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| Version 0 | Version 1 |
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| Immigration change will hurt NHS | Immigration change will hurt NHS |
| (about 7 hours later) | |
| Patient safety could be put at risk because changes to immigration rules could force hundreds of junior doctors out of the NHS, a union warns. | Patient safety could be put at risk because changes to immigration rules could force hundreds of junior doctors out of the NHS, a union warns. |
| The British Medical Association said reform of the tier one skilled migrant category was unfair on foreign medics. | The British Medical Association said reform of the tier one skilled migrant category was unfair on foreign medics. |
| The union said it meant doctors in the first two years of training would not be able to apply for the next stage. | The union said it meant doctors in the first two years of training would not be able to apply for the next stage. |
| But the Department of Health and the Home Office said the rules would ensure "only those we need come here to work". | |
| However, the BMA warned that this could lead to a shortage of doctors eventually, compromising safety in the process. | |
| The BMA is requesting that the Department of Health intervenes Dr Hamish Meldrum, of the British Medical Association | The BMA is requesting that the Department of Health intervenes Dr Hamish Meldrum, of the British Medical Association |
| BMA chairman Dr Hamish Meldrum has now written to Health Secretary Alan Johnson urging him to intervene to protect the NHS workforce. | BMA chairman Dr Hamish Meldrum has now written to Health Secretary Alan Johnson urging him to intervene to protect the NHS workforce. |
| He wants the Department of Health to take up the issue with the Home Office immediately as the NHS is also facing difficulties over the forthcoming introduction of the European working directive for junior doctors. | He wants the Department of Health to take up the issue with the Home Office immediately as the NHS is also facing difficulties over the forthcoming introduction of the European working directive for junior doctors. |
| From August, the scope of the directive will be extended to junior doctors, limiting their working week to 48 hours. | From August, the scope of the directive will be extended to junior doctors, limiting their working week to 48 hours. |
| Dr Meldrum said: "The full implementation of the directive coupled with a situation in which a proportion of prospective trainees can no longer continue with their training due to ever-tightening immigration rules is likely to exacerbate rota gaps, putting patient safety at risk. | Dr Meldrum said: "The full implementation of the directive coupled with a situation in which a proportion of prospective trainees can no longer continue with their training due to ever-tightening immigration rules is likely to exacerbate rota gaps, putting patient safety at risk. |
| "The BMA is requesting that the Department of Health intervenes." | "The BMA is requesting that the Department of Health intervenes." |
| Excluded | Excluded |
| The change to immigration rules in March means that those applying for the tier one category, which in the heath service covers junior doctors who have completed the foundation stage of their training and want to move on to specialist training, need to have a master's degree. | The change to immigration rules in March means that those applying for the tier one category, which in the heath service covers junior doctors who have completed the foundation stage of their training and want to move on to specialist training, need to have a master's degree. |
| But a medical degree - despite being a five-year course - is only classed as a bachelor's, meaning all foreign junior doctors from outside the EU will be excluded. | But a medical degree - despite being a five-year course - is only classed as a bachelor's, meaning all foreign junior doctors from outside the EU will be excluded. |
| In his letter, Dr Meldrum pointed out that as well as affecting those doctors who have already started junior doctor training, the thousands of foreign medical students at university in the UK could also end up leaving. | In his letter, Dr Meldrum pointed out that as well as affecting those doctors who have already started junior doctor training, the thousands of foreign medical students at university in the UK could also end up leaving. |
| He said workforce planning in the health service was counting on these students becoming NHS doctors over the next few years. | He said workforce planning in the health service was counting on these students becoming NHS doctors over the next few years. |
| In a joint statement, the Department of Health and the Home Office said the system had the flexibility to meet the needs of the NHS, the labour market and the country as a whole. | |
| "There is no evidence that medical training is any less effective than it was a decade ago," the statement added. | |
| "The new competency-based system, which was pioneered by the Royal College of Surgeons, ensures that junior doctors are able to continue to train as they demonstrate the competences required. " | |
| It added that the status quo remained in place for current trainees. |