the nhs bursary scheme review

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The NHS Bursary Scheme Review

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Page 1: The NHS Bursary Scheme Review

The NHS Bursary Scheme Review

Page 2: The NHS Bursary Scheme Review

• Review announced June 2008 in ‘A High Quality Workforce: NHS Next Stage Review’

• Commitment to review the anomaly between diploma and degree nurses

• Opportunity to consider other changes to improve the scheme

• 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

• Led by key stakeholders on a Steering Group with representation from:– Trade unions (UNISON, RCN, BMA, RCM, Society of Radiographers

and NUS)– Higher Education– NHS– Department for Business, Innovation and Skills

Background

Page 3: The NHS Bursary Scheme Review

NHS Bursary Scheme: Supporting our future NHS workforceThe 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.

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 6Options which would not increase costs

Chapter 7Options which would increase costs

Section three: Other issues for consultation

Chapter 8 Medical and dental students

Chapter 9 Other issues

The consultation

Chapter Plan

Page 4: The NHS Bursary Scheme Review

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

Page 5: The NHS Bursary Scheme Review

Background information

• Current System:– All medical students on 5 & 6 year courses receive a student loan

from the Student Loans Company (SLC) for the first 4 years of study.

– 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.

• Budgets:– 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.

– 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.

Page 6: The NHS Bursary Scheme Review

Option 1 – Retaining the current scheme

•From the fifth year of their degree course, medical and dental students enter the NHS bursary scheme

•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

•The NHS pays tuition fees for students for the years they are included in the NHS Bursary Scheme.

•All students can apply for a NHS student level loan and a means tested bursary is available.

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)

Page 7: The NHS Bursary Scheme Review

Option 2 – Providing a means tested bursary and a non-means tested loan

Option 2c •Loan at current rate for non-NHS funded students •means tested bursary.

MT - Bursary

£5,250

MT - Bursary

£4000

NMT – Bursary £1000Student Loan £4,510

MT - Bursary

£3150

Option 2b •Non means tested bursary of £1000 for all students •means tested bursary•non means tested loan.

Option 2a •Increased means tested bursary •non means tested loan.

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)

Page 8: The NHS Bursary Scheme Review

Option 2 – Providing a means tested bursary and a non-means tested loan

*Option 2e •Loan at current rate for NHS funded students

•means tested bursary to bring student income up to rowntree level– additional cost of £240m.

* Outside the financial envelope

*Option 2d •Loan at current rate for non-NHS funded students

•means tested bursary to bring student income up to rowntree level – additional cost of £220m.

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)

Page 9: The NHS Bursary Scheme Review

Option 3 – Providing a non-means tested bursary

NMT - Bursary

£5,950

Option 3a

•A non means tested bursary

•No student loan

Non means tested loan (NMT)

Means tested loan (MT)

Non means tested bursary (NMT)

Means tested bursary (MT)

Page 10: The NHS Bursary Scheme Review

*Option 3 – Providing a non-means tested bursary

NMT - Bursary £6,350

NMT - Bursary £10,950

*Option 3b •All students eligible for a fixed rate non-means tested bursary

•No student loan

•Bursary set at the current rate for diploma students – additional cost of £30m.

*Option 3c •Bursary set at a level sufficient to bring student income up to the Rowntree level.

•Bursary would be significantly more than the maximum means tested bursary currently available.

– additional cost of £340m

* Outside the financial envelope

Non means tested loan (NMT)

Means tested loan (MT)

Non means tested bursary (NMT)

Means tested bursary (MT)

Page 11: The NHS Bursary Scheme Review

*Option 4 – Moving all healthcare students to the same scheme as other students

• All NHS funded students treated in the same way as non-NHS funded students studying for other courses in higher education

•NHS would continue to pay all tuition fees:

-students eligible for a means tested grant provided by Local Education Authority

-students eligible for a loan, the first 72 per cent of which is not means tested

•Additional cost £260- 280 million.

* 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)

Page 12: The NHS Bursary Scheme Review

*Option 5 – Employing all healthcare students on the minimum wage

•Students would receive a salary while they were studying for the years they are currently eligible to apply for an NHS bursary

•Students would not be eligible for a student loan

•Additional cost of £840 million

* Outside the financial envelope

Salaried £9,005

(18-21 year old)

Salaried £10,805

(22 years and over)

Page 13: The NHS Bursary Scheme Review

Non means tested loan (NMT)

Means tested loan (MT)

Non means tested bursary (NMT)

Means tested bursary (MT)

Key:

5

£10,805

1 2a 2c2b 2e2d 3a 3b 3c 4

£6,598 £7,460

£7,210

£7,660£10,910

£10,910

£5,950

£6,350

£10,950

£7,783

£££ - Within financial envelope

£££ - Outside financial envelope

Options Overview

Page 14: The NHS Bursary Scheme Review

Medical and dental students chapter

Background

•In medicine participation from the 3 lowest socio economic groups is made up of approximately 11 per cent of students in total

The proposal

•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

•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)

•Estimated to cost between £4 - £9 million a year

Page 15: The NHS Bursary Scheme Review

Timetable of events

Medical SchoolDate/time Time and Place

Liverpool 19-Oct 18:00

Newcastle 19-Oct 19.00 - Dental Lecture theatre (TBC)

Southampton 20-Oct  

Glasgow 21-Oct 14:30 - 18:30; Project Room 4

Edinburgh 22-Oct 15.30 Lecture theatre RHSC

Nottingham 22-Oct 18.00, B89

St Andrews 22-Oct 18.00 - Room 3, Bute Annexe

HYMS 23-Oct14:00 - 16:00 Hull Uni Loxley building first floor meeting room

Imperial 26-Oct 18:30

Manchester 26-Oct 18.00 - Stopford Common Room

UCL 26-Oct 18.00 - Seminar room 1 in cruciform building

Barts & The London 27-Oct 18.00 Room 1.29, Garrod Building (whitechapel)

UEA 28-Oct  

Leeds 29-Oct 18.30 - Medical Teaching Centre

Sheffield 03-Nov 19:00

Bristol 09-Nov 19.00 - 21.00 DHB, Bristol Royal Infirmary

Oxford 12-Nov  

Aberdeen 04-Nov 13.00 - 16.00

Page 16: The NHS Bursary Scheme Review

www.bma.org.uk/studentfinance

[email protected]

For more information