The UK government has expressed its intention to prioritize medical graduates from this country for training positions in the NHS. Health Secretary Wes Streeting has introduced a bill that changes workforce policy in response to frustrations over competition for places and industrial disputes. The rapid expansion of medical school places without a commensurate increase in postgraduate training has caused problems in the careers of many domestic graduates. From this year, International Medical Graduates (IMGs) will lose priority for basic training, making this phase a bottleneck. Preference for UK-trained doctors for public training is designed to align education with national workforce needs. However, there is a lack of advance planning and communication for IMGs already in the system. The article also deals with special training.