NHS: Migrant Workers

The Medical Training (Prioritisation) Bill was introduced to Parliament on 13 January 2026. The bill delivers the Government’s commitment in the 10-Year Health Plan for England, published in July 2025, to prioritise United Kingdom medical graduates for foundation training, and to prioritise UK medical graduates and other doctors who have worked in the National Health Service for a significant period for specialty training.

For specialty training places starting in 2026, NHS experience is being represented by immigration status as people with a settled immigration status are more likely to have worked in the NHS for longer. For specialty training posts starting from 2027 onwards, this provision will not apply automatically. Instead, it will be possible to make regulations to specify additional groups who will be prioritised, where they are likely to have significant experience working as a doctor either in the NHS in England, Scotland, or Wales, or in health and social care in Northern Ireland, or by reference to their immigration status.

Individuals on spouse visas are not included in the prioritised group for specialty training posts starting in 2026, because it is not a good indicator of likely NHS experience. The Department of Health and Social Care worked closely with the Home Office on the development of the bill.

Applicants on spouse visas will still be able to apply and will be offered places if vacancies remain after prioritised applicants have received offers.