Question to the Department of Health and Social Care:

To ask the Secretary of State for Health and Social Care, if he will make an assessment of the potential implications for his policies of the report by the Royal College of Nursing entitled Unreciprocated Care: why internationally educated nursing staff are leaving the UK, published on 15 May 2025.

We hugely value our health and social care workers from overseas who work tirelessly to provide the best possible care and enhance our health and care workforce with their valuable skills, experience and expertise. We are committed to providing high-quality support to internationally educated nursing staff to help their integration into the National Health Service workforce and to creating a compassionate and inclusive work culture that has a focus on staff health and wellbeing.

No assessment has been made of the potential impact of the White Paper, Restoring Control over the Immigration System, on levels of retention of internationally educated nursing staff in the NHS. This government remains committed to developing homegrown talent and giving opportunities to more people across the country to join our NHS. The Immigration White Paper set out reforms to legal migration, so that we can restore order, control and fairness to the system, bring down net migration and promote economic growth. The changes set out include a complete overhaul of the relationship between the immigration system, training and the labour market to support sustainable growth as well as a sustainable immigration system.

The report by the Royal College of Nursing, Unreciprocated Care: why internationally educated nursing staff are leaving the UK, touches on some important issues, including on support and retention of internationally educated nursing staff. The Department will reflect further on the report and its recommendations, as we strive to continuously improve on the measures we already have in place, set out below, to support internationally recruited healthcare staff.

On specific measures, the NHS Equality, Diversity and Inclusion Plan includes a High Impact Action that addresses the importance of ensuring that internationally recruited healthcare staff feel welcomed and valued at the start of their career.

Successful induction processes and ongoing pastoral and professional support is of the utmost importance to retain newly recruited international staff so that they receive clear communication, guidance and support around their conditions of employment. The NHS Pastoral Care Quality Award scheme was set up to recognise a commitment to supporting internationally educated nurses and midwives at every stage of recruitment and beyond. As well as helping to standardise the quality and delivery of pastoral care, this award is an opportunity for trusts to have their work recognised and to demonstrate their commitment to supporting internationally educated nurses and midwives.

NHS Employers has also published the International Retention Toolkit which outlines the actions employers can take to ensure internationally recruited staff will want to stay, thrive and build lasting careers in the NHS. The toolkit is available at the following link:

https://www.nhsemployers.org/publications/international-retention-toolkit