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International recruitment of nurses : United Kingdom case study

By James Buchan


This paper is based on research funded by the World Health Organisation, the International Council of\ud Nurses and the Royal College of Nursing of the United Kingdom. Whilst the primary focus is on the UK,\ud general lessons related to international recruitment and migration of nurses are also highlighted.\ud There is general agreement amongst all stakeholders in the UK that nursing shortages have become a major\ud factor constraining health care delivery in the National Health Service in the UK. In order to overcome\ud these skills shortages, four areas of government initiative are underway: attracting more applicants to nurse education; encouraging returners to nursing employment; improving retention through improved career\ud structures and flexible working practices; and recruiting nurses from abroad. NHS Plan targets for increased staffing have been one major factor in focusing attention on international recruitment.\ud There has been a significant growth in the level on inflow of nurses from other countries to the UK.\ud Registration data on annual admissions of nurses from non-UK sources shows a fivefold increase since the\ud early 1990s. In 2000/01 a total of 9,694 initial entrants on the UK Register were from all overseas sources.\ud This figure has risen to approximately 15,000 in 2001/02, which equates to almost half of all new nurses\ud entering the UK Register in the year.\ud Registration data highlights that a total of more than 30,000 new non-UK nurses have registered in the UK\ud in the last three years. The Philippines, South Africa and Australia have been the main sources.\ud The trend in significant growth of recruitment of nurses from non-EU countries has not been matched by\ud any growth in inflow from the countries of the European Union. In recent years the EU has reduced in\ud significance as a source of nurses entering the UK.\ud The Department of Health in England issued guidance on ethical international recruitment practices in 1999\ud requiring NHS employers to avoid direct recruitment from designated countries such as South Africa and\ud the West Indies. Registration data suggests that the 1999 guidelines may have had some short-term impact\ud in reducing recruitment from South Africa and the Caribbean, but that this recruitment activity may have\ud then been displaced to other developing countries. The Department has issued a strengthened Code for\ud international recruitment in late 2001.\ud The pull factor of meeting NHS Plan staffing targets is likely to mean that the UK, particularly England,\ud will continue to be active in recruiting from international nursing labour markets, partly as a result of new\ud targets having been set for 2008. UK government policy initiatives to increase the number of nursing\ud students, and to improve retention and return rates, can have a positive effect. However, the growth in the\ud number of UK nurses who can retire is likely to challenge the capacity of the NHS to retain the required\ud numbers of nurses. When coupled with the likelihood of liberalisation of global labour markets, this points\ud to a continuing high profile for the UK in international nursing labour markets

Topics: RT
Publisher: Queen Margaret University College
OAI identifier: oai:eresearch.qmu.ac.uk:18

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  1. (2002). Behind the Headlines: A Review of the UK Nursing Labour Market.
  2. (2000). Broken Promises.
  3. (2001). Code of Practice for NHS Employers involved in international recruitment of healthcare professionals.
  4. (2001). Control of Immigration: Statistics United Kingdom
  5. (2002). Data provided by Nurses and Midwives Council,
  6. (2001). Expectations and experiences of newly recruited Filipino nurses. doi
  7. (2002). For a detailed discussion on the UK nursing labour market see Buchan J, Seccombe I
  8. (1999). Globalisation and Healthcare Labour Markets: A Case study from the UK. Human Resources for Health Developments Journal.
  9. (2000). Implications of an ageing registered nurse workforce’. doi
  10. (2001). Import Duties.
  11. In Australia there is an estimated shortfall of 5,000 out of a total workforce of 250,000. Nursing Times,
  12. (2002). Independent Healthcare Association/ Registered nursing home Association / Voices
  13. (2002). International Recruitment of Nurses: UK case study
  14. (2001). Investment and Reform for NHS Staff- Taking Forward the NHS Plan.
  15. (1948). Letter from Executive Secretary, ICN to Chief Nursing Officer, Ministry of Health,
  16. (2001). Migration of Health Workers from Commonwealth Countries. Commonwealth Secretariat, doi
  17. (2001). NHS Emergency Pressures: Making
  18. (2002). nurses face language barrier. UKCC News,
  19. (2002). Nurses flee UK despite efforts to raise numbers. Nursing Times.
  20. (2001). Nursing home loses right to train overseas nurses.
  21. (2000). Nursing Strategy for Canada. Health doi
  22. (2000). Nursing Strategy for Canada. Health Canada, doi
  23. (2001). Office of Manpower Economics annual survey. Published in Review Body for Nursing Staff, Midwives, Health Visitors and Professions Allied to Medicine
  24. (2001). Organisation for Economic Co-operation and Development doi
  25. (1997). Overseas Mobility of UK Based Nurses. doi
  26. (2001). Overseas trained nurses apply to the UK in record numbers. UKCC News, website, dated 4
  27. (2002). Permits waived for skilled staff”. Nursing Standard,
  28. (1979). Physician and Nurse Migration, World Health Organisation, doi
  29. (1970). Problems of Overseas Students and Nurses. National Foundation for Educational Research
  30. (2001). Review for 2002. Written Evidence from the Health Departments for Great Britain, Review Body for Nursing Staff, Midwives, Health Visitors and Professions Allied to Medicine.
  31. (2002). Secretary for State for Health (2002).Speech to RCN Congress,
  32. (2001). Securing our Future Health: Taking a Long Term View.
  33. See e.g “War on foreign nurse abuse”
  34. (2001). see e.g:Department of Health
  35. (2002). Spanish nurses face language barrier.
  36. (2002). Successful schemes helps foreign recruits adjust to life in the UK.
  37. (1999). The “greying” of the UK nursing workforce: Implications for Employment Policy and Practice. doi
  38. (2000). The NHS Plan. doi
  39. (2000). The Nursing and Midwifery Resource- Report of the Steering Group.
  40. (2000). The Nursing and Midwifery Resource. doi
  41. (2000). The Nursing and Midwifery Resource. Interim Report of the Steering Group. Department of Health and Children,
  42. UKCC (2001)More countries providing more nurses and midwives.
  43. (2002). UKCC introduces English test for non-EU applicants.
  44. Unpublished data/ commercially sensitive. Source: recruitment agency,
  45. (2001). Warning on misleading nursing ratios data.
  46. (1999). Working lives DH: London
  47. (2002). World of a difference.

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