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Immigration cap would 'halve' UK's migrant nurse workforce

The Royal College of Nursing says it has “grave concerns” that a shake up of UK immigration policy could lead to thousands of overseas nurses being forced to leave the UK.

The Home Office announced in February that it would change immigration rules for non European Union workers wanting to settle permanently in the UK. From 2016, skilled temporary workers – classified as tier 2 migrants – will have to earn at least £35,000 before they can apply for permanent residency.

Temporary permission to enter and remain in the UK will be capped at six years, though the rule will not apply to “shortage occupation jobs”, a category which includes specialist nurses.

An impact assessment of the policy change, published on 15 March, reveals that the government believes nearly half of non EU migrant nurses could be affected by the cap. It states: “We estimate 48% of migrant nurses… would be excluded.”

However, the assessment went on to claim the cap was “not expected” to have a significant impact on the nursing labour force because “the volumes prevented from settling are low relative” to the size of the total workforce.

“The likely reduction due to the settlement salary threshold is likely to lie in the hundreds or low thousands, when there are an estimated 698,000 nurses working in the UK,” it said.

But the RCN warned it would result in workforce shortages and future difficulties in attracting overseas nurses.

Chief executive and general secretary Peter Carter said: “It is deeply concerning that it looks like almost half of overseas nurses from outside the EU would not be eligible to qualify to settle in the UK after 2016 as a result of these changes.”

Readers' comments (75)

  • it is true that it will affect the workforce shortage. but it also gives other concern as almost all overseas nurses work more than 36 hours a week and sometimes even 48-54 hours a week and this is bringing more tax to the government. so putting a cap will be a loss for the government. it may be a good thing to reconsider this decision.

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  • Not meaning to be offensive, but with the job situation and many of Uk nationals loosing their jobs (sorry me included)should we be recruiting from other countries. I am reluctantly putting the wheels in motion to work abroad. we also have to look at the situaion regarding the reduction of immigrants being allowed into the country as reduced population will result in less NHs resources being required. I have had the priviledge to work with people from all over the world and admire their courage to work in a foreign land

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  • Anonymous | 31-Mar-2012 10:38 pm exactly!!!! And why should raising those concerns be offensive? They are not!! There are currently countless nurses qualifying who are struggling to find jobs as nurses, and nurses who are working who want to move into a particular ward/specialist area or want to move hospitals but cant because there are no damn jobs because of moronic job freezes and cuts!!

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  • I for oneam not against the recruitment of nurses outside the EU but at present there are not enough jobs e.g newly qualified nurses have to move far from home to get they first nhs job. As for me I am one of those unfortunate nurses who may have to re-appy for my job as where I work needs to reduce the workforce 20 band fives and 4 band six nurses will probably be lowing their jobs. This is all down to having to save money and reduce beds.

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  • Many nurses leave these shores for better opportunities and a better life elsewhere. Using the same logic as some previous commentators, then Australia, USA, Canada, the gulf states, etc.,etc. should close their doors to UK nurses. Why should they have the choice of working elsewhere, when they are happy to deprive others of that same ambition in the UK?

    And does anyone actually believe that the gaps left by the reduction in non EU staff will result in jobs for UK nurses? Well it won't. The posts will simply disappear. Simples.

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  • Detrimental effects of recruiting hc professionals from other countries sets up a vicious circle and deprivation. recruitment in one country means a shortage in another so they have to then recruit from a third country and so the circle perpetuates.

    However, it has to be remembered that professionals have to be offered the freedom of movement and choice to work in other countries for the purposes of further education, training and experience in their profession which they may not be able to obtain in their own country or for personal or family reasons such as marriage. As in any other group in a globalised world freedom of passage cannot be denied.

    Globalist Analysis > Global Labor
    Beyond the Global Brain Drain: The Global Care Drain

    By Sonya Michel | Wednesday, October 20, 2010
    http://www.theglobalist.com/St...

    Jan 17, 2012 - 19:39
    Care drain threatens needy countries
    Image Caption: Experts say incentives are needed to keep health care workers at home (Medicus Mundi Switzerland)

    Related Stories
    Nurses demand higher staff levels
    Review calls for more efficient health system
    Downturn drives Europeans to Switzerland
    Billions sent home from foreign workers’ wages
    by Susan Vogel-Misicka, swissinfo.ch

    http://www.swissinfo.ch/eng/sw...

    J Public Health Policy. 2011 Nov;32(4):489-98. doi: 10.1057/jphp.2011.43. Epub 2011 Aug 25.
    Care drain: the political making of health worker migration.
    Kaelin L.
    Source
    Institute for Ethics and Law in Medicine, University of Vienna, Schenkenstr. 8-10, Vienna 1010, Austria. lukas.kaelin@univie.ac.at

    http://www.ncbi.nlm.nih.gov/pu...

    Full article for free viewing

    http://www.palgrave-journals.c...

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  • nymous | 1-Apr-2012 10:11 pm I'm sorry but that is a ridiculous argument! I don't think anyone is saying that nurses should not be able to move abroad, and that includes nurses coming here to work, but when there is such a job shortage, surely getting UK nurses jobs FIRST should be a priority (just as it is in other countries like Oz for example!) And we should get rid of this myth that there would be no nursing workforce without foriegn nurses too, as valuable an asset as they are, I'm sure there are enough UK nurses to plug the gaps! But this is a circular argument anyway, because what SHOULD be happening is jobs should be being created so that ALL UK nurses and ALL foreign nurses who want to work here can!

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  • Anonymous | 2-Apr-2012 8:47 am

    'tis a shame you could not make your point more graciously.

    However, you have failed to grasp the point of my post and the full impact of the proposed legislation. There are many non-EU nurses working in this country, who after many years of working here, would be forced to return to their own countries. Thanks for all your care and hard work, now buzz off home. Not a nice way to treat our colleagues.

    Although I didn't mention anything about there being no nursing workforce without foreign nurses, it should be noted that there are many jobs (eg in care of the elderly) being done by foreign nurses because UK nurses, for many years, did not want to do them. There are also some fantastic specialised nurses whose expertise is invaluable to the NHS.

    And let's get rid of the myth that any job shortages are going to be solved by targeting non-EU nurses. They are not. For years, it has been predicted that the intakes of student nurses would far exceed the predicted requirements (even without cuts), and no one listened. As the article states, they seem to be talking hundreds rather than thousands, and of course, no account is taken of the fact that they are individuals.

    I agree with your final point. However, let's open up this debate to the wider argument. ALL NURSES should be standing up to this government and refusing to accept the systematic decimation of the nursing profession and the NHS. That would be much more effective than resorting to the 'Looking after number one and to hell with anyone else' mentality that, judging by some of the posts here, the government has successfully established. They must be delighted.

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  • Anonymous | 2-Apr-2012 6:55 pm
    I have to agree that this government is all about divide and conquer. It appears to be working.
    Interesting and true that there were warnings about numbers being recruited to nurse training which went unheeded. Albeit that this was always going to be temporary issue, with the imminent dramatic increase in the ageing population and ageing nurse population heading towards retirement.
    A recent study on the effect of the 2005 tougher immigration controls on overseas nurses was carried out by The National Nursing Research Unit (NNRU) at King's College in London. Numbers of overseas nurses emigrating to the UK dropped from 10,000-16,000 to 2,000-2,500 each year. The NNRU noted that the UK immigration rules were originally introduced to encourage nurses to stay in their own countries, but "this has not had the anticipated effect of improving source country retention, as increasingly nurses leave the profession to work outside of nursing. In other countries, such as the Philippines and India, nurses continue to migrate but are taking up employment in a new wave of destination countries."
    Now this may be good news to Anonymous | 2-Apr-2012 8:47 am whose own argument is fact-free, but the NNRU made a couple of evidence-based predictions and recommmendations.
    The researchers predicted the UK may need to re-establish overseas recruitment to meet the likely increase in demand for nurses caused by an ageing population. From the report,
    "Tightening up of regulatory and migratory controls to the UK have compromised the 'attractiveness' of the UK as a destination for nurses, and there may be work to be done in the future to convince internationally trained nurses that they are welcome and needed in the UK."
    In 2006, the RCN commisioned a paper by James Buchan and Ian Seccombe of Queen Margaret University, Edinburgh called 'Worlds Apart? The UK and International Nurses'. In both this and the NNRU research, the discriminatory nature of UK policies on overseas health professionals is highlighted. We have a long and sad history of rapid recruitment of overseas nurses (whose training was paid for elsewhere) in this country in times of need, treating them pretty unfairly whilst they are here (check out promotion opportunities, job types and average wages for overseas recruits as compared to UK nurses), and dumping them with indecent haste on the whim of the government of the day. Ironically, we are no longer training enough new nurses to cover the predicted increase in demand expected in the coming decade. No doubt, we will look to our overseas colleagues again for help. And no doubt we will treat them as badly as we have to date.



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  • Immigration cap would 'halve' UK's migrant nurse workforce

    Typical short-sighted policy from the coalition government. Typical knee-jerk reaction from those who do not see the wider picture. Yeah, let's get rid of all these foreigners who are taking up our jobs (the ones we didn't want before and now really want because there is nothing else). As long as you all come back in a few years when the elderly population mushrooms and there won't be enough of us to cope (except a few 68 year old nurses with zimmers, still waiting to retire). We have treated foreign nurses badly in this country since the days we 'welcomed' them from the West Indies and other Caribbean countries (there was a nursing shortage and we really needed them). I honestly don't know why they would wish to nurse in such a hostile environment.

    In the meantime, we continue to enjoy the freedom of being able to nurse in just about any country we wish to (we had an empire once you know).

    Anonymous | 2-Apr-2012 9:04 pm


    ".....government is all about divide and conquer."

    This government is all smoke and mirrors. Divert the attention from its criminal mismangement of the NHS and its staff and blame foreign health professionals for stealing our jobs. Never mind that some of them have had those jobs for many years and contributed to our economy as well as benefitting us with their care and hard work. Mission accomplished. As has been written elsewhere, their jobs will disappear and there will be no gaps to be plugged with UK staff as has misguidedly been assumed.

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  • Hospital trusts in London have been advised they can safely slash spending on nursing staff, in some cases by 50%, according to secret reports obtained by Nursing Times.

    Following today's announcement (above) it would be helpful if foreign nurses took their skills back to their own countries who are desperate for their skills. We need to employ our own nurses instead of making them redundant, who can speak excellent English and who can communicate/comprehend local accents. Communication is the essence of good care and observation.

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  • Anonymous | 3-Apr-2012 3:48 pm

    Are you kidding? Some of the worst, most slovenly, unintelligible and incompetent nurses I've ever worked with are English! Perhaps all those English nurses working abroad might like to return to their own country which is desperate for their skills?! Honestly!

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  • Anonymous | 3-Apr-2012 7:18 pm

    Anonymous | 3-Apr-2012 3:48 pm

    "Some of the worst, most slovenly, unintelligible and incompetent nurses I've ever worked with are English!"

    Well why don't you sod off back to your own country where there is no "NATIONAL INSURANCE" or Police Protection or Politically Correct way to say "bugger off to your homeland - or sit down and shut the heck up!"

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  • Anonymous | 3-Apr-2012 7:51 pm

    Of course, your racist comment did not take account of the fact that I am in my home country. It didn't take long for the naked, nasty, ugly monster of hatred and intolerance to raise its unwelcome head.

    I'd recommend that you take your own advice or at least a more considered approach to your comments. But I doubt that you have that capability. And thanks for reinforcing my original point.

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  • Anonymous | 3-Apr-2012 7:51 pm
    Oh nasty!!

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  • before making any judgements, please have a look at the articles on the damaging effects of the care drain from poorer countries. It is a problem that nurses are emigrating to fill a shortage in one country and then the country has to look for nurses from abroad as they then have a shortage as well. in developing countries this is very bad news as they are not always able to make up the shortage with well qualified nurses and doctors to serve their population.

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  • Anonymous | 3-Apr-2012 10:11 pm

    Let's not add hypocrisy to the argument. Who are you to tell anyone where they can and cannot work? Would you say the same thing to the many nurses leaving these shores to seek a better life elsewhere in the world? You are the one who is being judgemental and overly simplistic.

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  • Anonymous | 1-Apr-2012 10:29 pm

    Would you mind if I ask a couple of questions? Given that some of the references for the articles you have linked are European, are you working outside of the UK? If so, are you a UK nurse? I know that there a nurse who posts from time to time, who is a UK nurse working in Switzerland.( It is enlightening to hear how other systems work). I would be interested to have his/her perspective about the reception of UK nurses from health services abroad.

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  • I've had the good fortune to have worked with some 1st class English AND non-English nurses. But..... lets not kid ourselves, jobs are tighter than ever and I personally know many nurses who have qualified in the last 24 months who have not found a permanent position yet, but are working on agency books in Nursing homes. How on earth are we going to give new nurses experience in acute settings if they cant get work on the wards? Let alone move into specialist areas! Sorry, we have got to be realistic, the cost of training nurses is just not cheap but then to have that money effectively wasted when some nurses never get to work for the Nhs at all is diabolical. We are then in the position of having subsidised the private sector (again), so what options are we left with?
    If the jobs are not there because (in part) of overseas workers then please put yourself in the shoes of the newly qual. nurse who cannot get a position within the
    Nhs.
    Gov't cuts hit everyone, so again.... be realistic, we don't want to lose specialist nurses, but how will we progress UK nurses if we don't lose some overseas nurses?
    Harsh?

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  • Anonymous | 3-Apr-2012 11:13 pm

    my comments were statements of the fact from the press and not personal opinion.

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