Here in England we are importing nurses from all over the world to help with our staffing crisis, including Filipino and Chinese nurses and also Scandinavian nurses. Some are even being recruited from New Zealand. The problem that arises in my area is not so much a problem with the competency or cultural differences of these nurses, but with the attitudes of our patients towards them, they are sometimes viewed as second rate. This is through no fault of the nurses, but through the bigotry of our local people. It is now more or less accepted by our patients that they may have to be seen by an "indian" doctor, but they do not expect a "foreign" nurse. The majority of my clients are elderly and from working class backgrounds, they are brought up in a culture of racism and sexism and in turn pass this onto the next generation. It is regretable to say that in my part of England, any "foreign" nurse will be treated with suspicion and negative attitudes.