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I am a Spanish consultant anaesthetist working in Leicester; the place that I call home. I came to this country with my husband in 2013 looking for a new experience and to develop my career; I have largely achieved this. At that time, Spain was in the middle of an economic crisis and although I had a job, working conditions were not good and long-term or permanent contracts for young doctors did not exist. I started working in the NHS as a staff doctor and I must say that I have always felt welcomed and supported by my colleagues.I had the opportunity of doing a fellowship in cardiothoracic anaesthesia in a great place. I worked in London as a locum consultant and finally after working very hard I got a substantive job in a place that I love.I believe the NHS is a great health system even with its imperfections. I am however afraid that the NHS IS at risk. After the referendum, European doctors and nurses have been much less attracted to working in the UK and many are now leaving. As a result, there is now a huge problem with nursing recruitment in my hospital. I finally felt settled in this country and then Britain voted to leave and everything became confusing.Brexit means uncertainty to me. It has been a big stopping point in my life, and I have had to put everything on hold as the uncertainty means it has been difficult to make any long-term plans. I am scared that this country is heading towards a massive crisis. I have already experienced this in Spain. My husband is a Spanish consultant anaesthetist working in the NHS as well. We have decided to wait and see how this situation turns out as to whether we will stay here. Even though we would like to settle here for a longer time, we won’t risk buying a house in this political chaos. We may have to reluctantly pack our bags and go back to Spain.Dr Patricia Romero Palomino is a consultant anaesthetist in Leicester
The NHS is great (or was) - at least partly why I am still here.
I think the majority is and has been against Brexit. The so called referendum excluded those who were most in favour of staying in the EU: British citizens living abroad for many years, EU citizens living here for many years, young people who are now older than 18 ....
Why are the Brexiteers worried about a more democratic referendum that gives all people a chance to vote on more and new facts? Because they know that they would loose it. And rightly so.
We EU citizens have an advantage too - we can go, but I worry about all the others often poor and disadvantaged who can't just leave after Brexit.
Most people don’t care about the European Union ie whether we are in or out. What they care about is being able to access services they have paid for without delay and problems. Most people pay 20 percent Income Tax for State Education etc and 11 percent National Insurance for Healthcare and State Pension, but increasingly we are receiving poorer State Education because our children are being educated alongside children who do not speak English and we are being asked to wait in queues for Healthcare because migrants are being given access despite not having ever paid into the system. Rich people pay for Private Education and Private Healthcare and they don’t care about the standard of State Education or the Quality of Service in the NHS, but those of us who have paid 20 percent Income Tax and a further 11percent for National Insurance resent the fact that our services standards are being diluted because they are being given away free of charge to those who have paid in very little or nothing.
We do not want more Doctors and Nurses from the EU or Overseas. It is high time the British Government paid for more Training Places for both Doctors and Nurses in the UK. It costs £400 to 500k to train a Doctor and he is only asked to pay 5 years at £9k = Total Fees £45k. Each UK trained Doctor should be obliged to stay 10 years in the UK to pay back the debt of £455k that he owes to the tax payer in his Community. The same should be true for Nurses. We do not need more Doctors and Nurses form the EU or Overseas. We need to pay for more Training Places for UK Doctors and UK Nurses that speak fluent English and can converse with and understand culturally an aging population. Why can you people in the BMA not push for this? Why are you so quiet on this issue? This is why a lot of people voted Brexit. It was a protest vote!
The Social Contract with the people is broken. In the past you paid your Tax at 20% and your National Insurance at 11% and you got your public services of a good standard when you needed them. Now the situation is that the workers pay the same, and increasingly they get less and less back.
For example, it is difficult to get through on the telephone and make appointments at the GP. (Most GPs seem to have panel sizes that are much larger than the recommended safety limit - motivated by the capitation fee they receive for caring for each patient, rather providing a telephone system that is fit for purpose and prompt appointments - never mind providing a safe and efficient practice.
For example, when the worker is paid by the hour it is difficult for him to go to see a Doctor during the working Mon -Friday 9am - 5pm without losing hourly wages, but GPS refuse to work in the evening and at the weekend. But when it comes time for the flu jab every practice is open on Saturdays. (The GPs are presumably very motivated by the £10 top per flu jab administered).
For example, my Doctor’ NHS surgery offers Botox and Fillers privately using their NHS offices and buildings and offering appointments at the quieter end of the the working days - using NHS resources for their own private gain - and reducing the number of appointments available to NHS patients and making waiting times longer.
And the rich elite do not pay their fair share into the National Insurance System. They register themselves as self employed to avoid paying National Insurance at 11% and only pay 2% on the basic minimum wage. This option is for start up businesses - not rich greedy tax avoiders. And the BBC top presenters are all doing it despite the fact that it is obvious to the ordinary person that although they may present two or three programmes they are still ultimately employed by one employer. (Fiona Bruce, Huw Edwards, David Attenborough - such adorable “National Treasures!”)
Who cares about Brexit! It is not as important as fixing the above problems on the Domestic Agenda which are far more real to ordinary people on a day to day basis. If given a choice, why would the people not choose to stop being a member of the EU and get back £39bn per annum to pay for an improvement in the standard of government services - particularly NHS health services.
Let me repeat. The Social Contract with the people is broken. This unspoken contract provided stability for the ordinary worker, allowing him to focus on earning while government provided a good standard of State Education and NHS Healthcare. But this is all unravellling..... And the Politicians are not motivated to fix things because they can afford to buy Private Education and Private Health Insurance. The Politicians are part of the same rich elite that include highly paid BBC Media Journalists (£600k per annum) and NHS Medical Consultants including anaesthetists (£600k per annum). Why are you so surprised that the ordinary people voted Brexit? And why are you so convinced that they have changed their minds? And why do you assume (with out asking or listening to responses) that a people’s vote is required?
Finally I would like to add that I am educated, and I am not a hate fillled bigot. I am just presenting the worldview of the ordinary person which seems to be so far from your reality that you cannot even imagine it!
For that bigot Anonymous trolling multi-comments author: overseas doctors and nurses pay more than 20% for PAYE but will not share your "Social Contract" and will vote with their feet. You cannot force UK graduates to work in failing NHS and they are leaving UK already. Brexit will put UK into severe recession and you will be left alone with your snobbish pretentious attitude. Majority of items are imported, all services are staffed by foreign workers. It is 2019 with globalisation and open market but 51% of voters in UK unfortunately stuck with British Empire delusion
Why are these comments allowed to be anonymous?
My concern is for research. International companies are very wary about putting money into the NHS to fund what would be really valuable research because the process might not fit European criteria.
Dr med Janet M Massey
Please, get the facts right. You are divulgating fake information. Anaesthetist pay more than 20% tax and many extra NHS insurance. Certainly most (99%) don’t even earn a third of your expeculating annual earnings!
This is such a typical story also happening in General practice . In our group a German Gp has recently re located to New Zealand and recruitment for a replacement is so difficult . At the age of 67 I continue to work as many of the younger Dr’s are leaving the NHS . I would consider going too if I was 20 years younger.peter Blick
Hi, Patricia. I' m also an Spanish consultant and your testimony reflects exactly how I and my family feel at the moment.
The NHS is transformed - in a good way - compared to 25 years ago - and the role of overseas nurses and doctors is part of that transformation. We want and need them to stay. Of course the NHS is by no means perfect - its resources have been severely eroded in recent years especially in nursing where there are huge numbers of vacancies.
Ignore the trollish comments at the top of this section - they make no sense. I will never understand why people think Brexit will solve problems such as elitist politicians being disconnected from their voters, or NHS recruitment, or indeed make life better in any way at all.
Am quite distressed by some of the anonymous comments. Most medics I know do not feel like the anonymous posters ie we wants to keep the EU staff and value them. Am sorry this has been expressed. Also stats wrong. Are this people medical and why are they hiding. I hope the EU staff will stay
What utter, contrived and self serving twaddle. 17.4M people voted to get rid of the unelected bureaucrats who run our country. The UK will flourish as it did before. If overseas workers can enhance our society, great - the more the merrier. If not, there are people here in the UK who would welcome the jobs and/or the training for the jobs. As for scientific study, nobody has said it will be cut. Just remember when people say "EU money" that there is no such thing. It's OUR money. Also, check the Eurozone unemployment stats, especially the youth unemployment. Is THAT what we want? No thanks. Stop scaremongering, it does you no good.
You seem to be doing a lot of awaiting.Why isn't the BMA finding out what the hold.up is and
encouraging those involved to get a move on before staying on a hospital ward is very dangerous.
M FHasenfuss.Ret GP.and very frequent user of many NHS services.I can still hear the cry of a
vascular surgeon "for heavens sake go home before they do any more damage"
Why are Agency Nurses and Locum Doctors paid vastly more than FT GPS and Nurses who are contracted and committed to serve their local
Communities. They jet in and jet out but never really get to grasp with patient needs or shoulder the burden of other GPS running a [email protected]
This is a National scandal.
Where is the Workforce Planning by the BMA?
Why is Simon Stevens not working on this?