The Great Replacement Rumbles On

Originally posted on Migration Watch

More than 23,000 UK-based applicants for nursing courses were rejected last year even as Britain faced the onslaught of the Covid pandemic.

A new Migration Watch UK briefing paper finds that thousands of UK-domiciled applicants failed to gain a place on a nursing course even as the government tripled down on recruitment of healthcare staff from abroad.

More than half (54%, or 348,000) of a total of nearly 650,000 UK-based applicants for nursing courses since 2010 failed to be taken on.

In the past few years, tens of thousands of nurses have been encouraged to come from abroad on the basis of “shortage” and work permits for such roles were even put on a shortage occupation list in 2016, despite 36,200 UK applicants for courses being rejected that year.

The paper also finds that nearly 21,000 UK-based nursing applicants were rejected in 2018 even as 5,100 work permits were granted to nurses from abroad that year.

A total of 42,000 non-UK nurses have joined the register for the first time since 2016. Meanwhile, the share of non-UK national nurses joining the NHS has risen from 16% to 29% since 2012/13.

The Migration Watch UK paper is being published just after the government caused outrage by announcing a major expansion of the list of poor countries from which agencies can ‘actively recruit’ healthcare staff to the UK.

The updated list of ‘green-lighted’ countries now includes South Africa, Jamaica and Zimbabwe – all of which are plagued by shortages of healthcare staff. Yet over 11,000 nurses of this nationality already work in the NHS.

The move only adds insult to injury among young British applicants who fail to gain a nurse training place – especially at a time of rising unemployment.

Governments since 2010 have made it even easier for the NHS to save costs by hiring from abroad:

  • In 2016, Ministers put nurses on a shortage occupation list – making it easier to hire from abroad – despite criticism from former Migration Advisory Committee Chair Sir David Metcalfe, who said: “There is no good reason why the supply of nurses cannot be sourced domestically.”
  • In 2018, the Home Secretary decided to exempt work permits for overseas nurses from the (now-scrapped) annual cap on visas. A clue as to why the NHS is so keen on this might be found in a desire to save costs. Migrant nurses on work permits earn around a fifth less than other nurses, controlling for characteristics (Migration Advisory Committee, 2019, p. 21).
  • In August 2020, the government introduced a fast-track Health and Care Worker visa which can be issued with a maximum stay of just over five years and involves a reduced visa application fee compared to that paid by other skilled workers with no requirement to pay the immigration health surcharge. There were around 1,200 grants of this visa during 2020, even as more than 23,000 UK-based applicants were rejected from training slots.


Commenting, Alp Mehmet, Chairman of Migration Watch UK, said:

It is utterly unacceptable that so many UK-based nursing candidates have been rejected while the NHS has been encouraged from the top to recruit many thousands from overseas, partly to save costs. Ministers’ fine words about investing in young British talent are looking ever-more hollow.

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