5,000 physicians in UK return to India

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5,000 Indian docs in UK return homeAdd to Clippings

[ 16 Feb, 2007 1430hrs ISTIANS ]

LONDON: Nearly 5,000 Indian doctors have so far returned home after

failing to find suitable employment in Britain's National Health

Service (NHS) that forced them to live with rats, cockroaches and

scrounge for free meals in temples and gurudwaras.

The figure of 5,000 returning to India since April 2006 is

approximate, and the actual figure could be more. The doctors had

passed the requisite tests for employment in the NHS, but failed to

find jobs due to changes in immigration rules and a larger pool of

available doctors from within Britain and the European Union.

Many more face the prospect of returning home after the February 9

high court ruling that disallowed a judicial review of the changes

made in April 2006. All attention is now focussed on the ongoing

recruitment process for 21,000 NHS jobs starting August 2007,

according to leaders of the Indian medical community.

The current recruitment is part of a new system called Modernising

Medical Careers (MMC) that came into effect this year. From January 22

to February 4 more than 30,000 doctors applied for the 21,000

available jobs in various specialities - and 10,000-12,000 applicants

of them are said to be Indians.

Shortlisting of candidates for the jobs is expected to be completed by

February 24 and interviews will take place in the first week of March.

Leaders of the Indian medical community are working to ensure that the

Indian applicants are not adversely affected in the recruitment

process by the February 9 ruling of the high court. Those who are not

selected in this round will also face the prospect of returning home.

Lakshman Raman, vice-chair (policy) of the British Association of

Physicians of Indian Origin (BAPIO), said that if the new rules issued

in April 2006 were applied, there would be practically two shortlists

for the NHS posts, one of British and EU citizens and another pile of

Indian and other overseas doctors.

" The second list would only be considered for jobs that are not filled

using doctors in the first list. Since BAPIO went to court and the

verdict was announced on February 9 we believe so far the new rules

have not been applied.

" After the verdict, BAPIO has written to the Department of Health

(DoH), asking that they continue to hold the new rules in abeyance as

we are going to appeal and we hope they will agree to this request.

" We will need to apply for a stay order only if the DoH does not agree

to hold the new rules in abeyance while awaiting the appeal. They are

still considering their options and will get back to us on this. "

The BAPIO legal team is working on the appeal petition that can be

filed within three weeks of the February 9 ruling.

Raman said that BAPIO had decided to file the appeal before March 2

and had launched another fund-raising drive among Indian doctors to

meet legal costs.

Raman added: " We are collecting funds for the appeal process and the

initial response from our members and the wider doctor and Indian

community has been encouraging. We understand that the judiciary

understands the importance of this and will process it expeditiously.

" Since the MMC process only comes into force for jobs starting August

2007, the implications for doctors will be only from August 2007.

Doctors who are currently in jobs will be able to continue till August

2007 when if their current job has got over and if they have not

managed to get another job they may have to consider returning home.

" We fear that if the new rules are applied there may be many thousands

of doctors unable to find a job from August 2007. "

Raman added that a major reason for the large number of unemployed

Indian doctors in Britain is the increased frequency of holding the

mandatory qualifying test called the Professional and Linguistic

Assessment Board (PLAB) test.

Every overseas doctor needs to pass this test before being registered

for possible employment. Earlier this test used to be held twice or

thrice a year. Now it is held twice or thrice a week. The success rate

is also higher with the result that there are now more doctors who

have cleared the test.

According to official figures, nearly 1,000 passed the test in 1998,

but the number sprung to 6,666 in 2005. One part of the PLAB test is

held in centres in India while another is held in London.

So high was the unemployment among Indian doctors who had passed the

PLAB tests but were unable to find unemployment that one of them,

Surinder Sareen, wrote a clinical account in the British Medical

Journal of the condition such doctors found themselves in.

Calling it PPUD (Post PLAB Unemployment Doctor) Syndrome, Sareen

detailed a series of ailments such doctors suffered from, including

depression, insomnia, obsessive-compulsive disorder, hallucinations,

somnambulism, omniphagia, dissociative fugue and muskoskeletal

deformities.

Sareen wrote: " In an effort to keep up an old medical tradition, I

report a new syndrome, prevalent in the age group 25-35, but some

cases are seen in the early 40s. Both sexes are equally affected. It

is endemic in east London, but sporadic cases can be seen all over

Britain. It is mostly found in immigrants from the Indian subcontinent. "

His treatment for the PPUD Syndrome: " Love and a healing touch.

Patients should be encouraged to go back to their home country, as in

Britain even local graduates find it difficult to get a job and nobody

is bothered about someone with PPUD syndrome. "

http://timesofindia.indiatimes.com/World/Rest_of_World/5000_Indian_docs_in_UK_re\

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