I work for the NHS, I see it for my own eyes how tired doctors are. I see how many clinics they have to trudge through based on 20 min slots. I've seen how doctors have to run clinics at 2 different hospitals and have have multiple skills in specialist areas. I have also seen how tired doctors, covering many areas due to lack of support, failed my brother in the New Year, misdiagnosing him or opting to let him pass due to other 'more serious incidents'.
Like a man having classic symptoms of a heart attack isn't serious??
What I'm saying is that the NHS can't afford to lose the physicians it trains to other private hospitals, here or abroad. I think the NHS should hold a registration for a time and that if a doctor goes to to anywhere else within a period of time, then that establishment should pay for that doctor's training percentage-wise from full to partial stages of registration.
A transfer fee, if you will.
Doctors get support from more doctors, less tired doctors regain their faculties and make less mistakes, clinic burdens are eased, the waiting time comes down, if a private hospital head hunts a doctor then they pay for the whole training and that goes back into the system for another doctor, 'sic pace'.
I think it's a self replenishing idea and moves us forward.