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UK NHS Scraps Doctor Training Scheme
31 Jul
Summary
- NHS England ended the Medical Training Initiative after 2011.
- The scheme trained 400-500 foreign doctors annually.
- Concerns rise over exacerbating UK doctor shortages.

NHS England has discontinued the Medical Training Initiative (MTI), a program that facilitated skill enhancement for approximately 400 to 500 doctors from low- and middle-income countries each year since its inception in 2011. This initiative, often referred to as "earn, learn and return," allowed foreign medical graduates to spend up to two years in UK hospitals. The decision has drawn criticism from medical royal colleges, which highlighted the program's success in international medical collaboration and strengthening professional relationships. Concerns are mounting that this move will exacerbate the already critical shortage of doctors within the NHS, which depends significantly on international medical graduates.
An internal review by NHS England cited that the MTI was not meeting its intended purpose, as some doctors reportedly stayed in the UK instead of returning to their home countries. The review also uncovered instances of "wage exploitation," where foreign doctors were paid less than their UK counterparts for similar work. While NHS England stated that the closure was unrelated to appeasing resident doctors in England, some senior physicians privately suspect a connection. NHS England has indicated it is exploring alternative models to support global healthcare development through UK training.