Finally, I have real concerns over the decision to make medical students work for the NHS for at least four years. If they don’t, they could face penalties that could include them having to repay the cost of their training, which currently stands at £220,000, to the taxpayer over the five-year degree. We should have a health service that doctors want to work in, not one they are being forced to work in. Over the past year, junior doctors across the country have raised concerns about the reality of working in an overstretched NHS and the impact that has on their morale and patient care. We know there are chronic staff shortages and rota gaps across the NHS, with major recruitment problems in areas such as emergency medicine and general practice.