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dc.contributor.authorBuchan, James
dc.date.accessioned2018-06-29T21:38:22Z
dc.date.available2018-06-29T21:38:22Z
dc.date.issued2002-07
dc.identifierER18
dc.identifier.citationBuchan, J. (2002) International recruitment of nurses : United Kingdom case study, , , no. 28, ,
dc.identifier.urihttps://eresearch.qmu.ac.uk/handle/20.500.12289/18
dc.descriptionThe author acknowledges the assistance and support of staff at the Department of Health, England; Work Permits (UK); United Kingdom Central Council for Nursing Midwifery and Health Visiting (UKCC) [Note: the UKCC was reconfigured on 1 April 2002 as the Nursing and Midwifery Council- NMC]; Royal College of Nursing (RCN); NHS Professionals; the Independent Healthcare Association (IHA); An Bord Altranais; three private sector recruitment agencies; and management and nurses at three NHS trusts actively recruiting in international nursing labour markets. This paper is based on research funded by WHO, ICN, and RCN, and the support of staff at WHO and ICN is also acknowledged. The views expressed in the report are those of the author.
dc.description.abstractThis paper is based on research funded by the World Health Organisation, the International Council of Nurses and the Royal College of Nursing of the United Kingdom. Whilst the primary focus is on the UK, general lessons related to international recruitment and migration of nurses are also highlighted. There is general agreement amongst all stakeholders in the UK that nursing shortages have become a major factor constraining health care delivery in the National Health Service in the UK. In order to overcome 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 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. There has been a significant growth in the level on inflow of nurses from other countries to the UK. Registration data on annual admissions of nurses from non-UK sources shows a fivefold increase since the early 1990s. In 2000/01 a total of 9,694 initial entrants on the UK Register were from all overseas sources. This figure has risen to approximately 15,000 in 2001/02, which equates to almost half of all new nurses entering the UK Register in the year. Registration data highlights that a total of more than 30,000 new non-UK nurses have registered in the UK in the last three years. The Philippines, South Africa and Australia have been the main sources. The trend in significant growth of recruitment of nurses from non-EU countries has not been matched by any growth in inflow from the countries of the European Union. In recent years the EU has reduced in significance as a source of nurses entering the UK. The Department of Health in England issued guidance on ethical international recruitment practices in 1999 requiring NHS employers to avoid direct recruitment from designated countries such as South Africa and the West Indies. Registration data suggests that the 1999 guidelines may have had some short-term impact in reducing recruitment from South Africa and the Caribbean, but that this recruitment activity may have then been displaced to other developing countries. The Department has issued a strengthened Code for international recruitment in late 2001. The pull factor of meeting NHS Plan staffing targets is likely to mean that the UK, particularly England, will continue to be active in recruiting from international nursing labour markets, partly as a result of new targets having been set for 2008. UK government policy initiatives to increase the number of nursing students, and to improve retention and return rates, can have a positive effect. However, the growth in the number of UK nurses who can retire is likely to challenge the capacity of the NHS to retain the required numbers of nurses. When coupled with the likelihood of liberalisation of global labour markets, this points to a continuing high profile for the UK in international nursing labour markets.
dc.format.extent28
dc.publisherQueen Margaret University College
dc.publisherQueen Margaret University College
dc.titleInternational recruitment of nurses : United Kingdom case study
dc.typemonograph
dcterms.accessRightspublic
dc.description.facultysch_nur
dc.description.referencetext1 For a detailed discussion on the UK nursing labour market see Buchan J, Seccombe I (2002) Behind the Headlines: A Review of the UK Nursing Labour Market. RCN/QMUC 2 See Buchan J, Seccombe I (2002) Behind the Headlines: A Review of the UK Nursing Labour Market. RCN/QMUC 3 Organisation for Economic Co-operation and Development (2001) Health Data, 2001. OECD, Paris 4 Buchan J (2001) Warning on misleading nursing ratios data. Employing Nurses and Midwives, Issue 60, p12-14. Dec 2001 5 Department of Health (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. DH: London. 6 Wanless D (2001). Securing our Future Health: Taking a Long Term View. Interim Report. November. Public Enquiry Unit, HM Treasury, London; p183 7 Office of Manpower Economics annual survey. Published in Review Body for Nursing Staff, Midwives, Health Visitors and Professions Allied to Medicine (2001) Nineteenth Report. December 2001, London 8 see Buchan J, Seccombe I (2002) Behind the Headlines: A Review of the UK Nursing Labour Market. RCN/QMUC 9 NHS Executive (2000) The NHS Plan. DH: London 10 see e.g:Department of Health (2001) Investment and Reform for NHS Staff- Taking Forward the NHS Plan. DH: London 11 Department of Health (2002) HR Directors Bulletin, special issue. Budget 2002. 24 April 2002. DH: London 12 Department of Health (1999). Working lives DH: London 13 Home Office (2001) Control of Immigration: Statistics United Kingdom 2000. The Stationary Office, HMSO cmnd 5315 14 Mejia, A., Pizurki, H., Royston, E. (1979) Physician and Nurse Migration, World Health Organisation, Geneva 15 Buchan, J., Seccombe, I., Thomas, S. (1997) Overseas Mobility of UK Based Nurses. International Journal of Nursing Studies 34(1), 54-62 16 Department of Health (2001) Investment and Reform for NHS Staff- Taking Forward the NHS Plan. Para. 3.26. DH: London 17 Department of Health (2001) NHS Emergency Pressures: Making Progress. DH: London, p15 18 Department of Health (2002) HR Directors Bulletin, special issue. Budget 2002. 24 April 2002. DH: London 19 UKCC (2001)More countries providing more nurses and midwives. Press statement, 14 August 20 Lipley N (2002) UKCC introduces English test for non-EU applicants. Nursing Standard, 16 (26), p4. March 13th 21 Data provided by Nurses and Midwives Council, May 2002 22 Home Office (2001) Control of Immigration: Statistics United Kingdom 2000. The Stationary Office, HMSO cmnd 5315., Table 2.1, p 32 23 Lipley N (2002) UKCC introduces English test for non-EU applicants. Nursing Standard, 16 (26), p4. March 13th 24 UKCC. Overseas trained nurses apply to the UK in record numbers. UKCC News, website, dated 4 June 2001 ((http://www.ukcc.org.uk/cms/content/home/search.asp). This press statement quotes a figure for 2000-2001 of 7,705, and states that this financial year this figure is expected almost to double..- If doubled, this would suggest a figure of around 15,500 for 2001-2002. The UKCC subsequently increased their estimate for 2000-2001 to 8,403 from non EU sources only, (press statement on 14 August - (http://www.ukcc.org.uk/cms/content/home/search.asp)) 25 Permits waived for skilled staff-. Nursing Standard, January 9th, 2002, page 7 26 See e.g. UKCC. Spanish nurses face language barrier. UKCC News, Friday 1 March 2002 (www.ukcc.org.uk) 27 UKCC. Spanish nurses face language barrier. UKCC News, Friday March 1st, 2002 (www.ukcc.org.uk) 28 Lipley N (2002) UKCC introduces English test for non-EU applicants. Nursing Standard, 16 (26), p4. March 13th 29 Department of Health and Children (2000). The Nursing and Midwifery Resource. Interim Report of the Steering Group. Department of Health and Children, Dublin 28 International Recruitment of Nurses: UK case study July 2002 30 Letter from Executive Secretary, ICN to Chief Nursing Officer, Ministry of Health, England, 20 August, 1948. Source: Public Records Office 31 Department of Health (1999). Guidance on International Recruitment. DH: London 32 See e.g Parish C (2000) Broken Promises. Nursing Standard. 15 (3), p13 33 Department of Health (2001) Code of Practice for NHS Employers involved in international recruitment of healthcare professionals. DoH, London (http://www.doh.gov.uk/international-nurse/ ) 34 Commonwealth Secretariat (2001). Migration of Health Workers from Commonwealth Countries. Commonwealth Secretariat, London 35 Independent Healthcare Association/ Registered nursing home Association / Voices (2002). Supervised Practice Programme for Internationally Qualified Nurses: Independent Sector Rcommendations. IHA/ RNHA, London 36 International Council of Nurses (2002) available at www.icn.ch 37 Secretary for State for Health (2002).Speech to RCN Congress, 24 April 2002. Accessed at HYPERLINK http://wwwdoh.gov.uk/speeches/apr2002milburnrcnhtm http://www.doh.gov.uk/speeches/apr2002milburnrcn.htm [accessed on April 30] 38 See e.g: Sen, A. (1970) Problems of Overseas Students and Nurses. National Foundation for Educational Research (NFER), England; Mejia, A., Pizurki, H., Royston, E. 1979 Physician and Nurse Migration, World Health Organisation, Geneva; Buchan, J, Seccombe, I., Ball, J. 1994 The International Mobility of Nurses: A United Kingdom Perspective. International Journal of Nursing Studies 31(2), 143-154 Buchan, J., Seccombe, I., Thomas, S. 1997 Overseas Mobility of UK Based Nurses. International Journal of Nursing Studies 34(1), 54-62 Kingma M (2001) Nursing Migration:global treasure hunt or disaster in the making? Nursing Inquiry, 8 (4), 205-212 39 Unpublished data/ commercially sensitive. Source: recruitment agency, London 40 Pearce L (2002) World of a difference. Nursing Standard 16 (32) 14-16, April 24 41 Daniel P, Chamberlain A, Gordon F (2001) Expectations and experiences of newly recruited Filipino nurses. British Journal of Nursing, 10 (4) 254-265 42 Sawbridge Y (2001). Import Duties. Health Service Journal, 4th January, 20-21 43 See e.g War on foreign nurse abuse- Nursing Times 98 (18), p11 44 UKCC (2001) Nursing home loses right to train overseas nurses. News, Friday 10 August 2001. 45 Successful schemes helps foreign recruits adjust to life in the UK. Nursing Times, 98 92), p6. February 21, 2002 46 Successful schemes helps foreign recruits adjust to life in the UK. Nursing Times, 98 92), p6. February 21, 2002 47 UKCC unpublished analysis. See Buchan J, O'May F (1999). Globalisation and Healthcare Labour Markets: A Case study from the UK. Human Resources for Health Developments Journal. 3(3),199-209 48 Mulholland H (2002). Nurses flee UK despite efforts to raise numbers. Nursing Times. 98 (14), p4 49 In Australia there is an estimated shortfall of 5,000 out of a total workforce of 250,000. Nursing Times, 3 August 2000 50 Department of Health and Children (2000) The Nursing and Midwifery Resource- Report of the Steering Group. Dublin, September 51 Health Canada (2000) Nursing Strategy for Canada. Health Canada, Ottawa. 52 Buerhaus, P., Staiger D. and Auerbach D. (2000) 'Implications of an ageing registered nurse workforce'. Journal of the American Medical Association, 283(22), 2948-54 53 International Council of Nurses (2002) available at www.icn.ch 54 Buchan J (1999) The greying- of the UK nursing workforce: Implications for Employment Policy and Practice. Journal of Advanced Nursing, 30 (4) 818-826
dc.contributor.sponsorWorld Health Organisation
dc.contributor.sponsorInternational Council of Nurses
dc.description.ispublishedunpub
dc.description.eprintid18
rioxxterms.typemonograph
qmu.authorBuchan, James
dc.description.statusunpub


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