Select Committee on Health Minutes of Evidence


Examination of Witnesses (Questions 100-104

MR ANDREW FOSTER, MS DEBBIE MELLOR, MR KEITH DERBYSHIRE AND DR JUDY CURSON

11 MAY 2006

  Q100  Dr Stoate: But that was last July, that is less than a year ago and now these people have received letters from their trusts saying they cannot complete their training, they can finish their current post, they are not going to be allowed to apply for posts which come up. That is a very short timescale for someone to rearrange their entire life.

  Ms Mellor: There may be some lack of awareness of the way the changes have been implemented and we are trying to make sure that the guidance which NHS employers have issued on this actually gets to the parts of the organisations that really need to understand it. We are very clear that in introducing this change we needed to have some transition arrangements, so we worked very carefully with the Home Office, who were very helpful and who agreed that we would have transitional arrangements. So anybody who is in training will be able to switch into a work permit from the permit-free arrangements, so that they will be able to complete their training.

  Q101  Dr Stoate: May I just clarify that. Are you saying that they can not just complete the current posts that they are employed for in the trusts, but they can complete their entire training? This is not what I am getting from many of these groups.

  Ms Mellor: This is a very complex area. Medical recruitment is complex and the work permit rules and the immigration rules are equally complex. Rather than me trying to give you an answer now in a couple of minutes, perhaps I might write to you and set out the exact transitional arrangements. If I may just confirm, yes, the arrangements that we put in place are that there will be transitional arrangements so that people who are in training programmes will be able to complete those training programmes and international medical graduates will be able to apply for posts, but, in common with everyone else in the UK economy, we shall in future have what is called a resident labour market test, which means that we have to check that we cannot fill that post already with somebody who is a UK doctor or, if they are suitable, a doctor from the EEA.

  Q102  Dr Stoate: I should like this clarified because it is causing a significant amount of upset to a lot of highly motivated people who have based their lives and their careers on what they thought was their prospect and now it is not. I should very much like proper clarification on that.

  Ms Mellor: Yes; certainly.

  Q103  Chairman: We should be very grateful for that, but just tell us in your written answer whether or not somebody who is actually in training is different from somebody who is actually in the country looking for training. This might be an area that you could give us a few views on as well.

  Ms Mellor: Yes.

  Chairman: Okay? May I thank you all very much indeed for coming along and helping us in our first session in what is going to be quite a long inquiry? Thank you very much indeed; you have certainly been very helpful.

  Jim Dowd: Could we just add our very best wishes to Mr Foster who has been a regular attender over the past few years?

  Q104  Chairman: Absolutely. I understand you are joining us in the North West.

  Mr Foster: Indeed; the best part of the country.

  Chairman: Thank you very much.





 
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