Medical Training (Prioritisation) Bill

Peter Prinsley Excerpts

Tuesday 27th January 2026 Commons Chamber

[Peter Prinsley (Bury St Edmunds and Stowmarket) (Lab)]

I welcome the Government’s plan to change the law. It was obvious to me and to others that such a change would be needed, and it was one of the matters about which the newly elected doctors spoke to Ministers last year.

Imagine, Madam Deputy Speaker, that you have graduated from a medical school, excited at last to be called a doctor, and looking forward to finally getting to work after years of intense study, uncountable examinations and fierce competition. When this happened to me at Sheffield medical school, our early pre-registration posts were organised by the university. We were simply distributed around the local hospitals. We were in familiar locations, with our classmates and consultants who knew us. We began, rather hesitantly, to work as doctors, but suddenly we had responsibility for life and death.

However, something changed. Now young doctors are simply sent by chance, with little notice, to a region of the country they have never visited. They are far from their friends. Ironically, they are now called resident doctors, but that is the very last thing they are; the residences have long since disappeared. The shift system replaced the on-call rotas, and the doctors’ mess disappeared, so hot food was no longer available. Now, if they are lucky, they have an office chair in which to rest, and a sandwich dispenser in a cold corridor. They have no friends nearby, nowhere to live, and nothing to eat at night. It is not really the best start, and these are the young doctors on whom your life may depend. We really must do something to look after the health workers who look after us—all health workers. That does not just mean paying them properly, although we obviously must do so. Today we are speaking about our doctors, for young doctors face a very uncertain future.

After Brexit, many of our European doctors just left. The deficit was filled, as so often in the past, by doctors from the rest of the world. Especially in hospitals that are remote from medical schools—such as my hospital, the West Suffolk hospital in Bury St Edmunds, and the hospital where I worked for so many years, the James Paget hospital in Great Yarmouth—we have always depended on brilliant doctors from many nations, many of whom have become my long-term colleagues and some of my best friends. Immigration rules were altered after Brexit, effectively enabling applicants from across the world to apply for a very limited number of posts. As we have heard, although competition is healthy, it is certainly not healthy for the ratio of applicants to posts to go from about 2:1 to more than 4:1. As we have also heard, this is absolutely the cause of the bottlenecks. UK graduates simply cannot progress and are obliged to repeat years, often as unstructured and unrecognised clinical fellows. They leave the country or give up medicine altogether. The Government have rightly recognised that this must change.

Medical training is a continuum, and the end result is a general practitioner or a hospital specialist—by the way, I much prefer “specialist” to “consultant”. Doctors have five or six years of undergraduate training, and eight to 10 years of postgraduate training, and it makes no sense to graduate so many students and then fail to accommodate them in postgraduate training. The measure to prioritise the graduates of UK medical schools is simply common sense and I support it, alongside, I understand, almost all Members of the House.

Finally, let me issue a word of warning. The number of new medical schools—I understand that there are many new medical schools, including the one in Cumbria, which I did not know about—means that we have more graduates than ever. That is good, because we have insufficient doctors, but the health system must create additional training posts, more substantive posts for general practitioners and hospital specialists, and incentives to create these posts, especially in general practice, so that our new neighbourhood health centres, which I like to call “Bevan health centres”, can be fully staffed and open late at night, and so that we see an NHS renewed. That is our aim, and we will achieve it.