Why are Doctors LEAVING the NHS? 😨
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- Опубликовано: 31 май 2024
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In this video, we speak to medical students from across the UK about their insights as to why junior doctors are increasingly leaving the NHS. This video is a controversial one, but we think it's extremely important for aspiring medics to have a realistic insight into the current state of the NHS - the good and the bad.
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Timestamps:
00:00 Introduction
00:50 Who is a junior doctor?
01:17 Inadequate Pay
02:32 Long Hours
03:25 Burnout
04:23 Broken System
06:11 Lack of Job Satisfaction
07:09 Lack of Support
07:36 Competitiveness
08:51 Moving around the Country
09:23 Lack of Perks
10:03 Private Sector Benefits
10:46 Bullying and Abuse
11:58 Moving Abroad
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Thanks so much guys!! Countries included: Canada, USA, Australia, New Zealand, Dubai, UK (for doctors interested in working here), Ireland, France, Germany, Spain, Singapore, South Africa
Man, studying to become a doctor is hard enough, and now being a doctor is getting harder, not that it was ever easy lol
Not really they work as part of MDT . Every helath care profession have their own battle except Dr is heard the most , nurses have worst
@@pc3116 becoming a doctor is the most difficult
@@simzogun222. Wait till you apply for specialization.
@@simzogun222 as you think or assume
@@conqueror445 you mean getting a MS or MD degree? Can you explain briefly
My advice to those considering to be doctors or nurses etc. Don't do it.
Go bring your intelligence, skills, knowledge and hard work somewhere else where you can be proud of your work and be rewarded rightfully for your efforts.
I wish I had realised this earlier before entering the profession.
Wise wise words.
Do you recommend Australia?
@@sakshambansal7383 i think he recommends not medicine anywhere
@@trixo5 and nursing?
Completely Agree all my non medic friends have better homes hols schools for kids and that makes a happier life = job satisfaction they don’t get treated like shit by managers
Seriously, young doctors, if you have the opportunity to move abroad, take it. The UK is on the brink of a colossal economic crash and I think what you’re experiencing are simply the factors which are leading to that. It will not improve. There’s no money left. We’ve printed so much that it’s approaching worthless.
It might be bad in the UK but it's so much worse in most other countries... Europe is only a good option for prospective doctors because it's much more socialist than the UK, but their economic model is no longer sustainable. Germany was Europe's powerhouse mostly thanks to cheap Russian energy. That's gone now.... I'd argue the UK is fairing better for the long term than Europe, even if it looks uglier in the short term. Then there's population demographics. The UK isn't doing too good there either with the boomer generation retiring and not enough young people to replace them, but again, mainland Europe's demographics are so much worse.
@@lc5176 Exactly right! I don’t know why people believe that other countries are a better option than the UK. Tell me what “developed” country right now doesn’t have high inflation, high cost of living (unless you want to live in a dump) and housing issues? Australia definitely has this, Canada does as well, USA is a disaster etc.
What are u talking about , we are hoping for good life in uk 😭😭 , I thought if I go to uk my life will be relaxing 😭😭 , here in india it's worse its hell , a bad f## joke .
@@adwoa237 US Doctors make an average of £270,000 per year, a specialist makes even more, inflation is nothing to them
@@thomasjust2663 Doesn't matter how much people earn. All that matters is how much they have at the end of the month. I know plenty of American doctors (I have some in my family) and they're skint because of student loans and lifestyle inflation.
I hope I never get so sick I have to go to hospital, it’s terrifying knowing that the doctors are tired and most probably struggle to do there job; I don’t blame them if they leave, they deserve better. We deserve better
This does not seem controversial at all, just reasonable and necessary to say if the UK wants to have retention of healthcare workers.
They're shipping in more from abroad. Medics and nurses that have trained abroad. The issue with that can be that with non-western countries, some don't have the same health issues has people in the UK.
This is not new they'll let these home grown guys go and bring in the dregs of medical doctors from third world countries ,who haven't got a clue, and run around wards with their pockets bulging with text books for quick referrals while on the job, because they just scraped past exams in their homelands. God help us all.
The NHS needs a complete revamp, there’s too many negatives
Too many quango's.
the NHS need a RE-E-WIND as the people DONT say BO selectaa
As a mature (33) UK Medical School applicant, I found this video extremely honest and informative. These are all valid problems and I hope that one day it will change. It does not put me off the profession, but at least I am prepared. I'm glad I found your channel.
In all honestly, get your place in Europe. I work in the NHS and getting a place in the EU is far easier and it is recognised in the UK. Also mature students are far far less likely to get a place.
@@matldn2697 If you don't mind me asking, why are mature graduate students less likely to get a place?
That’s great that you have such determination! It will make your life interesting and meaningful. But don’t calm yourself that something, that is out of your control, will change. Hope for the best, but prepare for the worst! Prepare to get a residency in the US or move to Australia. Search for the best place.
@@bunn228 UK med schools believe that if your a teenager, then your mind can be molded to their way of thinking. This I was told by many Consultants who teach in London med schools. These same consultants are sick and tired of the poor quality of students who expect to be spoon fed and come to in-patient teaching with no preparation. I have worked in many teaching hospitals and still do.
@@matldn2697 then why do many medical schools offer graduate entry programmes? Some of these schools are specifically for graduate applicants, which doesn’t really align with the malleable mind of teenagers hypothesis
I'm currently in 6th Form studying Biology, Chemistry and Math , and I can say this for sure that the competition is absolutely carzy, 1) you need A*AA 2) Need to take the UCAT and BMAT exams 3) Do extra activities that will make your personal statement really stand out , all these factors make it so hard to even study medicine in the UK in the first place .
Are you the ex prime minister of Pakistan
When’s your ucat?
@@_Faisal_ lol 😆
@@ybeiscool 9th September
@@xavier4260 ahhh mines on the 15th of September good luck!
Its almost the same scenario everywhere. I did my junior residency at a government medical college in India . We used to get paid around 400 pounds per month and it used to be credited once in 4 months. The patient load in India is very high and doctors are understaffed. Govt said we will get COVID 19 incentives for the extra time hours but we never got any.
Try having more volume of patients, more abuse and bullying, more working hours and on a pay of about 130 pounds a month (which used to be 90 pounds a few years ago)...that's bangladeshi junior doctors by the way......
Wow, they still haven’t paid it ? I read about that while researching for my book, Doctors are human too, how to save lives without losing yours,resilience tools for doctors. It appears the same things are happening to junior doctors across several countries.
@@faisalarnob7211 130 pounds? How?
@@aformula4198 15,000 Bangladeshi taka, used to be 10,000 like 3-4 years ago
It was 30 pounds not too long back in a mission hospital. 40,000/- pm isn’t bad at all for a junior hs.
Almost identical issues in the ambulance service. After 4 years of frontline work, I’m emigrating to Australia for exactly the reasons you’ve mentioned.
Paramedics work long hours, Public Holidays with no extra leave or time off and poor pay. Compare their job criteria with that of the railworkers who are demanding huge rises on already good salariesplus free travel, and double pay or higher for Public Holidays. How does their work compare with saving lives?
I tried to take an MRCP test paper one night when I was drunk. I didn't even understand the questions, let alone answer them correctly. Massive respect for all medical professionals and the service you give for the benefit of others.
😃😃
A junior doc, in Nepal is paid around 180 to 260 GBP a month. Now, you might think that the cost of living is low....well nope....
A small tea shop seller, who only sells tea makes upto 600 pound a month after cutting all expenses....
Honestly, I am thinking of opening a tea shop...haha
If you want to be doctor to make lots of money I think you shouldn't be a doctor. You are not suited for the role.
Well, if it makes more money then do it. Don’t be a doctor if it’s not the best financial option for you. I know, being a doctor and saving people is morally good but you need to be real with yourself and you need to afford your lifestyle lol.
Why I left:
1) 40 hours is a a week is a absurd joke. I was doing 11-12 hours a day 5 days a week and + 2 weekends on call each month (each weekend is 24 hours on paper but actually more like 30 once you factor in the morning ward round or evening handoff) On average that was 70 hours a week at least. (The 40 hours per week is averaged annually they arrive at this number by giving you a day off here and there or a week extra off between rotations) it sound good but you're doing superhuman work weeks/months on end and then your break is over way too soon.
2) back in 2015 for this work I was paid about 2200 pounds after tax. considering how many extra hours I worked for free, A cashier at Tesco earns a competitive hourly rate (1200 pounds for 40 hours a week) With double shifts at Tesco and mayby some overtime pay you can probably earn 2000+
3) You can forget literally everything you learnt in medical school. You will be the consultants bitch ordering and chasing all his blood tests and imaging. including manually writing in blood test by pen into the patients files. You will also be harassed by the nurses to write ALL the fluid requests, rewriting cardexes, getting ALL the Venflons and ALL the blood draws and ALL the discharges done (IDL) You're medical knowledge is completely unnecessary you just need 1) a good bit of manual dexterity for bleeding the patients, 2) a strong back (to not get back aches from bending over the patients non stop) and hearty wrists (to avoid carpal tunnel syndrome from all the mad scribbling of blood results and manual writing/rewrting)
4) Zero support. If you don't know how to do something that's your problem. Someone may show you how to do it once but if you're still struggling with a particular skill it's your problem.
If you're struggling to complete an insane amount of tasks on time the ward doesn't need an extra doctor you need "better time management skills"
Every fucking day I had to get up at 6:30 AM I'd leave the hospital 6-7 PM despite technically being on duty untill 5 PM I'd return home at 8:00 PM just in time to cook and eat dinner collapse by 10 PM and try to sleep until 6:30 the next day. Work life balance was non existant and I had 4 fucking days a month off (2 weekends) If I had to endure that any longer (I lasted 2 years) I'd consider slitting my throat.
May I ask what do you do now? Thanks!
@@dadt8009 I went to medical school in Poland so I went back there. My time as FY1 and FY 2 completely soured me to hospital work I did a residency in family medicine and fled to GP land. I finished my residency a year and a half ago and passed my board exams here.
During residency I was working 5 hours a day and seeing about 25-30 patients per day. (although the pay was shit - a universal worldwide constant for residents)
Now after residency life is great. I'm working 4 days a week (wednesdays off) for 35 hours total. Nurses handle all the blood work and I'm still earning a very comfortable salary - though perhaps not as much as a fully qualified GP in the UK.
Most of my patients are geriatric so I treat hypertension, dyslipidiemia, diabetes, and the usual common illnesses like UTI back pain, common cold ect
More fool you simply refuse to do more than 40 hours. What's the worse that can happen they sack you.
@@pstanyer1 It doesn't work that way. It just doesn't. You are given an insane amounts of tasks to complete and if you don't complete them on time that day you are compromising patient care which is a red line. You would get sacked quite rapidly for that.
Also there are TAB's which IIRC stand for team assessment of behaviour. You need to get 10 of those for every 4 month block. basically other staff including pharmacists and nurses write a review of how you perform. If you don't have good TAB's you won't progress.
If you blow off something simple like putting in a Venflon and go home on time the world isn't going to end. The Nurse will eventually do it for you (Or the guy on call for the next shift) But guess who you will have to ask to write you a TAB a few weeks later down the line.
Also a lot of the time a patient will get an MI half an hour before you're due to leave and there will be one doctor covering the entire hospital for night shift the including A&E admissions. Will you leave a patient who needs a full workup due to potential MI because it's your time to go home? That will be your medical license guaranteed.
Basically EVERY one of my colleagues was leaving 6 pm earliest despite being on duty to 4 or 5 pm. It was not uncommon to leave the hospital at 8 PM
@@pstanyer1 Standard contract is 40 hours + whatever oncalls.
It's a similar situation in education. I did my PGCE in secondary education in 2019 and many students on the course were thinking about their exit plan. It baffles me why doctors and teachers are so underpaid. People outside will just shrug their shoulders and say the pay is decent. Failing to appreciate the insane number of hours put in week in, week out, leaving no room for a social life. What a lot of people also fail to appreciate is that workers in the public sector are not bound to the state and can leave anytime. We're free individuals and there is literally a world of opportunity out there for teachers and doctors and nurses
I'm a teacher , too! We've been told were expected to work 60-70 hours a week in our twice OUTSTANDING state comp .No life-work balance .Constantly under threat of OFSTED arriving any day , and , my God if we don't get another OUTSTANDING ! On top of that , we can't get a GP a appointment when sick. l studies Medical Physiology at a reputable University medical school and have fairly recently spotted hyperparathyroidism and a 10.5 cm diameter fibroid when my GPs told me the was nothing wrong with me ( had to get private diagnostic tests to refute their diagnosis !) Now , alarmingly , when staff can't see a GP they ask me what l think the problem is !!! I tell them what it might be but ADVISE TO HANG ON IN THERE AND GET A GP APPOINTMENT! Our practice only has 2 GPs most days seeing
16, 000 patients , currently.
12 years of tories destroying public services to pay for a housing market crash caused by greedy bankers.
@@carolenmarch7445 I think there's a toxic culture around health generally in education. I remember a placement mentor boasting about how she had never taken a sick day in a decade and basically saying if you have a cold you're still well enough to teach. I hope overall schools are more lenient towards giving teachers sicks days and time for doctor's appts. post pandemic, but your story sounds a little concerning! I've left teaching for tutoring myself. Realised early on the pay did not compensate for the impact teaching was having on my physical and mental health. I think if the job demands almost all the hours you have, you should be financially well compensated
Nope.Theres an equation that's applied to your absence exceed the formula and your in the Head of HR's office. Being off is almost as stressful as staggering in I'll...All those cover lessons you have to prepare .And of course there dropping that bomb shell that you're going to be off...like detonating a nuclear bomb .Yes , things have changed, for the worse ! Just lost 2 experienced physicists to the private sector , less hours more pay , less admin and pointless meetings .
Not underpaid. Under appreciated perhaps. so many schools are now oversubscribed and trying to manage multiple languages and cultures thanks to mass immigration, so the pressure has increased - but the same teachers are commie activists and love open borders so bring it upon themselves frankly because they’re all whining snowflakes
This is such a fantastic and well thought out video! So much respect. All the doctors I work with in ICU do a week on and a week off, 13 hour shifts, it’s an insane toll on them.
I’m a nurse who left the UK in 2018 and now work in Australia, my wage here is incomparable to my UK wage and before the pandemic we were very well staffed. You all have to look after yourselves until the UK government can address this! It’s so sad because y’all are incredible
Hello I am a nurse working in uk but I want to move to Australia, according to you which is better for nurses uk or Australia
@@happyplaces6048 I have the same question in my mind as well
Well As a doctor from India what you are complaining is about is something just we can wish for ....The Residents/ junior Doctors in most of clinical branches of our country work more the 100+ working hours and the no Overpay for night duties or extra hours also there is risk of getting beaten , literally 😅
The competition in India horrible
Totally agree bro, however, I happily see the patients, as there is little to no chance of seeing such a wide variety of cases anywhere else in the world....you truly have to be an insane workaholic to love being a clinical resident here in 🇮🇳
Agree. Not from india but also from asia. we have the same system. I find it appalling that the residency training pay is so bad that its not even enough to be independent.
@@lightandnightEQUINOX there would be a disaster in our own country if someone is asked to work forr 100 + hours /week on such pays but since its doctor they think its our moral responsibilty, they forget we have our own lifes & families to look after 1st
The cost of living in the UK is much, much higher than india. Quality of life in india increases every year, quality of life in the UK decreases every year.
I haven't left the NHS yet, but I'm working towards it. The main reasons for me are:
-The extreme lack of interest of the NHS system in medical research (a big part of becoming what I am now was to be able to get involved in high level medical research that can make an impact on my field similar to what you can find in the US across many centers of excellence).
-The pay (although slightly higher than the general population), is extremely low for how long and how hard the training and the job is. Compared to the US, Canada, Australia, and other, the pay is a joke.
-Accessing the NHS services as a doctor is another joke. I cut my finger and needed stitching and I had work on the next day so it needed to be fixed ASAP. Of course that didn't matter and I had to wait hours for a simple stitch and dressing and of course next day appointments were canceled. And don't get me speaking about dental. Recently I have met someone who is a partner of another person that works in the railway service, they get 90% discounts on any tickets for any train. In the NHS, sometimes we get free Americanos (twice a year maybe).
-The NHS is old and weathered. In the US during my research fellowship, I felt I was in a different planet. There were robots moving things around in the hospital and they have set paths and if you step in the path of one, it stops and tells you to step away. Obviously that's just an example of how technology works in American hospitals, extrapolate that into medical services, operation theatres, scanners, etc...
-English people can be buttholes sometimes, but that's not the fault of the NHS 🤣😅
Australian doc here, NHS is indeed severely mistreating its clinical staff. I'm actually more surprised that there aren't more docs leaving the system or working overseas
That being said, I'd caution against getting googly-eyed at the American healthcare system. They may have neurosurgical robots, but their chronic disease management/primary care/healthcare access/outcomes is a joke. Publicly run healthcare on single payer systems may be less sexy, but they're the work that society actually needs
How are you working towards it? I'm an intern in India with an MBBS degree from China and I was looking to get into the NHS, but this video has seriously worried me. Would you have any advice for me?
People can be chimps when being unkind, especially those who control hcps.... I've lawyers..
Buttholes exist in the NHS and they are English people, not separate entities because you are Doctors, which caused the NHS to collapse single-handedly. That's right, it was your fault the f,*****g sytem collapsed
@@andreashendarto9598 Have you been here in the US?
_Paramedics feel the same way, many of us has just qualified after three years of the most odd educations we will ever likely to see, and we're already becoming jaded and burnt out._
Aitch Sea Piss Sea is the problemo of Corrie up shon...
There are so many doctors leaving but the application rate for medicine is 10 to 1 , so how do they expect to fill in all this gab 🤔
There is always doctors willing to come in from abroad, same with nurses.
Import foreign doctors trained at much poorer countries expense.
@@eliakimjosephsophia4542 Which is what keeps wages low.
@@marigoldbeam5475 Not the mention the massive brain drain.
@@ea3414 That's the way of the current economic world order. If you don't like it work to change it, instead of just focusing on one sectors wages and conditions.
I think the term "junior" derogatory for someone who has been a qualified practicing doctor for more than two years. Hospital staff at levels other than consultant, surgeon etc are ALL underpaid and unappreciated. As usual those who do the most work are the worst paid 😠
I'm a 4th year (31yo) medical student in the UK and it isn't worth it - hope this review helps. These are a few of my thoughts regarding the video, which is well presented, thank you. Just a few points i want to make...
Inadequate pay, no one will ever be happy no matter how much they're compensated for their labour. And I’m not saying they aren’t underpaid, undervalued, and over worked.
On competitiveness, yeah those who go the extra mile get ahead. Leaving the unprepared behind, and I’m a 50% is the pass rate, good enough for me student haha. So, I will experience this. Then again, it isn’t acceptable to create extra places without creating the extra jobs with an aging workforce currently ready to retire with no planning in place to prepare to replace them.
Bullies are everywhere, and the grass is greener on the other side? No, you’ll leave the hands of one bully into the next, solution, there really isn’t one?
Go do some TikTok shit videos instead, it’s not worth it !
The NHS isn’t fit for purpose anymore. Without a doubt there is a lack of funding but all we see is massive wait times and being unable to get a GP appointment. It seems like things have gotten far worse since the covid pandemic. My son recently had a bad nose bleed and went to A&E and waited over 5 hours and in the end came home and thankfully we managed to stop his nose bleeding. Also he he a bad fever/sore throat and rash all over his body last weekend. We called GP surgery and was told he had to have a PCR test before they would see him. Had one and came back negative. Called GP to be told they STILL couldn’t see him as too busy! He had been I’ll for 4 days by this point. Thankfully I have Bupa health insurance which allowed me to use the Babylon application and he had a video consultation and was diagnosed with scarlet fever and prescribed antibiotics. We will NEVER use the NHS again unless we’re absolutely desperate. The government need to wake up and invest what is needed to get the NHS back to being something we’re proud of.
The government want it this way, they want to ruin it, basically
Brilliant piece. I found this extremely interesting and insightful and also quite sad that there are so many issues as to why doctors and nurses are leaving the NHS. All of the speakers were very clear and explained everything very concisely. Excellent presentation.
This is the same for those completing thier PGCE. Many trainee teachers were leaving the profession before even completing their training. The reason we're similar to medical students and junior doctors. We teachers, including trainee teachers worked so hard during the pandemic and not even once did the government acknowledge our effort and dedication to the profession and children.
Yeah , they used us to get the economy going again by ordering us back into the classroom. No acknowledgement or thanks .Some of my colleagues have had covid 3 times ...been lucky , had it once but the virus infected my spinal nerves and had problems walking for 9 weeks, was off for 3 weeks ( bad vibes came my way for being off so long ), was hauling myself up stairs using both hands on bannister, let alone the fatigue that covid brings. Many think teachers are failed academics , were not ! By his own admission , my lab partner admitted l was more academically able than me .He went on to do medicine and soon emmigrated, has a good life as a GP in New Zealand .l have the stress and low pay of secondary school teaching .
Yes but you get 3 months holiday a year plus inset days etc. and you don't work weekends or night shifts! PGCE students only study for a year on top of a 3 year degree and then get good money. Doctors have to study for 10 years. Where is the comparison?
@@audreyblack8629 Let's get the facts straight , first. Your teacher's job description is way off the mark.
1. I teach in a twice OFSTED OUTSTANDING state comprehensive. Senior management told my colleague that we're expected to work 60 -70 hours a week. 2. Weekends... all teachers work weekends. How can Friday's marking be done for Monday's lesson otherwise ? Similarly, how are you going to prepare Monday's lesson if you don't work weekends? Then there's the teacher assessed component of some syllabuses.
3. Trips and educational visits can take up a whole weekend .You burn the midnight oil earlier in the week to make sure when you return that Monday's lessons are covered and any other required marking.
3. The night shift ...we often work until 11.00pm at night, and once, until 4.00am in the morning, a marking teacher assessed component ; other colleagues have done similar Deadlines are deadlines . It's not a job openly advertised as having a 'night shift' but the full -time work load is punishing . 4. INSET , a day filled with so much information input it's impossible to absorb it all, then for the last 2 hours you go off in departments do do more, and finish that off outside hours. It's non- contact teaching time, yes, but neither is it a holiday as you infer.
5. Training ...It takes 6 years to fully qualify as a teacher. You need a 2:1 , a PGCE , then 2 years school-based probation. Some of us have a First from the likes of Oxford ( by his own admission , l was more academic than my lab partner, who went on to study Medicine; we studied Medical Physiology .) Teachers are by no means academically inferior.
6. Holidays ...every holiday except the summer of which 3-4 weeks are work -free, are used to get through marking or preparing for the next teaching unit. We've just lost 2 senior Physics teachers with young children, because family life, amoungst other things, was under pressure from the relentless workload. Weve had to take on 2 newly qualifieds.7. Pay...a newly qualified is paid around 26 k atm , top of main payscale is where most teachers are and is around 38k.
I wish it was as you describe , but sadly it is not . Both teachers and doctors have a punishing workload, are paid poorly for the skill set and service we deliver and are underappreciated. Point to note: without teachers there would be no doctors...no skilled workers , no economy. I've crammed students for medical ( and dental ) school in my time . I hope this clarifies your misconception .
@@audreyblack8629 addendum:
8. INSET is non - teaching time but us so packed with information it's impossible to assimilate . You then go to departments to work on further assignments and finish off outside hours . It is by no means the holiday you infer.
@@carolenmarch7445 - supermarket workers had to work throughout the pandemic. Stop bleating on about working during a pandemic. Newsflash - schools were shut for months and then your unions tried to put in extra restructions to protect you poor lambs
As a healthcare profession what surprises me the most is how very few doctors/nurses/pharmacists fail to highlights the biggest problem is the healthcare system and the attitude of UK public. To put things in the most simple term the NHS acts as a sponge for so many problems which in many culture would hold the person directly accountable but its not politically correct to say this in UK such as obesity related ailments, alcoholism, failure for family to look after their elderly parents or individuals failing to take bold decision to overcome difficulties in life and instead they class it as a mental health problem. The reality is the kitchen sink is thrown at NHS which is not sustainable by trying to deliver everything we fail to deliver anything. I think that is also the reason why so many people are quitting because of the system and our regulators is another issue. Most of us feel with dread when we think of the case of Dr Bawa-Garba that poor women was hung out to dry.
The problem is nobody would want the NHS to discriminate based on whether people are unwell based on their own unwise choices. Where does that mindset end? You'd eventually start penalising people for skiing or riding a motorbike because they put themselves at such high risk of requiring Orthopaedic services. This approach to a healthcare system is hard to enforce.
What you do see is the government trying to prevent disease with public health and media campaigns, school education, GPs, pharmacists etc.
@@SamOwenI I worked in this system for 10+ years and its true there will be winners and losers with what I am saying but this give everyone a fair chance to access NHS instead of a small minority hogging the services. I am sorry this sounds really harsh in terms of enforcing it is doable but no politician both Labour and Conservative will never enact such system because they will lose the election.
@@Kaplan20 indeed, very difficult to enforce in a democracy.
@@SamOwenI Absolutely funding NHS is for popularity purposes by political parties rather than what this country can realistically afford. For example 10% of NHS budget is spent on GP and Dentist but they are the most heavily used source in NHS. Huge amount is used to treat for conditions like diabetes and obesity which is due to the prevailing ignorance of general population. The NHS worked in the past because Britain did not have an endemic crisis of obesity/diabetes, alcoholism and etc. Instead they could spend more in training and recruiting medical staff. Throwing more money will not solve the problem. The NHS needs to be rebooted but no politician is decent enough to follow this through this applies to all the UK political parties.
It's not just doctors. I'm a dietitian and considering switching careers entirely because I don't get paid enough. I've never focused on money but now I have kids and the cost of living is spiralling out of control my salary isn't covering my expenses each month. And it's not even like I live lavishly because I don't.
its just not worth it. the NHS is sh*t and im fed up with the British public thinking it's beyond criticism. This is one of the reasons the problems don't get addressed and now it's too late to save. I cant blame the doctors, i wouldn't stick around for this either. Same story with teaching. Just another example of the public sector being grossly mismanaged and the key workers are giving up.
I have done a 48 hour shift once (in India). So that's that!
Also we don't get day-off after a 24 hour shift. So that effectively becomes a 36 hour shift. And that is normal for first year residents in India. Stipend is around 400-500 pounds (40-50k INR) per month.
I respect your hard work. You deserve a large amount of money for your dedication. Thank you for helping people
Physical work can be tolerated even you can continue 24/7 in a hospital.
Mark my words brother, NHS is mental stress and you will not tolerate even 8 hour shift in a single day.
By all means going into the American system rather than the NHS. By the way, my US PreMed degree cost over $250,000 and then you undertake your professional training which costs around $650,000. You will also have to pay for your own medical insurance and the annual premiums will cost you a five figure sum minimum. And yes, as a junior doctor you will work exactly the same long hours as in the UK.
Our daughter is a Registrar and says as per the video.
In most countries doctors are revered - in the NHS they are just Cogs in the system. Very sad state of affairs!
In what country are Dr's revered ? They are no different than any other service provider, better payed with better benefits than some, worse than others. Just cogs in a machine.
Sue Brown. Why on earth should doctors be revered, they’re not gods.
Respect and reverence is earned it is not an automatic right, there are many poor doctors and many average doctors very few are actually really good at their job
@@hibeealex472 Well said, there are some awful ones, I know I have had some bad experiences with GPs over
the years.
@@gailcrowe727 Keep saying that when you end up in the hospital and they save your LIFE!!
My sister died from undiagnosed cancer because the GP wouldn't see her.... you can't diagnose over the phone...it was negligence, even one of the GPs said so...I honestly would have found the money for her to go private if I'd realised that level of neglect and disinterest...I trusted the GP.i know better now.
50% of Kings College and University College London were international students. I'm not sure what percentage international students have for medicine at these universities. International students pay far more in fees so it is greed on behalf of the universities. If international students dont remain in the UK once they have finished their training then this will contribute to a further shortage of junior doctors
The NHS is going to be filled with apprentice doctors and physician associates instead
Or doctors from Asia who will take any rotten job just to escape their countries
I predict in 30 years we would not need GPs. They will be replaced by AI.
@@dadt8009 yeah right
@@dadt8009 - and that would be terrble
A very honest video, we have got pretty much the same situation in Germany.
Not just doctors, community pharmacists are also leaving the profession because of similar reasons.
It is fascinating that in these days we persist in creating a market out of the unmarketable. We sell carbon credits, we sell conflict in arms deals and we sell ill health in creating marketplace hospitals. I see the architecture of hospitals unchanged since Brunell designed a flatpack hospital to be shipped to the Crimea. I am certain a central clinically separated core (for infection control - separation by design) of admin non-patient facing personnel would be a benefit. This would at least allow clinicians to talk to someone about a case in real time and so notes would be updated in real time, tests ordering and scheduling could be left with a dedicated core of wise medical secretaries as well as leaving notes and video mail clips for handover colleagues and the business of caring for the patient and following up difficult cases left to those willing hearts who have studied and trained to do just that. Even with the avoidable increases in diabetes, a fit and proactive doctor, who has time to follow up with gracious encouragements may be the difference. However in the market, it is not allowed to dream.
I’m surprised that it wasn’t mentioned that modern medicine is a major risk to public health. How can this be a truly satisfying job? Are we making the difference we envisioned?
“In the UK, use of prescription drugs is at an all-time high, with almost half of adults on at least one drug and a quarter on at least three - an increase of 47% in the past decade. It’s instructive to note that life expectancy in the UK has stalled since 2010, the slowdown being one of the most significant in the world’s leading economies.
Contrary to popular belief, the cost of an ageing population in itself is not a threat to the welfare system - an unhealthy ageing population is. A Lancet analysis revealed that if rising life expectancy means years in good health, then health expenditure is expected to increase by only 0.7% of GDP by 2060.
The greatest stress on the NHS comes from managing almost entirely preventable chronic conditions such as heart disease, high blood pressure and type 2 diabetes. Type 2 diabetes alone (demonstrated to be reversible in up to 60% of patients) takes up approximately 10% of the NHS budget. A disturbing report from the British Heart Foundation suggests that heart attacks and strokes are set to “surge” in England over the next 20 years as the prevalence of diabetes continues to increase.
Yet rather than address the root cause of these conditions through lifestyle changes, we prioritise drugs that give - at best - only a marginal chance of long-term benefit for individuals, most of whom will derive no health outcome improvement. The reality is that lifestyle changes not only reduce the risk of future disease, their positive effects on quality of life happen within days to weeks. However, those patients unlucky enough to suffer side effects from prescribed medicines may find their quality of life will deteriorate in order to enjoy small longer term benefits from the medication.
Of course patients may need to use both, but what’s important is that information is presented in a transparent way to encourage shared decision making.” Malhotra, 2018
£££££££££££
Nail on the head !!! You are so right ....
Fascinating stats.
Habibi come to India 🤣🤣🤣 you have to work 24 hours and salary will be in pennys
It is despicable how the UK doctors regulator has treated doctors from abroad including Dr Bawa Garba, Dr David Sellu and Dr Manjula Arora. You can search for these and learn for yourselves.
Yes I do admin receptionist it’s pay workload and there are so many problems. Sad so many are leaving 😢
As someone who has spent a lot of time as a patient, I really really want doctors and nurses to have tight limits to how many hours they can work a day and a week. I’m not being dramatic when I say I don’t want a doctor or nurse who works more than four hours a day. I don’t want to see any nurse that feels they don’t have the time to sit down for lunch, or the time to use the restroom.
Also, I’m not shocked to hear junior doctors saying all the things that are in this video. The NHS has been in crisis for a while (I moved to the UK from another country), and when I had my first interaction with it almost 20 years ago, I was a bit shocked at how dysfunctional everything was. On a personal level, I will do anything I can to avoid having to interact with the NHS - this is following years of being at the bottom of the pile of 💩 as a vulnerable patient (I am aware junior doctors are near the bottom with us, not saying it starts with them)
The NHS Car leasing scheme is an INCREDIBLE benefit. I've never seen such a benefit in the private sector. It's untrue that one needs to be a consultant to practice privately. The private medical & surgical sector is full of doctors who did not complete specialist training, many of them self employed. Take a look for example at the cosmetic medicine & surgery sectors and you will see there are probably more "junior" docs than consultants.
Whilst working on hospital radio I learnt lots when talking with Dr’s in the corridors. It clearly wasn’t good news then, & it’s more in the news now.
I feel conflicted because I think it was the wrong decision for me to enter into medicine because of how poor the conditions are for medical students and junior doctors, the high competition rates to specialty training etc, but at the same time, I recognise the need for our nation to have more doctors. I think it's best to inform people of the realities of the job, the good and the bad, so that they count the cost.
I can completely relate, but however, where are the doctors leaving NHS going to? Which countries have better condition with regards ease on getting residency slots and good work life balance?
I'm a doctor in Australia. It's very much the same here now. Over supply of medical students but refusal by the government to create more training spots. For instance, on average only 1 person is accepted onto the paediatric surgery training program every 2 years. I've been allowed to practice surgery everywhere in Aus for 8 years now but I'm still unable to progress with my career because I can't get a training spot. After putting in over 100 hrs/week (not even counting on call hours/unpaid overtime/unpaid cpd requirements) year after year, I'm on the cusp of leaving the system myself. I see a lot of UK doctors coming over, but sadly they end up disappointed when they realise it's pretty much the same in Australia now. But hey at least it's sunny.
1 training spot per 2 years? Thats madness!
Thanks for telling the truth. I think it is very bad not to be able to do career advancement. It's all about money
It's over supply of medical graduates in terms of training spots, right? It's not that Australia has too many doctors.
Its going to happen to the USA as well. Boomers hyperinflating academia with med schools and creating a glut to get into residency.
Thanks for sharing your experience, any ideas about New Zealand. I am considering moving there
a lot of british doctors come here in saudi arabia and gulf to work. This video explain a lot. i hope you had a rise in salary.
The NHS went down the plug hole when managers from industry were introduced to run the NHS. Patients were no longer patients but clients and treated in a similar manner to an automated system. Suddenly these managers became ‘bosses’ who made sure they scratched each others’ backs, decisions were made without much regard to clinical need. Consultants and frontline staff were treated with contempt and a notion of ‘do what I say’ Big offices, bonuses conferences, management buildings well away from the hospitals with facilities were assured for the managers and not the frontline staff. NHS must get back to its core business of caring for the patients and not bother about all the sideline crap with unnecessary requirements of obtaining non clinical based certificates.
As a support worker in the nhs myself not just doctors are feeling this, all the staff regardless who they are, are also like this
then NHS is not worthwhile but Usmle have also these problems and 50% match in residency.Then Where to go , what to do ?@The Aspiring medicos
Thank you so much for this video! Very insightful
This is happening in most jobs including university teaching eg poor system and not sustainable with little support from senior members etc. There is a lot of emphasise on medical doctors partly because of their job roles. I was wondering what is the salary for eg a police officer or a fire fighter get? All equally tough jobs.
Colleagues .I am a bit long in the tooth-approaching retirement ,A few years ago I witnessed conversation in a hospital,,Two colleagues who had big families were boasting about NONE of their children had perused medicine !
I am a third year Student Nurse due to qualify next year, and I am unsure if I want to be a Nurse in the NHS. I am considering emigrating to Australia after I qualify.
Go somewhere else.
Ozzzz has the same laws, and lawyers... All Corrie if you get my drift ...
I was planning for giving plab and work in London😬
informative video, but like to quote how India deals with doctor shortage, while a medical student is studying 4-5th year medical school they are appointed as an apprentice taking care of level1 calls of medical care, the junior doctors are considered for 3-5 years (post college) and they take care of level 2 calls of medical care, doctors and senior doctors (no cap) but hierarchy and they work in 2-3 hospitals both governament and private and as well as online consultation with fees etc. If the above is not possible - the other option to reduce stress on doctors is tie up with doctors of another country with online consultation, wherein the doctors of that country can take a mini test related to uk medicine and practices thereby reducing pressure and cost. There are even more options available
We need more slightly higher trained nurses, doctors really don't do as much as they do on wards, it's so obvious.
Great video - touched on a lot of the key problems. Just a few minor comments. Please could you clarify that anyone who is not a consultant or a fully trained GP is a junior doctor? Unfortunately, there is a perception amongst the general public that a GP is somehow a lesser doctor than a consultant and we need to ensure that this perception is dismissed. Similarly, my understanding is that it is indeed possible to practise privately provided that you are operating within the confines of your expertise. In practical terms, this only means that those who are on the specialist register with the GMC either as a consultant/GP will practice privately. However, there are cases of junior doctor doing very minor procedures such as botox injections privately. Of course, when you do something like this, you have to take responsibility for any complications and you have to ensure that you obtain adequate indemnity, but it is technically possible. Overall though, great video - thank you.
Once doctors have reached a certain stage and got their degree in medicine and surgery, they then decide whether to go into hospital or GP work. Both then have to study a number more years to be a qualified GP or a consultant. Both takes same time as one has to know more about a much wider range of health issues and the other concentrates in a much narrower field but greater depth. Many GPS then also qualify in specific things such as skin complaints, women's problems, geriatrics, etc. so study never stops.
The NHS is at the point of crisis. Some would say that's deliberate in an attempt to have it privatised. That's a side issue.
Both pay levels and general mismanagement by government and administrators need to be looked at. I believe they should be considered s a whole package.
Nurses have degrees beyond the old RGN training. Like doctors, they spend a lot of time doing admin rather than direct patient care. Yet there's an army of management and admin staff allegedly supporting both.
Funding for all medical training is lacking, there's limited further training available for those trying to do it, yet there's also a shortage of staff at all levels - including Consultants.
Focussing on pay and personal working conditions simply tinkers with the details.
Bold leaders from both doctors and nurses need to present a consistent plan for change. One that can be easily understood and supported by Joe Public. Yes. Reform. Recent contracts related to the Covid pandemic provides a strong argument for proper cost and quality control by those who understand how supplies are used. Bean counters are only trained to recognise beans.
It's illegal for one union to strike in support of another. Its also illegal to coordinate action between unions.
It is legal to have several unions taking unilateral action over the same broad time period- rail workers and train drivers come to mind - with similar goals.
As both doctors and nurses have shown in the past, strikes and work to rule action allows essential treatments to continue. The public is aware of underfunding, overworked, burnt out staff being called heroes as a substitute for proper recognition of essential work. We can support you, we won't be listened to if we try to speak for you because expert opinions will suddenly come into vogue, instead of being ignored.
As a biomedical scientist within the NHS , I’m considering leaving. The stress isn’t worth the pay . There’s never any staff and you’re frequently doing the job if two or three people
9:58 , where it's suggested NHS doctors get private health insurance ...??!!!!!! Honestly solidarity with anyone having to provide care in the NHS while the Tories are actively trying to dismantle it, but the idea of private health insurance for NHS workers is laughable.
Interesting video, however, inflation is not exclusive to Doctors. We all suffer the same. Many people's working hours are 60 - 80 or more. My wife tried to get an appointment to see a Doctor and it's nearly eight weeks for a regular appointment. Finally, the NHS wasn't the only business working through Covid, thousands including myself did.
I wish we'd go on a global junior doctor strike. Same case in India. Add all the political propaganda, quacks as the cherry on top. From OBG bullying to the perks issues to pvt. practise.... even as a Junior Doctor from India I can relate to this in a heart beat.
I don't mean to sound callous, but so much of what you describe is what everyone else is going through, inflation/ stagnant salaries, lack of attractive benefits, work place bullying, slow progression or absence of opportunity for development at all, even shift working and unreliable rotas in some sectors. I think you do extremely important work, but so do other sectors who will never earn a fraction of what you earn. I know they didn't spend years swotting, but long distant lorry drivers, farm labourers, cleaners, supermarket staff, rail and bus employees are all vital to a country and are in similar situations except because of their inferior education they have absolutely no hope for progression and will still be earning peanuts to the day they retire whilst graduate doctors will have eventually moved on to become registrars and eventually consultants. Let's fix things for everyone, inflation is killing us all.
Snot with u no but hooo u no
What happens if you don't fix it is mass brain drain, leaving the poor to pick up the scraps. See post communist states as an example.
I don't think the UK is that bad yet for the general population as most of these things seem to be happening to all countries across the world, however, health care workers seem particularly likely to emigrate because there are 3 or 4 countries they can make a better life in without much further training.
I agree with the sentiment of let's fix this for all, but the truth is if you don't stand up for yourselves as a profession you will be trampled upon. The medical profession's union has done a poor job of advocating for medics for many decades. As more and more individual doctors have taken the flack for systemic failures in the NHS and pay in real terms has reduced year on year, the goodwill of NHS workers is wearing thin. Clapping for us is not enough anymore.
My advice would be if you can work privately or go abroad, do so and quickly. The NHS is sinking and you need to escape before it takes you down with it
@@premium3307 it depends on what's more important - the money or family !!
Yes they are universal problems, but also, the work doctors do is not universal. Are you a doctor? Have you had to certify a death? I did one last night, and cried throughout. Have you managed a patient who can’t breathe? Or whose heart is shutting down? I did that day before yesterday. Can you do that? Would you do that?
The responsibilities and pressures we face are so far beyond most people’s standard of normal. So we deserve to speak up for ourselves and our own rights
The NHS is down the drain ! I will explain ... I am a British Citizen, but I worked in France for 31 years. I now live in Senegal. Still covered by the French National health service I went to Paris on June 22 2022 for a Urological exam (I'm 71) . The RDV was at 15h00, at 18h00 I was installed in a single bedroom and operated just before midnight (Bladder Tumor). After installing drains, I was operated again 4 days later and 2 "J J " stents were installed and I received 3 blood bags... Two weeks later I went Home. The operation cost = 0$ .. A friend of mine in the UK (84) went to his local doctors clinic 5 times just for a RDV. He got PILLS ? Still in pain with his arm he went to the local hospital ((Preston) after 4h of waiting he got more pills ! Now two months later he has had a CT scan and they have discovered cancer in the shoulder : He is "waiting" again for a bed in a specialized ward to try and fix this !! When I was in the French hospital (Paris Saint Joseph 14eme) I had ALL the exams and scans etc IN SITU ! without even going outside. ALL the services are grouped together and available within a few hours .. Thats why I say that the NHS is down the drain ........
This is an issue in most industries now, lots of people soon are going to be in poverty as a full time minimum wage job won't cover cost for most people. The way the government is dealing with this is bloody atrocious.
Somethings going to have to give or people will doing 50 plus hours weekly (basically working themselves to death) just to get by. Things have gotten so crap over the last decade.
I was a juniour resident. I worked 90 to 120 hours a week. I was paid $7.00 per hour for the first 40 hours. Nothing else for the balance. The ccleaners were paid $20 plus benefits for 35 hours then paid overtime. Talk about stupid.
Very insightful video, an important topic that isn't discussed enough!
Greetings from the U.S. Have you UK doctors seen a "trickle down effect" to Physician Associates? I think what you guys are experiencing is in the U.S. system, now.
I think other health care professionals such as nurses ,physiotherapyists,cleaners and others.DONT FORGET.NOT JUST DOCTORS!!!!.NO HARD FEELINGS
Junior doctors can work privately. Private hospitals employ junior drs at better pay rates than NHS but more hours. You may be expected a 1 in 5 rota and 24 hr on-calls.
RMOs who work privately don't get paid that well, you're better off locumming somewhere with good rates
Solution = People take personal responsibility for their health. They carefully choose the foods they eat, they drink water not sugary man made concoctions, they dont work in jobs they hate, instead they seek out rewarding and fulfilling employment(or create their own employment). They forgive and hold no grudges, they have an active spiritual life, they engage in a form of exercise they enjoy as opposed to "Having to go to the gym". They carefully choose what they watch on tv, what they read and what they listen to. They carefully choose what thoughts they think and linger upon. They love their neighbour as themselves.........if people would do this the hospitals would be pretty much empty. Yes people fall and break their arms, these are accidents, but for the most part, most people are not in the hospital because they fell or had an accident, they're there because of the lifestyle choices they've made over the course of their lives. If people would take responsibility for their health and not just expect doctors to "Fix" them when things go wrong all of these issues would disappear.
very true, The same people who expect doctors to teat them like magic
Go to Australia, Canada, or US. Do it early. I'm CCTing now and have moved abroad.
Honestly to me the UK is heading towards more and more privatisation of healthcare and I do not like it one bit
When the waiting list from a GP's urgent referral is 4-6 months and you can get a private appointment the same week, the NHS is nothing but a failing business.
@@angelawilliams1830 Its easy to point out the problems but hard to think of solutions, thats what you all are doing.. Think up a solution rather than being headless chicken echoing the obvious.
Shame to see this happens. I lived in a country when health sector is private, is awful.. Greedy companies affects the whole community. Health and education must be a national interest, period .
Same. I have multiple, life-long health conditions. I’d never be able to afford private healthcare. It’s terrifying.
Need to stand up and work together ..The goverment is distracting the nation by making these trouble in paying bills, cut supports... I am originally from Iraq, I smell the dirty politics policies are coming to here. When goverment wants to do something against the people,they get them distracted by something else, till their policies run smoothly.. shame we lost under these greedy people
Interesting video and an NHS employee of 30 plus years I'm seeing this first hand. A major review and overhaul is required. I did laugh however at the contributor looking for a perk of private health care. 🙄
I have so many problems with my body and the NHS are telling me I am fine,anyone else think they are corrupt?
how are IMGs treated in NHS??
i m an undergrad student and want to pursue my career in UK, NHS
this video highlighted some of the facts i did not know but i think same situation is in my own country or even worse
Sadly they are treated like second class citizens with poorer training opportunities and lower pass rates in postgraduate exams
yoo man i am studying dentistry in india. planning to do MPH in UK after that. how about job opportunities for that in UK??
I know many UK doctors who have advised others NOT to even contemplate being a doctor, especially in the UK. These are doctors who are at the frontlines and not those who are part-time and hold professorships and government posts and hardly do any clinical work and shifts and get others to do the "dirty" work.
Same situation NHS dentists.
In Australia as well from hospitals also as GP's. Slavery is not so good,. the provider number system in australia = slavery because you can't just leave the hopsital and go an work for your self get paid, unlike any other job. You have to get a provider number first to get the govt rebate. So it is a form of slavery dressed up as standards.
Lawyers are globularised and C orrie. Quite Corrie...
I’m a new provider in the US. What is NHS? Y’all are not alone! Providers/nurses are quitting here too! Shortages of providers, overloaded patients, management ignore issues and more! The high pay does not matter! It’s exhausting and fuck$ with your mental health and destroys relationships with families and spouses!
NHS is the National Health Service of the UK that provides free healthcare to the population. However it comes at a cost where the government simply disregard the staff in the NHS (all fields)
Something we should fight to resist here in the US - public healthcare can only look like this. The time, motivation and effort to study medicine is devalued - in all fairness, it has to if you provide such skilled and vital services for free. Healthcare salaries are low in universal health systems and to pull it off they try to make you believe becoming a doctor is "no big deal." Military healthcare is a good example of it here in the US - those military doctors that stay longer than their GI bill requires are those that barely passed their courses and can't find employment in any good private system.
Honestly I want to become a doctor and I think the job is for me but with ongoing circumstances that you have highlighted it just deters me away from thinking to study medicine. Working hard is not issue for me but it would be nice to feel valued for working hard with decent wages which it doesnt seem like is happening right now. I honestly dont know what to do and results day is like 1 week away😭
Aheha obs and gynae is where most bullying occurs. I wonder why...
Let's be real the tories want the NHS to fail but somehow not be accountable. Doctors pay will increase significantly once everything is privatised. The tough times are now for junior doctors but they will improve. Unfortunately it will be the patients that suffer in the long term.
Currently studying for the USMLE and leaving for America soon. Can’t afford to live in the UK with such wages.
The USA health business is a shit show
Pharmacist here …… hoping to leave next year
Good luck. Our matching situation sucks and getting worse by the year.
@@annette1433hi, I’m going to do my OSPAP this sept to be a registered pharmacist in uk. Is it worth it with the current nhs issue?
IT'S. THE. FUCKING. TORIES.
Americans who glorify socialized medicine and hold NHS as an example should watch this video. Even the govt should not be inserted between doctor and patient.
Sorry, you missed the point by a country mile.
Govenrment aren’t getting between doctors and the government, and a lot of the problems - especially pay - have been caused directly by a right wing conservative govenrment deliberately underfunding the NHS. A more left wing government that was in previously actually *improved* things by massively increasing spending on the NHS. The answer is even more government, and ripping out the internal market - moreover, a govenrment left wing enough to see healthcare as a right, and be willing to raise taxes to fund a system and pay its staff properly. We literally had that government between 1997 and 2010.
Same in nursing. Leaving in droves. Good luck colleagues
Looking at the comments. Sounds like NHS will be importing Indian doctors soon. sigh...
My husband is a trainee here in UK, I am shocked at how little doctors are being paid. So true about healthcare for doctors, he is on my private insurance. I would encourage these doctors to move aboard unless there is revolutionary change in the current system. It's truly unfair for young doctors.
Watching this as a potential patient. It’s terrifying. At least you have a choice to leave, patients have very little choice regarding the care they get.
Meanwhile, in India I was paid around 700usd a month, and i even did 86hrs duty a week ......
There is absolutely no reason to pursue a career in medicine in the UK
wow its crazy, many of the problems are the same here in germany. I always thought the NHS was the far surperior system.
Lawyers in UK and Ozzzz are the same and same jurizdiction...avoid and avoid being regulated by 🔥🔥🔥
Nope.
Best start looking for another type of work
It's a way for the private firms to move in.
That's the plan, they're trying to make the healthcare system the same as America in the UK. Americans pay through the roof for their healthcare.
In a sense all the NHS trusts already run like private firms. The only difference is NHS doesn't have shareholders. It's not exactly non-profit either. A lot of people get rich on the back of NHS.
you can't expect doctors to work only with some sense of duty. the NHS system is bad. The pay is crap and the cost of living is high. The bottleneck system, the competitiveness, taking ages to finish residency only to work as a public servant. What are the incentives to be doctors in uk?
Um.. if you studying to make big money than I think you are not suited to be a doctor.
Being A doctor is for people who are selfless and want to save lives. You are neither.
@@elaminmochichi7767 Yeah... clearly you didn't even hit puberty. First get into medical school and we can talk
@@elaminmochichi7767 if the world really cared so much about raising selfless doctors, the education also should have been free? Why do we have to get loan and have debts for being doctors to help others?
Junior doctors could have a look at what other professions requiring similar length of study and grave responsibility earn, like civil engineers, architects, midwives delivering babies in the middle of nowhere, and then also the cleaners, refuse collectors and sewage workers that make sure we dont all die of poisoning, diseases and infections.
Doctors are not paid badly and have a lot of good perks like taxpayer paid training and education for years, their pension and death in service, organisation wide perks via discount sites available to NHS workers covering everything from amazingly good mobile phone and gym discounts to clothes, holidays, restaurants, travel, household goods, insurance, car hire, credit card and loan preferable rates, credit/loan unions...the extent of which very few private companies and employees have.
@@user-if5ei1ex7n I just smell a self-hating manchild whinging. You already know the answer to the problems, you just can't comprehend the scale of the issue. I feel sorry for your family raising someone like you.
I am a non Caucasian non British non European doctor who wishes to escape this seasonal contracts of the NHS and the disrespectful status I get in this country. I have committed plenty of sacrifice to reach this level, but it does not matter. Having struggling for year to climb the ladder and moving my every year at least across cities, I have had enough! Had enough of medical man power, had enough the complicated training system, had enough of the disrespect I receive because of the hierarchy! I think it’s insane to study or do medicine,when you can get more money and stability from doing other stuff including petty stuff. Do the public now what have doctors endured to becomes doctors ? Do they know how much sacrifices especially in there private lives ! Do they know doctors keep moving their lives at leas on a yearly basis ! I wish I was not a doctor, I wish I could make money out of TikTok !
If you dont mind me asking, are you still in the U.K practicing or have you moved?
I haven’t moved yet, any ideas ?
@@amronemhb2448 Defo move to australia or America, they really do compensate their doctors fairly. But with America, its hard to land good residencies as an international and I'm pretty sure you have to take exams and what not which will take you around a year or even more. But with Australia, I'm pretty sure you can start practicing as soon as you move if Im not mistaken and they pay well too
@@amronemhb2448 Another place you can consider is the Middle East, most countries over there do not even have tax so all you pay essentially is Rent for wherever your living, no water/electricity or gas bills.If you have a British passport, they will prioritise you over the arabs there by the way
@@amronemhb2448 America 100%
I worked in consulting for a while and this is my thought, no one should be asking for a 40 hour work week. Simple
The money (incentive) is delinked from productivity (tasks performed).