London Daily

Focus on the big picture.
Friday, Jun 20, 2025

NHS hiring more doctors from outside UK and EEA than inside for first time

NHS hiring more doctors from outside UK and EEA than inside for first time

Jeremy Hunt questions ‘morally dubious’ recruitment as thousands hired from poorer countries

The NHS is hiring more doctors from outside the UK and the European Economic Area than from within for the first time, setting off a moral argument over the health service’s growing mentality of “poaching” from the developing world.

Unpublished figures from the General Medical Council (GMC) show that 7,377 (37%) of the 19,977 doctors who started work in the NHS in 2021 had a British qualification.

A total of 10,009 new medics learned medicine outside the UK and the EEA – so-called international medical graduates (IMGs) – compared with 9,968 within. Many were from countries such as India and Egypt that are grappling with shortages of medics.

The tally of 10,009 new IMG hires last year was almost triple the 3,431 who started in 2016. At that time IMGs made up 27% of new NHS recruits while UK-trained medics comprised 56%.


Hospitals cannot recruit more homegrown doctors because the number of medical graduates the UK is producing has risen only slightly, from 7,180 in 2016 to 7,377 last year.

Jeremy Hunt, the health secretary in 2012-18, said overseas recruitment was “morally dubious”. Others accused the UK of breaching WHO guidance on the recruitment of health professionals from countries with much less well-developed healthcare systems. The ageing population has contributed to an acute global shortage of doctors and nurses.

Hunt, the chair of the Commons health select committee, said: “The NHS would simply fall over without clinicians from abroad and we should welcome them with open arms. But depending on immigration from poorer countries to staff our NHS as a long-term strategy is morally dubious where these doctors are desperately needed in their home countries.”

Hunt’s new book Zero identifies NHS staff shortages as a key reason medical blunders occur. He added: “These figures demonstrate the urgency of the workforce planning crisis in the NHS. The government’s long-promised workforce strategy can’t come soon enough.”

J Meirion Thomas, a retired NHS cancer surgeon who obtained the figures from the GMC, said the “poaching of so many foreign doctors” was unethical. He said most IMGs came from low-income countries “where they are desperately needed to provide essential services”.

Thomas said: “The largest cohorts come from India and Pakistan, even though, according to WHO recommendations of doctor-to-patient ratios, India has a shortage of about 600,000 doctors and Pakistan 200,000 doctors. This ongoing practice … raises serious moral and ethical questions.”

In 2021 a total of 1,645 doctors from India began working in the UK, as did 1,629 from Pakistan, 1,250 from Egypt, 1,197 from Nigeria and 522 from Sudan – a total of 6,243. They comprised 31.3% of all the medics who joined the GMC register, and almost two-thirds (62.4%) of the IMGs.

Britain is also recruiting more and more nurses and midwives from outside the EEA. A total of 23,408 of such professionals began working in the UK in 2021-22, almost nine times more than the 2,719 who did so in 2017-18, according to recent Nursing and Midwifery Council (NMC) figures. Two-thirds of last year’s recruits trained in India or the Philippines.

James Buchan, an NHS workforce expert and visiting fellow at the Health Foundation thinktank, said the UK was increasingly failing to honour WHO guidance aimed at limiting rich countries’ recruitment of health personnel from poorer ones.

“The UK and all other member states have signed up to the WHO code [of practice] which asks that there be no active international recruitment of health professionals from designated ‘red list’ countries,” he said.

“The latest UK data suggests that there are questions to be asked and answered about a significant surge in the number of nurses and doctors being registered from these red list countries, such as Nigeria.” There are 3,000 nurses and midwives from Nigeria in the UK, NMC figures show.

Buchan added: “No health professional should be blocked from moving abroad to improve their job, career and life. But the aggregate effect of many individuals making that decision to move, when actively recruited, can be damaging to low-resource health systems.”

The GMC figures also show that Hunt’s promise in 2016 that “by the end of the next parliament we will make the NHS self-sufficient in doctors” has no chance of being fulfilled.

A Department of Health and Social Care spokesperson said: “We are grateful to all those who have come from abroad to work in our fantastic NHS and social care sector. Internationally trained staff have been part of the NHS since its inception in 1948 and continue to play a vital role.

“While we are absolutely delighted that these doctors have chosen to work in the NHS, we know that the world is struggling to train, employ and retain a sufficient and skilled health workforce. We have therefore committed £20m towards programmes to strengthen the health workforce in a small number of developing countries.”

Newsletter

Related Articles

0:00
0:00
Close
16 Billion Login Credentials Leaked in Unprecedented Cybersecurity Breach
Senate hearing on who was 'really running' Biden White House kicks off
Iranian Military Officers Reportedly Seek Contact with Reza Pahlavi, Signal Intent to Defect
FBI and Senate Investigate Allegations of Chinese Plot to Influence the 2020 Election in Biden’s Favor Using Fake U.S. Driver’s Licenses
Vietnam Emerges as Luxury Yacht Destination for Ultra‑Rich
Plans to Sell Dutch Embassy in Bangkok Face Local Opposition
China's Iranian Oil Imports Face Disruption Amid Escalating Middle East Tensions
Trump's $5 Million 'Trump Card' Visa Program Draws Nearly 70,000 Applicants
DGCA Finds No Major Safety Concerns in Air India's Boeing 787 Fleet
Airlines Reroute Flights Amid Expanding Middle East Conflict Zones
Elon Musk's xAI Seeks $9.3 Billion in Funding Amid AI Expansion
Trump Demands Iran's Unconditional Surrender Amid Escalating Conflict
Israeli Airstrike Targets Iranian State TV in Central Tehran
President Trump is leaving the G7 summit early and has ordered the National Security Council to the Situation Room
Taiwan Imposes Export Ban on Chips to Huawei and SMIC
Israel has just announced plans to strike Tehran again, and in response, Trump has urged people to evacuate
Netanyahu Signals Potential Regime Change in Iran
Juncker Criticizes EU Inaction on Trump Tariffs
EU Proposes Ban on New Russian Gas Contracts
Analysts Warn Iran May Resort to Unconventional Warfare
Iranian Regime Faces Existential Threat Amid Conflict
Energy Infrastructure Becomes War Zone in Middle East
UK Home Secretary Apologizes Over Child Grooming Failures
Trump Organization Launches 5G Mobile Network and Golden Handset
Towcester Hosts 2025 English Greyhound Derby Amid Industry Scrutiny
Gary Oldman and David Beckham Knighted in King's Birthday Honours
Over 30,000 Lightning Strikes Recorded Across UK During Overnight Storms
Princess of Wales Returns to Public Duties at Trooping the Colour
Red Arrows Use Sustainable Fuel in Historic Trooping the Colour Flypast
Former Welsh First Minister Addresses Unionist Concerns Over Irish Language
Iran Signals Openness to Nuclear Negotiations Amid Ongoing Regional Tensions
France Bars Israeli Arms Companies from Paris Defense Expo
King Charles Leads Tribute to Air India Crash Victims at Trooping the Colour
Jack Pitchford Embarks on 200-Mile Walk to Support Stem Cell Charity
Surrey Hikers Take on Challenge of Climbing 11 Peaks in a Single Day
UK Deploys RAF Jets to Middle East Amid Israel-Iran Tensions
Two Skydivers Die in 'Tragic Accident' at Devon Airfield
Sainsbury's and Morrisons Accused of Displaying Prohibited Tobacco Ads
UK Launches National Inquiry into Grooming Gangs
Families Seek Closure After Air India Crash
Gold Emerges as Global Safe Haven Amid Uncertainty
Trump Reports $57 Million Earnings from Crypto Venture
Trump's Military Parade Sparks Concerns Over Authoritarianism
Nationwide 'No Kings' Protests Challenge Trump's Leadership
UK Deploys Jets to Middle East Amid Rising Tensions
Trump's Anti-War Stance Tested Amid Israel-Iran Conflict
Germany Holds First Veterans Celebration Since WWII
U.S. Health Secretary Dismisses CDC Vaccine Advisory Committee
Minnesota Lawmaker Melissa Hortman and Husband Killed in Targeted Attack; Senator John Hoffman and Wife Injured
Exiled Iranian Prince Reza Pahlavi Urges Overthrow of Khamenei Regime
×