The government has described the system of training foreign doctors at the University Hospitals Birmingham NHS Foundation Trust (UHB) program as "shocking and unacceptable". The program cost £40.5 million and ran from 2017 to 2025. An audit by KPMG revealed serious problems in governance, financial transparency and potential exploitation of foreign doctors. The audit also drew attention to issues of the use of public funds. Scholarships for international scholars were channeled through a third party. The controversy has led to the need for better oversight of international clinical experience programs and stricter national standards. CPSP has now investigated the program's financial arrangements.