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Related Experiment Videos

Does a code make a difference--assessing the English code of practice on international recruitment.

James Buchan1, Barbara McPake, Kwadwo Mensah

  • 1Queen Margaret University, Edinburgh, UK. jbuchan@qmu.ac.uk

Human Resources for Health
|April 11, 2009
PubMed
Summary

The UK Department of Health

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Area of Science:

  • Health workforce policy
  • International recruitment
  • Health professional migration

Background:

  • The Department of Health in England implemented a Code of Practice in 2001 to regulate international recruitment of health professionals.
  • The Code aimed to prevent active recruitment from low-income countries without government agreements, updated in 2004.
  • Research in 2007 assessed the impact of this Code on health professional inflows.

Purpose of the Study:

  • To evaluate the effect of the Department of Health's Code of Practice on international health professional recruitment in the UK.
  • To analyze trends in health professional migration to the UK.
  • To explore the influence of the Code in Ghana and Kenya.

Main Methods:

  • Analysis of professional registration and work permit application data for health professionals.
  • In-depth case studies in Ghana and Kenya examining recruitment perceptions.
  • Assessment of data limitations for evaluating policy impact.

Main Results:

  • A significant reduction in the inflow of health professionals to the UK was observed post-2004.
  • Perceived reduction in active recruitment from the UK in Ghana and Kenya, but the Code's specific influence is unclear.
  • Multiple factors, including decreased UK demand, contributed to the decline.

Conclusions:

  • International health professional recruitment in the UK, a key policy for staffing growth, has declined significantly since 2006.
  • Regulatory and educational changes in the UK also created barriers to international entry.
  • Effective policy evaluation requires clear objectives and robust monitoring; global codes face challenges in diverse healthcare systems and require high visibility.