To respond directly to a couple of Alan Maynard's points, no-one, not even the doctors directly affected, has ever sought job guarantees. He may be right that market forces and changes in skill mix will reduce demand for doctors in the future. All one can say is that there are few signs of this happening in spite of a decade of ideologically driven "local workforce planning" devoted to that end. But if we have trained local doctors it just seems plain common sense to use them to meet staffing needs, rather than import others.
Competing interests: None declared
Competing interests: No competing interests