Medical Training (Prioritisation) Bill

Jessica Toale Excerpts

Tuesday 27th January 2026 Commons Chamber

[Jessica Toale (Bournemouth West) (Lab)]

This Bill matters enormously in my constituency. The NHS is one of the largest local employers. Our hospitals, community services and care settings are the backbone of our local economy. We also have outstanding institutions—Bournemouth University, Bournemouth and Poole College and the Health Sciences University—ready and willing to provide a strong local pipeline of medical and health professionals. I have met professors at the school of midwifery at BU worried about whether its graduates will get a first placement, specialist nurses unable to progress their careers, and early-career psychiatrists forced to look for work far from home. That is not through a lack of demand for these services in the local area. If we train doctors here, fund their education through British taxpayers and ask them to commit their lives and careers to the NHS, we owe them a fair chance to build those careers within it.

The shadow Health Secretary, the right hon. Member for Daventry (Stuart Andrew), has said that we should not play politics with people’s jobs. I agree, but we must recognise that the situation we are in now is a direct result of the Conservatives’ ill thought-through visa changes in the wake of the mess left by their post-Brexit settlement for the UK. The fact that we now have more than double the number of overseas-trained applicants than UK-trained applicants for a limited position is a consequence of that. Under the Conservatives, we became too reliant on pulling the immigration lever to solve our workforce shortages. Their policies meant that UK graduates are being squeezed out, with too many lost to the private sector or overseas not because of a lack of talent or commitment, but because the system did not work for them. I was proud to campaign on a commitment to train more local young people and to encourage companies to hire locally before looking overseas, and the same should be true for the NHS, so I am pleased that the Bill is doing that.

This is not about blaming or disrespecting migrant workers. International doctors and those from our immigrant communities who work in all elements of our NHS are valued and respected. Immigration has enriched my town. The people who have come to the UK to care for our elderly, nurse our sick and heal our injured are important parts of the vibrant and diverse community that we have in Bournemouth, and I thank them for their service.

We should also be proud that the NHS is a world-renowned employer and a real part of our soft power influence. Countries around the world aspire to the type of universal healthcare offering that we have in the UK, and our specialists train health professionals around the world. For many doctors around the globe, time spent working in the NHS is a badge of honour, but poaching doctors from countries that desperately need them while UK-trained doctors cannot progress is morally wrong. It undermines global health equity and erodes trust here at home. It is right that we prioritise skilling our own people; other countries recognise that reality. The United States, Canada and Australia prioritise domestic graduates for training opportunities.

The Bill is consequential for me, as a Labour MP for a constituency that has never voted Labour before. Bournemouth and Poole are often seen as affluent areas, but they contain real inequalities and serious barriers to social mobility. In places such as West Howe and Alderney, parents tell me that they feel forgotten. They worry that their children do the right things, work hard and get the right grades, but are constantly told that they cannot compete or are locked out. If we want young people from council estates to believe that they belong in medicine, we must back that belief with opportunity. We cannot claim to be the party of social mobility and dignity in work if we do not put the ladders in place.

The Conservative record is clear: expanding medical places without expanding training posts, liberalising visas without the workforce planning and leaving UK graduates to carry the cost. The Bill is a necessary correction. It is fair, responsible and morally right for our NHS, communities and the next generation. To any students or recent graduates considering Australia, I say this: if we get this right, we have beaches that are just as impressive in Bournemouth, even if I cannot always guarantee the weather.