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To ask His Majesty's Government what assessment they have made of the efficacy of increasing resident doctors’ pay to stop strikes.
To ask His Majesty's Government what assessment they have made of the efficacy of increasing resident doctors’ pay to stop strikes.
To ask the Secretary of State for Health and Social Care, what assessment his Department has made of the potential impact of the Medical Training (Prioritisation) Act 2026 on international medical graduates employed in the NHS who had entered the 2026 recruitment cycle before that Act received Royal Assent.
To ask the Secretary of State for Health and Social Care, what assessment his Department has made of the potential impact of the Medical Training (Prioritisation) Act 2026 on international medical graduates employed in the NHS who had entered the 2026 recruitment cycle before that Act received Royal Assent.
The Medical Training (Prioritisation) Act 2026 implements the Government’s commitment in the 10-Year Health Plan to prioritise United Kingdom medical graduates for foundation training places, and to prioritise UK medical graduates and internationally trained doctors with significant National Health Service experience for specialty training places.
For specialty training places starting in 2026, immigration statuses are being used as a proxy to capture applicants who are most likely to have significant experience working in the health service in the UK.
From 2027, immigration status will not automatically determine priority for specialty training. Instead, the act provides a power to specify in regulations any additional groups who will be prioritised by reference to criteria indicating significant experience as a doctor in the health service, or by reference to immigration status. The Department is working with NHS England, the devolved administrations, and other partners as part of the development of those regulations.
We recognise concerns about the impact of the act on those applying in the current application cycle for places, particularly where applicants did not know how prioritisation might affect them. However, delaying action would have prolonged the existing imbalance in training competition, and weakened our ability to plan a sustainable workforce.
International medical graduates who are not prioritised can still apply for postgraduate medical training and will be offered places if vacancies remain after prioritised applicants have received offers.
To ask the Secretary of State for Health and Social Care, for each UK Foundation Programme reserve-list allocation round held in 2026, how many applicants were allocated a place in that round from (a) the total pool of non-prioritised applicants, (b) Queen Mary University of London Malta, (c) Newcastle University...
To ask the Secretary of State for Health and Social Care, for each UK Foundation Programme reserve-list allocation round held in 2026, how many applicants were allocated a place in that round from (a) the total pool of non-prioritised applicants, (b) Queen Mary University of London Malta, (c) Newcastle University...
The allocation of reserve list applicants to foundation schools is still on-going. The UK Foundation Programme Office published an update on 3 July detailing two further reserve-list allocation rounds which will take place on 15 July and 29 July respectively. The update on the reserve-list allocations is available at the following link:
https://foundationprogramme.nhs.uk/ukfp-2026-reserve-allocation-update/
To ask the Secretary of State for Health and Social Care, what the ratio of nurses and doctors is in the (a) North and (b) South of England.
To ask the Secretary of State for Health and Social Care, what the ratio of nurses and doctors is in the (a) North and (b) South of England.
NHS England publishes monthly statistics showing the size and make up of staff employed in the National Health Service in England, and these include the number of full time equivalent (FTE) doctors and nurses employed by NHS trusts and integrated care boards grouped by the seven regional NHS areas. Further information is available at the following link:
https://digital.nhs.uk/data-and-information/publications/statistical/nhs-workforce-statistics
The Office for National Statistics publishes estimates of populations resident in the seven NHS England regional areas. Further information is available at the following link:
The above information has been used to create the information in the following table which shows, for each of the seven NHS regions, the number of FTE doctors, nurses, and health visitors from which a ratio of nurses to doctors for different geographies can be calculated as well as a comparison of the ratio of the number of doctors and nurses per 10,000 population:
NHS Region | Doctors - FTE April 2026 | Nurses and Health Visitors - FTE April 2026 | Population Estimate for 2026 | Doctors per 10,000 Population | Nurses per 10,000 Population |
England | 153,389 | 372,636 | 59,137,052 | 26 | 63 |
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South of England | 82,611 | 185,992 | 31,589,383 | 26 | 59 |
London | 31,667 | 67,498 | 9,285,409 | 34 | 73 |
South West | 14,389 | 33,524 | 5,984,273 | 24 | 56 |
South East | 21,160 | 49,998 | 9,384,784 | 23 | 53 |
East of England | 15,395 | 34,972 | 6,934,918 | 22 | 50 |
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Midlands | 27,100 | 70,767 | 11,326,740 | 24 | 62 |
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North of England | 43,678 | 115,877 | 16,220,929 | 27 | 71 |
North West | 20,849 | 56,888 | 7,444,399 | 28 | 76 |
North East and Yorkshire | 22,829 | 58,989 | 8,776,529 | 26 | 67 |
Sources: NHS Workforce Statistics, published by NHS England, and the Population projections for sub-integrated care boards by five-year age groups and sex, England, published by the Office for National Statistics.
To ask the Secretary of State for Health and Social Care, what steps he plans to take to help improve the training given to (a) hospital and (b) general practice doctors in (i) understanding and (ii) supporting patients who are in chronic pains.
To ask the Secretary of State for Health and Social Care, what steps he plans to take to help improve the training given to (a) hospital and (b) general practice doctors in (i) understanding and (ii) supporting patients who are in chronic pains.
To support all healthcare professionals in the assessment and management of chronic pain, the National Institute for Health and Care Excellence (NICE) has published guidance, which can be found at the following link:
https://www.nice.org.uk/guidance/ng193
The guidance includes recommendations for healthcare professionals on how to carry out a person-centred assessment when an individual presents with chronic pain, how to develop a care and support plan for a patient with chronic pain, and how to manage flare-ups of chronic pain. The guidance also includes recommendations on both pharmacological and non-pharmacological management options for chronic pain.
Building on the NICE guidelines, the Royal College of General Practitioners (RCGP) has produced an e-learning course on chronic pain in adults, which is available at the following link:
https://elearning.rcgp.org.uk/course/info.php?id=588
The e-learning course aims to increase understanding amongst general practitioners (GPs) about chronic pain and to educate GPs and other healthcare professionals about the physiology of pain. It gives practical advice about how the NICE guidelines can be applied to patient care. The training curriculum for postgraduate trainee doctors is set by the RCGP, and has to meet the standards set by the General Medical Council.
Doctors are responsible for ensuring their own clinical knowledge remains up-to-date and for identifying learning needs as part of their continuing professional development. This activity should include taking account of new research and developments in guidance, such as that produced by NICE, to ensure that they can continue to provide high quality care to all patients.
To ask His Majesty's Government whether they will allocate funding to the Learning Disability (LD) Physician training course beyond February 2027; if so, for how many years they project any such funding to continue, and how many training posts this will support; and, if no further funding is planned, what...
To ask His Majesty's Government whether they will allocate funding to the Learning Disability (LD) Physician training course beyond February 2027; if so, for how many years they project any such funding to continue, and how many training posts this will support; and, if no further funding is planned, what...
To ask the Secretary of State for Health and Social Care, what steps he is taking to improve working conditions for doctors and other healthcare professionals.
To ask the Secretary of State for Health and Social Care, what steps he is taking to improve working conditions for doctors and other healthcare professionals.
The Government is committed to improving the working conditions for all National Health Service staff.
The 10-Year Health Plan committed to developing a new set of staff standards which would outline minimum standards for employment across a range of areas. On 6 July 2026, the Government published new Staff Standards which set minimum standards of employment for NHS staff in secondary care in England. The aim of the standards is to ensure staff experience is prioritised by employers and that a consistent level of experience is felt by all NHS staff.
The new resident doctor pay and training settlement in England (the Deal) was accepted by British Medical Association Resident Doctors Committee members on behalf of resident doctors in England on 29 June 2026. Under the Deal, resident doctors will benefit from improved pay scales, better working conditions, enhanced career progression, and up to 4,500 new training places over the next three years.
To ask the Secretary of State for Health and Social Care, what steps he is taking to support the recruitment of doctors.
To ask the Secretary of State for Health and Social Care, what steps he is taking to support the recruitment of doctors.
We are taking steps to boost the recruitment of homegrown talent. The Medical Training (Prioritisation) Act 2026 implements the Government’s commitment in the 10-Year Health Plan to prioritise United Kingdom medical graduates for foundation training places, and to prioritise UK medical graduates and other doctors with significant National Health Service experience for specialty training places. The act reduces competition for places and gives homegrown talent a clear path to become the next generation of NHS doctors.
The new resident doctors’ deal will see significant expansion of training places by up to 4,500 over the next three years, including 1,000 next year, 250 of which will be starting in February. This expansion combined with the impact of the Medical Training (Prioritisation) Act is expected to bring competition ratios down and tackle bottlenecks almost immediately.
To ask the Secretary of State for Health and Social Care, what estimate his Department has made of the number of doctors with full General Medical Council registration and a licence to practise who are (a) unemployed and (b) underemployed while seeking substantive NHS medical posts.
To ask the Secretary of State for Health and Social Care, what estimate his Department has made of the number of doctors with full General Medical Council registration and a licence to practise who are (a) unemployed and (b) underemployed while seeking substantive NHS medical posts.
The Department has made no assessment of the number of General Medical Council licenced doctors who are unemployed or underemployed while seeking substantive National Health Service medical posts.
To ask the Secretary of State for Health and Social Care, whether his Department has issued guidance to NHS employers on providing meaningful feedback to unsuccessful applicants for medical posts.
To ask the Secretary of State for Health and Social Care, whether his Department has issued guidance to NHS employers on providing meaningful feedback to unsuccessful applicants for medical posts.
All candidates applying for posts as part of national medical recruitment undertaken by NHS England are provided feedback at each stage of the process where they are unsuccessful. Information about the application process is set out on the UK Foundation Programme and medical specialty recruitment websites, at the following two links:
It is the responsibility of individual National Health Service employers to provide feedback to candidates who are unsuccessful in being offered a particular medical post. NHS England has published a Recruitment Policy Framework which local NHS employers can adapt for their local context:
https://www.england.nhs.uk/publication/recruitment-policy-framework/
To ask the Secretary of State for Health and Social Care, what assessment he has made of the potential impact of General Medical Council fitness-to-practise investigations on the wellbeing of doctors, and what steps are being taken to ensure those processes are proportionate and timely.
To ask the Secretary of State for Health and Social Care, what assessment he has made of the potential impact of General Medical Council fitness-to-practise investigations on the wellbeing of doctors, and what steps are being taken to ensure those processes are proportionate and timely.
The General Medical Council (GMC) is independent of the Government, is directly accountable to Parliament, and is responsible for operational matters concerning the discharge of its statutory duties. The United Kingdom’s model of healthcare professional regulation is founded on the principle of regulators operating independently from the Government.
The GMC provides guidance and support for doctors who are under investigation, which includes an initial personalised contact at the start of an investigation and the creation of a bespoke communication plan for each doctor. The GMC has also commissioned the British Medical Association to run the Doctor Support Service which offers confidential support from another doctor who is experienced in providing peer support and is completely independent from the GMC.
The Government is committed to modernising the regulation of all healthcare professionals in the UK. As a first step, on 24 March 2026, we published our Reforming the General Medical Council legislative framework consultation, which sets out proposals to modernise the GMC’s regulatory framework. The consultation runs until 21 July 2026. The draft General Medical Council Order 2026 includes a modernised fitness to practise process for the GMC. The framework consultation is available at the following link:
Lords Statement on the independent review of maternity services at Nottingham University hospitals NHS trust.
Lords Statement on the independent review of maternity services at Nottingham University hospitals NHS trust.
My Lords, I thank the Minister for the opportunity to ask questions on this Statement on the report, which raises many troubling issues. I add my thanks to Donna Ockenden and her team for their extraordinary work in conducting what has been the largest review of maternity services in the...
My Lords, I thank the Minister for the opportunity to ask questions on this Statement on the report, which raises many troubling issues. I add my thanks to Donna Ockenden and her team for their extraordinary work in conducting what has been the largest review of maternity services in the...
My Lords, the Statement before us today from the Secretary of State in the other place is distressing reading, as is the report by Donna Ockenden. This review shocks us all to the core and must shake the Government into real action at every level of our health service and...
My Lords, the Statement before us today from the Secretary of State in the other place is distressing reading, as is the report by Donna Ockenden. This review shocks us all to the core and must shake the Government into real action at every level of our health service and...
My Lords, we find ourselves deeply affected, as we have heard from both Front Benches. I am grateful for the tone and for the acknowledgement of the experiences of bereaved and harmed families who are at the absolute centre of this. The noble Baroness, Lady Pidgeon, said that she could...
My Lords, we find ourselves deeply affected, as we have heard from both Front Benches. I am grateful for the tone and for the acknowledgement of the experiences of bereaved and harmed families who are at the absolute centre of this. The noble Baroness, Lady Pidgeon, said that she could...
This is the most appalling thing that has happened. I have great respect for the Minister, and I thank her for letting us know about some of the action plans going ahead. What has gone wrong with a profession where the professionals have seemingly no empathy for those they are...
This is the most appalling thing that has happened. I have great respect for the Minister, and I thank her for letting us know about some of the action plans going ahead. What has gone wrong with a profession where the professionals have seemingly no empathy for those they are...
I certainly agree. Every woman, in the case of maternity services, deserves safe and compassionate maternity care. That is why we are so determined to drive urgent improvements in maternity services. It is worth noting that this review—the largest ever of its kind, as the noble Lord, Lord Kamall, said—considered...
I certainly agree. Every woman, in the case of maternity services, deserves safe and compassionate maternity care. That is why we are so determined to drive urgent improvements in maternity services. It is worth noting that this review—the largest ever of its kind, as the noble Lord, Lord Kamall, said—considered...
My Lords, to continue this theme, the report describes a bullying and toxic culture, with junior midwives not being sufficiently supported when dealing with complex cases. It was a culture that did not allow them to refer such cases up the chain. There was a constant turnover in senior midwifery...
My Lords, to continue this theme, the report describes a bullying and toxic culture, with junior midwives not being sufficiently supported when dealing with complex cases. It was a culture that did not allow them to refer such cases up the chain. There was a constant turnover in senior midwifery...