What is the word from the street? Not the word of political propaganda. Not the word of the toothless gatekeepers, called the NMC, who are tasked with checking the qualifications of overseas nurses. They recently disclosed, through a FOI request, that out of an income of circa £50 million, and a staff of over 400, they employ 8 on checking the certificates of overseas nurses! ‘We have six assessment officers and two ID checkers working on overseas applications. Assessment Officer – REG C1 so full time annual salary £25,430 (7.5% below the median) ID Verification Officer – REG B2 so full time annual salary £22,887 (7.5% below the median)’. So, about 4% of the NMC’s income is spent on staff doing what should be the most vital of jobs. How much, by comparison, do the NMC spend on ‘fitness to practice’ staff? Any guesses?

Before feeling sorry for the 8 (in my opinion, poorly paid) staff manning the UK’s defence of nursing barricade, as I have indicated previously, it is only a case that they check for a Filipino Professional Regulation Commission (PRC) stamp on documentation – if it’s stamped, it must be genuine, like an egg with a British lion mark!

These stamps are on all the documents of nurses supplied by a large, Filipino agency, who have recently supplied the UK with 500 nurses, despite its ‘job orders (being) exempted from overseas labor office verification and approval’, and despite Detective Superintendent Simon Barraclough, who led the (Chua) investigation, saying, “I have no confidence in the qualifications he has provided via the Professional Regulation Commission” (which verifies the qualifications of nurses) … a source close to the Stepping Hill case said: “Vetting of nurses in the Philippines is very, very poor”.

What is the word on the street? Not the word of nursing bullshitters, such as the RCN, who ridiculously propagate the myth of a nursing shortage, without recourse to statistics of how many recently qualified nurses are given a job in the NHS. Not the word of sensation seeking newspapers, which home in on the issue of fake nursing certificates only after a tragedy.

The following words from the street give differing perspectives. Those of an American nurse, who can not get a job because she is more expensive to hire than a Filipino nurse, and those of Filipino nurses, who talk of the pragmatic reasons for entering nursing, the lack of opportunity in other occupations, and their exploitation and abuse in the rich countries that import them.

These words come from recent blog posts, which I have not edited. They give such a sense of what is REALLY happening …

According to Reuben Seguritan, general counsel of the Philippine Nurses Association of America (PNAA), the Philippines is the world’s largest supplier of foreign-trained nurses with 429 nursing schools and 80,000 nursing students.

American Nurse:… listen you can recruit as many as you like, but at the end of the day they all have far less and proper training than any non-third world country. America and any and all of the other countries actively recruiting Filipino nurses are doing this simply because of money. They have to pay American nurses more money with pay raises as well as all of your pension therefore getting rid of a nurse in her 50s or older whilst she is in her prime is simply ridicules and a poor excuse for cutting back. There is certainly not a nursing shortage in the US it’s called a money shortage and it’s true if you can pay a bunch of poorly educated nurses cheaper even by $1000.00 per month well why not. It’s not right and puts patients in danger, but this is the risk America and many other countries are willing to take.

Oh and let’s not forget the illegal undocumented whatever you wish to call it “Nurses” who work in private homes as nannies, baby nurses, personal caregivers all who claim I’m a nurse in the Philippines…come to find out that either they are not telling the truth and or didn’t pass their nursing test and can’t take the test here in the USA NCLEX TEST, because they are illegal.

Furthermore, to all of you gloating Filipinos who thank that you are hired because you are such good workers…well stop fooling yourselves. It’s simply called cheaper labor at any cost to mankind.

It’s not fare to Americans who need and want jobs in nursing and who are willing to work heart and soul to provide the best possible care for their patients.

Filipino’s want to come to America because RP (Republic of Philippines) is poor. It’s as simple as that. Not a blaming statement, simple truth. They would be lucky to earn $500 per month in RP. In America they earn at a minimum $4,000 a month.

One problem: Here I am. An RN without a job. I’m highly qualified and older than the “50’s nurses who are going away.” But I used to earn $5,771/ month. And so why hire me? Yes, often, perhaps not always… $4,000 beats paying $5771. So I don’t get hired.

There is NO SHORTAGE of nurses in America today. There is a glut. Plain and simple.

(There is no shortage in the UK either. 20,092 nurses commenced training in 2010-2011, and 17, 546 in 2012-2013. Of these 37, 638, 20% drop out (per Willis Enquiry), leaving approximately 30,000 newly qualified nurses seeking work between 2013-2016. Some will not want to remain in nursing. Yet, to anyone who takes the time to study hospital job advertisements, it is patently clear that many newly qualified nurses can not get a job because the job requires ‘experience’! All nursing students who complete their course should be guaranteed a job in the NHS, then see how many cheaper, foreign nurses need to be imported in bulk. None. It’s about cash – lenin).

The passage of nativist legislation was fueled by fears of foreign nurses taking American jobs as former Washington DC Mayor Marion Barry complained : “it’s so bad, that if you go to the hospital now, you find a number of immigrants who are nurses, particularly from the Philippines,” Barry told the Examiner. “And no offense, but let’s grow our own teachers, let’s grow our own nurses — and so that we don’t have to be scrounging around in our community clinics and other kinds of places — having to hire people from somewhere else.”

Grow your own nurses, that’s what the US did. According to the National Council of State Boards of Nursing, US nursing schools produced close to a million nurses from 2006 to 2011.

(The RCN’s policy is to also ‘grow more nurses’, rather like a British farmer growing apples – well, my dears, the supermarkets ship in vast loads of cheap, foreign apples, and only carry a stock of British ones as ‘novelty’ items, precisely what British nurses are becoming. Yet, let’s keep the nurse lecturing industry going, after all, many lecturers are also RCN members! …. “Oh Cecilia, what will we do if we can not churn out graduates? … I couldn’t possibly go back to being a nurse!” … (Johanne agrees) “Nor me, I was useless at it!” – lenin).

The trouble with the way the nursing profession is regarded in the Philippines is that it is seen by many Filipinos more as a stepping stone to a financially rewarding job (by their standards) overseas. As for the rewards to the soul or to a sense of non-financial personal fulfillment that real nurses seek, it is likely that the proportion of Filipino nurses who harbour that ethic is shrinking by the year as the fortune seekers in that profession (those who become nurses for the wrong reasons) utterly swamp the dwindling number of those who enter the profession seeking their vocation.

This is a disturbing trend. As the citizens of affluent societies age, demand for aged care and nursing services will increase. But with a shortage of local talent filling those roles already looming, these societies will increasingly rely on the Third World for such professionals many of whom will be in it mainly for the money.

Filipino nurses and families: But Bishop Garcera’s proposal that the Philippines step up to its duty as the caregiver to the world’s aged by embracing overpopulation will likely infest humanity with impoverished nurses desperate for a shot at the Filipino dream of overseas employment. “We should stop looking at poor people as a problem,” says Garcera who believes that the impoverishment of the Philippines is part of God’s “plan” for Filipinos to “take care of other nationalities by inducing migration and working abroad.”

I feel bad for most people who are taking us Nursing. Not because they are Nurses since I know people who really wanted to become a Nurse even before the demand. But because they are taking it up because it’s their way of working abroad and earning for their family despite being away from them, in a better circumstance they could be doing something they really are passionate about and make that their career.

I felt that most of the youth today are taking up nursing. I hope for the best it is more of a personal calling like the author said to help those who need genuine care but so far I see its all about going abroad for huge sums of money … noble it seems? but deep inside its more of money talk … sorry for those who wanted to help people that will simply take advantage of them … the over supply of nurses in this country must be addressed properly because nursing is not the only world the Philippines need.

I wonder why Garcera’s quote was being spread around again online, it’s old and I had already written rebutall to that. But anyway, saying that it’s the Filipinos’ duty to proliferate and become the servants of other countries comes with the increased risk of producing broken families and abuses associated with overseas work.

I completely agree. My father worked overseas and it put a strained on his relationship to his children and wife. We were not able to relate to him and he to us. It was very sad. He died 2 years ago. He spent more time abroad than with us. Thinking of that makes it difficult for me to have closure on his passing.

I took nursing not as a “personal vocation” but primarily to attain financial security which is second on the list of Maslow’s hierarchy of needs. Pretty legit reason if you ask me. So far I have been successful. Even if I disliked the profession initially. Now I don’t mind doing it as it puts a roof above my head & food on the table. Nursing is like any other job that you have to be competent and have the skills to do your job. The hospital as well is run like any other business. No need for the nursing occupation to become some “personal vocation” or soul rewarding as you say for you to be successful & respectable in such a field. It’s easy to romanticize the profession but guess what, it’s a job like any other job. Majority of nurses do it for the paycheck and as long as they are competent & do a great job at it, there is absolutely nothing wrong with it. Again the keyword here is competence. Not a “calling” or a “vocation”. I’d rather have a qualified & competent nurse who does it mainly for the money than an incompetent, unqualified nurse who thinks nursing or God chose him/her to be a special instrument to alleviate mankind’s suffering.

(I totally agree, nurses have to be competent, and some newly qualified UK nurses are not – do not blame them, blame their course – but if you do not have a caring nature, then take a long run off a short pier. I have known many ‘new’ nurses over the years who became more competent as they experienced the job; they were not all Einsteins, but most patients just want a fair level of competence and a high level of compassion. There are also too many student nurses in the UK who enter nursing because the government pay for the course – they lack a sense of personal vocation. Get rid – lenin).

The trouble of Bishop Garcera is: he never worked in foreign country. To be a worker in a foreign country … You are subjected to race and national origin discrimination. You get the lowest paid job and the worst job. Then, they work you like a carabao. A little mistake you make can have you fired; right there and then. You have to be ten (10) times smarter than them; to survive in such environment. Your foreign accent is also a factor. There is also a glass ceiling, above your head; that prevents you from going up in your position.

Instead of nursing or caregiving, why don’t Filipinos try their hand beyond the service industry and into sciences and technology? More physicists, biologists and chemists to export would really raise the country’s reputation above being called a “nation of servants.” It all starts at home with a change starting with the Philippines stand-offish attitude towards these fields.

The problem with most Filipinos is that they just prefer those overrated courses like nursing not because they really prefer them but because of their poverty mentality in which they wanna finish college and grab a job immediately based on their course especially if it’s very demanding only to feed their poor family and those branches of science are the exception.

Blame it on your Liberal, Democrat, and Politically correct government. Im really surprise how the citizens of 1st world countries could benefit since 3rd world countries are willing to work for low salary. Late they realize that it only benefit their super rich, bankers, etc.

This is so true. The UK is run by a corporation-serving elite of renters. No coal. No steel. No shipbuilding. Soon, no nurses, no doctors, no teachers and lecturers. Import the lot as cheaply as possible. No stringent checking of certificates. Make a sham of an effort and call it robust.

Export the Ruling Class.

Nurses, doctors, teachers, lecturers – unite to confront the lords of illusion!

lenin nightingale 2015



  1. The time will come when all education of nurses/doctors/paramedicas arrives overseas via off – the peg professionals. You who choose to ignore this- are rubber stamping it. “Cash is King”- the cheaper the better. This is why the issue of fake certificates is presently airbrushed out specially in the UK.
    First we prophecy- care homes will be allowed to run without Registered Nurses – see Australia (nurses uncut ) where they battle this issue.
    Come back to us in 10 years—.

  2. I dont think the NMC are listening, interested or bothered. They have a job of stamping to do and stamping will be done. The job of protecting the public lies with unwitting RNs who report their employers and the employers in turn report the RN to the NMC on trumped up charges, with the hope that the ‘offending’ RN will be struck off the register, as often happens.
    This allows space for more overseas staff at lower rates, more stamping for the NMC.

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