@Parthiben Coopamah!,you are throwing false accusations, speaking without evidence and making generalizations which is not logical!, there might be some who do not speak english well, but generally those who came from third world; they should speak English well to practice medicine in UK, they have to get a required score(which is 7) in IELTS test to practice medicine in UK, which is a very difficult academic English test, and guess what?! i have seen many native English speakers(even University posgraduate students) they got low scores in that test! so it's a test more than English to assess their skills! Finally being born in Britian doesnot give you the credit that you are the smartest person in this world! who gets a job or training, or postgraduate studying or whatever it's by competition!!!