Nursing questions

hi everyone this is my first post .my name is matthew presently im living in the caribbean (island called anguilla british overseas territory) working as an emt(7yrs) in our local hospital.

in the caribbean our nursing schools offer general nursing programs,however i've noticed that uk nursing programs are broken down into "specialist" areas paeds,mental health,obstetrics and general adult.

im also planning my move to the uk to pursue nursing(adult) in the next year or two. i'm aware of the 3 yr residency requirement' in the interim while waiting on the residency requirements i would like to remain in the health care sector by trying to land a job working as an hca.

my ultimate goal is to specialize in nursing anesthesia or nurse partitioner .

i have a few questions/concerns

1) why did the uk change the structure of their program from general to specialist?? structure changed way back in the 2000 and for some may have been before. no-one really knew the reason why the change was done

1a) was the structure change to make it harder for nurses to migrate overseas most overseas program require knowledge in the other areas. we sometimes wonder that but i don;t think it really has made a big impact. nurses can still move to australia with the changes done

2)how would you gain the necessary hrs needed for paeds,mental health,obstetrics. there are 18 month secondment courses however employer i think needs to approve them. ie working in emerg and paeds training required employer may ok you to attend the paeds course for 18 months. there is no other way to make up hours

3)do you have any university in the uk that offers a general program . coming from the caribbean with plans to one day move back i think its equally important for me to have the necessary knowledge of all aspect of nursing. a nurse is expected to be able to deal with all areas of nursing(paeds,mental ob).i wouldn't be surprised if all universities follow the same of similar curriculum so may be hard to get general training done because after all they are training you for the uk and most of the cost is paid for by the government, some universities will charge a small amount of fees but not the full fees due to how things are funded

4)how difficult is it to land a job as an hca and what is the salary for someone working as an hca? you could check nhs jobs to see what wages are

tnk u in advance for your help any other info that would be of assistance feel free to share once again thank you

answers in blue

than you silverdragon