Medical Training (Prioritisation) Bill

Robin Swann Excerpts

Tuesday 27th January 2026 Commons Chamber

[Wes Streeting]

I can give the hon. Member that assurance—that is exactly what the Bill does. Madam Deputy Speaker, I cannot, however, resist the enormous temptation to say that while I welcome the support of the hon. Member and her party, I hope that her party’s position will not change now that it has adopted so many of the formerly Conservative culprits who landed us with this system in the first place. Whether it is the former Home Secretary, the right hon. and learned Member for Fareham and Waterlooville (Suella Braverman), or the former Immigration Minister, the right hon. Member for Newark (Robert Jenrick), I am afraid that Reform looks rather more like the Conservative party that the country rejected at the last election, which I am sure will not be lost on people when they go to the ballot box in May—[Interruption.] As my hon. Friend the Minister for Care says from a sedentary position, Reform UK are increasingly the teal Tories—it is certainly the most successful recycling project currently taking place in the House of Commons. Anyway, that was totally self-indulgent, and very churlish given that the hon. Member for Runcorn and Helsby (Sarah Pochin) is supporting the Bill, so I will slap myself on the wrist and get back to the serious matters at hand.

As we set out these changes, it is important to note that they will have no impact on doctors working in the armed forces, who will continue to be a priority, and neither does the Bill exclude international talent, as people will still be able to apply for roles and continue to bring new and vital skills to our NHS. The principle here is home-grown talent. It is not about where students are born; it is about where they are trained. What the Bill does is return us to the fair terms on which those home-grown medics competed before Brexit.

[Robin Swann (South Antrim) (UUP)]

I welcome the Secretary of State’s approach to the Bill, and how he has worked across all devolved Administrations. May I seek his assurance that medical students who reside in Northern Ireland, who identify as Irish and who study in an Irish institution in the Republic of Ireland will not be excluded from coming back to work in the national health service in Northern Ireland, where we very much need all the talent we can get?

[Wes Streeting]

I absolutely give the hon. Member that assurance—the Bill covers medical graduates from the UK and Ireland, for very obvious reasons. I welcome the broad support that the Bill appears to have across the House, because for the changes to benefit applicants in the current round—for posts starting this August—it must achieve Royal Assent by 5 March. Any delay will risk vacancies in August and disrupt planning in NHS trusts, which rely on their new trainees to deliver frontline care. Doctors also need sufficient time to find somewhere to live, sort childcare and arrange other aspects of their lives before their posts start. I am grateful that Parliament has agreed to expedite the Bill’s progress, and confident that we will be able to work at pace with our majority in this House, and with cross-party support in the other place.

--- Later in debate ---

[Robin Swann (South Antrim) (UUP)]

As I said earlier, I will be supporting the Bill. I thank the Secretary of State and the Minister for their engagement with the devolved institutions on the Bill’s intentions, and on expediting its progress. Its implications for Northern Ireland, and for the medical workforce spanning the islands, are crucial.

As has been discussed, the Bill introduces a UK-wide duty on providers of medical training to prioritise applicants who have graduated from medical schools in the UK or the Republic of Ireland. While health is a devolved matter in Northern Ireland, I entirely recognise that this legislation is essential to preserving a joined-up and UK-wide approach to medical training and recruitment. For too long, we have seen increasing pressures on training pathways, with locally trained graduates facing uncertainties and bottlenecks when moving from undergraduate education into foundation and specialty training. I hope very much that the Bill will ensure that those who trained in UK and Republic of Ireland systems have a clear and reliable route into employment in those same systems.

I welcome clause 4, which refers to the terms “UK medical graduate” and “the priority group”, but am concerned about the drafting of amendment 9, which was tabled by members of His Majesty’s official Opposition. If Northern Ireland were excluded from these arrangements in any way, by default, it would face an invidious choice between accepting increased competition for limited training places and withdrawing from national recruitment altogether. The latter would place a significant administrative and financial burden on local bodies, particularly the Northern Ireland Medical and Dental Training Agency, and could risk undermining long-established recruitment structures.

I welcome the fact that the Bill does not impose additional costs on health services in Northern Ireland, given that the system is under unprecedented financial strain. Instead, it simply changes the order in which applications are considered for existing programmes, and by doing so, it helps to protect the investment made in medical education. However, I seek an assurance from the Minister in connection with a graduate-entry medical school that was created at Magee College back in 2021. The first cohort of graduates came through in June 2025—69 second-degree doctors and surgeons. I hope that nothing in the Bill will hinder their progression into the workforce. I am sure that the Minister has engaged with the Northern Ireland Health Minister on ensuring that there are no impediments to that progression.

Ultimately, the Bill supports locally trained doctors and maintains the integrity of national recruitment systems. I therefore fully support it, along with its extension to Northern Ireland through the legislative consent motion process. I genuinely wish the Minister well, and commend her on the constructive approach taken to recognising Northern Ireland’s devolved competences while ensuring alignment across the entirety of the United Kingdom. However, I will support the Opposition amendment regarding the timing. In my view, this legislation is not just the right thing to do. It is the timely thing to do in order to tackle the issue of workforce recruitment, and it should not be used in any negotiations with the British Medical Association to resolve another issue out there. I seek an assurance from the Secretary of State, as other speakers have done, that the Bill will be introduced in the right manner, because it is the right thing to do.