Ms Catherine Keogh:

The proof is in the pudding. With the exception of the hospital consultant grade, our grades have the highest rate of turnover. This can be attributed to the fact that the community-based model in the UK places a much stronger emphasis on multidisciplinary and interdisciplinary working. The staff in the UK feel more valued. If we could introduce a proper system of mobility that would allow people to make progress in their careers in the geographical locations that suit them, we would see better career progression. If this was accompanied by continuing professional development and the presence of an advocate in the Department of Health, staff would buy into the greater experience rather than focusing on the pay element.