“…The recommended changes in the letter, while positive, will do little to tackle the deeper problems experienced by doctors in training: the minimal professional autonomy, the lack of a sense of belonging, and the shrinking job opportunities to name a few. Doctors in training have been neglected for a long time, clear from the continuing exodus both from the UK and from the profession, the unwaveringly high support for strike action, and the persistently low morale 234. We were notable only for our absence in the NHS Long Term Workforce Plan last year, referenced in NHSE’s letter 5.…”