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In the Guardian yesterday:
Howard Catton of the International Council of Nurses calls for a co-investment mechanism in global nursing education. Your report on the 93% fall in overseas nurses (Drop in overseas workers is ‘car crash’ for UK hospitals and care homes, say experts, 26 February) lays bare how dependent the UK has become on international recruitment. When visa policy shifts can trigger warnings of an “impending car crash”, it shows a workforce model built on fragility, not resilience.
Is there not resilience is some part of the UK, say Scotland? See below.
In the Telegraph in June 2025 and across media in England, the above astonishing decision by this Labour government, to follow from a series of cuts to services and tax increases for the less well-off, which can only further degrade the performance of the NHS in England and strengthen to role of the private sector, which funds many leading Labour politicians.
What would a Labour presence in government at Holyrood, say with Reform UK, put at risk here?
The Scotsman in February 2025 was front-paging Alarm over fresh drop in applicants for nurses course based on a 2% reduction in applications, from 4 650 to 4 560, six months before ‘clearing’ processes in the week and months before courses start, can fill the missing places.
The ‘alarm’ is from a union rep and, evidence-free, the fall in applications is explained by poor working conditions, which in turn, is based upon a small sample, self-selecting (squeaky wheel) survey.
Not mentioned, of course, is how this level of nurse training compares with other parts of the UK.
So, if Scotland is training 4 560 how many might NHS England be expected to be training? At ten times the population, around 45 000?
It’s 26 3301, not much over half the number you might expect they’d need.
Why is this?
From the British journal of Nursing in April 2024:
This UCAS data are more than just numbers; they reflect the changing dynamics in healthcare education and broader societal trends. The decrease in applications and acceptances could be attributed to various factors, including the intense pressures that health professionals have faced during the pandemic, which might deter potential applicants. The psychological and physical toll of the pandemic on healthcare workers has been widely publicised, possibly influencing the decision-making of those considering the profession.2
What is the Scottish Government doing to encourage applications?
Only in Scotland:
The Scottish Government will pay your tuition fees. Graduates may need to check if the government will pay their fees. The bursary is £10,000, which isn’t means-tested. Funding covers the whole year (52 weeks). If you’re studying an honours degree, you’ll get 75% of the bursary in your fourth year. The bursary includes £5 for daily travel but you can claim for placement expenses above this. You’re expected to use the cheapest public transport. (In Scotland, bus travel is free for Scottish residents under 22 years old). If costs are more than £30 per day, you should stay in local accommodation if possible. In your first year, there’s also a £60 initial expenses allowance.
Additional allowances include: Dependents Allowances – if you have a partner or spouse with a low income; Single Parents’ Allowance; Childcare Allowance – for registered childcare costs; Disabled Students’ Allowance. A discretionary fund is available for students in severe financial hardship.3
Sources:
- https://www.britishjournalofnursing.com/content/regulars/trends-in-nursing-applications#:~:text=Some%2026%20330%20applicants%20were%20accepted%20onto%20undergraduate,landscape%20and%20perhaps%20a%20higher%20calibre%20of%20applicants.
- https://www.britishjournalofnursing.com/content/regulars/trends-in-nursing-applications#:~:text=Some%2026%20330%20applicants%20were%20accepted%20onto%20undergraduate,landscape%20and%20perhaps%20a%20higher%20calibre%20of%20applicants.
- https://www.thecompleteuniversityguide.co.uk/student-advice/finance/nhs-bursary#ParamedicNursingandMidwiferyStudentBursaryinScotland
Please Support Talking-up Scotland at:
https://www.crowdfunder.co.uk/p/support-talking-up-scotland
Click on the above.
Or direct bank transfer at Sort Code 08-91-04 Account - 12266421 Name - JOHN ROBERTSON
