Require NHS trusts to prioritise pre‑bill IMGs

Recent signers:
Nwosu Prosper and 19 others have signed recently.

The Issue

For many international medical graduates (IMGs), the journey to practice medicine in the UK involves significant financial and personal sacrifice. As a medical professional from Nigeria, I can attest to the immense challenges we face. Doctors in Nigeria earn an average of 300,000 naira per month (around £150), which means it often takes up to four years to save enough to cover the expenses associated with the PLAB exams, reading materials, visa applications, and travel. Throughout this period, many have sacrificed personal opportunities and dedicated years of their lives in hopes of contributing to the NHS.

Despite the promise of new opportunities, many pre-bill IMGs find themselves facing barriers to ongoing training and career progression once within the NHS. It's crucial for NHS trusts to value the dedication and investment of IMGs by ensuring their skills and potential are fully realised within the healthcare system.

Immediate action can be taken by re-evaluating and modifying existing NHS employment policies to prioritise the training and advancement of pre-bill IMGs. This isn't just an investment in international doctors; it's an investment in the future of the NHS. By recognising and nurturing the talents of IMGs, the NHS can benefit from a more diverse and capable workforce, ultimately improving patient care and service delivery.

To achieve this, NHS trusts can implement targeted mentorship programmes, create clear and accessible pathways for professional development, and offer equal opportunities for progression. Ensuring a supportive environment for IMGs enables them to focus on what they do best: providing exceptional care to patients.

This call to action is not just a request for fairness, but a necessary step to sustain and strengthen the NHS workforce. Join us in urging NHS trusts to make these crucial changes and honour the commitment of IMGs. Sign the petition and support the future of healthcare in the UK.

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Recent signers:
Nwosu Prosper and 19 others have signed recently.

The Issue

For many international medical graduates (IMGs), the journey to practice medicine in the UK involves significant financial and personal sacrifice. As a medical professional from Nigeria, I can attest to the immense challenges we face. Doctors in Nigeria earn an average of 300,000 naira per month (around £150), which means it often takes up to four years to save enough to cover the expenses associated with the PLAB exams, reading materials, visa applications, and travel. Throughout this period, many have sacrificed personal opportunities and dedicated years of their lives in hopes of contributing to the NHS.

Despite the promise of new opportunities, many pre-bill IMGs find themselves facing barriers to ongoing training and career progression once within the NHS. It's crucial for NHS trusts to value the dedication and investment of IMGs by ensuring their skills and potential are fully realised within the healthcare system.

Immediate action can be taken by re-evaluating and modifying existing NHS employment policies to prioritise the training and advancement of pre-bill IMGs. This isn't just an investment in international doctors; it's an investment in the future of the NHS. By recognising and nurturing the talents of IMGs, the NHS can benefit from a more diverse and capable workforce, ultimately improving patient care and service delivery.

To achieve this, NHS trusts can implement targeted mentorship programmes, create clear and accessible pathways for professional development, and offer equal opportunities for progression. Ensuring a supportive environment for IMGs enables them to focus on what they do best: providing exceptional care to patients.

This call to action is not just a request for fairness, but a necessary step to sustain and strengthen the NHS workforce. Join us in urging NHS trusts to make these crucial changes and honour the commitment of IMGs. Sign the petition and support the future of healthcare in the UK.

The Decision Makers

UK Government Department of Health and Social Care
UK Government Department of Health and Social Care

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Petition created on 13 February 2026