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I nternational migration and recruitment of nurses

I nternational migration and recruitment of nurses. Prof. James Buchan jbuchan@qmuc.ac.uk. I nternational migration and recruitment of nurses. Active recruitment UK Case study Code of Conduct EU Ghana case study.

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I nternational migration and recruitment of nurses

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  1. International migration and recruitment of nurses Prof. James Buchan jbuchan@qmuc.ac.uk

  2. International migration and recruitment of nurses • Active recruitment • UK Case study • Code of Conduct • EU • Ghana case study

  3. “Active recruitment”: recent initiatives in other “importer” countries

  4. % of new nurse registrants from EEA, UK and “other” countries 1993-2003

  5. UK: Total “outflow” of nurses / to USA

  6. Net flow of nurses to/ from UK (NMC registrations)

  7. Ireland: Home, EU and non EU nurse registrants

  8. EU accession: Physicians intent to move(Source Open Society,2003)

  9. Department of Health (England) Code • Requires NHS employers not to “actively” recruit from developing countries, unless govt. to govt. agreement (India, Philippines, Indonesia) • List of “preferred provider” recruitment agencies • Issued Nov 2001 (but list of countries only available Jan 2003) • Compliance difficult to monitor- NHS does not record international nurses • Private sector (25% of workforce) not covered by Code

  10. Annual no. of new entrants to UK nursing register, from selected sub Saharan African countries, 1998-2003

  11. “Outflow” of nurses from Ghana (Ghana Nurses Council verifications)

  12. Vacancy rates, Ghana Health Services, 1998 and 2002

  13. Impact on source countries • Understaffing / loss of skills • Decreased capacity in health services • Increased costs of recruitment and retention • possible compromises in quality of care • Low morale- remaining nurses and consumers (sources : DENOSA/ Caribbean, PAHO)

  14. Inflow of nurses to developed countries, by World Bank status of source countries

  15. Challenges and Opportunties

  16. Policy Issues • High level of reliance on international recruitment- necessary/ desirable/ sustainable? • UK (DH England) Code- how effective? can it be strengthened? • Bilateral agreements / managed migration: desirable?/ effective? • “Ethical” frameworks / international monitoring: whose responsibility?

  17. References • Buchan J, Dovlo D 2004. International Recruitment of Health workers: a report fro DFID. http://www.dfidhealthrc.org/Shared/publications/reports/int_rec/int-rec-main.pdf

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