The politicians do not seem to realise that many of the 80-90% female doctors in England are happy to stop work. Most of them are at a stage in their career when it would be natural to have a child. Most of them are from the good schools in the suburbs, and by the very nature of the selection process they are from well heeled families. (Not all I grant you, and those that are not will almost certainly be working now). Their (admittedly large if no help from bank of Mum & Dad) debt seems irrelevant to the lifestyle choice they have before them, and they have been well trained to be a parent.. Logging off/out seems a natural choice..
The natural result of our selection processes is to create a group who have a perverse incentive to stop running on the hamsters wheel of the English Health Service and have a rest. If they felt they had to work, there are plenty of places in the other UK regions (notably Wales) but there have been no more applications for speciality training or GP training places outside of England – yet and its summer.. Yes Private Health Insurance will seem attractive. GP could be like Dentistry and Physiotherapy soon, and already psychologists are going private… Covert rationing by commissioners and trusts is responsible. Patients now know that emergencies are not covered in England… so move to Wales?
Matthew Weaver reports in the Guardian 25th April: Junior doctor quits live on TV as BMA considers permanent strike – Leaks show how crisis could escalate if government fails to respond to this week’s 48-hour walkout
and Dennis Campbell reports: Junior doctors: ‘over half could quit NHS England over Hunt’s contract’ – Survey finds negative impact on childcare and relationships are key reasons that could drive trainee medics away
Rowena Mason tries to add a political twisted knife: Corbyn accuses Tories of undermining NHS so more patients go private – Labour leader questions whether National Health Service funds have been slashed in effort to promote private healthcare
Alex Matthews-King in Pulse April fools day reports: Third of GP trainee positions remain unfilled across the UK following first round of recruitment whilst GPjobs announces you can “Browse 426 live GP and Practice staff jobs”
The government is keen to recruit unethically from other countries and particularly those without English language and UK Cultural tradition knowledge. The standards have to fall if their target of 600 immediately and 6000 over 10 years is to be met. (UK GP recruitment)
Last year (2015) speciality training was difficult and the competition was very variable. Most competition was for inner city hospitals by suburban family students.