there are training places in August this year. The junior doctors’ pressure group, RemedyUK, has condemned the situation as “abysmal workforce planning”.
Recently qualified graduates who are not yet sufficiently qualified for routine NHS posts could face the prospect of unemployment in the absence of training opportunities.
“We have approached VSO to scope [investigate] the possibilities of placements of some doctors overseas — voluntary service posts,” Ms Thomas’s memo says.
The problems have arisen as a result of a new training scheme called Modernising Medical Careers, whose first graduates can apply for specialist training which, a few years on, will allow them to apply for consultant posts.
This has coincided with the abolition of the Senior House Officer (SHO) grade, occupied by doctors trained under the old system. Any remaining SHOs have to compete this year with the new MMC graduates for training opportunities.
There are 34,250 applicants and 18,500 places, according to the British Medical Association. Those who do not win training places, or one-year temporary placements, will find the route to a consultant post blocked. In some cases they will not be adequately qualified for them. There may be as many as 1,300 doctors who will be unemployable.
The memo was directed to a review group set up by the Department of Health to make recommendations about what to do next.
On Tuesday RemedyUK will hold a lobby of Parliament to protest about the situation.
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Total mess that combined with the amount of foreign doctors entering the NHS makes you want to scream. Why bother fighting through this system is my new view and fully intend once my F1 year ends in a few months to take up a post have been offered in south africa. Maybe once one of the MMC staff finds one of the slightly bizarre slip people who slipped through the system with at best a rudimentary grap of english treating a loved one they will realise a mistake has been made. Good luck to the NHS!
Patrick Arnold, London,
Is there no end to the insulting way that junior doctors have been treated recently. As if changing the whole face of our training isn't enough, if we don't get a job (through a empolyment system already described as a failure by the government) then we will be shipped off overseas to work for free! I presume the government aren't going to pay our morgages or look after our families financially while we're sent to the other side of the world to work for nothing. As a unit, junior doctors put in more hours to this NHS than nearly anyone else, and this is what we get as a reward!
James Coulston, Swindon, Wiltshire
What is the appeal of studying medicine at the moment? Im a current medical student and the morale in hospitals is depressingly low, from final year students about to enter this farce to the junior staff embroilled in it. Unless drastic change occurs and the idiots who actually believed this was a good idea are held accountable, the only reasonable way to escape this lottery of ending up like the 10000 unfortunate unemployed doctors in august is to emigrate to the US or australia/NZ like so many currently are. Modernising Medical Careers is a cosy little idea with plenty of buzz words and no common sense that appears to have been thought up by people who had to contribute something to policy making to justify a hefty salary.
James Hathaway, Belfast,