Question to the Department of Health and Social Care:

To ask the Secretary of State for Health and Social Care, whether his Department is taking steps to prioritise UK-trained medical graduates over overseas-trained applicants when allocating (a) Foundation Years and (b) speciality training posts; and if he will make it his policy to reintroduce a residency-based labour-market test for NHS training posts.

On 8 December 2025, the Government put an offer in writing to the British Medical Association Resident Doctors Committee which would put in place emergency legislation in the new year which would prioritise United Kingdom and Republic of Ireland medical graduates for foundation training, and prioritise UK and Republic of Ireland medical graduates and doctors who have worked in the National Health Service for a significant period of time for specialty training. This would apply to current applicants for training posts starting in 2026, and every year after that.

Other measures in the offer include creating 4,000 more specialty training places, with 1,000 of these brought forward to this year, cost related measures, such as reimbursement for exam fees, to address the unique costs that resident doctors face, and increasing the less than full time allowance by 50% to £1,500.

This is in addition to steps already taken by NHS England in September to tackle competition for speciality training places this year by changing General Medical Council registration requirements and limiting the number of applications that can be submitted by individuals.

We have also made significant progress over the past year to improve the working lives of resident doctors. This includes agreeing an improved exception reporting system which will ensure doctors are compensated fairly for additional work, reviewing how resident doctors rotate through their training, and reforming and rationalising statutory and mandatory training to reduce unnecessary burden and repetition.

In August 2025, NHS England published The NHS’s 10 Point Plan which set out actions for NHS England and trusts to improve resident doctors working conditions by fixing unacceptable working practices and getting the basics right for resident doctors. It aims to tackle basic issues like payroll errors, poor rota management, lack of access to rest facilities and hot food, and unnecessarily repeating training.