Medical Training (Prioritisation) Bill

Lizzi Collinge Excerpts

Tuesday 27th January 2026 Commons Chamber

[Lizzi Collinge (Morecambe and Lunesdale) (Lab)]

It is a pleasure to speak in support of the Medical Training (Prioritisation) Bill. We all know that our NHS faces workforce shortages in many specialties. In my constituency of Morecambe and Lunesdale, the workforce problem, combined with other factors, means that my constituents are not seeing the improvement in waiting times that other parts of the country have seen. The progress that has been made nationally is astounding, and we Government Members should be proud of that, but there are pockets where that progress has not been made, and that is unacceptable. I would welcome more conversations with Ministers about how we can tackle that, and I will continue to raise the matter with the local NHS.

Alongside the workforce shortages, we have the bizarre situation that doctors who need training places are struggling to get them, particularly those who are UK graduates. Competition for foundation and specialty training places has grown, partly because of a 2020 change to visas that lifted restrictions on overseas applicants applying for those training places. I would like to believe that that was done in good faith to try to increase the NHS workforce and to plug specialty gaps, but because of how it was done, UK graduates ended up competing, not with perhaps one other person, but with six other people for a training place. That is clearly unhelpful, particularly when we have already invested so much in their education.

Doctors have taken on a lot of debt to go through their initial training. Faced with this level of competition, and unable to continue their training in the UK, many medical graduates are being pushed to seek employment abroad or, even worse, to leave medicine altogether. Pressure is uneven across the system; some specialties are heavily oversubscribed, while some are left with unfilled posts. For example, there is a 15% staffing shortfall in oncology. For many years, I was the deputy chair of the Lancashire health scrutiny committee, so I saw Tory incompetence in the health service in real time. That particular example adds to the litany of their failures in health. Over 14 years, they made us poorer, sicker and less able to get early help.

This Bill addresses the failure to provide training places for doctors, in order to ensure that UK graduates can continue to train in the UK. It introduces a system of prioritisation for UK medical graduates, and will deliver this Labour Government’s commitment to a more sustainable medical workforce. It protects public investment, reduces excessive competition and ensures that our home-grown talent can become the next generation of NHS doctors. No disrespect to the fantastic medics who come from abroad to work here—they do such a fantastic job, and our NHS would not have survived without that immigrant workforce—but prioritising UK-trained graduates would bring us into line with international norms. Favouring domestically trained clinicians helps countries to ensure that they have a stable workforce. To be honest, we should not be nicking other countries’ doctors, particularly doctors from countries with underdeveloped health systems. I do not believe that is in line with our values.

UK taxpayers invest around £4 billion every year in training doctors, so the aim of any sustainable workforce policy should be to see all UK graduates in training posts. A fifth-year medical student who wrote to me aptly described this Bill as essential to safeguarding what he calls

“fair access to training opportunities amongst UK graduates”,

and to ensure that the NHS workforce pipeline survives in the long term.

I am glad to see the Government addressing this issue with the urgency it deserves. Doctors, of course, are only one part of the health service. Many professions work together to care for patients, but doctors are a vital part of the NHS, and we need to ensure that UK medical graduates can progress their careers. This goes alongside all the other work that the Labour Government are doing to make us healthier as a nation, whether on controlling tobacco and vapes, helping people to afford healthy food, or enabling earlier access to primary care. I urge colleagues across the House to support this Bill.