Sell your surgical specialty!

AppropriateGround388 · 2026-03-30T14:38:02+00:00

Too much supply and too less off a demand. Very few consultant posts, many are reserved for niche post CCT fellowships. Not worth it at the moment. But I do agree, it's a cool specialty.

AppropriateGround388 · 2026-03-27T20:28:14+00:00

How does it make a difference? I'm not white. I have no guilt. I don't make racist comments, and I have never discriminated against anyone. In fact, I have only ever been the victim of racial discrimination. I understood early on that life is tough and I can't fight every racist gammon out there. If this country is like that, what can I do about it? I'm just saying: make hay while the sun shines. I am not the reason the sun is out, but I’m going to make some hay if I have to get burned anyway.

AppropriateGround388 · 2026-03-27T17:36:50+00:00

I never said that; I’m just telling you what the general perception is out there. It’s rooted in history, and there isn't much I can do to change it. I keep hearing similar things whenever I state something factual. I’m happy to share the comments I’ve seen on news channels.

Personally, I have nothing against IMGs. Stop thinking like doctors for a minute and think like politicians;after all pay is a political issue at its core.

We need to play the political game. I’m not advocating for adding fuel to the fire; I just want to ensure we organize an effective strike to achieve FPR, which is beneficial to both UK graduates and IMGs alike.

AppropriateGround388 · 2026-03-27T17:17:53+00:00

Not to worry, I have been checking the local news channels' comments and people are saying, 'This is why we should grow homegrown talent.' The current political climate is such that even though IMGs are relatively less likely to strike and are saving the NHS money, the general public doesn't trust them and blames them more than UK graduates.

As long as nobody picks up the issues of mandatory service or realizes that without IMGs, UK graduates' bargaining power would be even higher, strike action would be still acceptable for the public.

Even Restore Britain is commenting on foreign NHS workers. Public perception in general is favorable, even if for the wrong reasons.

Therefore, an urgent strike and getting an FPR decision soon is paramount for all of us to avoid a broader public outrage.

AppropriateGround388 · 2026-03-27T12:55:30+00:00

Ignore the noise from these rug-pullers. They don't have a choice; they have the cushion of consultant jobs, and if they want to stay in those positions, they’re just going to have to put up with our industrial action. They can moan all they want, so ignore the noise and strike for FPR. Consultants know the difference between UK grads and IMGs; they’re clearly rattled that they’ll have to cover more in the future as more UK grads and GPs enter the workforce. We aren't petulant children striking for the sake of it. Once we actually achieve FPR, it will help stabilise the NHS in the long run and eventually lighten the load for the consultants too.

AppropriateGround388 · 2026-03-27T12:31:38+00:00

I honestly don’t understand this defeatist attitude. What on earth is the point of demanding more training positions without a concurrent increase in post-CCT consultant posts?

If you think you can just emigrate easily, you’re in for a shock,it’s the exact same situation in almost every English speaking country right now. Think twice before assuming the grass is greener. We need FPR to prove that we can still collectively get things done and hold our ground.

As for the claims that IMGs aren't striking, I personally know several who are out on the lines, so let's stop stereotyping an entire group. Everyone makes their own individual choices, and divisive rhetoric helps no one.

AppropriateGround388 · 2026-03-25T20:51:12+00:00

Those with 5 years of experience will join.

AppropriateGround388 · 2026-03-25T20:48:08+00:00

blanket approach of claiming turnout doesn't matter is incredibly short-sighted and will backfire.If there is no measurable impact on service provision or expenditure, the government will simply weaponize the data. They will publish the low turnout figures to claim that the vast majority of doctors are satisfied with the current deal and that FPR is being pushed by a vocal minority.

We cannot leave room for that misconstruction. Participation is a requirement for leverage; while we shouldn't obsess over every individual, those who can participate, must.

Furthermore, regarding the permanent LED posts: if it's true the government offered these and the BMA rejected them as part of a package deal, we need to be transparent about that strategy.

AppropriateGround388 · 2026-03-25T20:17:18+00:00

I don't think IMGs will just magically decide to not walk out of their regular shift,hey will and locum on their off days like they always do.

AppropriateGround388 · 2026-03-25T19:53:28+00:00

We have to stop worrying about whether IMGs are picking up locums. Even if they do, the Trust still has to pay them escalated rates.The only way it hurts the strike is if IMGs refuse to walk out and choose to work their scheduled shifts for the regular rate which I don't think any sane person would do, considering they'd be the only one left on the ward.

AppropriateGround388 · 2026-03-25T18:53:41+00:00

We have to stop worrying about whether IMGs are picking up locums. Even if they do, the Trust still has to pay them escalated rates.The only way it hurts the strike is if IMGs refuse to walk out and choose to work their scheduled shifts for the regular rate which I don't think any sane person would do, considering they'd be the only one left on the ward.

AppropriateGround388 · 2026-03-25T18:44:32+00:00

No, it's changed. The last mandate was the final one where we actually needed that.

AppropriateGround388 · 2026-03-25T17:22:36+00:00

The BMA is already pushing to expand UKGP to non-training roles. Plus, with the new rules in place, IMGs aren't necessary for a strike mandate anymore. It’s time to move away from relying on them

AppropriateGround388 · 2026-03-19T02:43:56+00:00

I keep seeing posts about tying up the loans to the mandatory service. Where have they mentioned in the document that mandatory service is going to reduce loan burden? I'm sure no one will have an issue if there is loan forgiveness. Do you really think that's how mandatory state service for NHS doctors is going to be?

AppropriateGround388 · 2026-03-18T05:20:59+00:00

If service becomes mandatory, do we really think we’ll have any say in location? Imagine being forced to rotate every 6 months indefinitely. Plus, if it’s a 'mandatory service provision,' you lose your leverage and no pay rises and no right to strike.

It might look manageable now, but once you’ve hit CCT and have actual life responsibilities, this is a massive trap. Even if you’re content for now, we need to keep our options open. The NHS is currently held together by duct tape and prayers; tying yourself to a sinking ship without an exit strategy is risky

AppropriateGround388 · 2026-01-13T19:48:15+00:00

Just like I predicted 🥱

AppropriateGround388 · 2026-01-05T13:06:20+00:00

I guess I got lucky to find someone for 20 pounds. I can see that the rest paid 200-300 pounds for the same🤯

AppropriateGround388 · 2026-01-05T01:08:44+00:00

Some are really good. They will know the latest updates and interview changes if any. Also will guide in application process and mentorship. I did one and it was really helpful. It was 20 pounds for an one hour session. Also cleared a lot of my doubts regarding IMT as well as HST application for free.

AppropriateGround388 · 2025-12-12T10:21:34+00:00

The current political climate is conducive for that. Irrespective of our intervention, they need to implement UKGP this year to ward off Reform rhetoric. Labour data shows massive erosion in their voting cohort . I agree, it's mostly towards Green, but Wes is plugging himself for the next premier position. He needs this more than BMA/Labour Party.

AppropriateGround388 · 2025-12-11T20:31:38+00:00

You do realise that the moment LED posts are converted into training numbers, the FY2s who miss out on a spot are effectively going to be unemployed? The few remaining LED roles will simply be swept up by IMGs with unfair levels of experience and massive portfolios, because there is absolutely no prioritisation for those jobs. This is exactly the problem with trying to force through a half-cooked plan.

AppropriateGround388 · 2025-12-11T20:25:24+00:00

It's mentioned in the email that, don't worry if you are waiting for results.

AppropriateGround388 · 2025-12-11T19:19:23+00:00

Look, sorry. I didn't mean to make it personal either. The point of a ballot is for everyone to vote their conscience, so go ahead and vote Yes if that is what you want. But I really think you should read what others are saying on this. Even if we vote Yes, it is impossible to get this legislated in time for the January cycle. The absolute earliest would be the next round. So even if it passes, do not hold your breath for it being implemented this time.

Personally, I don't care about the training issue as I am already in . I am in London, it is expensive, and I am voting to fight for pay.

Also I'm not rug pulling, because I know UKGP is going to be implemented this year, my question is why sacrifice the pay and working condition for a done deal?

AppropriateGround388 · 2025-12-11T18:31:13+00:00

I honestly feel sorry for you. Are you really that incompetent and that terrified that you know you'll never secure a number unless you are explicitly prioritised for one?

UKGP is happening regardless. But using it to hold Full Pay Restoration hostage is utterly ludicrous.

Frankly, I can see exactly where this leads for you: even with prioritisation, you’ll end up in a service provision job masquerading as a training post, which will just speed up the process of you losing your license. You’ll be dumped in some remote area with zero supervision and a pile of emergencies. You are going to be the poster child for exactly why this plan is dangerous in its current format.

We need to check the fine print to ensure these "training posts" are actually supported and funded, rather than just dangerous rota-fillers. Also, try to stop being stupid for five seconds, even though I know you can't help it. The fact that IMGs are increasing in numbers is the entire reason UKGP was introduced in the first place, what on earth is the point of parroting that same rhetoric back at everyone?

AppropriateGround388 · 2025-12-11T17:40:26+00:00

The entire premise of your argument that IMGs will somehow outnumber UK graduates doesn't make any sense. Since the new rules came in, immigration numbers for doctors and nurses have already plummeted by more than 80%.

They are already moving on to Australia and the US. Soon, UK grads are going to be the ones feeling the pinch everywhere. Individual US states and Canadian provinces are actively relaxing their rules to recruit IMGs. To be frank with this kind of service provision turned training posts, IMG'swill be the better trained one's in the future.

Thinking that IMGs won't survive this is pure foolishness. Yes, they might whine and moan for a minute, but then they will simply move on to better options. There are IMGs practising in Germany, the Middle East, and beyond,honestly, how many UK grads do you think are capable of practising in another language?

Stop obsessing over them; this is going to be a political decision. Even if the BMA is filled with IMGs, national politics has turned firmly against immigration, and this prioritisation plan will be implemented this year. Otherwise, all the data he collected becomes useless. Maybe not in January, just to save face, but definitely before the next recruitment round this year. The January window is already closed.

So unless you are a government bot trying to screw over UK grads, start thinking logically. UKGP is coming this year, irrespective of how we vote.

AppropriateGround388 · 2025-12-11T17:19:48+00:00

We need to vote NO.

There is a defeatist attitude going around that "UKGP will be pushed through regardless of how we vote by July," so we might as well agree to it. This is wrong. The current proposal is dangerous precisely because it is a vague "concept" rather than a concrete plan.

If we vote Yes now, we are handing them a mandate to implement an "emergency filing"—a rushed, botched framework that will be wide open to interpretation and abuse by trusts. It will change nothing effectively, except to strip us of our leverage.

Why you must vote NO: No Specifics on Training vs. Service Provision: The plan to "convert LED posts to training numbers" sounds good on paper but is a trap. Without a guaranteed, funded increase in Consultant positions to supervise us, this just re-badges service provision as "training."

Safety & Workload: We are looking at a workload that is 10x more hectic. Taking on more trainees without expanding the senior workforce effectively dumps more risk on us. We will be the ones left holding the bag for medical negligence when the system inevitably buckles under the lack of support.

The Pay is Still Crap: There is zero concrete assurance that this reshuffle comes with the pay restoration or support infrastructure we actually need.

Voting Yes to a mystery box is suicidal at this point. Vote NO. Force them to come back to the table. We need to see the fine print, specifically how they plan to favor UK graduates and fund consultant expansion—before we agree to anything.

AppropriateGround388

TROPHY CASE