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The NHS Bursary Scheme Review
- 1. The NHS Bursary Scheme Review
- 3. NHS Bursary Scheme: Supporting our future NHS workforce The Steering Group has developed a series of options for the future of NHS student support which have been assessed against the aims of the review. The consultation seeks views on each of the options. The consultation Section one: The review so far Chapter 1 Introduction Chapter 2 Context Chapter 3 Evaluation criteria and evidence Chapter 4 Case studies Section two: Options for future NHS student support Chapter 5 Guidance on options Chapter 6 Options which would not increase costs Chapter 7 Options which would increase costs Section three: Other issues for consultation Chapter 8 Medical and dental students Chapter 9 Other issues Chapter Plan
- 4. The options Option 2 – Providing a means tested bursary and a non-means tested loan Option 3 – Providing a non means tested bursary Option 4 – Moving all healthcare students to the same scheme as other (non-healthcare) students Option 1 – Retaining the current system Option 5 – Employing all healthcare students on the minimum wage
- 13. Key: 5 £10,805 £££ - Within financial envelope £££ - Outside financial envelope Options Overview Non means tested loan (NMT) Means tested loan (MT) Non means tested bursary (NMT) Means tested bursary (MT) 1 2a 2c 2b 2e 2d 3a 3b 3c 4 £6,598 £7,460 £7,210 £7,660 £10,910 £10,910 £5,950 £6,350 £10,950 £7,783
- 15. Timetable of events 13.00 - 16.00 04-Nov Aberdeen 12-Nov Oxford 19.00 - 21.00 DHB, Bristol Royal Infirmary 09-Nov Bristol 19:00 03-Nov Sheffield 18.30 - Medical Teaching Centre 29-Oct Leeds 28-Oct UEA 18.00 Room 1.29, Garrod Building (whitechapel) 27-Oct Barts & The London 18.00 - Seminar room 1 in cruciform building 26-Oct UCL 18.00 - Stopford Common Room 26-Oct Manchester 18:30 26-Oct Imperial 14:00 - 16:00 Hull Uni Loxley building first floor meeting room 23-Oct HYMS 18.00 - Room 3, Bute Annexe 22-Oct St Andrews 18.00, B89 22-Oct Nottingham 15.30 Lecture theatre RHSC 22-Oct Edinburgh 14:30 - 18:30; Project Room 4 21-Oct Glasgow 20-Oct Southampton 19.00 - Dental Lecture theatre (TBC) 19-Oct Newcastle 18:00 19-Oct Liverpool Time and Place Date/time Medical School
Hinweis der Redaktion
- This provides a brief overview of how the consultation is laid out. Students can read the consultation which is in the consultation part of the DH website. The important chapters are 5, 6, 7 and 8.
- The steering group considered a number of different options against a set of evaluation criteria. Each option does not necessarily meet all the criteria.
- The consultation is not reviewing when medical students enter the NHS bursary scheme, it will remain the fifth year of study and subsequent years. If the fifth year is the students final year then they will only be in the bursary system for one year. If the fifth year is their penultimate year due to an iBSc then it will be their fifth and sixth years they are in the system for. All of the options which follow include the NHS paying tuition fees, this will not change . Allowances for travel expenses and child care are not being looked at as part of this consultation and will be looked at by a sub-committee of the steering group at a later date. The BMA will be included in these talks. It is important that you are not side tracked about questions about allowances and changes to the current system, tuition fee arrangements will stay the same.
- Costing All costs within this presentation are based on the figures for a student on a 45 week course studying outside of London. The costs included for the means tested bursary are the maximum amount one could receive. For option 1 a student living outside their parental home studying in London would receive: MTB - £5,425 Loan – £3,100 Pros This is within the current financial envelope there would be no need to set up transitional arrangements Cons It is unlikely that this option would have any positive effect on widening participation in medicine. Once the diploma is fazed out, any extra money in the system would be lost
- All these options are within the financial envelope. Option 2b would mean that all students would receive at least £3,210 as loan and bursary. Students in London would receive the following: 2a: MTB – £6450 Loan - £3,100 2b: MTB – £4950 NMTB - £1000 Loan - £3100 2c: MTB - £3950 Loan - £6315
- The Rowntree level was assessed to be the level necessary to support yourself without having to supplement your income with part time work. Student studying in London would receive: 2d: MTB – £6900 Loan - £6315 2e: MTB - £10,100 Loan - £3100 Pros Similar to other related systems such as the student support system for non-NHS funded students would provide the majority of students with access to at least as much funding as now, and some with significantly more would encourage widening participation as it also targets support to those students with the lowest income Cons The level of debt for some students may increase Cost is outside the financial envelope
- Whilst this may appear an attractive option, particularly for those students who are currently outside the means testing threshold, it would mean that those students most in need would receive significantly less. As there is no loan element to this option some students would have to take out professional loans which have a much higher rate of interest than those offered by the SLC. Students must consider the impact that this option would have on all students, particularly those most in need of financial support. Of all the options presented this option offers the lowest amount of total support. London students would receive a NMT of £7300 Within the current financial envelope Pros All students get the same amount therefore easy for budgeting Cons There is no extra money available via loans Students that don’t need the extra support are entitled to it
- London Costing: 3b: NMT - £7450 3c: NMT - £13,200 The Rowntree level was assessed to be the level necessary to support yourself without having to supplement your income with part time work. Pros All medical and dental students would receive a non repayable bursary. Does not involve loan funding so would be attractive to students who may be averse to debt Cons May not be an appropriate use of public funds to provide funding to those students who are able to support themselves or whose parents, spouse or partner is able to support them may not encourage widening participation outside the financial envelope
- London Costing: Grant: 2,765 + £100p/w over 30 weeks Loan: £6315 Pros It would increase the total available funding for most students whilst they would incur debt, it would allow all students to borrow more money if required Cons Outside the financial envelope the level of student debt would be likely to increase
- At the moment this is more a principle and the exact logistics would need to be worked out. We do not know how tax or national insurance would work. London Costing: (inner London) 18-21 : £12,21 (outer London) £11,723 (fringe London) £9743 22 years+ (inner): £14,660 (outer): £14,066 (fringe): £11,690 Pros Students would increase their total annual funding students from under-represented groups who may be deterred by the prospect of debt may be attracted into the professions if they were employed whilst studying Cons This is a very costly option NHS organisations may be placed under an additional burden if they are required to take on the responsibilities of an employer for these students students may not meet the legal definition of an employee, which would give rise to complex issues of employment law
- Using this slide you can show students the options that would increase their debt and the ones that provide more money. Make sure they are aware that the options which are outside the financial envelope are in red (2d, 2e, 3b, 3c, 4 and 5)
- Please highlight to students that this chapter is separate from the options already discussed and the money is being sourced from elsewhere, not the budget for the bursary as it currently stands. We are consulting students on whether they think this is a good idea. You may want to point out that if this is accepted then it should set a precedent for including all med and dental students for all years. Under the current scheme, medical and dental students are eligible to apply for support from the NHS Bursary Scheme only during the later years of their degree. The option of including all med and dental students in the bursary scheme for all years was considered by the steering group, however due to its cost it was agreed that targeting the lowest socio-economic classifications would be more appropriate in the first instance. A recent report by the Panel on Fair Access to the Professions suggests that opportunities to enter medicine have reduced for people from lower socio-economic classifications. Evidence shows that students from lower socio-economic classifications are under- represented in medicine and dentistry: Pros It would encourage widening participation as it targets support to those students with the lowest income Cons Cost is just outside the financial envelope