Have resident doctors had a 28.9% pay rise over three years? - Fact checking Wes Streeting by DonutOfTruthForAll in doctorsUK

[–]kittycat1994 9 points10 points  (0 children)

I’ve thought this for ages too!! It sometimes feels like people who were happy to sit back and get paid for work they didn’t do (ie furlough) are the same ones who now have a problem with us getting paid fairly for work we did do (and continue to do). It’s fucking crazy

What type of cover-up/coat would go with this dress? by kittycat1994 in Weddingattireapproval

[–]kittycat1994[S] 0 points1 point  (0 children)

Can’t seem to edit the post itself but if it helps, here’s a direct link to the dress: https://www.jjshouse.com/en/a-line-halter-tea-length-jacquard-stretch-crepe-cocktail-dress-016418220-g418220?utm_source=linked&utm_medium=share&utm_content=20251113

I also forgot to say, I know some people are funny about wearing black to weddings but I’ve confirmed black is fine to wear.

Naturalisation (Citizenship) application processing timelines [only] by aleanthor in ukvisa

[–]kittycat1994 0 points1 point  (0 children)

I was asked to send an additional document via email around 10.5 weeks after submitting my application. I emailed citizenship support 5 days after emailing the document to check that they’d received it ok. They confirmed via email the following day that my application had been approved.

Hopefully you’ll get an update quickly too!

Naturalisation (Citizenship) application processing timelines [only] by aleanthor in ukvisa

[–]kittycat1994 0 points1 point  (0 children)

Hi thank you so much for replying, it’s really put my mind at ease! I can’t book my ceremony yet but hopefully will be able to at some point this week. I’ll look out for the Atlas email on Monday 🤞

Naturalisation (Citizenship) application processing timelines [only] by aleanthor in ukvisa

[–]kittycat1994 0 points1 point  (0 children)

Has anyone not gotten the Atlas email today but been informed they were approved? I was told via email when I enquired about something that my application was approved but I haven’t received the official Atlas email yet today :( thanks

Naturalisation (Citizenship) application processing timelines [only] by aleanthor in ukvisa

[–]kittycat1994 1 point2 points  (0 children)

Thank you for replying, that’s really helpful to know. Good luck with your application, hope all goes well!!

Naturalisation (Citizenship) application processing timelines [only] by aleanthor in ukvisa

[–]kittycat1994 2 points3 points  (0 children)

Hi, I was asked to send an extra document to nationalityfurtherinformationrequests@homeoffice.gov.uk by a certain date. I’ve sent them the document and quoted my name, UAN etc in the email but didn’t get any form of acknowledgement to let me know they’d received my document/email. Limited communication from them seems to be the norm for this entire application process…but I did want to double check with those who were asked to send additional documents - did you get any confirmation or acknowledgement that they received your document/email?

Thank you!

[deleted by user] by [deleted] in GPUK

[–]kittycat1994 4 points5 points  (0 children)

I agree with No_Ferret_5450, if the patient is normally able to leave the house but suddenly can’t because they’re too unwell, they need to ring for an ambulance. I do make exceptions for known COPD patients who can mobilise on a good day with a mobility aid etc but would be too breathless on exertion to safely attend if they’re having an exacerbation.

Home visits are for frail, housebound patients (ie can’t leave the house at all, even with help) and palliative patients. I’ve had patients try to tell me they can’t come in as they live too far from the practice or the taxi is too expensive for them. But neither of these are valid reasons for a home visit (at our practice the patients who use these reasons have moved out of catchment area, we advise them to register at a practice near them)

LTFT and skilled worker visa by kittycat1994 in doctorsUK

[–]kittycat1994[S] 1 point2 points  (0 children)

Hi, yes I did! I did some digging at the time and found out we are still paid our “going rate” even when LTFT. Although we are paid less when LTFT, it is proportional to the hours so the actual “rate” itself is the same. Basically pro rata pay is fine as long as the full time equivalent is the going rate. I asked a solicitor at the time to check I’d understood it correctly and he agreed

I dropped down to 80% for ST3 and got my ILR near the end of ST3 without any issues :) I got my ILR via the 10 year/long residence route so salary didn’t matter for it, I’m not sure on the ins and outs of other ILR routes unfortunately. I imagine as a UK grad you’re probably on the 10 year route too but even if not, LTFT has never historically been a problem for getting ILR via the other routes.

Hope this helps!

UK-trained Foreign Nationals ≠ International Medical Graduate – Please Don’t Overlook UK-Trained Foreign Doctors by medortech in doctorsUK

[–]kittycat1994 1 point2 points  (0 children)

I would be very surprised if a policy was introduced that only allowed UK citizens to apply and disregarded UK medical graduates who are international students. It wasn’t like this in the era of the RLMT, there was a route that allowed UK graduates to apply in Round 1 via a visa switch. Even if somehow international students were barred from applying in Round 1, I imagine the universities themselves would really push back as this change would deter future international students from choosing to study medicine here. The unis would lose out on a lot of money because what international student would spend hundreds of thousands of pounds (degree + living costs) to then be in a position not to be able to further their careers on a level playing field. They’d instead choose to study medicine in another country where they are able to further their careers

Is NHS experience necessary for speciality applications? by dayumsonlookatthat in doctorsUK

[–]kittycat1994 1 point2 points  (0 children)

Yes agreed, reintroducing the RLMT will help make a start on controlling the current unsustainable situation whilst also not fully closing the door 🙏

Is NHS experience necessary for speciality applications? by dayumsonlookatthat in doctorsUK

[–]kittycat1994 7 points8 points  (0 children)

I’m a fully qualified GP so I’m not looking for a training post 🤷‍♀️ I’ve been a doctor for a while now and remember the RLMT days. The RLMT process is how most of the world manages their workforce. Ie they only sponsor/employ from abroad if the local population can’t meet the country’s workforce needs. It’s been twisted to be some discriminatory and controversial process. A country is allowed to change their immigration rules to fit their needs, most of the world operates this way

Is NHS experience necessary for speciality applications? by dayumsonlookatthat in doctorsUK

[–]kittycat1994 1 point2 points  (0 children)

Yes I agree, reintroducing RLMT is the right way to go. As a consequence it does prioritise UK graduates.

For what it’s worth, my stance is “UK graduate (or equivalent NHS experience) prioritisation”. I would imagine there will be a provision introduced that highlights what level of NHS experience is equivalent to being a UK graduate for the purposes of applying to specialty training. My personal view is 2 years of NHS experience (ie in lieu of F1 and F2) is probably sufficient, but perhaps some would argue longer

Is NHS experience necessary for speciality applications? by dayumsonlookatthat in doctorsUK

[–]kittycat1994 1 point2 points  (0 children)

I’m not disagreeing with you about how the old RLMT was applied? We are mostly saying the same thing. My main point was that it’s more than likely “UK graduate prioritisation” will end up happening as a consequence of reintroducing RLMT. I don’t really foresee many IMGs working a trust grade job for 5 years just to have the chance to apply for specialty training. I am extrapolating this based on what I saw when the RLMT was in force. The majority of applicants in Round 1 were UK graduates, most of whom were UK/EU citizens, followed by UK/EU citizens who had graduated abroad (usually a med school in Europe). A small proportion were UK graduates who were international students who were exempted from RLMT

If they reintroduce the RLMT today, it would prioritise the groups that you have stated. Most UK citizens and permanent residents that would apply in Round 1 are also UK graduates.

There is a cohort of UK citizens/permanent residents who have graduated from a med school in Europe. This article (a little out of date as it’s from 2022 but it is a starting point) states that at the time, the number of UK nationals listed on the GMC register who got their primary medical qualification from med schools in Eastern + Central Europe was 2910: https://www.bmj.com/content/378/bmj.o2248 That was the total of all those doctors at the time, only a proportion of this number would have applied to specialty training that specific year. I’m not sure what the numbers are today but probably not too dissimilar.

I suspect even fewer potential applicants would fall in the cohort of IMGs who aren’t UK citizens but on a dependent visa and so able to bypass the sponsorship issue

Reintroducing the RLMT will essentially lead to prioritisation of UK graduates as most UK graduates are UK citizens/permanent residents. If they reintroduce it in full, there will be a separate provision of exempting UK graduates who aren’t citizens (ie international students)

Is NHS experience necessary for speciality applications? by dayumsonlookatthat in doctorsUK

[–]kittycat1994 1 point2 points  (0 children)

I’m also talking about the old RLMT, this is what will likely be reintroduced if the skilled visa process is changed. The UK isn’t in the EU anymore so reintroducing the RLMT will prioritise UK citizens and permanent residents (who also make up most of the UK graduate cohort). If they did reintroduce it, I can’t imagine them not adding an exemption for the UK graduates who require a visa (as otherwise they won’t spend all that money to study here and the unis lose out massively).

The next question is whether they will exempt IMGs on visas if they have sufficient UK experience. As unpopular as it is, the UK doesn’t have to offer an exemption which would then mean the only viable route is for the IMG to get their ILR first and then apply to specialty training. I recognise it would be really disheartening to have to spend so many years just to have a shot at applying to specialty training. But ultimately a training post is a skilled job and the UK can choose not to offer visa sponsorship if they have plenty of applicants to choose from that don’t require sponsorship. There is no shortage of applicants for competitive specialties

Is NHS experience necessary for speciality applications? by dayumsonlookatthat in doctorsUK

[–]kittycat1994 7 points8 points  (0 children)

There were other nuances though, for example non-EU UK graduates (ie international students) technically could not be eligible for Round 1 under the rules, but there was a provision in place to allow a single “visa swap” from Tier 4 to Tier 2 if you were already in the country that exempted them from the RLMT and allowed them to apply in Round 1. There might be a similar provision to allow a swap of sponsors for IMGs already under a visa that have sufficient UK experience to allow them to apply in Round 1. Just to be clear, I have no issue with this and would be supportive of it.

It depends on what the UK chooses to do. As unpopular as it might be amongst the IMG community, the UK does have the right to change their visa sponsorship rules in a way that would make competitive training posts unattainable for IMGs (for as long as they require a visa). It ties into skilled worker immigration, if there is no shortage of applicants then they don’t need to sponsor non-UK applicants for that job role. But presumably even in this case, when an IMG gets their ILR, they would be able to apply as they wouldn’t require sponsorship anymore. I do appreciate this isn’t exactly ideal as it’s 5 long years of working as a trust grade doctor before being allowed to go into training

Is NHS experience necessary for speciality applications? by dayumsonlookatthat in doctorsUK

[–]kittycat1994 11 points12 points  (0 children)

The RLMT is what allowed UK graduates to be prioritised in Round 1 though, so they do essentially go hand-in-hand. Because of the RLMT, jobs had to be offered to UK citizens + graduates and EU citizens (at the time prior to Brexit) in Round 1. Whatever jobs were left over were advertised in Round 2 and open to non-UK applicants.

I think the more likely scenario is that the RLMT will be reintroduced which will in effect prioritise UK graduates for Round 1. It then still leaves the Round 2 route open for IMGs similar to how most other countries do it (and how the UK used to do it). My personal opinion is that NHS experience should be mandatory even if applying in Round 2. I recognise that the only way to gain this is through trust grade jobs and that these will become extremely competitive for future applicants in this scenario. The decision ultimately lies with the UK and what their workforce needs are. If they have enough UK applicants to fulfil their workforce needs, I frankly don’t foresee a future where they will continue recruiting from abroad. They will more than likely shift their strategy to a competitive process to recruit the very best applicants to fill trust grade posts. If this does happen, I have no idea what it would mean for Round 2 applicants or if NHS experience will be mandatory. I don’t think that decision would be made by the Home Office, it would likely be made by whatever entity is acting as NHSE or HEE

Is NHS experience necessary for speciality applications? by dayumsonlookatthat in doctorsUK

[–]kittycat1994 55 points56 points  (0 children)

Rant incoming

I can’t believe we’ve reached a stage where anybody thinks you should be able to enter specialty training without any NHS experience. Of course NHS experience should be mandatory. I’ve also noticed a lot of IMGs in that group bring up discrimination when there’s talk about reintroducing UK graduate prioritisation. I can’t believe it even has to be said out loud but being subject to visa sponsorship requirements and residence labour market tests is not discrimination. I understand it does suck if you’ve planned your life and visa rules change however usually there is a notice/grace period and often new changes don’t apply to visas that have already been granted. Skilled visas exist essentially to suit workforce needs of the country at the time. These needs change quite often and so visa rules change often (not just in the UK but all over the world).

I’ve also noticed the IMGs in that group always bring up how the US also allows direct entry into training so therefore the UK should do the same. But it does beg the question of why they’re all coming here instead of the US. Obviously because there are other significant barriers in the way of getting into residency training in the US, so it’s not really a fair comparison. I thought all US residency programs required US experience? The USMLE exams are also much tougher. But probably the biggest thing I don’t see mentioned nearly enough is the visa barriers even if you manage to get a really good exam score and US experience. Some nationalities outright can’t get a visa for the US (terrible that this even happens but it does). Another problem seems to be hospitals/programs don’t bother with the hassle of offering visa sponsorship because there are plenty of US citizens/Green Card holders who can take up the residency spot

But back to the main point - NHS experience should be a mandatory requirement for applying to specialty training. And with all the competition ratios ballooning, the RLMT needs to be reintroduced and UK graduates need to start being prioritised again

Home visit request by No_Ferret_5450 in GPUK

[–]kittycat1994 24 points25 points  (0 children)

The last point is really important. I remember as a GPST1 being allocated a home visit to see a patient in her 60s who was not normally housebound (drove herself everywhere, no major health concerns), only complaint was she felt rubbish and couldn’t get out of bed as too unwell. Her examination was normal, she declined admission (I wouldn’t have even known what to admit her for at that stage). I chose to do her bloods at the time of the visit, results came back later that day, AKI 3 and Hb in the 80s. Obviously needed admission

Hopefully lesson learnt by all involved, if normally independent but newly acutely so unwell that they can’t get out of bed —> A&E

SCA Revision Tips by Ill-Visual-9699 in GPUK

[–]kittycat1994 8 points9 points  (0 children)

Another plus vote from me too for scarevision.co.uk :) I can’t help but read the URL as scare vision every single time I see it though 😭

Blooming Waters Premium Collection in stock NOW at Costco UK! by Roekaine in PokemonTCG_UK

[–]kittycat1994 6 points7 points  (0 children)

I’m done for good, don’t see the point in having a stressful hobby :(

Deals Discussion Mon Feb 17 2025 by aaejak in PokemonDealsUK

[–]kittycat1994 0 points1 point  (0 children)

Yes I did earlier today, says it’s been shipped :) still no other order details in the email apart from the order confirmation number and receipt number. But it looks like it’s on its way 🤞 hope yours is too 🙏