Anybody working in the NHS should be able to speak fluent English - no exceptions. If a foreign national can’t speak English, then they can’t work in an English hospital. Not complicated. A patient, in a vulnerable state, does not need to be wasting valuable energy trying to decipher broken and inadequate English. Nor should other members of staff. It’s dangerous, obstructive and can cause real harm to patients. And actually, it’s unfair. I receive so many complaints and concerns about this - other MPs have the same undoubtedly, yet too few will openly discuss it. To be honest, how on earth are foreigners hired when they can’t string a sentence together in English? This is a bigger issue than is realised and I’m going to start seriously pushing for change. Fluent English. No exceptions.