Wednesday, July 18, 2007

Junior doctors - another NHS crisis of confidence

It is not often that Cranmer is genuinely baffled, but on this matter he certainly is. Some 34,000 fully-trained doctors have applied for jobs via MTAS, the discredited on-line application system for junior doctors seeking specialist training posts. Some found employment, but it is estimated that there are about 10,000 British-trained doctors who have failed to find a job. These are facing all of the contingent problems associated with unemployment - depression, low self-esteem, struggling to make ends meet. It is no wonder that there is an emerging mental health crisis among them.

But this is this nothing to do with their qualifications. We are talking about Cambridge graduates with First Class degrees and distinctions, but no CVs are able to be submitted. No prospective employer may therefore discern how many research papers an applicant has had published or even what type of degrees they have got. Bizarrely, research into the issue reveals that the better a doctor is qualified, the less likely they were to have been offered a training job.

But to Cranmer’s bemusement…

With so many unemployed, highly-qualified British doctors trained at the expense of the British tax-payer, why is the NHS importing second-rate doctors from Iraq and other Middle Eastern countries?


Anonymous The Recusant said...

This problem is not confined to newly qualified doctors; I have first hand experience that the situation is no better for nurses. In October this year a class of 23 will qualify as newly registered nurses, they have been training for the past 3 years at a cost of approx £55,000 each to the tax payer and all have been told there are no jobs waiting for them. Yet the NHS is still employing foreign nationals in UK nursing positions under the pretext that we have a shortage of qualified staff. To date the nurse I know has applied for 19 jobs over the UK and has not had a single reply to any of her applications, she is currently applying to Australia.

18 July 2007 at 12:35  
Anonymous CCTV said...

The MTAS system was designed by a 3-woman firm of psychologists with the express intention of recruiting online by excluding CVs, References, or any details of nationality or language skills - instead a 150 word online essay on personal challenges was used to filter candidates - and surprise, surprise, many of those essays were uniformly the same.

In addition the DoH took control of Training from The Royal Medical Colleges and shortened the training - at the same time it abolished posts such as Senior House Officer....this had the effect of having experienced NHS doctors competing for training places against new graduates but unable to sell themselves on experience or references.......

To put the icing on the cake the computer recruiting program was open to anyone worldwide

Just to increase misery further, the company tasked with producing the Website put it online without a) testing and b) without fitting the security layer before putting it online - as such all the confidential candidate data was accessible by Internet users and all data protection was compromised

This is why the whole disaster is going to have huge ramifications even if the British Media has studiously ignored the mess......the High Court Case revealed that the DoH had failed in its duty to protect candidate information and the database was never an NHS computer system holding confidential information had NO security whatsoever, it had simply not been built into the system

18 July 2007 at 13:25  
Blogger Man in a shed said...

There will be casualties on the stealthy road to socialism you know.

But everyone must be brought down to the same level. NuLabour insist !

18 July 2007 at 13:28  
Anonymous Observer said...

18 July 2007 at 13:38  
Anonymous athanasius said...

If you will forgive me, there are at least two vacancies formerly filled by foreign doctors in the Glagow areas which have become vacant. Let's hope that British-trained doctors are capable of filling their shoes ...

18 July 2007 at 21:21  
Anonymous billy said...

athanasius said...
If you will forgive me, there are at least two vacancies formerly filled by foreign doctors in the Glagow areas which have become vacant. Let's hope that British-trained doctors are capable of filling their shoes ...

9:21 PM

Is it true that to avoid inflaming muslim sensibilities the badly burned one will not be charged with terrorism, but will face the lesser charge of smoking in a public place?

18 July 2007 at 22:07  
Anonymous Anonymous said...

By Tooth Fairy

Will someone wiser than I please comment.

The problem, I have been told, is the lack of structure in the NHS in that it lacks post initial training positions so that qualified trainees can move up the ladder to fill the qualified positions.

There are plenty of positions for trained doctors and nurses hence the influx from abroad, but these first job positions just don't exist.

18 July 2007 at 22:37  
Anonymous fred said...

@Tooth Fairy.
There was a structure. By NHS organisation and management standards it worked rather well. Then the current government set about "modernising" it, following their "successful" "modernisation" of many other aspects of British society. And they have been just as "successful" with this!

18 July 2007 at 22:46  
Anonymous CCTV said...

Let's hope that British-trained doctors are capable of filling their shoes ...

Capability is an interesting comment, for it would appear the combusted doctor from Iraq may not even be qualified as such but the recipient of grades made under duress by tutors who preferred to remain alive when threatened by insurgents.

That might account for his heavy use of the internet rather thanexposing his begligible medical knowledge

19 July 2007 at 07:08  
Anonymous Voyager said...

The problem is the triumph of Legal Positivism in Western Society which has now removed those aspects of Christian morality which distinguished Anglo-Saxon polities from arbitrary government systems.

Having politicians schooled in Greek and Latin gave them an appreciation of civilisations and a sense of history, whereas today the triumph of lawyers is to treat everything rather like a lego set and simply stick one brick on another without any sense of design or experience.

Legal Positivism creates blind obedience to man-made laws and provides indemnification for those simply "obeying orders"

20 July 2007 at 06:58  

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