The NHS lost more than 20,000 doctors in 12 months - nearly twice the number needed to plug the shortage of medics.
And official figures show nearly 40,000 nurses also left despite 46,800 vacancies which need filling, 7,000 up on last year.
That compares with 27,000 nurses and midwives who walked away the year before, many quitting because the mammoth pressure they are under is forcing them to seek a better life elsewhere.