A divisionDivision No. 418 · Tuesday, 27 January 2026· Commons· Health

Medical Training (Prioritisation) Bill: Amendment 9

91Ayes
378Noes
Defeated · majority 287 · Government won
177 did not vote
Aye93No379DID NOT VOTE · 177

646 Members · Aye 91 · No 378 · DNV 177 · grey dots in centre are abstentions

Analysis
Commons

Parliament defeated Amendment 9 to the Medical Training (Prioritisation) Bill on 27 January 2026, by 378 votes to 91. The amendment, tabled by the Conservative opposition, would have inserted "a British citizen or are" into clause 4 of the Bill, meaning that British citizens who trained at medical schools outside the UK would be prioritised for NHS foundation and specialty training places alongside graduates of UK medical schools. The Bill establishes the first statutory framework for allocating postgraduate medical training places in the UK, requiring those offering Foundation Programme and specialty training places to prioritise UK-trained graduates and a defined priority group of graduates from Irish and certain EEA or Swiss medical schools. By defeating the amendment, Parliament kept the Bill's prioritisation tied to where a doctor trained rather than their nationality. British citizens who studied medicine abroad, for example at St George's University in Grenada, the University of Malta campus of Queen Mary University of London, or schools in Cyprus, will not receive the same prioritisation as UK-trained graduates under the Act. The vote divided almost entirely along party lines. All 278 Labour MPs and all 28 Labour and Co-operative MPs who voted backed the Noes, as did all 53 Liberal Democrats, all 8 SNP members, and all 4 Plaid Cymru MPs who voted. The 84 Conservative MPs who voted all backed the Ayes, joined by 4 Democratic Unionist Party MPs, 2 Reform UK MPs, and 2 independents. Two Green MPs voted No. The defeat followed two earlier Conservative amendment defeats on the same day, Amendment 1 (88 to 310) and Amendment 2 (61 to 311), suggesting consistent cross-party resistance to the opposition's proposed changes throughout the Bill's committee stage.

Voting Aye meant
Support extending NHS training prioritisation to British citizens regardless of where they completed their medical degree, arguing that nationality should be a key criterion alongside UK training.
Voting No meant
Oppose the amendment, arguing that prioritisation should be tied to UK training and NHS experience rather than citizenship alone, to ensure medical graduates have relevant knowledge of NHS systems and UK patient needs — and that adding citizenship as a criterion could undermine the Bill's core purpose.
§ 01Who voted how.469 voting Members · 177 absent

Each row is one party. The stacked bar gives the within-party split of Aye / No / Absent; the columns on the right give the raw counts. The whip column shows the published party position — “Free vote” means the whip was formally removed for this division.

Party
Whip
Aye / No / Abs
Aye
No
Abs
Labour Party
Whipped No
0
278
83
Conservative and Unionist Party
Whipped Aye
84
0
32
Liberal Democrats
Whipped No
0
53
18
Labour and Co-operative Party
Whipped No
0
28
14
Independent
2
4
7
Scottish National Party
Whipped No
0
8
1
Reform UK
2
0
6
Sinn Féin
0
0
7
Democratic Unionist Party
Whipped Aye
4
0
1
Green Party of England and Wales
0
2
2
Plaid Cymru
Whipped No
0
4
0
Social Democratic and Labour Party
0
0
2
Your Party
0
1
1
Alliance Party of Northern Ireland
0
0
1
Restore Britain
0
0
1
Speaker
0
0
1
Traditional Unionist Voice
1
0
0
Ulster Unionist Party
0
1
0

Source · Hansard · UK Parliament Votes API · whip status from announced positions; “free vote” indicates the whip was formally removed

§ 02From the debate.5 principal speakers
Karin SmythSupportiveBristol South
Supports the Bill as drafted; opposes most amendments as they would widen the priority pool, undermine workforce planning, or create loopholes; defends the discretionary commencement clause as necessary for effective NHS implementation.Labour · Voted no · Read full speech (2,610 words)
Dr Caroline JohnsonNeutralSleaford and North Hykeham
Supports the Bill's principles but tables amendments to protect British citizens trained overseas, safeguard armed forces medics, require annual reporting on international student impacts, and ensure merit-based allocation of specific training places.Conservative · Voted aye · Read full speech (1,984 words)
Helen MorganNeutralNorth Shropshire
Supports the Bill but tables amendments to replace negative with affirmative procedure for future regulations, protect 2026 applicants mid-cycle, require annual impact reporting by medical specialty, and ensure devolved consent on regulatory changes.Liberal Democrat · Voted no · Read full speech (734 words)
Dr Ben SpencerQuestioningRunnymede and Weybridge
Strongly opposes the current preference informed allocation system as meritless and dehumanising; supports new clause 2 requiring merit-based allocation of candidates to specific training places after prioritisation requirements are met.Conservative · Voted aye · Read full speech (469 words)
Helen MaguireQuestioningEpsom and Ewell
Intervenes to support new clause 1, raising concerns that the Bill could exacerbate workforce shortages in specialties like oncology and radiology without specialty-specific impact assessment.Liberal Democrat · Voted no · Read full speech (100 words)
§ 03Related divisions.Same topic · recent
Sources
Division dataUK Parliament Votes API
DebateHansard · Commons
Stance analysisAI analysis · Claude 4.x
LicenceOpen Parliament Licence v3.0