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newstfionline · 7 years ago

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Where Brexit Hurts: The Nurses and Doctors Leaving London

By Katrin Bennhold, NY Times, Nov. 21, 2017

LONDON--Tanja Pardela is leaving London. Her last day is Nov. 26. She wells up talking about it. She will miss jacket potatoes, and Sunday roasts, and her morning commute--past playing fields, small children in school uniforms and a red telephone box--to the hospital where she has been a pediatric nurse for 11 years.

Ms. Pardela does not want to leave the country she came to over a decade ago. But that country no longer exists. On June 24 last year, she said, “We all woke up in a different country.”

Seventeen months after Britain voted to leave the European Union, many Europeans are voting to leave Britain--with their feet. Some 122,000 of them packed their bags in the year through March, according to the latest figures available, while the stream of new arrivals has slowed.

In London, a city long sustained by European bankers, builders and baristas--”a place that makes you dream,” Ms. Pardela said--the departures are beginning to hurt. Construction companies and coffee shops are struggling to recruit. Top universities worry about retaining talent. And nowhere are the concerns more elemental than in Britain’s treasured and already overstretched National Health Service.

Long before Brexit, the N.H.S. suffered from chronic staffing shortages, and today the country has 40,000 nursing vacancies. But recruiting nurses from the European Union had helped plug the gap--especially in London, where the share of nurses from the Continent is about 14 percent, or twice the national average. King’s College Hospital, the massive institution where Ms. Pardela works, is short of 528 nurses and midwives, and 318 doctors.

Brexit seems certain to make it harder and costlier to recruit from the Continent, assuming that people will still want to come from there. Even the legal status of European Union citizens already living in Britain remains unclear, entangled in the stalled Brexit talks between Brussels and London. Many fear they could lose rights, job security, pensions and access to free health care.

This uncertainty is one reason that some European health care professionals are either leaving, or thinking about leaving. In the year following the referendum, almost 10,000 quit the N.H.S. The number of nurses from other European Union countries registering to practice in Britain has dropped by almost 90 percent.

As yet, there is no mass exodus back to the Continent--the number of European Union staff in the health service even grew slightly in the year after the referendum. But the trends are unmistakable: The number of Europeans leaving the system is rising, and the number joining it is falling.

“With London in the grip of its worst ever staffing crisis, nurses are being pushed to breaking point on understaffed wards,” said Tom Colclough, regional spokesman for the Royal College of Nursing in London. “If those E.U. colleagues who have not yet left are not given an unequivocal right to remain, the very safety of the capital’s care settings will be under threat.”

The N.H.S., with its philosophy of free universal health care, is a pillar of postwar British identity, once described by a former minister as the closest thing the English had to a national religion. When London hosted the 2012 Olympics, a highlight of the opening ceremony was a dance performance by real nurses whose bodies eventually coalesced into three giant letters: N.H.S.

During the Brexit campaign, an argument about the N.H.S. helped tip a tight vote. Brexit advocates said leaving the European Union would allow the government to repatriate 350 million pounds a week from Brussels--about $463 million at current exchange rates--and spend it on health care. It was a powerful promise, plastered in bold across the side of a campaign bus--but it was false: Britain pays only about £166 million a week net into the European budget and there was little chance that even a lesser amount would go solely to the N.H.S.

“It was clearly the most effective argument not only with the crucial swing fifth but with almost every demographic,” the chief strategist of Vote Leave, Dominic Cummings, wrote in The Spectator earlier this year. “Would we have won without immigration? No. Would we have won without £350m/NHS? All our research and the close result strongly suggests No.”

Founded in 1840, King’s treated shell shock victims during World War I and victims of German air raids during World War II. More recently, survivors of London’s terror attacks and the Grenfell Tower fire were treated here.

The hospital is a complex of two dozen buildings in southeast London with Europe coursing through its circulatory system. Dutch workers built the state-of-the-art helipad on the roof. Eastern Europeans are helping to build a new intensive care wing and serving cappuccino as baristas in the four coffee shops. Of the 9,300 clinical staff, one in seven holds a non-British European passport.

Brexit is forcing a stark reassessment in every department. In the emergency room, Cyril Noël, a French doctor, is wrestling with how a country he loved rejected him. He describes the grieving process as the Five Stages of Brexit. In critical care, Georg Auzinger, an Austrian physician, has built a world-class facility but now worries about finding enough doctors and nurses.

Many worry that a health service they cherish may be existentially at risk. During a recent Sunday service in the hospital chapel, the priest said a prayer to guard against the “effects of Brexit.”

“The N.H.S. is in Britain’s DNA,” said Shelley Dolan, chief nurse and executive director of midwifery at King’s. “Europe is in the DNA of the N.H.S.”

When Dr. Noël, the French emergency doctor, started his shift early one recent afternoon, the department was already two dozen beds short. He surveyed the scene: seven stroke patients, two casualties from traffic accidents and a couple of stabbing victims. An elderly lady had been run over by her own car after forgetting to put on the hand brake. A toddler had swallowed a fridge magnet. A man had almost died after being punched in the face.

And the emergency room was four nurses down.

“Just a regular Friday,” said Dr. Noël, 45, as someone behind him mopped up the blood stains in Bay 4.

Working with Dr. Noël that Friday night were a Czech doctor and nurses from Ireland, Poland, Spain and Portugal. Several had spent their summer vacations scouting job opportunities in their home countries. “Everyone is nervous,” said Alexandra Cunderlikova, a senior nurse from Slovakia.

Ms. Cunderlikova came to Britain in 2003, a year before her country joined the European Union. She remembers lining up outside the Home Office at 4 a.m. for her work visa.

“I wonder,” she said. “Will it go back to that?”

Dr. Noël grew up as an Anglophile in eastern France, near the German border, in a family badly scarred by two world wars. When he was 5, he paraded across the local market, pretending to speak English. At 30, he fell in love with a British student who had come to France on the Erasmus program, the European Union’s university exchange scheme. Twelve years ago, they moved to Britain and Dr. Noël instantly felt “at home.”

But now, when he works outside London in places where people voted for Brexit, resentment rises in his throat.

“I’ve had very torn feelings about helping people who expressed the wish to get rid of us,” Dr. Noël said.

“Psychologically Brexit has had a huge impact,” he said. “You feel rejected as a group.”

Brexit has made many European employees reconsider. If anger was the third stage of Brexit, and depression was the fourth, Dr. Noël said he had now reached the final stage, acceptance.

For him, that means leaving Britain early next year. He has a new job at a hospital in Dubai.

#Britain #Brexit #National Health Service #King’s College Hospital #British nurse shortage

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jobzone360-blog · 6 years ago

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alliancerecruitmentmpany · 6 years ago

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Recruitment Companies In Bahrain - Finding Job Vacancies Online

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alliance-uae · 8 years ago

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#recruitment dubai

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jobsads4u · 8 years ago

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spreejobs · 11 months ago

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Patient Representative Job Vacancies in Dubai, United Arab Emirates

Patient Representative Job Vacancies in Dubai, United Arab Emirates JOB DESCRIPTION The role of the Patient Representative is to attend patients and their relatives in the Clinic to satisfy their non-medical needs. Handle enquiries and provide a high level of support and information to patients/guests in the Clinic. He/she is also responsible for coordinating specialty care for patients in…

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jobadsupdates · 5 years ago

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Fortis Walkin Drive in Gurgaon 2019 For Staff Nurse

The core objective of education is to gain employability. The scariest economic metric for students nowadays is unemployment. Jobads is an effective leading job site for people who seek employment opportunities to make the transition to the professional world. This job-hunting website provides an array of information on all the latest notifications of government and private-sector jobs, software jobs, Sarkari jobs, Fresher IT jobs, Walk-in along with the Admit cards, syllabus, and results. You can get quick updates on all the latest notifications on this website. Jobads strives every day for connecting jobs and people by providing quick updates on relevant jobs to job seekers.

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#Fortis walkin interview 2019

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jobdxb · 6 years ago

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Recruitment in Al Futtaim Group SALES SUPERVISOR | Toys R Us (AE)

Job Requisition ID: 35249

No two days are the same at Al-Futtaim, no matter what role you have. Our work is driven by the desire to make a difference and to have a meaningful impact with the goal of enriching everyday lives. Take our engaging and supportive work environment and couple it with a company culture that recognises and rewards quality performance, and what do you get? The chance to push the limits every single day.

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Come join us to live well, work better, and be the best.

Responsibilities

Store Supervisors / Manager are to ensure stores are merchandised to the company’s standards, staff are fully versed on the targets for the day/week/month/year and to ensure excellent customer care standards are met.

Primary Objectives:

• Managing and motivating a team to increase sales and ensure efficiency

• Managing stock levels and making key decisions about stock control

• Analyzing sales figures and forecasting future sales volumes to maximize profits

• Analyzing and interpreting trends to facilitate planning

• Using information technology to record sales figures, for data analysis and forward planning

• Dealing with staffing issues such as interviewing potential staff, conducting appraisals and performance reviews, as well as providing or organizing training and development

• Ensuring standards for quality, customer service and health and safety are met

• Resolving health, safety and security issues

• Responding to customer complaints and comments

• Promoting the organization locally

• Organizing special promotions, displays and events

• Attending and chairing meetings

• Updating colleagues on business performance, new initiatives and other pertinent issues

• Touring the sales floor regularly, talking to colleagues and customers, and identifying or resolving urgent issues

• Maintaining awareness of market trends in the retail industry, understanding forthcoming customer initiatives and monitoring what local competitors are doing

• Initiating changes to improve the business, e.g. revising opening hours to ensure the store can compete effectively in the local market

• Dealing with sales, as and when required

Store Supervisor / Manager Requirements

Education and Experience

• Excellent verbal and non-verbal communication skills

• high school diploma or equivalent preferred

• knowledge of customer service principles and processes

• knowledge of sales principles

• relevant product knowledge and training

• experience in a retail, customer service or sales environment at management level

• basic business administration knowledge

Physical Demands

These physical demands are representative of the physical requirements necessary for an employee to successfully perform the essential functions of the Store Supervisor / Manager’s job. Reasonable accommodation can be made to enable people with disabilities to perform the described essential functions of the Store Supervisor / Manager’s job.

While performing the responsibilities of the Store Supervisor / Manager’s job, the employee is required to talk and hear. The employee is often required to sit and use their hands and fingers, to handle or feel. The employee is occasionally required to stand, walk, reach with arms and hands, climb or balance, and to stoop, kneel, crouch or crawl. Vision abilities required by this job include close vision.

Work Environment

While performing the responsibilities of the Store Supervisor / Manager’s job, these work environment characteristics are representative of the environment the Store Supervisor / Manager will encounter. Reasonable accommodations may be made to enable people with disabilities to perform the essential functions of the Store Supervisor / Manager’s job.

While performing the duties of this job, the employee is occasionally exposed to moving mechanical parts and vehicles. The noise level in the work environment is usually quiet to moderate.

Conclusion

This job description is intended to convey information essential to understanding the scope of the Store Supervisor / Manager’s position and it is not intended to be an exhaustive list of skills, efforts, duties, responsibilities or working conditions associated with the position.

We’re here to provide excellent service but a little help from you can ensure a five-star candidate experience from start to finish.

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skillz9048--eduhub · 2 years ago

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gulf-career-hunt · 5 years ago

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Healthcare Vacancies 18x Dubai UAE

Position: Healthcare Vacancies 18x

Date posted: 2020-02-11

Industry: Healthcare

Employment type: Full Time

Experience: minimum 5 year of relevant experience

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Location: Dubai, United Arab Emirates

Company: Zulekha Hospital

Description:

Healthcare Vacancies 18x

Zulekha Hospital Dubai Staff Nurse Vacancy…

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#Healthcare Vacancies 18x

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shropsnews4u · 6 years ago

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Shrewsbury + News from our partners: Clinicians to travel overseas to recruit A&E doctors

News from our partners Shrewsbury and Telford Hospital NHS Trust (SaTH)

A team of clinicians from The Shrewsbury and Telford Hospital NHS Trust (SaTH) will be travelling to India and Dubai this week in a bid to recruit up to 20 new A&E doctors.

The group of four medical staff will be interviewing candidates during the six-day trip for positions within the Emergency Departments at the Princess Royal Hospital (PRH) in Telford and the Royal Shrewsbury Hospital (RSH).

It is hoped that they will be able to recruit substantive middle grade doctors and consultants to help fill the vacancies within the EDs.

SaTH is working with a specialist recruitment company which has helped other Trusts in the UK secure clinical staff from overseas, and it will be the first time that the Trust has sent staff to Dubai and India to interview and recruit staff.

Dr Jenni Rowlands, Director of Postgraduate Education at SaTH, is part of the team travelling to Dubai and India. She said:

“This is the first time that we have been overseas to recruit like this. We are hoping that the trip will be a successful one for the Trust, and that we will be able to make job offers whilst we are there.”

Simon Wright, Chief Executive at SaTH, said:

“This is a really exciting opportunity for us to be able to recruit the staff that we need to what is still a very fragile service.

“Whilst we managed to recruit enough middle grade doctors to keep the A&E at PRH open 24-hours-a-day, seven-days-a-week at the end last year, they were a mixture of locum and agency staff. We are still considerably short of the substantive staff that we need to support our current teams.

“We have not stopped working behind-the-scenes to recruit to our EDs and we are leaving no stone unturned. We are hoping that this trip to India and Dubai will give us a real chance of securing staff into those substantive roles.

“With the reconfiguration of our hospitals now a reality, as well as all the efforts that are ongoing to make Trust an attractive place to work, we hope that this will further help our ability to recruit the ED doctors that we need to work in our Trust for the benefit of our patients.”

The Trust’s EDs currently have seven substantive consultants, two locum consultants with another due to join next month; and 14 substantive middle grade doctors and 10 locum middle grade doctors.

Another team from SaTH is also heading to Dublin at the end of the month to recruit qualified nurses to work in a number of departments across the Trust.

As well as the overseas recruitment drive, the Trust is working on a number of initiatives to improve its offer to emergency medicine doctors including The Clinical Fellowship Programme and the CESR CESR (Certificate of Eligibility for Specialist Registration) scheme, which are being developed jointly with Wolverhampton University.

Work has also begun on creating a new doctors’ mess within the PRH and six houses to accommodate junior doctors are being refurbished thanks to a DIY SOS-style appeal led by Telford & Wrekin Council.

The post News from our partners: Clinicians to travel overseas to recruit A&E doctors appeared first on Shropshire Council Newsroom.

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#Shrewsbury Extra

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newstfionline · 7 years ago

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Where Brexit Hurts: The Nurses and Doctors Leaving London

By Katrin Bennhold, NY Times, Nov. 21, 2017

Ms. Pardela does not want to leave the country she came to over a decade ago. But that country no longer exists. On June 24 last year, she said, “We all woke up in a different country.”

In London, a city long sustained by European bankers, builders and baristas--“a place that makes you dream,” Ms. Pardela said--the departures are beginning to hurt. Construction companies and coffee shops are struggling to recruit. Top universities worry about retaining talent. And nowhere are the concerns more elemental than in Britain’s treasured and already overstretched National Health Service.

“The N.H.S. is in Britain’s DNA,” said Shelley Dolan, chief nurse and executive director of midwifery at King’s. “Europe is in the DNA of the N.H.S.”

And the emergency room was four nurses down.

“Just a regular Friday,” said Dr. Noël, 45, as someone behind him mopped up the blood stains in Bay 4.

Ms. Cunderlikova came to Britain in 2003, a year before her country joined the European Union. She remembers lining up outside the Home Office at 4 a.m. for her work visa.

“I wonder,” she said. “Will it go back to that?”

There are still more Europeans migrating into Britain than leaving. But, as in the N.H.S., arrivals are slowing and departures accelerating, said Madeleine Sumption, director of the Migration Observatory at the University of Oxford, especially among Eastern Europeans like Ms. Cunderlikova.

The day before the Brexit referendum, feeling anxious and powerless because he was not allowed to vote, Dr. Noël did something he had never done before: He placed a bet.

Dr. Noël wagered £200 on Brexit. “That way, I thought, if it actually happens, at least there is one positive thing in it,” he said. To his dismay, he won. The £1,500 he made would roughly cover the fee for a British passport. But Dr. Noël is in no mood to become British--at least not now.

“I feel very strongly European,” he said.

He grew up as an Anglophile in the Jura region of France, near the German border, in a family badly scarred by two world wars. When he was 5, he paraded across the local market, pretending to speak English. At 30, he fell in love with a British student who had come to France on the Erasmus program, the European Union’s university exchange scheme. Twelve years ago, they moved to Britain and Dr. Noël instantly felt “at home.”

But now, when he works outside London in places where people voted for Brexit, resentment rises in his throat.

“I’ve had very torn feelings about helping people who expressed the wish to get rid of us,” Dr. Noël said.

“Psychologically Brexit has had a huge impact,” he said. “You feel rejected as a group.”

He talks about the “five stages of Brexit.”

First there was shock, he said. Then there was denial. (“Don’t worry,” he would tell the young nurses from Portugal and Spain in his department who fretted in the months after the vote. “Nothing is going to change.”) Eventually, Dr. Noël reached the anger stage, following a cascade of nasty news reports: about a government request for companies to compile lists of foreign nationals (later retracted); about a man being stabbed for speaking Polish; about a Finnish professor who, along with scores of other Europeans, was served a deportation notice.

The notice was a bureaucratic mistake. “But after Brexit, such mistakes are not easily forgotten,” Dr. Noël said.

If the N.H.S. has consistently managed to produce health outcomes comparable to countries with vastly more resources--like France, which has a similar population but more than twice the number of hospital beds--it is in large part because of the people, said Dr. Noël, who has worked in both systems.

“The N.H.S. is an incredibly resilient system,” he said. “People are so dedicated. When the system is squeezed, they work even harder.”

But Brexit has made many European employees reconsider. If anger was the third stage of Brexit, and depression was the fourth, Dr. Noël said he had now reached the final stage, acceptance.

For him, that means leaving Britain early next year. He has a new job at a hospital in Dubai.

Up two floors from the emergency room, down a warren of hallways and through a pair of locked wing doors is the liver intensive care unit.

Dr. Georg Auzinger, the clinical head of critical care, was checking on two patients who were recovering from emergency liver transplants on extracorporeal membrane oxygenation, a pioneering bypass technology. Their blood, liters of it, was being drained from their bodies, oxygenized in an external pump and then reintroduced. Anywhere else in the world they would have been kicked off the transplant list and have died.

The liver department at King’s is world famous. It is also very European. “The English are in the minority,” Dr. Auzinger said.

Dr. Auzinger, a lanky 51-year-old from Salzburg, Austria, has a clipped accent and speaks in Briticisms (“I was gobsmacked,” he says of the Brexit result). The liver department’s clinical director is Irish. Its academic director is Spanish. The hospital recently tried to hire a German as academic head of department, but he declined: He had been awarded a high-value European grant that he could not take to Britain after Brexit.

This worries Dr. Auzinger, who has to hire 407 nurses and doctors for the hospital’s new intensive care wing. Last month, not a single European applied for an advertised position as a senior consultant. “Before, at least a third of applicants were European,” he said.

Dr. Auzinger is happy to hire qualified Britons. “But there are not enough doctors and nurses in this country,” he said. “The numbers being trained do not cover the needs.”

In March, the government announced a plan to hurriedly train more British nurses. Yet in September, enrollment at nursing schools dropped, because the government also cut grants to nursing students. That is one reason Peter Absalom, associate director for recruitment at King’s, is now trying to replace one immigrant group with another. “We are looking to the Philippines, Australia and India,” he said. Three major recruitment drives are planned over the next 12 months.

Every time Mr. Absalom hires someone from overseas he has to pay for their visas and a collection of other charges, which add up to more than £4,000 per person over three years. It can take a year before the nurses start work. Europeans could be hired with no visa costs and no extra paperwork. Over the last five years, nurses from Portugal, Spain, Ireland and other European Union countries have accounted for about a third of the total intake.

Now King’s has stopped its hiring campaigns in the European Union.

“What is particularly difficult is that we cannot give candidates any certainty on their future status,” Mr. Absalom said.

Dr. Auzinger has been in London for 18 years. He, too, would consider going back to Austria if he could transplant his job there, but he cannot. He thinks the way Brexit is affecting the N.H.S. is symptomatic of a poor treatment plan. Britain is ailing. People are angry. Brexit was the treatment offered to them. What worries Dr. Auzinger is the lack of a diagnosis.

“If you think Brexit is the medicine, my concern is that you’re treating something blindly,” he said. “If you don’t have a diagnosis, you cannot treat the patient properly.”

Ms. Pardela, the pediatric nurse, still needs to stop by the post office so that her mail can be forwarded to Germany. She is keeping her British bank account open because she hopes that one day the pound will rise again. It has lost as much as 20 percent of its value against the euro since the referendum. So have her savings.

After the Brexit vote, a British colleague urged Ms. Pardela to apply for citizenship. Her skills were needed. No way, she answered. “I respect the vote,” she had said. “But I’m not going to bend to it.”

Last September, she called an old friend from nursing school and asked about job opportunities back in Germany.

“Brexit was a trigger,” said Ms. Pardela. “It makes you reassess your life. You find yourself thinking: ‘I’m working really hard. I haven’t had a pay raise in four years. Now they’re telling me they don’t want immigrants? Why am I still doing this here?’ “

“And then you think: ‘I’m 45. I better move now. It will be harder when I’m 55.’ “

In her small apartment, now filled with moving boxes, Ms. Pardela was packing photos of Big Ben and the London Eye, as well as a series of trashy romance novels that helped her learn English. Still on the fridge was a magnet featuring Florence Nightingale, the mother of modern nursing in Britain: an Englishwoman who was born in Italy and trained in Germany.

One reason Ms. Pardela thinks the N.H.S. is one of the best health care systems in the world is that it empowers nurses. “The range of opportunities and responsibilities is much greater here,” she said. In Germany, many of the things she has been doing--assessing blood results, adjusting treatment plans for transplant patients--would be handled by a doctor.

On Ms. Pardela’s ward, a third of the doctors are European. Twice a year they hold an International Food Day where everyone contributes dishes from their country. This year, Ms. Pardela brought sausage and sauerkraut. A Greek colleague made tzatziki. An Italian cooked spaghetti.

When the latest bout of cost savings required the department to cut one nurse from every shift, Ms. Pardela fought hard to win the role back. It took a year. In the end, she was successful.

“The irony,” she said, “is that now we can’t find anyone to fill it.”

The position has been empty since September.

#Britain #Brexit #NHS #National Health Service #EU citizens in Britain #doctors in Britain #NHS doctors

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