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Medical Training (Prioritisation) Bill 2024-26

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Medical Training (Prioritisation) Bill 2024-26 (231)

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Lords report stage. Agreed to on question.

Lead member
Baroness Merron
Answering member
Lord Kamall; Earl Howe
Department
Department of Health and Social Care
Type
Debates on bills
Notes
Northern Ireland, Scottish and Welsh legislative consent sought.
Date
23 February 2026
Reference
853 cc434-457
House
House of Lords

Moved by

Lord Patel

1: Clause 1, page 1, line 4, after “must” insert “first”

Member’s explanatory statement

This amendment, and others in the name of Lord Patel, seeks to ensure that UK medical graduates are prioritised above other categories of eligible applicants.

Member
Lord Patel (Crossbench)
Type
Proceeding contributions
Date
23 February 2026
Reference
853 c434
House
House of Lords

My Lords, I will speak to my amendments listed in group one. My amendments should be underpinned by the status of UK medical graduates. The competition to get into medical schools in the United Kingdom is one of the toughest of any country. The ratio of success is about 4:1,...

Member
Lord Patel (Crossbench)
Type
Proceeding contributions
Date
23 February 2026
Reference
853 cc434-6
House
House of Lords

My Lords, the noble Lord, Lord Patel, made some very interesting points, and I am interested in hearing my noble friend the Minister’s response to his amendments. I doubt I have had as many emails as the noble Lord, in view of his expertise in the whole area of medical...

Member
Lord Hunt of Kings Heath (Labour)
Type
Proceeding contributions
Date
23 February 2026
Reference
853 cc435-7
House
House of Lords

My Lords, I will speak in support of the amendment in the name of the noble Lord, Lord Patel; I thank him for the

background research he has done on the amendment. The Minister will be aware that I work for the Dispensing Doctors’ Association. My father and brother were...

Member
Baroness McIntosh of Pickering (Conservative)
Type
Proceeding contributions
Date
23 February 2026
Reference
853 cc437-8
House
House of Lords

My Lords, I declare an interest as a UK graduate and as a pro-chancellor of Cardiff University, which has a very large medical school.

The ethics issues raised by the noble Lord, Lord Hunt of Kings Heath, are really important when we look at the Bill. What is our ethical role...

Member
Baroness Finlay of Llandaff (Crossbench)
Type
Proceeding contributions
Date
23 February 2026
Reference
853 cc438-9
House
House of Lords

My Lords, I declare my interest as chair of King’s College London. I think that there is a welcome consensus that the UK should aim for self-sufficiency in the production of new doctors through medical school, specialty training and into the NHS. In fairness, the last Government deserve credit for...

Member
Lord Stevens of Birmingham (Crossbench)
Type
Proceeding contributions
Date
23 February 2026
Reference
853 cc439-440
House
House of Lords

My Lords, as probably the only person in this Chamber who has headed up a royal college not once but twice—the Royal College of General Practitioners—I feel the urge just to defend them and correct what is been said three times in this Chamber. The royal colleges set the standards...

Member
Baroness Gerada (Crossbench)
Type
Proceeding contributions
Date
23 February 2026
Reference
853 c440
House
House of Lords

My Lords, does the noble Baroness accept that the royal colleges certainly can give moral leadership? I also refer her back to the last junior doctors dispute, about 10 or 11 years ago. As she will remember, the Academy of Medical Royal Colleges, I think it was, set up a...

Member
Lord Hunt of Kings Heath (Labour)
Type
Proceeding contributions
Date
23 February 2026
Reference
853 c440
House
House of Lords

I thank the noble Lord very much. I have to also tell your Lordships that for the last 20 years I have led what is called the practitioner health programme, which has looked after the mental health of the medical workforce—I no longer lead it. To date, about 40,000, mainly...

Member
Baroness Gerada (Crossbench)
Type
Proceeding contributions
Date
23 February 2026
Reference
853 cc440-1
House
House of Lords

My Lords, we ought to thank the noble Lord, Lord Patel, for having stimulated such an interesting and important conversation about how terrible our workforce planning in the NHS has been to date, and we have had some very wise words around the House on that subject. It is clearly...

Member
Lord Clement-Jones (Liberal Democrat)
Type
Proceeding contributions
Date
23 February 2026
Reference
853 c441
House
House of Lords

My Lords, I too am grateful to the noble Lord, Lord Patel, for leading the debate on his amendments, which seek to establish a new prioritisation hierarchy that puts UK medical graduates first, ahead of those in the priority group who are not UK medical graduates. I should have prefaced...

Member
Earl Howe (Conservative)
Type
Proceeding contributions
Date
23 February 2026
Reference
853 cc441-2
House
House of Lords

My Lords, I am most grateful to noble Lords across the House for their considered contributions to this group of amendments and to the noble Lord, Lord Patel, for his introduction to this group. I have a third reason to be grateful—namely, for the understanding of the challenge that this...

Member
Baroness Merron (Labour)
Type
Proceeding contributions
Date
23 February 2026
Reference
853 cc442-4
House
House of Lords

My Lords, I thank the Minister for her comments, and I thank the other noble Lords who spoke. I take the points that the noble Lord, Lord Hunt, made, which are quite important: there needs to be much wider review of the whole issue of medical training and workforce planning,...

Member
Lord Patel (Crossbench)
Type
Proceeding contributions
Date
23 February 2026
Reference
853 c444
House
House of Lords

Moved by

Lord Mohammed of Tinsley

3: Clause 2, page 1, line 10, leave out “2026” and insert “2027”

Member’s explanatory statement

This amendment postpones the implementation of the medical specialty training prioritisation requirements by one year, moving the effective date for the mandated offer sequence from 2026 to 2027.

Member
Lord Mohammed of Tinsley (Liberal Democrat)
Type
Proceeding contributions
Date
23 February 2026
Reference
853 c445
House
House of Lords

My Lords, both amendments in this group are in my name. I start by saying that, despite the fact that we have had a short break since we discussed this previously, we have all had a lot of emails and commentary on the Bill as it has been going through...

Member
Lord Mohammed of Tinsley (Liberal Democrat)
Type
Proceeding contributions
Date
23 February 2026
Reference
853 cc445-7
House
House of Lords

My Lords, I will go back to the question of Oriel and the prioritisation processes. It collects a full employment history from graduation and requires applicants to confirm whether each post was paid NHS experience. I hope the Minister will be able to recognise that some have worked in a...

Member
Baroness Finlay of Llandaff (Crossbench)
Type
Proceeding contributions
Date
23 February 2026
Reference
853 c447
House
House of Lords

My Lords, I offer my strongest support to Amendments 3 and 7 in the name of my noble friend Lord Mohammed of Tinsley. These amendments address the single biggest injustice in the Bill: the decision to implement major changes mid-cycle for 2026 using the blunt instrument of indefinite leave to...

Member
Lord Clement-Jones (Liberal Democrat)
Type
Proceeding contributions
Date
23 February 2026
Reference
853 cc447-8
House
House of Lords

My Lords, with these amendments, the noble Lord, Lord Mohammed, has reprised proposals he made, and which we debated, in Committee. In Committee, the Minister emphasised a point that I must say resonated particularly strongly with me. She pointed out that the delay proposed in Amendment 3 sets the Government...

Member
Earl Howe (Conservative)
Type
Proceeding contributions
Date
23 February 2026
Reference
853 cc448-9
House
House of Lords

I am grateful to noble Lords on all sides of the House for their contributions today. I turn first to Amendment 3, tabled by the noble Lord, Lord Mohammed. As I explained in Committee, this is not an amendment that we are able to support. As has been emphasised, including...

Member
Baroness Merron (Labour)
Type
Proceeding contributions
Date
23 February 2026
Reference
853 cc449-451
House
House of Lords