Medical Training (Prioritisation) Bill

Jen Craft Excerpts

Tuesday 27th January 2026 Commons Chamber

[Jen Craft (Thurrock) (Lab)]

People are the backbone of our NHS, and I am incredibly grateful to the healthcare staff who work in it, particularly in Thurrock, and who care tirelessly every day, often in difficult conditions, for my constituents. As a lifelong Thurrock resident, I have experienced their excellent care as a patient, and now as an MP I see at first hand when visiting services in our area that they perform all the time to a high level despite the immense pressure they are under.

This Bill is about supporting our excellent NHS workforce, prioritising home-grown talent to ensure there is a pipeline for the next generation of fantastic doctors and nurses. It is right that it is introduced as emergency legislation, because the former Government left the NHS in a critical condition. The Tories’ botched policies on immigration saw students and junior doctors who study in the UK competing against the world for foundation and specialty roles. Visa and immigration changes meant that thousands more international workers applied for coveted training positions in the NHS. In 2019, there were 12,000 applicants for 9,000 specialty training places. That figure has now soared to nearly 40,000 applicants for 10,000 places, with twice as many overseas-trained applicants as UK-trained ones.

Those bottlenecks mean that we are losing home-grown talent. We are losing people who grew up in our communities, studied at our schools and universities, and know our NHS back to front from personal experience, because they move to jobs abroad or in the private sector. The Bill begins to correct those mistakes. It implements the commitment in our 10-year plan for health to put home-grown talent at the front of the queue for medical training posts, ensuring that UK graduates are prioritised for foundation and specialty training places. It is a signal of this Government’s intent to improve terms, conditions, and opportunities for doctors. It is a downpayment on the tangible progress offered in the deal that the BMA unfortunately rejected in December, and it marks a critical step in supporting long-term sustainable workforce planning for the NHS, ending our—let’s face it—unethical addiction to hiring from abroad. There is also an economic case. Each year, we spend £4 billion on training medical students and doctors, only to not offer those graduates a training place to continue their careers in NHS. By ensuring that we retain that talent, we will ensure that patients in the UK benefit from the investment, which is better for local doctors and the taxpayer.

Retention of staff is particularly vital in Thurrock, where we have a critical shortage of GPs and an acute hospital trust ranked among the bottom in the country. It has always been difficult to recruit doctors to our area, not least because if staff get a job 10 miles down the road—even one mile down the road, in some cases—they can earn significantly more because they will benefit from London weighting. Last year, I held a roundtable with local GPs to ask them why they chose to work in our area and how I could encourage more young doctors to make it their base.

Many young people growing up in Thurrock say that they would like to return home after medical training. They are ambitious to improve our NHS and they want to serve their community. They want to live and work in the area where they grew up. Ensuring that those graduates are prioritised to local places and have local career training, advancing their ongoing professional development, is key to unlocking a sustainable long-term workforce for our area. I urge the Secretary of State to use the opportunity afforded by both this Bill and the upcoming workforce plan to ensure that the right professionals are in the right places geographically, in order to fill historical gaps in provision.

I also urge the Secretary of State to use the workforce plan to ensure that training, recruitment and retention in all professional areas is considered and planned for, particularly in those vital professions that are often overlooked. Allied health professionals, such as speech and language therapists, physiotherapists and occupational therapists, spring to mind and must feature in the plan, particularly those working in paediatric care, where waits for diagnosis are often felt acutely. I add a personal plea for the unique and important role played by learning disability nurses, who are already under strain. The charity Mencap, among others, warns that the role could collapse in three years’ time without urgent Government action. Those nurses are crucial in ensuring that some of the most vulnerable people in our society receive safe, effective healthcare, and in avoiding preventable deaths.

I welcome that the Secretary of State has brought this Bill forward, and the efficiency and speed shown in turning the legislation around at pace. I urge him to use the same efficiency and speed to bring forward the workforce plan, in order to set the right direction of travel to recruit, train and retain home-grown talent. I encourage him to bring forward the workforce plan as soon as possible, to ensure that those gaps in vital provision are addressed and to support our communities through our fantastic NHS well into the future.