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NHS strikes deal to poach overseas nurses from Nepal in bid to plug staffing gaps


Nurses shall be flown in from Nepal to fill NHS employees shortages regardless of a world ban on recruitment from the nation because of its personal workforce struggles. 

Initially As much as 100 nurses from Nepal are set to work at Hampshire Hospital NHS Basis Belief underneath a pilot scheme operating till the tip of subsequent yr.

However ministers hope it would pave the best way for 1000’s extra Nepalese nurses to hitch the NHS and for the scheme to be widened throughout the nation. 

Britain has agreed to recognise their {qualifications}, giving the medics the automated proper to work within the NHS with out having to sit down additional exams. 

Their flights, visas and registration charges can even be paid for.

It comes as a part of a global hiring spree to fill round 50,000 nursing and midwifery vacancies in time for winter, when the NHS disaster is predicted to worsen.

The Nepalese Authorities mentioned all nurses aged 20 to 45 can apply to the scheme, which can see them earn a wage between £27,000 and £32,000.

The transfer comes regardless of Nepal being on a World Well being Group ‘pink checklist’ to stop well being employees from international locations with shortages from being poached.

Unions have hit out at officers who’re ‘over-relying’ on overseas medics and failing to recruit and retain British employees.

These charts, primarily based on NHS workforce knowledge, present the proportion of medical doctors and nurses becoming a member of the NHS in England primarily based on the place they initially skilled. In each professions the variety of UK skilled joiners has decreased over time (pink strains) whereas the variety of non-EU skilled professionals has elevated (yellow strains)

India and Pakistan are two largest non-UK countries that doctors currently registered to work in Britain originally trained in with about 30,000 and 17,000 respectively. This is followed by Nigeria, Egypt , Ireland, South Africa, Greece, Sudan, Italy, and Romania

India and Pakistan are two largest non-UK international locations that medical doctors at present registered to work in Britain initially skilled in with about 30,000 and 17,000 respectively. That is adopted by Nigeria, Egypt , Eire, South Africa, Greece, Sudan, Italy, and Romania

This graph shows the country of training of all newly registered nurses and midwives in the UK over the past five years. Unsurprisingly, British trained nurses make the majority with about 120,000 joiners. India (about 21,000), Philippines (nearly 18,000) and Nigeria (nearly 5,000) are the biggest providers of overseas trained nurses and midwives registered to work in the UK

This graph reveals the nation of coaching of all newly registered nurses and midwives within the UK over the previous 5 years. Unsurprisingly, British skilled nurses make the bulk with about 120,000 joiners. India (about 21,000), Philippines (almost 18,000) and Nigeria (almost 5,000) are the most important suppliers of abroad skilled nurses and midwives registered to work within the UK

HOW MUCH DOES THE NHS RELY ON FOREIGN MEDICS? 

One in three medical doctors and nurses who joined the NHS in England final yr had been recruited from abroad.

Information from NHS Digital present the share of healthcare employees recruited from abroad nearly doubled between 2014 and 2021.

Unions warn it’s a signal the NHS is leaning on overseas recruits to plug staffing points.

Evaluation reveals 34 per cent of medical doctors who joined the well being service in 2021 got here from exterior the UK, with India, Pakistan, and Nigeria the preferred international locations.

That is nearly double the proportion of abroad recruits in 2015, when the determine was simply 18 per cent. The Authorities has performed down the rise, saying overseas recruitment has at all times been a part of its workforce technique.

In complete, 39,558 UK skilled medical doctors and nurses joined the NHS in 2020-21, which is about 3,200 greater than in 2014-15.

Nonetheless, British skilled well being professionals are more and more shrinking as a proportion of recent joiners in NHS England’s million robust workforce.

The evaluation discovered solely 58 per cent of medical doctors becoming a member of the NHS final yr skilled within the UK, a fall from 69 per cent in 2015.

For nurses, the proportion of UK skilled joiners final yr was 61 per cent, a fall from 74 per cent in 2015.

Over the identical time, the share of recent joiners who certified exterior of the UK and EU has nearly doubled and in some instances quadrupled.

New Well being Secretary Steve Barclay revealed plans earlier this month to ‘considerably enhance’ abroad recruitment of NHS employees to arrange for the looming winter disaster.

A triple-whammy of Covid, flu and the price of dwelling disaster is predicted to heap much more stress on the under-staffed well being service.

Nepal is one in every of 47 international locations the WHO says faces the ‘most urgent workforce challenges’ — that means they’ve fewer than 50 medics per 10,000 folks.

These international locations — which additionally embody Bangladesh, Ghana and Nigeria — imply they need to be prioritised for healthcare system assist and worldwide recruitment must be discouraged.

Nonetheless, the WHO says international locations can poach healthcare employees from red-listed international locations if their Governments enter an settlement, which the UK has achieved.

UK well being chiefs say the Nepalese medics will profit economically and by way of their skilled growth.

Some will keep within the UK however ‘many’ return to their residence international locations, the place they will share their new abilities, they are saying.

Pat Cullen, normal secretary and chief government of the Royal Faculty of Nursing, mentioned internationally skilled nurses are an ‘extraordinarily valued’ a part of the NHS.

However she warned the UK was more and more leaning on overseas employees relatively than constructing a strong homegrown workforce. 

She mentioned: ‘Ministers should cease the overreliance on abroad employees and do extra to put money into the recruitment and retention of the home workforce.

‘This begins with pay. Nursing employees have endured a decade of actual phrases pay cuts and now many are contemplating if they will afford to remain within the occupation. 1000’s have left nursing within the final yr alone and affected person care is in danger.

‘Authorities should additionally give you a fully-funded long run workforce plan to make sure there are sufficient nurses to offer look after a rising variety of sufferers.’

A Division of Well being spokesperson mentioned overseas medics play a ‘important position’ within the NHS and profit from the chance to work in it.

Latest NHS England data for July shows that more than 29,000 sickened people waited 12 hours at A&E units last month (yellow lines) — four times more than the NHS target and up by a third on June, which was the previous record. Meanwhile, the proportion of patients seen within four hours — the timeframe 95 per cent of people are supposed to be seen within — dropped to 71 per cent last month (red line), the lowest rate logged since records began in 2010

Newest NHS England knowledge for July reveals that greater than 29,000 sickened folks waited 12 hours at A&E models final month (yellow strains) — 4 instances greater than the NHS goal and up by a 3rd on June, which was the earlier document. In the meantime, the proportion of sufferers seen inside 4 hours — the timeframe 95 per cent of persons are imagined to be seen inside — dropped to 71 per cent final month (pink line), the bottom fee logged since data started in 2010

Separate ambulance figures show the average wait for heart attack and stroke victims surpassed 59 minutes for only the second time ever (red bars). The yellow line shows the number of category two calls, which hit 379,460

Separate ambulance figures present the typical await coronary heart assault and stroke victims surpassed 59 minutes for less than the second time ever (pink bars). The yellow line reveals the variety of class two calls, which hit 379,460

The number of people in England on the waiting list for routine hospital treatment hit a record 6.7million in June — meaning one in eight are now stuck in the backlog

The variety of folks in England on the ready checklist for routine hospital remedy hit a document 6.7million in June — that means one in eight at the moment are caught within the backlog

They mentioned: ‘Now we have signed a Memorandum of Understanding with the Authorities of Nepal on the managed and moral recruitment of as much as 100 Nepali healthcare employees to the UK.

‘This shall be a part of a 15-month pilot involving one NHS hospital belief, after which discussions shall be held on whether or not to widen recruitment to different employers.’

The proportion of NHS medics recruited from overseas almost doubled between 2014 and 2021, NHS Digital knowledge reveals.

One third of medical doctors recruited by the well being service in 2021 got here from abroad, in comparison with simply 18 per cent in 2014. 

In the meantime, the share of UK medical doctors fell from 69 to 58 per cent between 2015 and 2021, whereas the proportion of British nurses fell from 74 to 61 per cent over the identical interval.

However Mr Barclay known as for extra overseas recruits, particularly into social care. He warned ambulance handover delays ‘manifests itself with unmet want locally’. 

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