In recent years NHS Trusts have been cultivating strong personal ties between UK consultants and foreign institutions/IMGs. MTI and Tier 5 has worked well for these medical areas where there is a relationship with an overseas hospital and many NHS Trusts are looking to expand their Tier 5 recruitment in given specialty areas as part of their commitment to global health.
Additionally, the MTI has worked well in medical specialties that are undersubscribed, of-need areas for Trusts. Such a scenario would then yield a reciprocal benefit in both providing the Trust in-need with a capable foreign postgraduate doctor, while also providing a training placement for a doctor who might not otherwise be afforded the same opportunity in their home country.
It is important to note that the MTI is not intended to compete with the UK medical training capacity, but instead capitalises on spare training capacity in areas that are undersubscribed within the UK or uses supernumery Trust and Deanery training posts.
The Trusts will not be bringing these doctors over own and will not be the sole sponsor for any doctor on the MTI Scheme. Under the UKBA requirements for Tier 5 temporary exchange scheme entry, individual employers do not act as sponsor of the applicant as they would with a direct overseas appointment. Instead, whilst the scheme has been administered by the Deaneries and the relevant Colleges, the formal process for getting UKBA approval for the applicant is handled by a national umbrella body, the Academy of Medical Royal Colleges.