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The NHS Bursary Scheme Review
The NHS Bursary Scheme Review
The NHS Bursary Scheme Review
The NHS Bursary Scheme Review
The NHS Bursary Scheme Review
The NHS Bursary Scheme Review
The NHS Bursary Scheme Review
The NHS Bursary Scheme Review
The NHS Bursary Scheme Review
The NHS Bursary Scheme Review
The NHS Bursary Scheme Review
The NHS Bursary Scheme Review
The NHS Bursary Scheme Review
The NHS Bursary Scheme Review
The NHS Bursary Scheme Review
The NHS Bursary Scheme Review
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The NHS Bursary Scheme Review

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  • 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
  • Transcript

    • 1. The NHS Bursary Scheme Review
    • 2. <ul><li>Review announced June 2008 in ‘ A High Quality Workforce: NHS Next Stage Review’ </li></ul><ul><li>Commitment to review the anomaly between diploma and degree nurses </li></ul><ul><li>Opportunity to consider other changes to improve the scheme </li></ul><ul><li>Aims to create a fair system for students that ensures a reasonable level of support is provided and continues to attract high quality students from a diverse range of backgrounds </li></ul><ul><li>Led by key stakeholders on a Steering Group with representation from: </li></ul><ul><ul><li>Trade unions (UNISON, RCN, BMA, RCM, Society of Radiographers and NUS) </li></ul></ul><ul><ul><li>Higher Education </li></ul></ul><ul><ul><li>NHS </li></ul></ul><ul><ul><li>Department for Business, Innovation and Skills </li></ul></ul>Background
    • 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
    • 5. Background information <ul><li>Current System : </li></ul><ul><ul><li>All medical students on 5 &amp; 6 year courses receive a student loan from the Student Loans Company (SLC) for the first 4 years of study. </li></ul></ul><ul><ul><li>From the fifth and any subsequent years, these students enter the NHS bursary scheme and the NHS pays their tuition fees. The loan they receive is a reduced rate loan, set at the current rate for NHS funded students. </li></ul></ul><ul><li>Budgets: </li></ul><ul><ul><li>Funding for bursaries is part of the Department of Health’s Multi-Professional Education and Training (MPET) budget. Student loan funding is part of the Department for Business Innovation and Skills (BIS) maintenance loan budget, administered by the SLC. </li></ul></ul><ul><ul><li>Any increase in the amount of loan available, as a result of changes to the bursary scheme, would have to be met by a reallocation of funding from the DH to BIS. </li></ul></ul>
    • 6. Option 1 – Retaining the current scheme <ul><li>From the fifth year of their degree course, medical and dental students enter the NHS bursary scheme </li></ul><ul><li>Students on graduate entry programmes enter the scheme from the second year of their course and are able to apply for the same support as other healthcare degree students </li></ul><ul><li>The NHS pays tuition fees for students for the years they are included in the NHS Bursary Scheme. </li></ul><ul><li>All students can apply for a NHS student level loan and a means tested bursary is available. </li></ul>Means tested bursary, maximum £4,388 Student loan, £2,210 Maximum support: £6,598 Non means tested loan (NMT) Means tested loan (MT) Non means tested bursary (NMT) Means tested bursary (MT)
    • 7. Option 2 – Providing a means tested bursary and a non-means tested loan <ul><ul><li>Option 2c </li></ul></ul><ul><ul><li>Loan at current rate for non-NHS funded students </li></ul></ul><ul><ul><li>means tested bursary. </li></ul></ul>MT - Bursary £5,250 MT - Bursary £4000 NMT – Bursary £1000 Student Loan £4,510 MT - Bursary £3150 <ul><ul><li>Option 2b </li></ul></ul><ul><ul><li>Non means tested bursary of £1000 for all students </li></ul></ul><ul><ul><li>means tested bursary </li></ul></ul><ul><ul><li>non means tested loan. </li></ul></ul><ul><ul><li>Option 2a </li></ul></ul><ul><ul><li>Increased means tested bursary </li></ul></ul><ul><ul><li>non means tested loan. </li></ul></ul>NHS Student Loan £2,210 Maximum support: £7,460 Maximum support: £7,210 Maximum support: £7,660 NHS Student Loan £2,210 Non means tested loan (NMT) Means tested loan (MT) Non means tested bursary (NMT) Means tested bursary (MT)
    • 8. Option 2 – Providing a means tested bursary and a non-means tested loan <ul><ul><li>*Option 2e </li></ul></ul><ul><ul><li>Loan at current rate for NHS funded students </li></ul></ul><ul><ul><li>means tested bursary to bring student income up to rowntree level– additional cost of £240m . </li></ul></ul>* Outside the financial envelope <ul><ul><li>*Option 2d </li></ul></ul><ul><ul><li>Loan at current rate for non-NHS funded students </li></ul></ul><ul><ul><li>means tested bursary to bring student income up to rowntree level – additional cost of £220m . </li></ul></ul>Means tested bursary, maximum £6,400 Student Loan £4,510 Student Loan £2,210 Means tested bursary, maximum £8,700 Non means tested loan (NMT) Means tested loan (MT) Non means tested bursary (NMT) Means tested bursary (MT)
    • 9. Option 3 – Providing a non-means tested bursary NMT - Bursary £5,950 <ul><li>Option 3a </li></ul><ul><li>A non means tested bursary </li></ul><ul><li>No student loan </li></ul>Non means tested loan (NMT) Means tested loan (MT) Non means tested bursary (NMT) Means tested bursary (MT)
    • 10. *Option 3 – Providing a non-means tested bursary NMT - Bursary £6,350 NMT - Bursary £10,950 <ul><ul><li>*Option 3b </li></ul></ul><ul><ul><li>All students eligible for a fixed rate non-means tested bursary </li></ul></ul><ul><ul><li>No student loan </li></ul></ul><ul><ul><li>Bursary set at the current rate for diploma students – additional cost of £30m . </li></ul></ul><ul><ul><li>*Option 3c </li></ul></ul><ul><ul><li>Bursary set at a level sufficient to bring student income up to the Rowntree level. </li></ul></ul><ul><ul><li>Bursary would be significantly more than the maximum means tested bursary currently available. </li></ul></ul><ul><li>– additional cost of £340m </li></ul>* Outside the financial envelope Non means tested loan (NMT) Means tested loan (MT) Non means tested bursary (NMT) Means tested bursary (MT)
    • 11. *Option 4 – Moving all healthcare students to the same scheme as other students <ul><li>All NHS funded students treated in the same way as non-NHS funded students studying for other courses in higher education </li></ul><ul><li>NHS would continue to pay all tuition fees: </li></ul><ul><ul><li>-students eligible for a means tested grant provided by Local Education Authority </li></ul></ul><ul><ul><li>-students eligible for a loan, the first 72 per cent of which is not means tested </li></ul></ul><ul><li>Additional cost £260- 280 million. </li></ul>* Outside the financial envelope MT Grant £2,765 Student Loan £4,510 (first 72% NMT) Student Loan £79 p/w Additional means tested loan of 79 p/w for course over 30 weeks Non means tested loan (NMT) Means tested loan (MT) Non means tested bursary (NMT) Means tested bursary (MT)
    • 12. *Option 5 – Employing all healthcare students on the minimum wage <ul><li>Students would receive a salary while they were studying for the years they are currently eligible to apply for an NHS bursary </li></ul><ul><li>Students would not be eligible for a student loan </li></ul><ul><li>Additional cost of £840 million </li></ul>* Outside the financial envelope Salaried £9,005 (18-21 year old) Salaried £10,805 (22 years and over)
    • 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
    • 14. Medical and dental students chapter Background <ul><li>In medicine participation from the 3 lowest socio economic groups is made up of approximately 11 per cent of students in total </li></ul>The proposal <ul><li>Aims to provide support for students from the lowest socio-economic groups by including them within the NHS Bursary Scheme for the duration of their degree </li></ul><ul><li>Details of arrangements are yet to be fully developed. It is likely that approximately 10% of medical and dental students would be eligible (equivalent to those from the lowest 3 socio economic groups) </li></ul><ul><li>Estimated to cost between £4 - £9 million a year </li></ul>
    • 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 &amp; 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
    • 16. <ul><li>www.bma.org.uk/studentfinance </li></ul>[email_address] For more information

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