Lord Patel (CB)

My Lords, I thank the Minister for her comments, and I thank the other noble Lords who spoke. I take the points that the noble Lord, Lord Hunt, made, which are quite important: there needs to be much wider review of the whole issue of medical training and workforce planning, which are linked together. I hope the review that NHS England carried out, published in October 2025, the more recent update on 18 January 2026, which was on the first “diagnostic” phase of the medical training, and the other phases to come will promote that review of medical training, and I hope the Government will back that. I think the noble Lord, Lord Clement-Jones, made a similar comment in Committee that we should not prioritise UK medical graduates above others because the others may, and do, provide us with good service and care. I accepted that, and how could I not? In my own department, we regularly—on a yearly basis—took overseas doctors for training in United Kingdom. Some of them remained in this country, and others held high positions overseas. The fact is that 30% of core and specialty training slots go to international medical graduates; 70% go to the UK graduates. That is not a small number but quite a significant number of overall training positions. None the less, I accept that we need international medical graduates to come here and study and work here. I thank noble Lords for the other comments made. The noble Lord, Lord Stevens of Birmingham, asked a very cogent question. I know that the Government say that there will be 1,000 new posts, but that is over three years, so it might be three years hence that we get those. In the meantime, we have a problem with UK medical graduates, and I will single that out, because I hope that the Bill will help with the process of more UK graduates getting the jobs. I thank the noble Earl, Lord Howe; he was stronger in his support last time than this time, but I can understand why. I had no intention of putting my amendments to the vote. I had hoped that the Minister would accept them, but she has made it quite clear that she will not. I wish the Bill to be concluded speedily, because it is urgent, and I hope the prioritisation in the Bill will help UK graduates. On that basis, I beg leave to withdraw.