Blunder: David Gray, 70, was killed by German doctor Daniel Ubani The huge extent to which the NHS needs foreign doctors to treat patients out of hours is revealed today. Our investigation revealed that more than a third of the 152 primary care trusts (PCTs) in England have flown in foreign GPs in the last year. The figures come months after an investigation was launched into the conduct of a German doctor after two patients died on his first shift in Britain. We are not convinced there are appropriate checks in place to ensure they are. However, it is impossible to know the exact number of GPs travelling to the UK as many primary care trusts do not keep a record of their nationality. Of the 146 trusts who responded, 51 have used overseas GPs in the last 12 months. South Staffordshire PCT spent £13,585 on three foreign GPs who provided more than 205 hours of cover between 2008-9 on an hourly rate of £66 nude lithuanians. Yesterday the Royal College of GPs and the General Medical Council called for a radical review of out-of-hours care so that the NHS no longer has to rely on help from abroad. Campaigners fear the use of foreign doctors is putting patients lives at risk. 10, and Medway PCT spent £12,000 on foreign cover.

Between 2008-9, it paid nine Polish and two German doctors a total of £267,000 for shifts in the UK. The stand-ins earn up to £100 an hour, and one trust paid Polish and German doctors a total of £267,000 in a year, a Daily Mail investigation has found. Their qualifications are checked by the General Medical Council and the local PCT, but no checks are in place to ensure that they are not exhausted after working long hours in their home country nude lithuanians. A spokesman for the Department of Health said: The NHS has always used professionals trained abroad because until recently we did not train enough for our own needs. The figure has trebled since 2008 when just one in ten primary care trusts were flying in GPs from abroad. Responsibility for out-of-hours cover has now passed to primary care trusts. The rules state that foreign doctors need to have basic GP training, but recent experience is not always necessary. Patients lives are likely to be put at risk if we do not establish the level of expertise and medical training of these doctors arriving from all over the world. It s not good for patients here or in their home countries. A third of primary care trusts are flying in GPs from as far away as Lithuania, Poland, Germany, Hungary, Italy and Switzerland because of a shortage of doctors in Britain willing to work in the evenings and at weekends.

Halton and St Helens PCT spent the most on foreign GPs for the second year running. Doctors from Europe who come to the UK to work in out of hours services must prove they are of the same quality as our home-grown doctors. Finlay Scott, chief executive of the General Medical Council, which regulates doctors, said the current system does not guarantee the level of patient safety that we want..
. Now the need to use overseas doctors is declining. The NHS is having to rely on doctors from overseas because a lucrative new contract for British GPs has resulted in more than 90 per cent opting out of responsibility for their patients in the evenings and at weekends. Relying on doctors being flown in for a weekend shift is not a sustainable way to cover up ministers mistakes. Daniel Ubani had just three hours sleep after travelling from Germany before he went on duty in Cambridgeshire. ...

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