Medical Training (Prioritisation) Bill

Debate between Baroness Finlay of Llandaff and Lord Forbes of Newcastle

Committee stage
Thursday 12th February 2026 Lords Chamber

[Lord Forbes of Newcastle (Lab)]

My Lords, I must begin my contribution to this debate with two formalities. First, I declare that I am an honorary member of the court of Newcastle University. In fact, I am a recent recipient of an honorary doctorate from Newcastle University—although I must stress that I in no way compare an honorary doctorate in civil law with the range of national and international medical expertise in the Chamber this afternoon.

I also apologise to the Committee for tabling the probing amendment in my name without speaking at Second Reading. I hope that your Lordships will excuse my inexperience in the procedures of the House and be assured that there was no intended discourtesy to the Committee on my part by this inadvertent breach of procedure. Previous contributions to the debate have demonstrated that I may have got off somewhat lightly in terms of email traffic by not speaking at Second Reading; I have no doubt that there will be more email traffic to come on this subject.

I congratulate the Government on bringing this Bill forward and acknowledge the legitimacy of its core purpose. Prioritising doctors trained in the United Kingdom for foundation and specialty training is a necessary, reasonable and understandable aim, particularly given the sustained workforce pressures in certain parts of the NHS.

I was motivated to table this amendment by a number of representations that I received from concerned students who had been studying at the NUMed campus in Malaysia, which I had the great privilege of visiting shortly after it opened about 10 years ago. Many graduates of the NUMed Malaysia campus have gone on to serve with great distinction in the NHS. As the noble Baroness, Lady Gerada, said, the numbers are very small, but their impact on our National Health Service is very great. That sense of pride in the NUMed campus is felt deeply by Newcastle University, which is how I know and have been contacted about this issue. However, in a number of the representations that I have received, there has been a mistaken interpretation that the intent of the legislation is to exclude rather than prioritise. I wish to comment on these points in the debate on this group.

I was very surprised to see figures demonstrating that, in some specialties, competition ratios for specialty training have now exceeded 20 applicants per post, making the urgency of the Bill ever more apparent. I listened very carefully to the debate and have been greatly reassured by my noble friend the Minister’s assurances, particularly on the prioritisation of UK students rather than the exclusion of overseas students, and the intention of the Bill to smooth out bottlenecks in medical training and focus on homegrown talent as a priority. This does not mean denying the NHS appropriate international talent when it is appropriate to deploy it. I am also very reassured by my noble friend the Minister’s reassurances on the concerns about unintended consequences being addressed by subsequent regulation and review.

The Government have expressed a clear intent to continue to engage with relevant UK universities with international campuses to further explain the intention of the Bill and the way that it will operate in practice, and to support them as they adjust to the Bill’s very legitimate and important requirements as it progresses towards enactment.

[Baroness Finlay of Llandaff (CB)]

My Lords, it was with great pleasure that I added my name to the amendment so nobly introduced by the noble Lord, Lord Forbes of Newcastle. I am most appreciative to my noble friend Lady Gerada for the way that she introduced this whole group, because she flagged up very clearly that Malta and Newcastle are different from other places.

I also reassure the noble Lord, Lord Darzi, that my probing amendment was simply to probe. I was worried that the Bill’s wording could inadvertently leave UK-based universities unable to develop other outreach campuses, but not Irish medical schools and universities, and that those graduates could then be included in the future. I wanted to make sure that we had a level playing field, but I accept that the wording is clumsy and does not work.

I think the key word in the amendment that the noble Lord, Lord Forbes of Newcastle, tabled is “extant”, when it says that the

“medical school … is extant on the day on which this Act is passed”.

That would allow those schools currently in place, particularly Malta-Newcastle and, if the Government are so minded, the RCSI in Bahrain, to be able to be included because those degrees are taught to the same curriculum and examined at the same level, and those taking it undertake the medical licensing exam and prescribing exam—which I know is changing, but it will still be important that there is a completely level playing field. It would stop the mushrooming that could occur from other universities.

The word “extant” is really important, and I hope that the Minister will be able to take it on board and that it is completely compatible with the compelling case made by my noble friend Lady Gerada.