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Lords committee stage. Clauses 1 to 8 agreed to. Bill reported without amendment.

Lead member
Baroness Merron
Answering member
Lord Kamall; Earl Howe
Department
Department of Health and Social Care
Type
Debates on bills; Committee of the Whole House (HL)
Notes
Northern Ireland, Scottish and Welsh legislative consent sought.
Date
12 February 2026
Reference
853 cc367-409
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
12 February 2026
Reference
853 c367
House
House of Lords

My Lords, my name is also attached to Amendments 3, 6, 7, 8, 12, 13 and 14, which are consequential, so I will not speak to them. This may be the briefest of introductions to any amendment.

My amendment tries to prioritise—which is the main theme of the Bill—UK medical graduates...

Member
Lord Patel (Crossbench)
Type
Proceeding contributions
Date
12 February 2026
Reference
853 cc367-9
House
House of Lords

My Lords, I have tabled Amendment 2. The clerks suggested changing the wording to what is now there. It is a probing amendment, and like those of the noble Lord, Lord Patel, it could be applied to other clauses as well. It is about the principle. My strong view is...

Member
Baroness Coffey (Conservative)
Type
Proceeding contributions
Date
12 February 2026
Reference
853 cc368-370
House
House of Lords

My Lords, I am delighted to have the opportunity to support my noble friend in her excellent amendment. Broadly speaking, this is a very welcome Bill. I congratulate the Government on bringing it forward to address what is becoming an acute issue, but it could be better. My remarks fall...

Member
Lord Jackson of Peterborough (Conservative)
Type
Proceeding contributions
Date
12 February 2026
Reference
853 cc370-2
House
House of Lords

My Lords, I want to speak briefly to the amendments proposed by the noble Lord, Lord Patel, and the noble Baroness, Lady Coffey. The noble Lord, Lord Patel, mentioned that 7% of undergraduates who take medical degrees in the UK are from overseas. I briefly mentioned last week my conversations...

Member
Lord Mohammed of Tinsley (Liberal Democrat)
Type
Proceeding contributions
Date
12 February 2026
Reference
853 c372
House
House of Lords

My Lords, I too am a little bit concerned about unintended consequences. It is a real pleasure to see my noble friend Lord Darzi in his place, because I hope he will have comments on this issue.

I trained as a clinical academic. Indeed, we know that clinical academics have had...

Member
Lord Winston (Labour)
Type
Proceeding contributions
Date
12 February 2026
Reference
853 cc372-3
House
House of Lords

My Lords, many of you will know that I did my medical training in Ireland. In fact, I exercised some of my skills in this Chamber back in 2007. Irish medical education is excellent, and many of its graduates have gone on to distinguished careers in the NHS. I speak...

Member
Lord Darzi of Denham (Non-affiliated)
Type
Proceeding contributions
Date
12 February 2026
Reference
853 cc373-4
House
House of Lords

My Lords, it has been many years since I last spoke in a health debate. There is a sense of déjà vu in seeing the noble Earl, Lord Howe, on the Opposition Front Bench. It is also an absolute pleasure to hear from the noble Lord, Lord Darzi, and to...

Member
Lord Clement-Jones (Liberal Democrat)
Type
Proceeding contributions
Date
12 February 2026
Reference
853 c374
House
House of Lords

My Lords, the noble Lord, Lord Patel, deserves our thanks for opening our Committee debate in a cogent and powerful way. He is

absolutely right: in this country, we train some of the very best doctors in the world—at great expense to them and to the taxpayer—but too many are...

Member
Earl Howe (Conservative)
Type
Proceeding contributions
Date
12 February 2026
Reference
853 cc374-5
House
House of Lords

My Lords, I am most grateful to all noble Lords for their helpful contributions to this debate. Amendments 1,

3, 6 to 8 and 12 to 14, tabled by the noble Lord, Lord Patel, seek to create tiered categories of prioritisation for the UK foundation programme and specialty programmes. Taken...

Member
Baroness Merron (Labour)
Type
Proceeding contributions
Date
12 February 2026
Reference
853 cc375-7
House
House of Lords

Obviously, the Minister is not accepting my amendment, but she makes the point that all the priority groups will be treated in the same way—whatever the definition is of people in the priority group, they will all be grouped together as a priority, and that would include UK medical graduates....

Member
Lord Patel (Crossbench)
Type
Proceeding contributions
Date
12 February 2026
Reference
853 c377
House
House of Lords

We do not anticipate that that is going to cause a problem. The noble Lord did not specifically refer to the EFTA countries, but I should like to. Some of them will not produce any suitable people who are likely to be included, so in our modelling we do not...

Member
Baroness Merron (Labour)
Type
Proceeding contributions
Date
12 February 2026
Reference
853 c377
House
House of Lords

I accept that the Minister is not predisposed to accept the amendment from my noble friend Lady Coffey, and she has made a clear case for that, but is she in a position to reassure the House that the issues raised by my noble friend and others about the relative...

Member
Lord Jackson of Peterborough (Conservative)
Type
Proceeding contributions
Date
12 February 2026
Reference
853 c377
House
House of Lords

Yes, we are.

Member
Baroness Merron (Labour)
Type
Proceeding contributions
Date
12 February 2026
Reference
853 c377
House
House of Lords

Can I ask about applications from overseas? I know from the paperwork that has been shared online that everybody has been grouped together as the rest of the world. With the applications that we have had this time and last year, it might be helpful to share the data of...

Member
Lord Mohammed of Tinsley (Liberal Democrat)
Type
Proceeding contributions
Date
12 February 2026
Reference
853 c378
House
House of Lords

I shall be very pleased to do that.

Member
Baroness Merron (Labour)
Type
Proceeding contributions
Date
12 February 2026
Reference
853 c378
House
House of Lords

My Lords, I thank all noble Lords who have spoken today, no matter which amendment they spoke to, and I am grateful to the noble Earl, Lord Howe, for his strong support for my amendment. More importantly, he said that UK medical graduates need to be prioritised and should not...

Member
Lord Patel (Crossbench)
Type
Proceeding contributions
Date
12 February 2026
Reference
853 c378
House
House of Lords

Moved by

Earl Howe

4: Clause 1, page 1, line 7, at end insert—

“(2) Nothing in this section shall be taken to negate or override a confirmed offer of a place on a UK Foundation Programme where the offer was made prior to the date on which this Act was first laid...

Member
Earl Howe (Conservative)
Type
Proceeding contributions
Date
12 February 2026
Reference
853
House
House of Lords

My Lords, I begin by making it clear that this is very much a probing amendment, for reasons which I shall explain. Across all the many representations I have received on the provisions of this Bill—from UK medical graduates; UK citizens studying medicine abroad; non-UK citizens studying abroad; some in...

Member
Earl Howe (Conservative)
Type
Proceeding contributions
Date
12 February 2026
Reference
853
House
House of Lords