4) It depends on what you see as the function of the health service re doctor recruitment. Is it the job of the system to be “equally fair to every world doctor” or get the maximum ROI? Deprioritising UK doctors with all the taxpayer investment is simply poor economics. It’s also a fallacy that an IMG may “stay the course” - many doctors would like a UK CCT followed by private practice in the home country, which means no ROI for the NHS.