No thinking outside the box.. Aim at 10% excess of doctors..They want to know about the money, not about the structures..

The BMA in Wales is consulting its members at the request of the WG.

Student support funding for students ordinarily resident in Wales

What do you think of the Welsh Government’s suggested response to the findings of the Diamond Review into student funding support in Wales? Is the Welsh Government right to accept the key proposals: that all students should receive a grant of at least £1,000 a year towards their daily living costs; that extra maintenance support should be provided on a means-tested basis so that the average student receives £7,000 a year; and that the current Tuition Fee Grant should be replaced with an additional student loan? In addition, can you let us know if you are happy with the way the Welsh Government is proposing to implement these proposals?

Deadline for responses: 16 January 2017

We have to be realistic in the funding, but there are greater issues to be dealt with:

Medical Recruitment and Training needs to change radically. 

Changes need to address the gender imbalance as well as the lack of sufficient numbers.

 NHSreality has suggested that several changes are needed.

1.       Adverse selection whereby Medical Students are appointed from all over the country, and not simply from the outperforming suburban schools in richer post-codes.

2.       Graduate entry to medical school will largely address the current gender imbalance.

3.       A virtual Medical School in Wales and other areas of the UK whereby graduates are appointed into A General Practice for their training supervision, and which they address as their base. (they will then be more likely to integrate into a community)

4.       Evidence based learning / tuition delivered “on line” for the most part. Written Exams also delivered on line. Orals and Physical Examinations will need centres, but these can be distributed or centralised.

5.       Use GPs in Hospitals, especially to facilitate the interface of oncology and palliative care. The savings that could be made are fantastic. 

In addition, following the meeting GPs from pembs attended earlier this year:

6.       Exit interviews for all staff, depersonalized and summarized by an independent third party (HR) for Boards and the Minister.

7.       Changing to an open and honest culture of “overt rationing”.

8.       Depoliticize the decision making processes so that the crisis now on us, ignored for so long, never happens again.

9. At present every applicant who is good enough should be accepted into Medicine, wherever it is taught in the UK. We should be aiming at 10% excess

Update 3rd December

Caroline White reports in BMJ Careers 23rd October 2016: Just 4% of UK doctors come from working class backgrounds – Unfair education system and inequality are restricting accress to the medical profession.


This entry was posted in A Personal View, Stories in the Media on by .

About Roger Burns - retired GP

I am a retired GP and medical educator. I have supported patient participation throughout my career, and my practice, St Thomas; Surgery, has had a longstanding and active Patient Participation Group (PPG). I support the idea of Community Health Councils, although I feel they should be funded at arms length from government. I have taught GP trainees for 30 years, and been a Programme Director for GP training in Pembrokeshire 20 years. I served on the Pembrokeshire LHG and LHB for a total of 10 years. I completed an MBA in 1996, and I along with most others, never had an exit interview from any job in the NHS! I completed an MBA in 1996, and was a runner up for the Adam Smith prize for economy and efficiency in government in that year. This was owing to a suggestion (St Thomas' Mutual) that practices had incentives for saving by being allowed to buy rationed out services in the following year.

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