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UK risks ‘sleepwalking’ into a waste of doctors’ skills, warns GMC report


The UK risks wasting the talents of tens of thousands of overlooked and undervalued doctors, to the detriment of patient care, General Medical Council (GMC) Chief Executive Charlie Massey has warned in a new report. The warning comes as new data in the medical


regulator’s The state of medical education and practice in the UK: workforce report 2024highlights the changing nature of the country’s medical workforce. UK-wide, the overall headcount of doctors rose in the last year at the fastest rate since the report began over a decade ago. But one group has been growing much faster than others – locally employed (LE) doctors. In England and Wales, the only places where


specific data is currently available, the number of LE doctors grew by 75% between 2019 and 2023. By comparison, doctors on the specialist register grew by 13%, and those on the GP register grew by 9% over the same period. LE doctors are employed on local terms by


Trusts and health boards, rather than employed in formal postgraduate training programmes. For some it’s a career choice, while for others it’s a necessity. In England and Wales alone there are at least 36,000 LE doctors, and more than two-thirds qualified outside the UK. But, the regulator says, the roles are too often poorly defined with limited opportunities for career progression and training, and many are employed in short-term or non- permanent posts.


“Without changing the way we think about


training, the UK risks sleepwalking into a situation where these doctors are overlooked and undervalued, to the detriment of good patient care,” said Charlie Massey, Chief Executive of the GMC. He added: “Locally employed doctors have a lot


to offer our health services. But too often they find themselves in roles without proper access to the education and training they need to develop their skills. Without changing the way we think about training, the UK risks sleepwalking into a situation where these doctors are overlooked and undervalued, to the detriment of good patient care.” The report shows the growth in headcount marks


an increase in doctors joining from abroad, principally India and Pakistan. Last year, more than two-thirds of new joiners came to the UK from abroad, compared to under half in 2017. For those joining from abroad, the GMC says ‘concerted, sustained efforts’ are needed


to provide the inductions, integration, and inclusion vital for doctors to thrive in the UK. Between 2016 and 2023, the number of doctors on the medical register from an ethnic minority background increased by 78%. Around one third of all doctors are now Asian or Asian British and, for the first time, the UK now has more doctors from ethnic minority backgrounds than white doctors. The GMC warns the infrastructure to train and support doctors across the UK is already struggling to keep pace with growing numbers. Urgent action is needed to provide proper access to training for an increasingly diverse workforce. Doctors in GMC- approved training roles are also under pressure, and in need of greater support. Many report unsustainably high workloads, and up to one in four are at high risk of burnout. View the full report at: https://tinyurl.com/ rspuwkhx


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