When Dr Ahmed Sherif moved to the UK six years ago, he struggled to meet another Egyptian doctor at the hospital that recruited him.
By the time he left London’s Great Ormond Street Hospital a year later, in 2019, he recalled there was at least one doctor from Egypt working in every department.
The UK’s National Health Service, has sought to fill gaps in staff shortages by recruiting healthcare workers from overseas.
An estimated one in five overseas healthcare professionals are now part of the workforce, the first time this milestone has been reached, analysis by PA has shown.
Egyptians make up almost 3 per cent of NHS doctors, with more than a third (36.6 per cent) of the NHS doctors being foreign nationals, according to the PA.
This is a sharp rise from 2020, where just under one in three (30 per cent) NHS doctors came from overseas, and 2016, where it was more than a quarter of NHS doctors (26.6 per cent).
Three in 10 nurses are now non-British nationals.
These doctors have made difficult choices to come to the UK, often spending months away from their families as they wait for their immigration visas, or feeling isolated in a new country.
“The challenges are there, but everyone thinks it's worth it,” Dr Sherif said.
Dr Sherif, 39, now works as a paediatric trainee at the Royal Devon University NHS Trust, and is now one stage away from becoming a consultant – or senior doctor.
Egypt’s doctors traditionally emigrated to the Gulf countries, where salaries were considerably higher, and where the shared culture and language made the move easier.
But when the UK relaxed its immigration rules for overseas doctors in 2019, many were drawn there, Dr Sherif told The National.
They sought the NHS’s valued training opportunities that would allow them to progress in their medical career.
“You can join the training system and come out as a consultant,” he said.
Dr Sherif said training with the NHS exposed him to the expertise he had “only heard about in textbooks".
“You have access to the consultants who write the medical guidelines. The people who publish the medical research are all working [in the NHS]” he said.
Having come to the UK before the new immigration rules came into effect, Dr Sherif and spent years studying for English language and other medical exams.
“Doing that while also doing clinical work in Cairo was hard,” he said.
Dr Sherif wanted to witness the NHS first hand, so that he could contribute to reforming the system in Cairo, which also provides universal healthcare.
“Our system in Egypt is based on the same principle as the NHS: it’s a free service of all. I was thinking of how to return to Egypt and improve the situation,” he said.
Having graduated in the years running up to the 2011 Arab uprisings, which saw the overthrow of President Hosni Mubarak in Egypt, he hoped he could bring change to his country.
“There’s a whole generation of doctors who grew up around the revolution,” he said.
Yet moving to the UK also comes with challenges. It took Dr Sherif about four months for his two children and then-pregnant wife to be able to join him.
During the pandemic, they were not able to travel to Egypt to see family when loved ones had died. The absence of extended family support meant they struggled to organise child care.
Dr Sherif says he was lucky to have started his NHS career in London at Great Ormond Street Hospital, a world leader in paediatrics.
“London is a diverse city, and Gosh is the most diverse hospital on the continent. Everyone is a stranger,” he said.
But Egyptian colleagues who were recruited outside of London have felt alienated, Dr Sherif said.
“They struggled for at least the first first two years," he said. "They told me they were feeling judged, not liked and not trusted."
The UK has faced chronic workforce shortages, with many British doctors leaving the profession or going to work overseas because of low wages and long hours.
There are signs that these conditions may also be taking their toll on Egyptian and other non-national doctors.
Many of Dr Sherif's Egyptian colleagues in the NHS are considering going to the Gulf when their training in the UK is complete, he said.
Health chiefs have warned that overseas recruitment could not fill vacancies forever.
Of the 335,763 full-time equivalent (FTE) nurses and health visitors in England in September 2023 whose nationality was known, three in 10, or 100,776, were non-UK nationals, according to the PA analysis.
This is up from about two in 10 (19.7 per cent) three years earlier, in September 2020, and is the highest proportion since current data began in 2009.
The most common non-UK nationality is Indian, accounting for 10.1 per cent of all FTE nurses and health visitors, followed by Filipino (7.7 per cent), Nigerian (2.5 per cent) and Irish (1.1 per cent).
Among doctors, Indian was again the most common non-UK nationality, accounting for 8 per cent of all doctors, followed by Pakistani (3.7 per cent), Egyptian (2.9 per cent) and Nigerian (2 per cent).
Of the total 1,282,623 FTE hospital and community health service staff in England in September 2023 whose nationality was known, 20.4 per cent were non-UK nationals, the PA analysis found.
This is up from 13 per cent in September 2016 and 11.9 per cent in September 2009, when the data series began.
Danny Mortimer, chief executive of the NHS Employers organisation, said the analysis “shows how reliant the NHS has become on its talented international workforce”.
The NHS through the decades - in pictures
Without such staff the health service “could have very easily buckled under the pressures it has been put under”, including rising demand, the pandemic and strike action, Mr Mortimer told PA.
But he warned that international recruitment would not make up for staff shortages.
“There is no room for complacency, as we will not be able to continue to draw on international recruitment to fill NHS vacancies forever,” Mr Mortimer said.
He called for better retention measures to attract new staff to the NHS.
“If anything, retention is just as important as attracting new staff into the NHS and will be key in the short term,” he said.
“Expanding the number of staff we train here is also important, so it is vital the continued expansion of training and education, set out in the NHS England long-term workforce plan, is maintained.”
Not all NHS staff groups have had a rise in non-UK nationals in their workforce.
The figure for consultants has remained broadly unchanged, standing at 22.2 per cent in September 2023, compared with 21.6 per cent in September 2020 and 23.2 per cent in September 2009.
The proportion has jumped recently for midwives, from 7.1 per cent in 2020 to 9 per cent in 2023, although this represents a return to levels seen in 2009, when it stood at 9.1 per cent.
However medical support staff have steadily seen an increase in non-UK nationals over time, from 7.2 per cent in 2009 to 10.3 per cent in 2016 and 17.6 per cent in 2023.
Lucina Rolewicz, researcher at the independent think tank The Nuffield Trust, told PA that international nurses had proved “pivotal” to the government meeting its 2019 pledge to increase the number of NHS nurses in England by 50,000.
But she feared that this was not a “sustainable, long-term solution", with the NHS “competing” with other health systems for overseas staff.
Two in five (38 per cent) of nurses and midwifes from overseas left the NHS within five years of joining, Ms Rolewicz said.
More needed to be done to reduce the number of people quitting training and attract more graduates to the NHS.
The workforce plan, published in 2023, set out steps to recruit thousands more staff for the NHS in England over 15 years, with possibly an extra 60,000 doctors and 170,000 more nurses in place by 2036/37.
Alex Baylis, assistant director of policy at health charity The King’s Fund, said that workforce planning had failed to keep pace with increasing demand.
“There are currently over 120,000 posts that are vacant in the NHS in England, including 42,000 nursing posts and nearly 9,000 medical posts,” he told PA.
“Since professional training takes several years, the NHS will be highly dependent on recruiting from overseas for at least the next five years, and retaining current staff, if vacancies are to be filled.
Overseas staff needed to be “recognised and valued” for their work in the NHS, Mr Baylis said.
“The NHS needs to make sure they are well supported as they get used to our system, they have access to ongoing training and career progression and, above all, they are treated fairly and not discriminated against,” he said.
A Department of Health and Social Care representative said: “International recruitment has a valuable role in helping the NHS deliver its world-class care, but it is important we boost the domestic workforce and decrease our reliance on agency staff and overseas workers.
“The first ever NHS long-term workforce plan was commissioned by the government to train, retain and reform the workforce, and put the NHS on a sustainable footing into the future.
“Backed by £2.4 billion, the plan will double the number of medical school places, almost double the number of adult nurse training places, and increase the number of GP training places by 50 per cent by 2031.
“Through these domestic training expansions, we expect around 10 per cent of our workforce to be recruited internationally in 15 years’ time, compared to nearly a quarter today.”
Yet Dr Sherif is optimistic that the NHS can overcome its present challenges.
“The whole country is trying to protect the NHS," he said. "There is a culture that the NHS belongs to the people, and people are really keen for it to be fixed."
Mohammed bin Zayed Majlis
The specs
Engine: 1.5-litre turbo
Power: 181hp
Torque: 230Nm
Transmission: 6-speed automatic
Starting price: Dh79,000
On sale: Now
UAE jiu-jitsu squad
Men: Hamad Nawad and Khalid Al Balushi (56kg), Omar Al Fadhli and Saeed Al Mazroui (62kg), Taleb Al Kirbi and Humaid Al Kaabi (69kg), Mohammed Al Qubaisi and Saud Al Hammadi (70kg), Khalfan Belhol and Mohammad Haitham Radhi (85kg), Faisal Al Ketbi and Zayed Al Kaabi (94kg)
Women: Wadima Al Yafei and Mahra Al Hanaei (49kg), Bashayer Al Matrooshi and Hessa Al Shamsi (62kg)
Will the pound fall to parity with the dollar?
The idea of pound parity now seems less far-fetched as the risk grows that Britain may split away from the European Union without a deal.
Rupert Harrison, a fund manager at BlackRock, sees the risk of it falling to trade level with the dollar on a no-deal Brexit. The view echoes Morgan Stanley’s recent forecast that the currency can plunge toward $1 (Dh3.67) on such an outcome. That isn’t the majority view yet – a Bloomberg survey this month estimated the pound will slide to $1.10 should the UK exit the bloc without an agreement.
New Prime Minister Boris Johnson has repeatedly said that Britain will leave the EU on the October 31 deadline with or without an agreement, fuelling concern the nation is headed for a disorderly departure and fanning pessimism toward the pound. Sterling has fallen more than 7 per cent in the past three months, the worst performance among major developed-market currencies.
“The pound is at a much lower level now but I still think a no-deal exit would lead to significant volatility and we could be testing parity on a really bad outcome,” said Mr Harrison, who manages more than $10 billion in assets at BlackRock. “We will see this game of chicken continue through August and that’s likely negative for sterling,” he said about the deadlocked Brexit talks.
The pound fell 0.8 per cent to $1.2033 on Friday, its weakest closing level since the 1980s, after a report on the second quarter showed the UK economy shrank for the first time in six years. The data means it is likely the Bank of England will cut interest rates, according to Mizuho Bank.
The BOE said in November that the currency could fall even below $1 in an analysis on possible worst-case Brexit scenarios. Options-based calculations showed around a 6.4 per cent chance of pound-dollar parity in the next one year, markedly higher than 0.2 per cent in early March when prospects of a no-deal outcome were seemingly off the table.
Bloomberg
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%3Cp%3E%3Cstrong%3EPros%3C%2Fstrong%3E%0D%3C%2Fp%3E%0A%3Cul%3E%0A%3Cli%3EEasy%20to%20use%20and%20require%20less%20rigorous%20credit%20checks%20than%20traditional%20credit%20options%0D%3C%2Fli%3E%0A%3Cli%3EOffers%20the%20ability%20to%20spread%20the%20cost%20of%20purchases%20over%20time%2C%20often%20interest-free%0D%3C%2Fli%3E%0A%3Cli%3EConvenient%20and%20can%20be%20integrated%20directly%20into%20the%20checkout%20process%2C%20useful%20for%20online%20shopping%0D%3C%2Fli%3E%0A%3Cli%3EHelps%20facilitate%20cash%20flow%20planning%20when%20used%20wisely%0D%3C%2Fli%3E%0A%3C%2Ful%3E%0A%3Cp%3E%3Cstrong%3ECons%3C%2Fstrong%3E%3C%2Fp%3E%0A%3Cul%3E%0A%3Cli%3EThe%20ease%20of%20making%20purchases%20can%20lead%20to%20overspending%20and%20accumulation%20of%20debt%0D%3C%2Fli%3E%0A%3Cli%3EMissing%20payments%20can%20result%20in%20hefty%20fees%20and%2C%20in%20some%20cases%2C%20high%20interest%20rates%20after%20an%20initial%20interest-free%20period%0D%3C%2Fli%3E%0A%3Cli%3EFailure%20to%20make%20payments%20can%20impact%20credit%20score%20negatively%0D%3C%2Fli%3E%0A%3Cli%3ERefunds%20can%20be%20complicated%20and%20delayed%0D%3C%2Fli%3E%0A%3C%2Ful%3E%0A%3Cp%3E%3Cem%3ECourtesy%3A%20Carol%20Glynn%3C%2Fem%3E%3C%2Fp%3E%0A
David Haye record
Total fights: 32
Wins: 28
Wins by KO: 26
Losses: 4
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UAE currency: the story behind the money in your pockets
More from Rashmee Roshan Lall
Racecard
%3Cp%3E1.45pm%3A%20Bin%20Dasmal%20Contracting%20Cup%20%E2%80%93%20Maiden%20(PA)%20Dh50%2C000%20(Dirt)%201%2C200m%3Cbr%3E2.15pm%3A%20Al%20Shafar%20Investment%20Cup%20%E2%80%93%20Maiden%20(TB)%20Dh60%2C000%20(D)%201%2C200m%3Cbr%3E2.45pm%3A%202023%20Cup%20by%20Emirates%20sprint%20series%20%E2%80%93%20Handicap%20(TB)%20Dh84%2C000%20(D)%201%2C200m%3Cbr%3E3.15pm%3A%20HIVE%20Cup%20%E2%80%93%20Handicap%20(TB)%20Dh68%2C000%20(D)%201%2C400m%3Cbr%3E3.45pm%3A%20Jebel%20Ali%20Mile%20Prep%20by%20Shadwell%20%E2%80%93%20Conditions%20(TB)%20Dh100%2C000%20(D)%201%2C600m%3Cbr%3E4.15pm%3A%20JARC%20Cup%20%E2%80%93%20Maiden%20(TB)%20Dh60%2C000%20(D)%201%2C600m%3Cbr%3E4.45pm%3A%20Deira%20Cup%20by%20Emirates%20Sprint%20series%20%E2%80%93%20Handicap%20(TB)%20Dh76%2C000%20(D)%201%2C950m%3C%2Fp%3E%0A
Abu Dhabi GP starting grid
1 Lewis Hamilton (Mercedes)
2 Valtteri Bottas (Mercedes)
3 Sebastian Vettel (Ferrari)
4 Kimi Raikkonen (Ferrari)
5 Daniel Ricciardo (Red Bull)
6 Max Verstappen (Red Bull)
7 Romain Grosjean (Haas)
8 Charles Leclerc (Sauber)
9 Esteban Ocon (Force India)
10 Nico Hulkenberg (Renault)
11 Carlos Sainz (Renault)
12 Marcus Ericsson (Sauber)
13 Kevin Magnussen (Haas)
14 Sergio Perez (Force India)
15 Fernando Alonso (McLaren)
16 Brendon Hartley (Toro Rosso)
17 Pierre Gasly (Toro Rosso)
18 Stoffe Vandoorne (McLaren)
19 Sergey Sirotkin (Williams)
20 Lance Stroll (Williams)
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As You Were
Liam Gallagher
(Warner Bros)
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Specs
Engine: Duel electric motors
Power: 659hp
Torque: 1075Nm
On sale: Available for pre-order now
Price: On request
Yuki Means Happiness
Alison Jean Lester
John Murray
Sholto Byrnes on Myanmar politics
Quick pearls of wisdom
Focus on gratitude: And do so deeply, he says. “Think of one to three things a day that you’re grateful for. It needs to be specific, too, don’t just say ‘air.’ Really think about it. If you’re grateful for, say, what your parents have done for you, that will motivate you to do more for the world.”
Know how to fight: Shetty married his wife, Radhi, three years ago (he met her in a meditation class before he went off and became a monk). He says they’ve had to learn to respect each other’s “fighting styles” – he’s a talk it-out-immediately person, while she needs space to think. “When you’re having an argument, remember, it’s not you against each other. It’s both of you against the problem. When you win, they lose. If you’re on a team you have to win together.”
Racecard:
6.30pm: Mazrat Al Ruwayah (PA) | Group 2 | US$55,000 (Dirt) | 1,600 metres
7.05pm: Meydan Sprint (TB) | Group 2 | $250,000 (Turf) | 1,000m
7.40pm: Firebreak Stakes | Group 3 | $200,000 (D) | 1,600m
8.15pm: Meydan Trophy | Conditions (TB) | $100,000 (T) | 1,900m
8.50pm: Balanchine | Group 2 (TB) | $250,000 (T) | 1,800m
9.25pm: Handicap (TB) | $135,000 (D) | 1,200m
10pm: Handicap (TB) | $175,000 (T) | 2,410m.
Know your Camel lingo
The bairaq is a competition for the best herd of 50 camels, named for the banner its winner takes home
Namoos - a word of congratulations reserved for falconry competitions, camel races and camel pageants. It best translates as 'the pride of victory' - and for competitors, it is priceless
Asayel camels - sleek, short-haired hound-like racers
Majahim - chocolate-brown camels that can grow to weigh two tonnes. They were only valued for milk until camel pageantry took off in the 1990s
Millions Street - the thoroughfare where camels are led and where white 4x4s throng throughout the festival
Wicked: For Good
Director: Jon M Chu
Starring: Ariana Grande, Cynthia Erivo, Jonathan Bailey, Jeff Goldblum, Michelle Yeoh, Ethan Slater
Rating: 4/5
Killing of Qassem Suleimani
A State of Passion
Directors: Carol Mansour and Muna Khalidi
Stars: Dr Ghassan Abu-Sittah
Rating: 4/5
Zayed Sustainability Prize
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Honeymoonish
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What are the influencer academy modules?
- Mastery of audio-visual content creation.
- Cinematography, shots and movement.
- All aspects of post-production.
- Emerging technologies and VFX with AI and CGI.
- Understanding of marketing objectives and audience engagement.
- Tourism industry knowledge.
- Professional ethics.
What is a robo-adviser?
Robo-advisers use an online sign-up process to gauge an investor’s risk tolerance by feeding information such as their age, income, saving goals and investment history into an algorithm, which then assigns them an investment portfolio, ranging from more conservative to higher risk ones.
These portfolios are made up of exchange traded funds (ETFs) with exposure to indices such as US and global equities, fixed-income products like bonds, though exposure to real estate, commodity ETFs or gold is also possible.
Investing in ETFs allows robo-advisers to offer fees far lower than traditional investments, such as actively managed mutual funds bought through a bank or broker. Investors can buy ETFs directly via a brokerage, but with robo-advisers they benefit from investment portfolios matched to their risk tolerance as well as being user friendly.
Many robo-advisers charge what are called wrap fees, meaning there are no additional fees such as subscription or withdrawal fees, success fees or fees for rebalancing.
COMPANY%20PROFILE
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The specs: 2018 Nissan Patrol Nismo
Price: base / as tested: Dh382,000
Engine: 5.6-litre V8
Gearbox: Seven-speed automatic
Power: 428hp @ 5,800rpm
Torque: 560Nm @ 3,600rpm
Fuel economy, combined: 12.7L / 100km
Jetour T1 specs
Engine: 2-litre turbocharged
Power: 254hp
Torque: 390Nm
Price: From Dh126,000
Available: Now
More coverage from the Future Forum
Polarised public
31% in UK say BBC is biased to left-wing views
19% in UK say BBC is biased to right-wing views
19% in UK say BBC is not biased at all
Source: YouGov
UAE's final round of matches
- Sep 1, 2016 Beat Japan 2-1 (away)
- Sep 6, 2016 Lost to Australia 1-0 (home)
- Oct 6, 2016 Beat Thailand 3-1 (home)
- Oct 11, 2016 Lost to Saudi Arabia 3-0 (away)
- Nov 15, 2016 Beat Iraq 2-0 (home)
- Mar 23, 2017 Lost to Japan 2-0 (home)
- Mar 28, 2017 Lost to Australia 2-0 (away)
- June 13, 2017 Drew 1-1 with Thailand (away)
- Aug 29, 2017 v Saudi Arabia (home)
- Sep 5, 2017 v Iraq (away)
End of free parking
- paid-for parking will be rolled across Abu Dhabi island on August 18
- drivers will have three working weeks leeway before fines are issued
- areas that are currently free to park - around Sheikh Zayed Bridge, Maqta Bridge, Mussaffah Bridge and the Corniche - will now require a ticket
- villa residents will need a permit to park outside their home. One vehicle is Dh800 and a second is Dh1,200.
- The penalty for failing to pay for a ticket after 10 minutes will be Dh200
- Parking on a patch of sand will incur a fine of Dh300
The Bio
Favourite Emirati dish: I have so many because it has a lot of herbs and vegetables. Harees (oats with chicken) is one of them
Favourite place to go to: Dubai Mall because it has lots of sports shops.
Her motivation: My performance because I know that whatever I do, if I put the effort in, I’ll get results
During her free time: I like to drink coffee - a latte no sugar and no flavours. I do not like cold drinks
Pet peeve: That with every meal they give you a fries and Pepsi. That is so unhealthy
Advice to anyone who wants to be an ironman: Go for the goal. If you are consistent, you will get there. With the first one, it might not be what they want but they should start and just do it
Scoreline:
Manchester City 1
Jesus 4'
Brighton 0
Going grey? A stylist's advice
If you’re going to go grey, a great style, well-cared for hair (in a sleek, classy style, like a bob), and a young spirit and attitude go a long way, says Maria Dowling, founder of the Maria Dowling Salon in Dubai.
It’s easier to go grey from a lighter colour, so you may want to do that first. And this is the time to try a shorter style, she advises. Then a stylist can introduce highlights, start lightening up the roots, and let it fade out. Once it’s entirely grey, a purple shampoo will prevent yellowing.
“Get professional help – there’s no other way to go around it,” she says. “And don’t just let it grow out because that looks really bad. Put effort into it: properly condition, straighten, get regular trims, make sure it’s glossy.”
EMERGENCY PHONE NUMBERS
Estijaba – 8001717 – number to call to request coronavirus testing
Ministry of Health and Prevention – 80011111
Dubai Health Authority – 800342 – The number to book a free video or voice consultation with a doctor or connect to a local health centre
Emirates airline – 600555555
Etihad Airways – 600555666
Ambulance – 998
Knowledge and Human Development Authority – 8005432 ext. 4 for Covid-19 queries
