My sense is that the situation currently is out of control. we have intense recruitment taking place, mainly driven by six or seven high income countries, but with recruitment from those countries who are some of the most weakest and vulnerable, who can ill afford to lose their nurses. ghana s economic problems mean there is no money to fund the next generation of nurses. the head doctor in this small clinic fears what all this will mean for the health of his patients. the impact is enormous. let s take services like immunisation of children. if you lose public health nurses, then the babies that have to be immunised will not get the required immunisation, and we are going to have babies die. then there are critical care nurses. so if you lose them, it will take time to train them. ....