19 June 2018
Nine healthcare experts have written to the UK’s Guardian newspaper suggesting that Nigeria is subsidising the UK’s National Health Service (NHS) because many doctors trained in Nigeria now work in the UK, with Nigeria losing out of their expertise.
The experts did not provide a view on what shape the compensation should take. Perhaps, a way forward could be some funding from the NHS going to medical schools in Nigeria.
The letter is reproduced in full below.
The scrapping of the immigration cap is a rare victory for freedom of movement (Immigration cap on doctors to be lifted, 15 June), but the global health inequalities underlying the issue need to be part of the debate. The shortage of health workers is a global problem, particularly acute in parts of Africa and Asia, fuelled by global health inequalities. Nigeria has one doctor for every 2,660 people, compared to one doctor for every 354 in the UK. The UK is home to over 4,700 doctors who trained in Nigeria, providing a substantial subsidy from Nigeria to the UK.
In order to meet its commitment to increase NHS England funding by £8bn, the government cut “non-NHS England” funding (which includes funding for training health workers) by £4bn – a cut of 24% in real terms. If it intends to rely on some of the world’s poorest countries to fill the gap, it must put in place a mechanism to adequately compensate them.
Martin Drewry Director, Health Poverty Action
Prof David Sanders Global Co-chair, People’s Health Movement
Dr Titilola Banjoko Co-chair, Better Health for Africa
Thomas Schwarz Executive secretary, Medicus Mundi International Network
Marielle Bemelmans Director, Wemos
David McCoy Professor of Global Public Health, Queen Mary University of London
Remco van de Pas Academic coordinator, Maastricht Centre for Global Health
Dr Fran Baum Director, Southgate Institute for Health, Flinders University
Professor Ronald Labonté School of Epidemiology and Public Health, University of Ottawa