Date Published: 11 October 2007

New top-up fee system worsens debt issues for medical students (UK)

First year medical students could leave university £8,000 more in debt than this year’s graduates because of the introduction of variable tuition fees, according to a BMA survey published today.

The BMA’s UK wide annual medical student finance survey shows the average final year medical student will graduate with debts of over £20,000. It also shows the level of debt among first year students is much worse than it was in 2006. By the end of the first year the average debt is now £7,776, an increase of 12%.

This year’s new entrants were the first group to pay variable tuition fees. Under the old system students had to pay a flat rate of £1,175, now it can be anything up to £3,000. According to the BMA survey first year students paid an average of £2,779. This means that in five years they could be £8,000 more in debt just because of the extra money they are paying in tuition fees. Commenting on the results, Ian Noble, chair of the BMA’s Medical Students Committee, said:

These figures are shocking, but sadly not surprising. We have been warning for a long time that variable top-up fees will make student debt much worse. My fear is that these higher fees will put off students from more disadvantaged backgrounds. Becoming a doctor should always be about ability, not how much you are prepared to pay. The government has said it wants to widen access to medical education yet our research shows variable top-up fees are making the situation worse not better.

The findings, based on the completed questionnaires of 1,737 medical students, also show nearly all students have a government loan (91%), over half have an overdraft (55%) and nearly three in five have at least one credit card (59%). Almost one in five students has a bank loan (17%) - the same as last year, but on average they owe £1,400 more than in 2006.

Tom Foley, a graduate whose second degree is medicine and who is also chair of the BMA’s Medical Students Finance Subcommittee, said:

" The system as it stands is extremely unfair. Our survey shows that more than one in ten students has debts of over £25,000 with some owing £60,000 when they graduate. This isn't because they've mis-spent the money. Many people are unfairly treated by the current system. I’ve experienced this myself because as a graduate I have to pay £3,000 in fees upfront every year when other students don’t.

Financial pressures are forcing medical students to take on ever larger bank loans and jeopardise their studies by working while at university. We need affordable, high quality training for all medical students regardless of their ability to pay."

The BMA has called for NHS bursaries and other forms of financial support to be more easily available and will be campaigning against the removal of the cap on tuition fees.

Ian Noble said:

With all the problems surrounding MTAS medical students are worried about the future. Why should a student have to get into £60,000 of debt just to study medicine when at the end of it they don’t even know if they’ll get a job so they can pay off that debt. It’s totally unacceptable. If the government removes the cap on tuition fees in 2009 then the situation will get even worse. That must not be allowed to happen.

Source: British Medical Association, UK

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