HomeLiasions for resolving visa crisis and Other EMD issuesMile Stones In the History of UKAID
http://bolsin4ukhonours.blogspot.com/
There is once again talk of the need for “Whistle blowing”. The secretary of state, The BMA,The BMJ etc are now all claiming to sign up to support whistle blowers. However it is instructive that the work of the pioneer in this field Steve Bolsin is not yet recognized in the UK.While he is said to have initiated the concept of clinical governance he had to leave the country to practise his profession. Here are some points to ponder
1) Unlike what some have said Steve was said to be a relatively junior anaesthiologist when he first raised concerns
2) His was undoubtedly the first major disclosure of its nature which led to major changes in practise
3) He himself is said to have stated (According to reports) that he was shunned by colleagues and had to leave for Australia to continue practise
4) Though many have paid lip service to him for essentially sacrificing his career there have been no moves to bring him back or honour him
5) We suggest to Mr Lansley and Mr Meldrum that Steve Bolsin be nominated for the CBE/MBE (we are not the first)and that he brought back as a national czar for clinical governance and advisor on whistle blowing
WE enlist your support


Anger at threat to axe doctor

View full article:
http://www.thisisleicestershire.co.uk/news/Anger-threat-axe-doctor/article-21039\
21-detail/article.html


This trust in an ethnic minority "Majority" area is not exactly a paragon in the
way it treats EMD.They still do not have a single EMD at any higher echelons and
we think the staff grade cuts have something to do with it.Ditto fopr
investigations etc.We hope the incoming administration will take a clean break
from this appaling misuse of powers in the past and promise a fair and clean
NHS.It may be purely coinicdence that the staff grades are Asian doctors!
Jayaprakash A Gosalakkal


NHS-Misuse of Power

Misuse of powers by the medical oligarchs is now reaching the level of corruption. They have many ways to control and eliminate the non confirmers. The arms they use without any basis include1) The NCAS.Some of the assessors for the NCAS do not bear scrutiny. I know one who never attend the hospital or his/her patients but is busy assessing others2) Occupational health by asking them "Is this person well enough" in the best KGB fashion claiming it is in your interest but don’t fall for it is exactly like the KGB sending dissidents to the Gulag3) Sweeping complaints against themselves under the carpet. You rarely here of CD/MD/ACD are being investigated for clinical incompetence even though we are hearing of such from many sources.4) The fear is that some of these totally unsuitable oligarchs are soon going to be your responsible officers. The GMC has started a consultation and express your views even if you are ignored. These problems are worse when the oligarchy is white and the coalface Asian doctors5) Therefore though we first thought a Tory win may be good we think now that monopoly of power is not a good idea and a hung parliament with a liberal surge may the anecdote for NHS corruptionJayaprakash A Gosalakkal 










This is the official site for UKAID an organization Launched in Leicester on 15/10/05.We hope to represent all ethnic minority doctors and international medical graduates in the UK and liase with those of similar status in countries like USA.UKAID has an elected president and executive committee whose terms of office are for three years.We hope
To fight for equality and justice for the Ethnic minority doctors and international medical graduates
To improve training needs for post PLAB and other junior doctors
To increase the number of EMD/IMG in the higher echelons of the NHS
To improve the ways in which awards are given and disciplinary hearings are conducted
We request your support
Jayaprakash A Gosalakkal
President UKAID

United Kingdom Assosciation of International Doctors UKAID UKAID invites all to join us in improving the status of ethnic minority doctors and International medical graduates in the United Kingdom and worldwide. We hope to represent the aspirations of minority doctors everywhere.

Doctor

Email address:
Comment:
Full name:
  

Those Who want to join us please send your membership fee of £10/ to
UKAID 146 Enderby Road Leicester LE8 6JJ
DOH reconfirms Chatham house meeting
DE00000169995
Dr Jayaprakash Gosalakkal
Jay3world@aol.com
Dear Dr Gosalakkal,
Thank you for your email of 10 December, which has been passed to me for
reply under the terms of the Freedom of Information Act 2000.
You ask for clarification of whether there were consultations before the
changes to what you call the 'visa rules'.  I can confirm that there was no
formal consultation on the changes to the Immigration Rules.  This is in
line with standard Home Office practice.
I can assure you, however (as we have made clear in previous correspondence
with you), that we did outline the proposed changes to the Immigration
Rules at the meeting held on January 18 last year under the Chatham House
rules, at which both the British Association of Physicians of Indian Origin
and the British International Doctors Association were present.  As the
minutes of that meeting (which have previously been sent to you) indicate,
there was discussion of the proposals.
I hope this reply is helpful.  If you are unhappy with the way the
Department of Health has handled your request you may ask for an internal
review.  You should write to the Section Head of the Freedom of Information
group at the Department of Health, quoting the reference number above:
Ms Jill Moorcroft
Department of Health
Room 334b
Skipton House
80 London Road
SE1 6LH
DOH responds to our question about HSMP

Our ref: DE00000093221

Dr Jayaprakash Gosalakkal
President
United Kingdom Association of International Doctors


Dear Dr Gosalakkal,

Thank you for your e-mail of 24 April about the changes to rules for post-graduate training for doctors and dentists and the guidance on the treatment of those with limited leave to remain, including those on the Highly Skilled Migrant Programme (HSMP).  I apologise for the delay in replying.

The HSMP is a points-based system which was intended by the Home Office to provide ‘talented people with exceptional skills the opportunity to come to the UK to seek work’.  Applicants who meet the relevant criteria are usually granted leave to remain or enter for two years initially.  They can then apply for an extension to a maximum of five years but this is not guaranteed.  Guidance has been published on the NHS Employers website on the treatment of applications from doctors with limited leave to remain in, or to enter, the UK, including those doctors on the HSMP.

The British Medical Association (BMA) and others asked us to clarify the guidance and we agreed to review it.   Subsequently the guidance was challenged and we are awaiting the outcome of the legal process.
 
We are aware of concerns over doctors who have come to England to complete the Professional and Linguistic Assessment Board (PLAB) test.  Completing PLAB has never been a guarantee of a job and we have worked with those organisations which are the first point of contact for international doctors to ensure candidates have a realistic view of job opportunities in the UK.
 
The Department of Health funded the Royal College of Physicians to undertake research into the number of applicants for posts at Pre Registration House Officer and Senior House Officer (SHO) level and the General Medical Council (GMC) have surveyed those doctors who passed PLAB in recent years to see how successful they have been in obtaining posts.  The findings of this research were widely publicised to doctors considering coming to train in the NHS, to ensure that doctors considering coming to the UK had information to inform their decision, and were aware that a job was not guaranteed.

There is evidence to suggest that the information supplied has had an effect on the numbers of non-EEA doctors moving to the UK.  In 2005 over 3,000 fewer doctors took the PLAB 1 test than in 2004.  You will also be pleased to hear that the GMC has recently cut the number of PLAB 1 tests it holds.

You also ask, under the Freedom of Information Act , for correspondence between the Department of Health and the British Association of Physicians of indian Origin (BAPIO) prior to the amendment of the Immigration Rules.  These are attached.  For ease of reference they are separated into three different sections relating to correspondence linked to the Equality and Diversity reference group, the changes to the Immigration Rules and other.  All names except those of civil servants have been removed in accordance with section 40 of the Freedom of Information Act.  Under section 40, information will be exempt if its disclosure would contravene any of the data protection principles in the Data Protection Act 1998 (or certain other provisions of the Data Protection Act 1998).  In an earlier e-mail you also requested a copy of the minutes of the Chatham House meeting held on 18 January.  The issue around the release of this document has now been resolved and it is attached as part of the correspondence.

If you have any queries about this letter, please contact me.  Please remember to quote the reference number above in any future communications.

If you are unhappy with the service you have received in relation to your request and wish to make a complaint or request a review of our decision, you should write to:

Freedom of Information Unit
Department of Health
360C Skipton House
80 London Road
SE1 6LH
Agenda of January 18th meeting.Chatham house rules suspended due to UKAID pressure.It is clear partcipants including IMG leaders felt ending of PFT was a good thing?
Notes from Chatham House meeting:
Employment of medical staff – the future
NHS Employers, Bressenden Place, 18 January 2006

See appendix for list of attendees.
Name deleted under Section 40 of FOIA presented an overview of the medical workforce challenges.  Here is a summary of the content of his slides which are also attached for information.
The following are key drivers:
• Medical School expansion
• MMC
• Career grades
• Working Time Regulations
• Geographical variation
• Equality and diversity
Name deleted under Section 40 of FOIA included a summary of current numbers of career grades, consultants and training grades and future projections.
He highlighted • EU doctors and IMGs
The Department of Health then provided a brief outline of new proposals to cease permit-free training for doctors and apply general Home Office migration rules on skill shortages ie, only recruit internationally when posts can’t be filled through domestic supply.
Additional drivers were then identified by the group.  These included:
- choice
- more care being delivered in  the community
- PMETB (more time on appraisal, assessment, supervision; less service contribution)
- ISTCS
- chambers
- Foundation Trusts
- Out of hospital White Paper
The debate then focussed on a number of key areas.   The following points were made during the course of the discussion:
Training
· We need to train the doctors the NHS needs and wants in order for them to compete in the market.
· On gaining CCT are people equipped to work as a consultant?  Are they competent but not able/experienced?
· Implications of significantly shortened training need to be taken into account – effect of MMC and reduced hours due to WTD.
· Is the end point of training always a job as a consultant? 
· Graduates entering medical school now have different needs and expectations. They need proper careers advice and to understand they may not be guaranteed a job at the end of training – very different from past experience. It’s impossible to define the much longer term for current students.
· Training is now more like a ‘conveyor belt ‘ with increased competition at the end.
· We need flexibility in training arrangements as needs of the service change – students will need to spend more time in primary care.
· Training in ISTCs is an issue and an acute problem for some specialities where they are taking training out of the service. There need to be continued training opportunities in elective procedures and a level playing field
· DH has negotiated that it will be a requirement that phase 2 ISTCS will deliver training, with deans involved in agreement on how much they provide.
· 70% of new graduates are women so flexible careers and training are necessary – and also for men.
· There is a need to reform the GP curriculum to focus on different sorts of skills and to ensure consistency.
· Consultants can support GPs’ training needs.
Future consultant
· It’s unclear what the consultant of the future will look like.
· Juniors are not supportive of a specialist ‘sub-consultant’ grade - though trusts  may want to employ different sort of doctors.
· Students/juniors expect to be trained to be a consultant.
· Future consultants won’t be the same as in the past with shorter, more focused training – they may need initial supervision before being fully developed.
· There needs to be more heads of service and clinical leadership in the future. The ‘chef de service‘ model may be an option.
· The way in which consultants work is changing  -  new consultants now get additional support and training  and are much more a team player with sharing of skills & experience.
Engaging employers
· There is a need to get the service views fully in planning the medical workforce – until now the service has not been good at engaging and medical education and the profession have led the debate.
· Uncertainty over how much of workforce planning is local versus national – but there is a need to get chief execs involved and encourage them to think of the longer term.
· Employers will increasingly look at skills needed to deliver care, regardless of the qualification eg non medical consultants, specialists in the community.
· Employers need to help to embed the new curriculum and manage the interface between primary & secondary care.
· It’s essential to create attractive jobs so we can recruit the best doctors.
· There is a need for employers to get involved with Modernising Medical Careers
Primary care shift
· GPs and hospital doctors need more time in each others settings.
· There is a need for more specialists in the community. This leads to questions over whether the GP needs to maintain the gatekeeper role and how this role should work - (there was one view that this would be eroded by patient choice and there was another view that GP role would increase with more provision in the community eg of diagnostic tests)
· The future of GPwsi needs to be considered  –  though there is a need for more evidence and role needs to be based around patient not professional need. 
· We need to look at the totality of the NHS not bits in isolation.
· The RCP and RCGP are working on a joint paper on collaboration what’s best for patients as well as profession
IMGs
· Overseas doctors have been crucial to the workforce since the NHS was set up – they comprise up to 1/3 of workforce.
· An estimated 7000 – 10,000 overseas doctors have passed the PLAB exam and are currently unemployed.
· IMGs  have been given the wrong information about availability of work and it is not acceptable just to leave them without any support. The issue needs urgent action as it has been a problem for years.
· The end of permit free training and suspension of the PLAB would at least ensure the situation isn’t made worse as we’re now over producing doctors domestically.
· What responsibilities do we all have for IMGs?
Appendix A - Attendees
Facilitator: Name deleted under Section 40 of FOIA
Attending:        , Ashford & St Peter’s Hospital NHS Trust
, Barts and the London NHS TrustGuys & St Thomas’ NHS Foundation Trust
, West Midlands Deanery
, COPMeD
, Leicestershire, Northamptonshire & Rutland Deanery
Mersey Deanery
 London Deanery
, Modernising Medical Careers
Modernising Medical Careers
 General Medical Council
JCC Secretariat
British Medical Association Junior Doctors Committee Education & Training Sub-Committee
 British Medical Association
Royal College of Physicians
 Royal College of Surgeons
, Medical Workforce Unit, Royal College of Physicians
 Medical Women’s Federation
, British International Doctors’ Association 
British Association of Physicians of Indian Origin
British Association of Physicians of Indian Origin
 NHS National Workforce Projects
 Workforce Review Team
Royal College of GPs Workforce Group
Debbie Mellor, Department of Health
Paul Loveland, Department of Health
Liz Kidd, Department of Health
Clive Kenny, Department of Health
John Brady, Home Office
Rosanna Fairthorne, Home Office
COGPED
Apologies: , London Deanery
 MMC
 RCS
 British International Doctors Association
Sir Liam Donaldson, Chief Medical Officer
Rob Webster, Department of Health
Nic Greenfield, Department of Health
Harriet Harman says
The MP has told the Sunday Times: "I don't agree with all-male leaderships.
What about all white Leaderships in some NHS trusts in areas where majority of the workforce are  ethnic minority doctors?
I think our arguments are finally having some impact. The issue of why a 40 %
workforce cannot create more than the current 5 % crème de le crème is beginning
to have an impact.
In countries like India (reservation) the USA (affirmative action) it is legal
to try to correct such anomalies. The UK has always hidden behind the impression
that positive discrimination is illegal
However without some such kind of action we cannot see the NHS hierarchy
reflecting its workforce. I once went for a NHS equality conference and found
every single speaker belonged to the majority community. Can they adequately
reflect the views of the EMD when we find even in doctors group the majority
denying any such racial bias in the NHS?
Now every trust especially in ethnic minority majority areas like ours has been
asked to take equality and diversity seriously. Straws in the wind?

It is well known that ethnic minority doctors often feel the brunt of the investigational mechanisms of the NHS.Here is the usual mechanism1) Three or four white doctors decide to target an ethnic minority doctor. The higher and more well known you are the more attractive the target2) They get a few white junior doctors and few nurses to join in the smear with vague talk of "Not upholding proper board room dictated behaviour"etc3) Then make it sound like you have some issues and go to the sympathetic clinical director4) The CD and MD future responsible officers have been waiting to silence the thorn in their side5) _Presto order an investigation which is one sided and ignore all the explanations and obvious conspiracyWE then go from being good to best!What a travesty. If you join this charade you will be stitched up with your involvement if you do not without. Either way you lose. I think our fight is lost before it began and I agree it is time to concentrate on issues which affect us directly.Dr Jayaprakash A Gosalakkal
Re-education for EMD/IMG

Another tool we find being used more and more is the remedial education for IMG/EMD to put a blot on their records. This reminds us of Chairmen Mao's re-education for doctors by sending them to the countryside and harvesting hay. Do we really need all these "Communication skills classes" and "Team working classes" more than our fine white brethren. I would think not. The usual mechanism is for 3-5 white conultants,nurses etc to join together and raise "Issues of interaction" with a "Understanding manager" who then convinces the trust to "Get the trouble maker". A whole load of people including BMA would ask you to compromise and most would do for the sake of the "mortgage".
The choice may be between living thousand days as mouse vs. a day as a lion-Not very appetising!
It is time the new Government looked closely at the powers they have given to CEO,S and MD,s including the forthcoming "responsible officerships".Most are totally unsuited to act in a fair and responsible manner. I think the chaos of a whole sale change is better than continuing with more of the same
Jayaprakash A Gosalakkal




 

We have been warned several times that our campaigns will "all end in tears".we have no doubt about the powers these unaccountable "responsible officers" hold.With a wink and nod they can destroy the most succesful careers.
However our tears will all be for the poor patients of the NHS who are not aware of how their tax money is spent
WE ask Mr Lansley to conduct an investigation into where all the money went which was invested,the misuse of investigational mechanisms,The selection of medical managers,The treatment of EMD etc in the last 13 years
WE cannot have a fresh start without cleaning the Augean stables of NHS misuse of powers
This is the reason why for the first time many of us did not vote Labour.. Just like the the post Masters in India the NHS oligarchs were the face of the labour government for many of us and what we saw was unedifying.So if MR Milliband wants to know our reasons for not voting labour this is it.
So we ask all the current CEO,s and MD,S to step down as a harbinger of change
Jayaprakash A osalakkal

Dr Mehta Goes to Delhi
Ihave not had an occasion to comment on the peccadilloes of Mehtaji for some
time now. But then lo and behold on a foreign holiday I saw mehtajis comment on
his new scheme (or his co-opted scheme). He wants to lead a Dhandi march of post
MTI and retired consultants perhaps led by him to populate the new Thuglakian
scheme he has approved. This is similar to the Hair brained PFI projects and
ISTC, s we have seen here.
The scheme states that those who have been "trained" in the so called service
jobs at junior level in the NHS are somehow more equipped than Indian MD, S to
provide state of the art medical care. I can understand a top up after
completion of training in India for some. I really do not know If India requires
an Influx of retired consultants led by Mehtaji en masse to improve services
there when there are plenty of returning doctors willing to do it now.. It also
appears to be a nice hobby horse with monetary gains for the architects of the
scheme as well as glittering parties at the Indian MOH and Pravasi jamboree's
must say for some any publicity is good publicity
I implore both the juniors and retiring consultants to not fall for this scheme
especially if it is led by the same cabal. I do not know how the same people can
say they are fighting for the right of the IMG in this country and then turn
around and support such apartheid in medical education.
But then Mehtaji never surprises me. The Lemmings have already started posting
in our web sites because of my critical remarks about this scheme. Anyway I
think Indian and IMG doctors are intelligent enough to smell a rat from far away
if that is the case and I leave it to their judgment to decide on the latest
from Bedford
Dr Jayaprakash A Gosalakkal



 Dear Dr Gosalakkal,
 
Thank you for your further emails of 29 August and 1 September to the Department of Health following on from our reply of 29 August (our ref: DE00000093221). Your emails have been passed to me for reply, and I hope you will accept this as a reply to both.
 
You ask about Dr Mehta’s and others response to the proposal to change the permit-free training rules outlined at the Chatham House meeting.  As we have previously said, the Department believes that there was a broad consensus at the meeting that changing the rules was the right thing to do.  However, as you will have seen from the notes of the meeting, individual responses were not recorded.
You also ask about the petition signed by International Medical Group (IMG) doctors.  This was presented to the Department on 21 April, as part of the protest march organised by BAPIO against the changes to the permit free training rules.  The petition was treated in the same way as other correspondence received by the Department of  Health, and a response was sent on 15 May (our ref: PO00000093127).  Please find a copy of this response attached.
You also ask if the correspondence you received was all that the Department has had with BAPIO in the last few years.  In order to answer your previous e-mail a trawl across a number of sections in the Department of Health was undertaken.  All the correspondence that was found has been sent to you.  As a result of your latest request, we went back to Surinder Sharma’s office and the attached further correspondence has been found.   I am sorry these were not sent initially.  Where names are blacked out in the hard copy correspondence this has been done under section 40 of the FOIA.
Finally, you ask about any other discussions of the changes to training for IMG doctors.  The Department of Health held a number of meetings with representative and stakeholder bodies at which discussions were held on the various issues affecting IMG doctors, such as the tightening up of the Immigration Rules, the proposed Points Based System for immigration, the position of Professional and Linguistic Assessment Board doctors and the proposal to restrict permit-free training.  A list of those meetings can be found attached. 
If you have any queries about this letter, please contact me.  Please remember to quote the reference number above in any future communications.
 
If you are unhappy with the way the Department of Health has handled your request you may ask for an internal review.  You should contact the Section Head of the Freedom of Information group at the Department of Health, quoting the reference number above:
 
            Skipton House
            80 London Road
            London
            SE1 6LH
UKAID STEPS UP EFFORTS TO PROGRESS EMD AGENDA
Thank you for your email of 28 April to the Department of Health about the under-representation of black and minority ethnic (BME) groups in senior positions within the NHS.  Your email has been passed to me for reply.
I would like to assure you that the Department of Health is committed to a National Health Service that delivers quality services to all communities and is an employer of choice, capable of attracting and developing talented staff from all backgrounds.  The Department remains committed to increasing the diversity of NHS senior managers and, at a time of major change for the NHS, it is essential that equality and diversity are not lost from the corporate agenda during and after the change.  The Department believes that NHS reconfiguration, for all the difficulties it involves, also represents an opportunity to ensure that equality is embedded into the new structures being put into place.

Good progress has been made in recent years, but Ministers are conscious that there is much more to do, particularly in increasing the numbers of BME staff in senior grades.  The Leadership and Race Equality Action Plan – launched by the Department in 2004 – set out a ten-point action plan through which the Department and the NHS must give even greater prominence to race equality as part of the drive to improve health.  The Plan recognised that BME groups are under-represented in leadership roles within the NHS and asked Chief Executives to take a number of service delivery and workforce actions.  As you know, one of the key actions was for Chief Executives to mentor colleagues from BME backgrounds for the benefit of both parties and to help better equip BME colleagues for career development. 

Following on from the progress already made by the Breaking Through programme, in 2006 the NHS Institute for Innovation and Improvement commenced an internet-based mentoring scheme to encourage the spread of mentoring arrangements for BME and other staff.  More details are available at www.institute.nhs.uk

The Department is determined to build on the good progress already made through the Leadership and Race Equality Action Plan and work on the Breaking Through programme.  Since his appointment as NHS Chief Executive, David Nicholson has identified leadership development as one of his early priorities for action.  Leadership development is a critical area for the successful delivery of the NHS reform programme.  An initial plan of action has now been endorsed by the NHS Management Board, which includes an early priority that all Strategic Health Authorities put in place a development programme to strengthen and broaden NHS leadership combining:

•      improved support to those already in a senior role; and
•      action to achieve a more diverse leadership community, with more clinicians as future Chief Executives, a better quality mix of race and gender and more people from outside the NHS, with dedicated support.

There are also plans to integrate work around the Leadership and Race Equality Action Plan into the NHS leadership development programme and performance management accordingly.
Yours sincerely,
Stephen Atkinson
Department of Health
Today's Thought -Indian Independance day
I must say the treatment of the Indian superstar SRK by the immigration
authorities in the USA is troubling. It is not that the procedure was not followed
but the manner in which it was done. In this day and age there appears to be
significant lack of sensitivity to the feeling of the majorities in countries
like India with all its claims of being an economic superpower. Former
president.AP Kalam was asked to remove his shoes in Delhi which is fine but can
you Imagine Regan or Bush or Clinton being asked to do so by Air India in an
American airport after they ceased to be president(Not that they would fly by
AI)
There is also very little chance that Tom cruise will receive the same
treatment in India. I can't also imagine a Chinese ex president being treated
this way. The reason I wrote about this is because this is the same attitude
taken towards Black/Asian doctors sometimes.Thier views are given less
importance in committees etc.Their application for top jobs are often brushed
aside and ridiculed as are their applications for awards
We are beginning to see a subtle change and hope the green shoots will survive
Jayaprakash A gosalakkal
        OCT 2  1869

That was the birthday of Gandhi who in my eyes was the single most important voice of our life time. He epitomized ML kings words that "We should be judged by the contend of our character not the colour of our skin". His moral power was such that even some one like Churchill who called him a "Bad man who should be done away with " had to change his tune,
  It is often said that a leader is judged by the followers he/she attracts. So if we compare those influenced by Gandhi like ML king /Obama/Nelson Mandela etc to those influenced by the likes of Hitler the statement makes sense
  Gandhi also gives us hope that the right side can sometimes win the argument .even if outgunned and shouted down, by the sheer rightness of the cause. This gives us hope that one day the NHS would judge us on the strength of our character and give us our rightful dues and not the current crumbs thrown at the "Brown sahibs with proper board room behaviour"
Jayaprakash A Gosalakkal
Investigating Ethnic minority Leaders

It is well known that ethnic minority doctors often feel the brunt of the investigational mechanisms of the NHS.Here is the usual mechanism

1) Three or four white doctors decide to target an ethnic minority doctor. The higher and more well known you are the more attractive the target2) They get a few white junior doctors and few nurses to join in the smear with vague talk of "Not upholding proper board room dictated behaviour"etc3) Then make it sound like you have some issues and go to the sympathetic clinical director4) The CD and MD future responsible officers have been waiting to silence the thorn in their side5) _Presto order an investigation which is one sided and ignore all the explanations and obvious conspiracyWE then go from being good to best!What a travesty. If you join this charade you will be stitched up with your involvement if you do not without. Either way you lose. I think our fight is lost before it began and I agree it is time to concentrate on issues which affect us directly.Dr Jayaprakash A Gosalakkal

Passage to India aka we told you so



Passage to India aka we told you so


 
The NHS is now trawling the backwaters of Kolkata and Mumbai to entice back the doctors they cruelly despatched in 2006.There is no apology, no acknowledgment of how their calculations on medical manpower went so wrong. The NHS always says learn from the past and move on. So let us remind them of UKAID,S first reaction to the policy of mass expulsion of Post PLAB doctors.
http://ukaid.blogspot.com/2006/03/united-kingdom-assosciation-of.html
I don't know how these posts are being sold in the Indian sub continent. We would urge any one contemplating a return to these shores to read carefully the small print. Both India and the UK are free countries and adults can make their own career choices (as we were told often in the Past)
Just so that nobody is thinking we are always beating up on poor Mehtaji. ,let me welcome his statement, for the first time ,not associating himself with this recruitment. I hope it is a genuine change of heart!

GMC and Induction
BBC iPlayer - Morning Reports: 16/09/2011
http://www.bbc.co.uk/iplayer/console/b01...
A round-up of the day's news, sport and business stories.

1 of 1Choose a thumbnail

I don't know if the above link is still working.This was an interview carried out by BBC radio 5 and later by BBC1 news at 1.They asked me about my views on the recent GMC report saying that IMG are not ready to wotk in the UK.I found it unnecessarily alarming.IMG work succesfully in many countries in the world and never been targetted the way they are in the NHS.The GMC is planning another box ticking excercise with exorbitant fees probably over the PLAB exams in the name of induction.
As it is the IMG especially if you are prominent are targeted by the establishment.IF they cannot find anything clinical they will create something .If not there is always the ubiquitous and subjective "Communication skills and team working".Both these have become an industry in itself and whther all this would improve patient care in any way is moot
In my decade here in the NHS there has been no improvement in the status of first generation IMG.They are still subjected to disciplinary procedures on trumped up charges and generally unless they become "Brown sahibs" have no place in the top table.
Jayaprakash A Gosalakkal


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Executive Committee
President:Dr Jayaprakash A Gosalakkal    Secretry Dr Rajaneesh Walia
"As a society we tend to highlight and attempt to correct the verbal and/or
physical use of racial discrimination. But there are other more subtle forms of
discriminatory behaviour that are almost impossible to detect and/or label as
racial discrimination. Such behaviour will extend from simply not being
acknowledged to being excluded from certain jobs simply by reason of one's
nationality. This book reflects on the instances when it is difficult to judge
or criticise others' negative behaviour towards us as racially motivated. It
looks particularly at the experiences of the non-EU nationals working and living
in the UK on a Post-Study visa."

This is from a book by Rosalyn Chia and I think it reflects the reality for many
who work in the NHS.
We often find that even the most accomplished doctor with a darker pigmentation
is overlooked in favour of not only white British doctors but also those from
south Afrika,Australia etc.Various reasons are given including "That was not
what we were looking for" "Wont quite fit in" "Lack of communication skills"
etc.But underlying all that is the bitter truth that the glass ceiling remains
as strong as ever even in areas with a large number of ethnic minority doctors

Jayaprakash A Gosalakkal




The Indian Diaspora seems to be a target in Australia. There have been various
theories regarding this. One is the high visibility of Indians now in
professions and the increasing prosperity both in India and Indians settled
abroad.
The entry that BNP has made in areas with high Asian concentration like
Coalville in Leicester and Burnley is also a worrying phenomenon. We should not
forget that Hitler came to power through the ballot box
Just like the Israeli government does the Indian government may have to take a
greater interest in the welfare of people of their origin if the host countries
fail to protect their interest
I have often felt even in the NHS also when we are discriminated against and
your local trust and the DH take no interest who do you appeal to?
Jayaprakash A Gosalakkal
A Latina Supreme court judge in the USA

Sonia Sotomayor has made clear that she is proud of her identity, and she offers that pride not as an affront but as an example -- not white, not male, not Anglo, not inclined to apologize. She is the new face of America, and she has a dazzling smile."

 This is a quote from today’s Washington post. I was just comparing this with all the so called mentoring and other programs in the NHS to make us have the "Proper board room behaviour" before we can be entrusted with the keys to the budget and departments. The NHS is way behind the USA currently in its approach to racial minorities. The only ones Trust boards and medical directors would consider for such jobs are "Those who keep quiet and behave like them”. Therefore we see the spectacle of disastrous medical leadership being praised for their "Loyality".This is similar to the brown sahib phenomenon of being more loyal to the queen even when their own countrymen were being imprisoned.

   What the NHS now needs is a new breed of leadership. A kind of post racial Obamafication where an immigrant from a small village near Calicut has the same right as some one from Pretoria to dream of reaching the pinnacle!

 

There is some loose talk of further Ghettoisation of IMG by some power hungry
EMD/IMG leaders and we request people not to fall for these sham proposals. I
will be the first one to opt out of such a concept
1) What we should work for is further integration to the extend that we do not
need separate organizations for EMD/IMG an Obama model not a Sharpton model
2) If the choice is between say Meldrum and Mehta I would have any day voted for
meldrum
3) There is no chance of such organizations achieving negotiating rights. This
has been a major problem for HCSA, remedy etc
4) We should try to build up a non denominational effective trade union.
5) Such unions purely based on trace may actually be against the law
So we think it is a terrible idea!
Jayaprakash A gosalakkal



In science we think of melanin as a natural substance with protective functions
for those living in hot climates and which probably has a role in many skin
cancers. In politics and in history however this pigmentory composition has led
to some of the greatest social evils e.g. Slavery in the United states and
Apartheid in South Africa. In its purest form the blond haired, blue eyed model
of Nazi Germany it played an even pivotal rule for justifying the atrocities
Melanin continues to be the bane sometimes of those who possess it in
excess.Obamas election if he was of pale colour would not have attracted much
comment. A Harvard educated lawyer from Illinois is elected president-Tell us
another one
I think probably in future the pigmented people would find it easier to become
the president of USA than a trust board member in some of our NHS Hospitals. We
have singularly failed to increase our presence in decision making bodies in
some areas including in some areas with high density of pigment like East
midlands. What is it about this pigment which makes ordinarily decent people
feel so threatened?

On the larger question of IMG representation our experience with the BMA has not been very promising.

1) The BMA has generally taken a position against medical migration and since we are all at the end of the day beneficiaries of such migration .Hence there is an inherent conflict of interest

2) I agree that we wear several hats and am not for further ghettoisation of our professional activities

3) The BMA International group is represented by people like Dr Borman who is not really an expert on sub continental doctor’s issues

4) I would certainly not want people like Dr Mehta to represent me at the BMA as our philosophies are different

5)I do not believe that we need any extra mentoring or communication classes to succeed or that the way to succeed is having a rolodex full of DH mandarins names and conducting glittering ceremonies addressed  by people like Donaldson and Black. This was BAPIO; S MO till people like us came on the scene

6) I agree the DH looks on these trainees as cannon fodder to a system which is coming apart at the seams.

7) Most Post doctoral fellows in sub speciality training however have gained and gone back (at least in our case) to have flourishing careers back home

I agree with MA that the IMG comes in all shapes and sizes but one think we all have to say is "Stories of discrimination" and failure to be represented at the top table or find people with integrity to represent our views!

P-S The reason we are talking about the past is because History repeats first time as tragedy and the second time as Farce”. To me Mehta again saying he is being misquoted is something of a farce. Why did he not object when his he was first quoted? I think we ask Donaldson, Black, Johnson and others for accountability. Strangely we are silent when it comes to our own!

Jayaprakash A Gosalakkal

On the issue of IMG and ethnic minority doctors our otherwise voluble
local brethren are tone deaf. So I would say we need to fight our own
battles. In my opinion the current collaborators (IMG leaders)with the
DH remind me of Geoffrey Howe's memorable phrase on Thatcher "It is
like the captain who sends you into bat with a broken bat" (or words to
the Effect).By holding "Mentoring classes" and "communication skills"
classes they have already spread the myth that the IMG is somehow
second class. This postulation has several supporters here. We reject
it completely and say the only thing holding us up is the current
recruitment practises which pay lip service to equality and diversity.
We need more effective leadership and I would not look into senior our
junior leaders of the current medical establishment to provide that
leadership. It has to come from within ourselves. The day we do not
need such groups would be the day we would have truly arrived in the NHS


The more I see this  issues there seem to bemore problems. Let us start with the whole spin. The DH suddenly discovers that the IMG were a valuable resource. I guess this came about after two years or navel grazing. More likely it was a sugar coating to the bitter medicine they were going to administerin the form of the new two year training program.. When we wrote to the Immigration sub committee pointing out the huge gaps in the middle grade level jobs we were told "The UK does not need IMG ".I am reminded of Ms Hewitt’s first response to the MMC crisis-No UK graduate is going to be unemployed under the new system in spite of the presence of the IMG.Within a few months she, Warner and others changed their tune and presto-The 2006 mass "Deportations”. Now they are trying to attract some of these deportees under a new "Avatar”. There actually is no need for two tier training even within immigration constraints. You have the US J1 visa example .You could have either home country requirement after training with a waiver process for shortage specialities or a no guarantee for consultant position after training. This gives flexibility to the system.Eg If there is a consultant shortage there would be the possibility of outside recruitment of fully trained doctors. I think the two year programme can only work as a structured training program for post doctor fellows. If on the other hand these are pure service jobs let us say so. This would be similar to recruiting Indian doctors to the Middle East etc on fixed contracts. I am amused by the IMG leaders who are providing cover to these DH summersaults? Is it penance for taking them to the courts? As for the BMA it has made its views on medical migration crystal clear not withstanding all the non EU membership in their midst

I am becoming increasingly appalled by the near dictatorial powers
given to clinical directors and others to carry out personal vendettas
and kangaroo investigations.Honest doctors raising issues of clinical governance
are appalled that sometimes after a "Thorough investigation" the accuser is
acussedof various perfidities they had not even dreamt of! I think the "whistle
blower" law is observed more in its breech!.I hope these powers given to these
managers to run amock is controlled by the DH
This has been the end result of the so called reforms. We have a
saying in India that we have no recourse if the "fence eats the crops".
In any case we are keeping a watchful eye
There is a general feeling in the establishment that minority doctors
can be intimidated by such tactis.It is understandable that people
don't want to risk their career and name to fight on the basis of
principle. Wither justice and fair play in the NHS? With Warwick
consultant case, the Internet Scot junior case, the London radiologist
case etc.It is becoming more and more a cesspool
Jayaprakash A gosalakkal
I do not know why some sections of society want to retain the right to
use terms considered derogatory by others whether it is behind closed
doors or in public. After the TV show controversy, there were the
royals using such terms of endearment and now we have the former prime
ministers daughter using such terms with reference to a black tennis
player
Anybody who resists is accused of being "P-C gone mad". It is
interesting that none of the minorities are arguing for the usage of
offensive terms against the majority
I think the reasons are much deeper. It appears to be a desire to re-
establish terms of racial inferiority use in colonial times.
Jayaprakash A Gosalakkal

Prince Harry used a four letter word which he says is a form of endearment to his” friend” from south Asia. His father prince Charles has another “Four letter name” for his “friend” who plays polo with him. Both friends say they are not bothered and like in previous cases are sure “This was not meant in a racist” manner. Some think it is “Political correctness gone mad”. I wonder when there are so many endearing names to choose from why did the next in line and the third in line choose these particular forms of endearment? Some of us who were here in the eighties remember shaven skin head shouting out such “endearments” from passing cars. We did not like it then and we do not like it now. So if any of our local friends are planning to call us this endearingly please desist or ask us if we mind. Cameron was right on the ball with his denouncement. Brown a little more nuanced. I think the politicians actually got it this time and hope the royals do too

Jayaprakash A Gosalakkal

There appears to be real change in the USA.An Indian-American second generation Neurosurgeon has been appointed as surgeon general. Would such a change come about in the NHS some day? Can we think of an ethnic minority doctor replacing Sir Liam or Dame Black as influential leaders? Would there be an EMD in Mr Nicholson’s place some day or even as a CEO/MD/ CD in an ethnic minority dominant city like Leicester. Till that happens we will reserve our judgment on equal opportunities and the meritocracracy in the NHS
Happy 2009 to all

We are hoping that the New Year will see a change in culture in the NHS.We have been able over the years  to argue for a true merit based system.Our major road blocks are sometimes other EMD organizations.They like the BAPIO have been saying that the EMD require mentoring and special classes to take their rightful places in the NHS.We reject such thinking as backward.We are ready.All we need is justice and fairplay in the NHS.On merit there is nothing stopping us from taking a leadership role in the NHS.Like the last Palin supporters some are putting up a last minute fight.We think the right side will win this battle.

Jayaprakash A Gosalakkal

I am glad that the GMC now agrees with our position that you are much
more likely to face disciplinary action if you are an ethnic minority
especially if you are an IMG.They have found
1) Trusts are much more likely to refer an IMG
2) Local colleagues are more likely to refer an IMG
3) Patients also are more likely to refer an EMD/IMG
This is our every day experience. Clearly in places where the number
of EMD/IMG is increasing there is also a fear and a desire to keep
the "uppity blacks" like us in their place. Unfortunaetly sometimes
the leaders in this are the white medical managers who belong to the
OBN and can always find sundry nurses, colleagues etc to write
incident form and instigate patient complaints. The whole system is
getting discredited and the medical managers often act as handmaidens
for such discrimination. Some say we should be thankful for being
allowed to work here. That sound like the "mugabe argument". Dont
forget we have and still are plugging an important skills gap in this
country. I am glad to find the GMC is finally paying some attention
to this scandal of the white establishment trying to soften and
discharge "The uppity blacks"
Best wishes
Jayaprakash A Gosalakkal

Disband BAPIO

This may sound preposterous but I am serious. I think the whole BAPIO
approach to ethnic minority and International medical graduates have
been one of ghettoisation. It was essentially telling people that
they need more mentoring more "Classes" to reach the level of the
local doctors. They carried out and still do such classes on
communication skills etc that plays into the stereotype of the EMD
created by the NHS
A number of our Associate specialists and others have been led into
this belief by this organization. This was the brain child of
Mehtaji.I have heard it from himself. My view is completely
different. In my experience many are already much better than the
locals and the only reason they are not doing well is selection bias,
which is subtle. I have been told in meeting after meeting that the
outcome of diversity policies is not being monitored only the
process. We all know the process can be manipulated.
I also hope people would stop shamelessly milking the unfortunate
doctor who ended his life while under the pastoral care of Mehtaji.In
my analysis the great legal victory after spending tons of money has
saved the jobs of a few HSMP holders. Even that I am not sure as I am
getting letters from many such who tell me that they re being still
overlooked in interviews.
Our infiltrator friends are busy trying to disband us.
Unfortunately for my ex colleagues we will continue .I think for a
future for the EMD/IMG I say BAPIO is part of the problem not part of
the solution. I am talking about the oligarchs who have succeeded in
destroying the cause and unity. We don't think with the lemming like
tendency we have seen over the years and with spin master like
Budadev and Mehtaji we will prevail easily .But we have to try and
are in for the long haul
So disband BAPIO and call a grand summit of all ethnic minority
doctors including those currently not in any organization
Jayaprakash A Gosalakkal

There was a bit of relief for some categories of Immigrant doctors from the House of lords decision.The blatantly unjust rules regrading HSMP doctors were reversed.However we should not forget that the Immigration law changes which disrupted the career of thousands of IMG still stand.Many had to return home without compensation and rebuilt their lives.So we give half a cheer.We are hoping that the diaspora can become more united.We need a more vigorous style of leadership.We need more participation if our cause is not to wither away.Our challenges are many .The latest changes proposed makes any further migration next to impossible while many trusts are finding it difficult to fill in their junior doctor places.The DH,s manpower planning lies in shambles.We are hearing calls to once again recruit from Chennai and Mumbai for the hard pressed specialities.Would it be a case of once bitten twice shy?

Jayaprakash A Gosalakkal

There is a huge culture change in fields like business and cricket where former colonies are now proudly buying up hoary establishments or defeating the old colonial powers. Except for diehard racial supremacists most people welcome this second coming of age. Many people would not know the story (Quoted in the Times news paper yesterday) that when the first British Thomas Moore came to Jehangir’s court he had to wait as a supplicant. “The times” thinks that with Tatas acquisition of Jaguar history has come a full circle. We have British Asians now sending their children to Indian schools in record numbers stating that it would help their future
  The only organization which seems Impervious to all these changes is the NHS.On paper they claim they have an equality and diversity policy and monitoring. At least in the last ten years this has made no change in the number of ethnic minority doctors in positions of Influence. We have an occasional headline grabber, an odd RCGP president etc. As for the rest it is business as usual
  This is our fundamental difference with Mehtaji and co. Their position is that the EMD needs tutoring, mentoring etc (in line with DH thinking and such disasters like "Breakthrough programs”). Their efforts seem to be to create a "Brown (Not the PM) aristocracy " with themselves at the helm. We say we are ready, give us what is rightfully ours. Otherwise stop talking about equality and admit the reality that it is still a service almost exclusively run by the majority community
Jayaprakash A Gosalakkal

                               

        

There appears to be some rethinking in those who arrange programs,
which call for special mentoring for EMD before they are accepted into
the higher echelons. In our view such thinking itself is
discriminatory. Why should one group which has spend the same amount of
time in the NHS require mentoring while the other e.g. those from South
Africa or Australia do not. In my opinion it is those who are unable to
cross the Rubicon of true diversity who now populate many trust boards
etc that need mentoring. They need their eyes opened to the possibility
that merit does not equate external appearance
Obama is now dealing with this quandry. How do you convince the
majority community that if elected/selected you would represent all.
Does that require him to completely forsake his roots? Can an EMD be
only selected for a high position after he is sufficiently brain washed
I mean mentored to have "proper Board room behaviour"?
Does proper board room behaviour mean building up your hospitals and
departments or demonstrating the external etiquettes which many
Immigrants cannot copy with the same effect? I think it is time for a
rethink if everyone has to get the same opportunities
Jayaprakash A Gosalakkal



      
Presidents weekly report

The sub continent has provided the NHS with a continuous supply of
doctors who manned the ramparts, worked in jobs which the locals
would not do etc. The Government and the DH thought they could just
close the valve to prevent the flood. I am sure they will realize
their folly of such a drastic measure
1) There are wide spread signs of shortage at the middle grade level
in Pediatrics, Locum positions etc
2) The service jobs are mainly done by Immigrant doctors.
3) There are indications that local doctors would rather migrate,
leave medicine etc than work in a job not to their liking.
4) The Immigrants are usually here because of a shortage in local
skilled manpower
5) Next time when this shortage becomes widespread the sub
continental work force may not trust the DH enough t come here
6) Politics may yet ruin a substantial relationship developed over
the years between the sub continental doctors and the NHS and hence
our opposition to the Immigration reforms proposed by the DH and
supported by BAPIO (or at least loudly in the past by mehtaji)
We hope better sense will prevail
Jayaprakash A gosalakkal



Leaked Department of Health documents have revealed a national
shortage of locum hospital doctors, with some trusts reporting they
are "lucky if applicants attend for interview". HSJ first highlighted
the issue last year and as recently as 14 February the DH was
insisting there is no evidence of a widespread shortage.
We also have reports from many regions including Wales of
recruitment difficulties for middle grade in specialities like
paediatrics. This is why we say the BMA/BAPIO/DOH axis is wrong in
planning to stop medical migration.
The court case goes on. A few HSMP holders may benefit from the
outcome and we are happy for them but I think we have to start
thinking long term and the court case is just a small cog in that
wheel except for providing Mehtaji with even more photo
opportunities. Dont get us wrong we welcome any relief given to the
much harassed IMG but do not buy Mehtajis version of El dorado after
every event in which we win the battle but loose the war. The
recent example of even more draconian IMG rules after the court
verdict comes to mind
Jayaprakash A Gosalakkal

 

 

I Was recently reading the press release of Mehtaji on behalf of his organization claiming to speak for all of us?Based on what ?Does this cabal really speak for you and me.It certainly does not
represent me.Mehtaji and co are now trying to curry favour with
Johnson and co supporting the most discriminatory Immigration laws I
am aware of.Mehtaji thinks those who have not come here are unlikely
to contribuite to his funds so he takes the easy way out by writing in support of the DH.As a wiseman once said "If you have nothing clever to say hold your tounge".I am
astounded by the audacity of mehtaji and his organization to come out
with a statment like this!!!

We are glad when something happens which helps the Diaspora whether
it is a legal or moral victory. As we all know it is a great struggle
to establish yourself in a foreign land and the least you can do is
not to mar anybodies chances. I oppose the current Johnson/BMA/BAPIO
view on medical migration for several reasons.
1) I oppose protectionist tendencies, which are carried to such
extremes. When even a society like India with its high unemployment
is recruiting foreign nationals for jobs which require high skills
like International airline pilots, CEO,s of companies etc UK does not
consider medicine as such a field which would gain by international
expertise
2) There has not been even an acknowledgment of the role government
bodies and the GMC etc played in this manpower crisis. People
conveniently forgot why so many IMGs were here in the first place.
3) There are very few laws, which are introduced in this manner
overnight. We have no doubt that if the majority of people affected
by such laws were white South African or Australian doctors there
would have been more thinking. We think the IMG are being treated
with such disdain because they mainly come from South Asian and
African countries.
4) We therefore oppose the recent changes proposed in Immigration on
moral, ethical principles as well as the long-term effects it will
have on the NHS because of its inability to appoint on merit
irrespective of the country of origin
5) We are not asking for an open door policy. We are asking for
fairness, and appreciation of merit and feel this can still be
achieved without causing unemployment amongst British graduates. We
feel most of the unemployment was caused by the reduction in training
jobs caused by the MMC.
6) I have been told by several employers including recently a human
resources manager from Wales that blanket bans of recruitment from
amongst IMG would lead to collapse of their services.
7) The Government in our opinion is making a grave error of judgment
by this blanket ban and we plead with them to be flexible in their
approach
Jayaprakash A Gosalakkal





 

 

 

 

 

 

 

 

All of us have the tendency to mix fact with opinion. So when a trust board cannot find any ethnic minority doctor for appointment to senior positions we should try to separate the facts from their opinion

Fact: In spite of tall claims made by the DH, NHS and trust board ethnic minorities in positions of influence are in a woeful minority i.e. still Barely 5 % of the work force while their numbers exceed 30-40% of the total workforce.

Fact: While a white doctor trained in south Africa can easily assume charge as a clinical director without any mentoring or targeted assessment it is much more difficult for a doctor from the Asian sub continent to do so except in hospitals where because they have no choice the trust boards appoint such people

Opinion: Ethnic minorities need special mentoring, courses etc before they can assume such positions. There is really no evidence to suggest that an ethnic minority consultant/doctor when given such position without extra training compared to a white doctor has preformed less well except in the imagination of the majority.

The discrimination continues even in areas with huge ethnic minority populations and we would plead for the wholesale change in people like medical directors and CEO, S who act as dinosaurs resistant to change. We have failed to change the mental makeup or opinion of such people in many trusts .The only alternative is a wholesale change in personnel at medical director and CEO positions who understand the true nature and diversity of the work force and respects it. I think it is time for change! We have a new PM and New heath minister, Many new CEO,S but some in the medical hierarchy go on as permanent MD ,S and CD,S

Regards

Jayaprakash A Gosalakkal


Jayaprakash A Gosalakkal








 

JOIN US,HELP US TO HELP YOU

 

Jayaprakash A Gosalakkal

We stand for a larger principle, the continuing lack of recognition
for the EMD/IMG, the unfair rules, the discrimination in promotions and
awards. I think the recent change in rules is a symptom not the
disease itself. The disease had taken hold long ago when the first
IMG arrived on these shores. We know there are a very many fair-
minded people here with whom we would like to engage and hopefully
convince. Is there hope for unity ? yes  not as a ramshackle
structure but  as a unity based on sound principles. We still feel for
this to happen there has to be a change in the leadership and ethos.
We request those who agree with us to join us in large numbers.
Others may choose to follow other idols. We have no problem with
that. We invite you all to take a closer look at us and discern in
the miasma of all that our opponents and some friends are saying
about us- The kernel of truth -you may find  that the reason we
started this group is because we care and we still do.
JOIN UKAID

 

Aims of UKAID

1)Equality for IMG/EMD in promotions,awards,Recognitiona

NHS trusts and directorships

2)Fair deal for PPD and Junior doctors on visa and training

3)To be judged on the inner qualities than the pigmentation of the skin.

4)To be judged on what we know not who we know or how we look






Amongst the many letters from IMG leaders released by the department of Health

here is a plea from a "senior leader" for a position in the leadership for himself 

. As they say 'Some you win, some you lose'. But leadership in the NHS is such an important issue and the fundamental problem in the NHS that it is why it is too difficult for me to give up. I do hope we can make some impact at the leadership centre so that people who are passionate about the NHS are given real opportunity.

Copy of UKAID letter to MS Hewitt.

 

 Dear Ms Hewitt,

     We the ethnic minority doctors and our well wishers are extremely concerned about the recent changes brought in to work permit rules by the Government under the directions of the Department of health headed by you.

1) Ethnic minority doctors have worked sincerely in the NHS and have been uniformly praised for their skill and application. With one sudden act you have removed merit as a primary criterion in recruitment and replaced it with nationality. This may have implications for patient care as well as equal opportunities.

2) You are a member of a party once led by people like Atlee, Bevan, Wilson and others who whatever be their other faults were well known for their commitment to equal rights. You represent a constituency with cultural diversity and nearly 30% ethnic minority population. So it is doubly surprising to us that you initiated such an act.

3) The act effectively has stopped in the tracts training, career development and the livelihood of several doctors who never expected the rules to be changed in the middle of the game.

4) Meanwhile the GMC continues holding its PLAB exam and earning a large amount of revenue when it knows well that passing these exams do not lead to employment. The warnings they post are neither prominent nor effective.

5) HSMP and similar programs are usually meant to treat skilled immigrants on par with citizens and residents. We are not aware of any other country in the west, which changed the rules suddenly for skilled migrants.

6) We are surprised by the way the changes were introduced as compared to other bills which are publicly discusses and showed a certain disregards for the views of nearly 30% of NHS staff.

7) We request you to forthwith withdraw this new regulation, involve in manpower planning and find a resolution for the Post PLAB doctors who have spend considerable amount of money and are a serious concern to us.

8)We know you will take the morally correct position as a representative of a multicultural constituency

Regards

DE00000162495
Mr Jayaprakash Gosalakkal
Jay3world@aol.com
 
Dear Mr Gosalakkal,
Thank you for your email of 21 November, in response to my reply to you of 3 November (our ref: DE00000135889).
I am pleased that we have been able to address many of your concerns.  We do accept that different doctors will have different views and that individual organisations will not be able to represent all of these.  You will understand, however, that it is not practical in many cases to meet or discuss issues with individual doctors.  For this reason, we will continue to engage with representative bodies. 
We welcome views from different representative groups and I understand that UKAID has been invited to join the Medical Workforce (Equality and Diversity) Reference Group run by NHS Employers.
I hope this reply is reassuring.
Yours sincerely,

Colin McDonald
Customer Service Centre
Department of Health

                  


              President: Dr Jayaprakash A Gosalakkal
Secretry:Dr Rajaneesh Walia

bemyown234@yahoo.com