Junior Doctors’ Foundation Programme

Danny Chambers Excerpts

Wednesday 22nd April 2026 Westminster Hall

[Dr Danny Chambers (Winchester) (LD)]

It is an honour to serve under your chairship, Mrs Barker. I congratulate the hon. Member for Bury St Edmunds and Stowmarket (Peter Prinsley) for another insightful speech; this time I will avoid comparing the anatomy of human and dog ear canals—we have covered that already.

We always rightly start these speeches by paying tribute to NHS staff, doctors, nurses and everyone involved in patient care, especially given the pressures on them as a result of sheer patient numbers and working in systems that can make the job even more stressful and pressurised than it already is. They are caring for severely injured or very ill people at the toughest moments of their lives. The emotional burden of caring for people who could be dying is difficult in itself, but resident doctors work in a system that adds extra pressures and conditions that can add stress alongside that. We cannot pay enough tribute to them for even surviving in those areas.

One of the best books highlighting the plight of resident doctors that I have read is Adam Kay’s “This is Going to Hurt”. It did a lot to help the public to understand just how difficult it is for a doctor to not know where their training place is going to be. It is where they are going to be forced to live and work for several years—a place where they may not have any friends or family; they might be taken away from family and spouses. They might have dependants and children. It is really difficult to plan a career, especially such a difficult and challenging career, when working with that level of uncertainty. I lived with medical students when I was a student at Liverpool University and have followed their careers since. The challenges that the hon. Member set out have been reflected in their lives and careers.

I support the Government’s ambition to increase medical school placements. That is important. We have a recognised workforce shortage in the NHS, so that is an obvious thing to do, but we must ensure that we do not carry on falling into the same trap. The previous Government, under Boris Johnson, said that they would increase medical school placements—and they did, but without providing the infrastructure for training resident doctors who want to go on to specialised training. That obvious bottleneck was going to filter through. No mechanism was put in place to ensure that the NHS would have the capacity to train those extra medical students when they finished their F1 and F2.

In Winchester I speak to many resident doctors, and even to their parents. Those resident doctors have gone through university, sometimes getting themselves in a fair amount of student loan debt, and are working hard on their F1 and F2. The stress of not knowing whether they will get a training placement is overwhelming, frustrating and for us, as a society, ridiculous because we are short of doctors. How have we ended up in a situation where we are training students and resident doctors, but cannot give them the further training places to continue? I urge the Government to ensure that any training places will filter all the way through for the rest of that person’s career.

We know that the last Government not only thought it sounded good for winning votes to say that they would increase medical school placements, but said that they would build 40 new hospitals, though there was absolutely no funding—putting votes before a genuine long-term plan for the NHS. We then come up against a brick wall of reality. People working in the NHS end up suffering and the people who rely on the NHS—everyone—end up not getting the service that they voted for.

The Liberal Democrats welcome the Minister’s statement about increasing training numbers, especially for people from more disadvantaged backgrounds. It is important that we look at the diversity of the professions. Certainly within the veterinary profession, socioeconomic diversity is not what it should be; it does not reflect society. A profession—whether the medical profession or another—offers a better service to society if it better reflects it. I once heard someone say that talent is everywhere, but opportunity is not. It is the job of all professions to ensure that we get the people with the talent enrolled on courses so that they can have fulfilling careers and offer much back to society.

The statement is a really good first step, but it is a bit vague. The Minister writes about underserved parts of the UK seeing new medical spaces; how many will there be, and how will that be delivered? Will current medical schools increase their capacity? Will new teaching hospitals open to support it? The target is to place

“up to 25% of students at participating medical schools…to local foundation training places”.

How many medical schools have indicated that they want to participate? That will be fundamental to how this policy gets delivered.

To reiterate what the hon. Member for Bury St Edmunds and Stowmarket said, we need to treat medical students and resident doctors like people; they are not just numbers. Working conditions are as important as pay, and to improve working conditions we need to double down on improving social care to avoid delayed discharge and corridor care. The doctors delivering treatment will feel that they are doing a better job, and will not feel under pressure as a result of being unable to deliver the care that they want and that patients deserve.

We also need to ensure that we have a happy, resilient, passionate and excited workforce going forward. The Minister has been asked constructive questions. I ask him not to repeat the previous Government’s mistakes of talking about increasing hospital numbers and medical students, while creating a whole generation of doctors who cannot go on to serve their communities and have a fulfilling career.