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Gold, incentives and meh

Medicine degrees offered through clearing 'for first time ever'

A London university is going to be offering medical course places via 'clearing' in a first for any medical school, which junior doctor leaders say is a 'sad indictment' of the NHS.

St George's, University of London has this year opened up its five-year medical degree undergraduate course to the process, typically used to fill places that would otherwise go unfilled.

The Medical Schools Council told Pulse that it was a first among UK medical schools.

It comes as the total number of UK students applying for places at medical school fell last year for the second year running, dropping by 13.5% on two years previously, with this blamed on 'negative publicity' regarding seven-day NHS political targets and worsening working condition for doctors.

But a spokesperson for the university told Pulse that it was 'definitely not because of falling applications', but rather related to the 'unpredicability' of A-level grades and would offer the 'fairest' opportunity to 'outstanding' students.

A spokesperson said: 'St George’s, University of London has a range of courses going into Clearing this year and has retained a limited number of places on its Medicine (MBBS 5 year) undergraduate course for high quality students, who meet our requirements, for the first time.  

'We believe that going into Clearing is the fairest way for us to get outstanding students given the unpredictability of A level grades and the strict intake quotas imposed on the MBBS programme. Some students will have exceeded their grade expectations and will now be able to study Medicine, others will be unable to meet their conditional offer.' 

Professor Jenny Higham, Principal of St George’s, University of London, said: 'This is a great opportunity for students to study at the only UK university to share a campus with a teaching hospital, to take up a place in the current cycle, and avoid delaying their chosen career.'

Last year GP academic leaders said that the decline in medical school applications was ‘too large to be due to chance’, and that some students were being put off by publicity around cuts in NHS funding, increasing workloads and the expectation of seven-day working – as well as changes to GPs’ and consultants’ contracts.

Since then, the Government has imposed a new contract on junior doctors despite their fierce opposition and reports of declining morale.

Dr Johann Malawana, former chair of the BMA Junior Doctors Committee and leader of the profession's fight against the Government's imposition, told Pulse: 'I cannot remember places at medical school being offered through clearing. It is a sad indictment on how poorly this Government has managed the NHS. Careers in medicine traditionally attract many times the number of applicants per place, yet St George's has now ended up having to offer places through clearing.

'It is time the Government took the problems caused by poorly evidenced policies seriously and listened to the frontline staff. This country is already in the midst of a crisis in the NHS and this Government is compounding previous disastrous policies with poor handling of this crisis.'

A spokesperson for the Medical Schools Council said: 'The possibility of application through clearing for medical degree programmes offers an exciting opportunity, particularly for highly qualified students who perhaps just failed to obtain their predicted A*s and missed out on places at their firm and insurance offers.'

Readers' comments (36)

  • .....except that no-one is dying in the streets of Dublin,Dortmund or Dieppe simply because they have to pay a few euros to see a GP.
    Why are we so arrogant that we believe that our dysfunctional, shabby, inefficient "world class "NHS is the only model for health care?

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  • robin..please
    patients here are often spending money on the prescription charge that many cannot afford
    also it is factually wrong to say the nhs is inefficient
    the issue is underfunding and massive waste by political interference from both parties and their serially insane schemery..pfi/internal market/outsourcing etc etc..all of which have been criminally wasteful catastrophes
    internal market alone is reckoned to waste 10 billion plus a year with minimal advantages--before the cost of fragmentation and dumbing down of staff due to private outsourcers short termism loss leading to get contracts.
    I do agree that there needs to be more of an incentive for people to look after thier health--but in the usa their fantastically wasteful and awful health 'care' private industry provides massive incentives it would seem to do so to save money..yet there are millions with no care and more who bankrupt themselves to pay for care.
    there is nothing whatever wrong with the nhs concept..noble and efficient..it is the *ucking idiot politicians and ideologues who have ruined it.
    we must return to a clinician led integrated service..that is the only way any nation can possibly afford health care now and in the future

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  • "factually wrong to say the NHS is inefficient"??
    Do you reside in a galaxy far,far away?
    One of my jobs as a CCG GP Exec was to chair the weekly Quality Improvement Committee, an oxymoron if ever there was one.This dispiriting experience would review the Significant Events from Secondary Care and how they had failed to learn from them.
    Given your presence on another planet if not galaxy you clearly will have failed to notice the daily toll of missing/late clinic letters,failure of discharge summaries to be presented in a timely manner, "lost to follow up", "please arrange the following tests...because we cannot be bothered to".If the NHS is not inefficient, why is PULSE reporting the actions to try and stop Secondary Care dumping on us?
    At many levels, the NHS is a grossly inefficient and (see the Keogh Report)often seriously harming to patients.
    The politicians did not cause the problems at Mid Staffs or Barrow in Furness, but I agree that if our clinicians had the courage to lead we might be able to salvage something from the mess.

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  • robin I agree with all your points but these are details compared to the fact that a genuine nhs(before the interference by politicians) IS the most efficient system--far more than insurance based or private systems.
    for example the internal market pf1 private outsourcing waste 15 to 20 billion a year not going into patient acre and independent studies show the benefits of the internal market are minimal..and that's not even accouting for the fragmentation.
    what I mean is to return to the clinically led nhs before the insane damage done by ideologues/'management'religion fanatics thatcher/major/blair..(ably helped to damage the nhs by our present CEO)/brown/Cameron..all the reforms are actually catastrophic deforms .
    I think we are talking past each other.
    the problems you state are due to the internal market with nhs bodies dumping work onto each other--us..because they have a financial incentive to do so
    another reason why the internal market must be liquidated and I support the nhs reinstatement bill
    what we have now is not the nhs--far from it unfortunately..it is easy for people to confuse the present politically inspired mess from the real nhs concept..which was my drift
    best wishes
    anon.

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  • ps
    the politicians DID cause Stafford..the internal market created the system that to become a foundation trust they 'saved' money by cutting nursing staff...and disgustingly some of them got the blame for that politicomanagerial failure..further now we have that ultimate failure of a politician runt who despite crowing on like an idiot about labour causing Stafford had ther profound irresponsible cheek to suppress the report confirming that 3/4 of trusts have inadequate nursing numbers NOW.
    current NHS failures are 99% due to politicians interference plus gross underfunding/undermanning of all clinical staff way below that of more enlightended European nations.

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  • I got into Liverpool through clearing in 1974, so this is by no means a first.

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  • well done mr hunt for making it so attractive to enter the profession!
    you sir are a genius!

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  • Is this true?
    I think there were clearing students in my class in 1980!

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  • Medical degrees have been offered through clearing previously, this is not the first time it has occurred.

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  • This is a story worthy of St George’s, University of London intranet newsletter.

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