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Nigerian doctors in UK lament exploitation, slave labour
Nigerian medical doctors and their counterparts from developing countries working in the United Kingdom have lamented exploitation in the course of their work.
This was revealed by BBC on Tuesday adding that an investigation proved that Nigerian doctors recruited by a British healthcare company are expected to work in private hospitals under conditions not allowed in the National Health Service (NHS).
While the British Medical Association (BMA) has described the situation as “shocking”, some of the hospitals denied the allegations as claimed by Nigerians.
Read also: We don’t have enough medical doctors — NMA disagrees with Minister of Health
BBC spoke to several foreign medical practitioners and one of them was a young Nigerian doctor, Augustine Enekwechi who worked at the private Nuffield Health Leeds Hospital in 2021.
Enekwechi said his working hours were extreme – on 24 hours a day for a week at a time. He claimed he was unable to leave the hospital grounds, adding that the working environment looked like “a prison.”
The doctor further said the challenges could pose health risks to patients in the hospital.
“I knew that working tired puts the patients at risk and puts myself also at risk, as well for litigation,” Enekwechi said. “I felt powerless… helpless, you know, constant stress and thinking something could go wrong.”
Nuffield Health refutes the allegations
Nuffield Health disputed those working hours, saying its doctors are offered regular breaks, time off between shifts, and the ability to swap shifts if needed. The company added that “the health and well-being of patients and hospital team members” is its priority.
Enekwechi was hired out to the Nuffield Health Leeds Hospital by a private company – NES Healthcare. It specialises in employing doctors from overseas, many from Nigeria, and using them as Resident Medical Officers (RMOs) – live-in doctors found mainly in the private sector.
He said he was elated when he first got the job that he hardly looked at the NES contract. He said the company excluded him from legislation that protects UK workers from excessive working hours – the Working Time Directive – and left him vulnerable to a range of punishing salary deductions.
He was, however, not the only person involved. The BMA and the front-line lobbying group the Doctors’ Association has given the BBC’s File on 4 and Newsnight exclusive access to the findings of a questionnaire put to 188 Resident Medical Officers. Most of the doctors were employed by NES but some were with other employers.
It found that 92% had been recruited from Africa and most – 81% – were from Nigeria. The majority complained about excessive working hours and unfair salary deductions.
WHO’s warning
For years now, the World Health Organization (WHO) has cautioned against the “active recruitment” of doctors and nurses from developing countries with severe shortages of medical personnel.
The WHO has assembled a list of 47 such countries – most of them in Africa. The UK government has incorporated that list into its own code of practice – calling it the “red list”. In effect, it makes Nigeria a no-go destination for British medical recruiters.
So it becomes a disturbing concern how Nigerian doctors are included in the UK. Meanwhile, the report from Nigerian doctors planning to still travel out of the country was troubling.
Nigeria’s doctors planning to travel
According to the report, BBC said in an exam hall in Lagos, it discovered hundreds of doctors queuing to take what was called a Professional and Linguistic Assessments Board test – or PLAB 1.
The paper was set by the General Medical Council (GMC) in London and the first step required by the British medical authorities to secure a licence to work in the UK.
The doctors explained they were attracted by the potential of higher salaries and better working conditions. The event was being overseen by staff from the British Council – an organisation sponsored by the Foreign Office.
GMC roles in other countries
The GMC also offers the exams in several other red-list countries – Ghana, Sudan, Pakistan and Bangladesh.
Both the GMC and British Council deny they are involved in “active recruitment” and say they’re simply helping provide a service for doctors wanting to come to the UK independently – something that is allowed under the guidelines.
In Enekwechi’s case, he was studying for the second part of those PLAB exams in the UK, when he was approached by NES Healthcare and later offered visa sponsorship and a potential job.
While it appeared to have been “active recruitment” – NES said it was not a recruitment agency and, as such, only engaged with doctors from overseas once they have already committed to practising in the UK.
But the Department of Health and Social Care disclosed that the UK code of practice did apply to NES – so the company was in breach of it.
Other doctor’s reactions
With respect to other African doctors recruited in this way by NES. They all had similar stories about what the terms and conditions of their contracts meant in reality, once they had been hired out to private UK hospitals.
The Nigeria Customs Service (NCS), Ogun Area 1 Command, has handed over illicit drugs worth N117.59 million to the National Drug Law Enforcement Agency (NDLEA).
The Comptroller of the command, Mr James Ojo, disclosed this during the handing over of the drugs to Mr Olusegun Adeyeye, the Commander of NDLEA, Idiroko Special Area Command, in Abeokuta, Ogun, on Friday.
Ojo said the customs handed over the seized cannabis and tramadol tablets to the Idiroko Special Command for further investigation in line with the standard operating procedures and inter-agency collaboration.
He said the illicit drugs were seized in various strategic locations between January and November 21, 2024, in Ogun State.
He added that the illicit drugs were abandoned at various locations, including the Abeokuta axis, the Agbawo/Igankoto area of Yewa North Local Government Area, and Imeko Afton axis.
Ojo said that the seizure of the cannabis sativa and tramaling tablets, another brand of tramadol, was made possible through credible intelligence and strategic operations of the customs personnel.
“The successful interception of these dangerous substances would not have been possible without the robust collaboration and support from our intelligence units, local informants and sister agencies.
“These landmark operations are testament to the unwavering dedication of the NCS to safeguard the health and well-being of our citizens and uphold the rule of law,” he said.
He said the seizures comprised 403 sacks and 6,504 parcels, weighing 7,217.7 kg and 362 packs of tramaling tablets of 225mg each, with a total Duty Paid Value of N117,587,405,00.
He described the height of illicit drugs smuggling in the recent time as worrisome.
This, he said, underscores the severity of drug trafficking within the borders.
“Between Oct. 13 and Nov. 12 alone, operatives intercepted a total of 1,373 parcels of cannabis sativa, weighing 1,337kg and 362 packs of tramaling tablets of 225mg each,” he said.
Ojo said the seizures had disrupted the supply chain of illicit drugs, thereby mitigating the risks those substances posed to the youth, families and communities.
He lauded the synergy between its command, security agencies and other stakeholders that led to the remarkable achievements.
Ojo also commended the Comptroller General of NCS for creating an enabling environment for the command to achieve the success.
Responding, Adeyeye, applauded the customs for achieving the feat.
Adeyeye pledged to continue to collaborate with the customs to fight against illicit trade and drug trafficking in the state.
The Nigerian Customs Service (NCS) on Friday said that it had intercepted 849 kegs of Premium Motor Spirit (PMS), worth over N30 million in retail price from Operation Whirlwind.
The Comptroller of Customs, Hussein Ejibunu, made this known during a news conference in Ikeja.
“Today, we have another seizure of 849 kegs of PMS containing 25 litres each. This translates to 30,225 litres with duty paid value at N30.225 million only at the NNPCL retail price.
“Today marks yet another success recorded by the operatives of Operation Whirlwind, Zone “A” Lagos/Ogun Axis.
“About five weeks ago, same PMS products were displayed before you here on the parade ground of the college where several seizures were made,” Ejibunu said.
“On this note, we wish to thank the National Security Adviser and the Comptroller-General of Customs for their unwavering support,” Ejibunu said.
The coordinator of the Operation Whirlwind said that two vehicles of means of conveyance were intercepted along with the seizures.
Ejibunu said that they evacuated 80 Jerry Cans each from a vehicle.
He assured the public that Operation Whirlwind remains steadfast in its efforts to clamp down on PMS smugglers, ensuring no room for their illegal activities nationwide.
Prominent Niger Delta human rights activist and environmentalist, Ann-Kio Briggs, has criticised President Bola Tinubu’s decision to scrap the Ministry of Niger Delta, describing it as ill-advised and detrimental to the oil-rich region.
Briggs expressed her concerns during an appearance on Inside Sources with Laolu Akande, a socio-political programme aired on Channels Television.
“The Ministry of Niger Delta was created by the late (President Umaru) Yar’Adua. There was a reason for the creation. So, just removing it because the president was advised. I want to believe that he was advised because if he did it by himself, that would be terribly wrong,” she stated.
President Tinubu, in October, dissolved the Ministry of Niger Delta and replaced it with the Ministry of Regional Development, which is tasked with overseeing all regional development commissions, including the Niger Delta Development Commission (NDDC), North-West Development Commission, and North-East Development Commission.
Briggs questioned the rationale behind the restructuring, expressing concerns about its feasibility and implications. “But that’s not going to be the solution because who is going to fund the commissions? Is it the regions because it is called the Regional Development Ministry? Is it the states in the regions? What are the regions because we don’t work with regions right now; we are working with geopolitical zones,” she remarked.
She added, “Are we going back to regionalism? If we are, we have to discuss it. The president can’t decide on his own to restructure Nigeria. If we are restructuring Nigeria, the president alone can’t restructure Nigeria, he has to take my opinion and your opinion into consideration.”
Briggs also decried the longstanding neglect of the Niger Delta despite its significant contributions to Nigeria’s economy since 1958. “The Niger Delta has been developing Nigeria since 1958. We want to use our resources to develop our region; let regions use their resources to develop themselves,” she asserted.
Reflecting on the various bodies established to address the region’s development, Briggs lamented their failure to deliver meaningful progress. She highlighted the Niger Delta Basin Authority, the Oil Mineral Producing Areas Development Commission (OMPADEC), and the NDDC as examples of ineffective interventions.
“NDDC was created by Olusegun Obasanjo…There was OMPADEC before NDDC. OMPADEC was an agency. Before OMPADEC, there was the Basin Authority…These authorities were created to help us. Were we helped by those authorities? No, we were not,” she said.
Briggs further described the NDDC as an “ATM for failed politicians, disgruntled politicians, and politicians that have had their electoral wins taken away from them and given to somebody else.”
Her remarks underscore the deep-seated frustrations in the Niger Delta, where residents continue to advocate for greater control over their resources and improved governance.
Customs hands over illicit drugs worth N117.59m to NDLEA
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Customs intercepts N30m worth of PMS in Operation Whirlwind
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