- It is impossible to give an accurate account of the numbers of domestics from overseas at present employed in British hospitals, but the percentage is certainly high. Hospitals have great difficulties in recruiting locally, and have to look elsewhere, often drawing people directly from overseas, for example from Southern Europe, Spain, Portugal and Italy, and helping them to find accommodation when they get here. This language course for domestics attempts to tackle problems, taking into account the learning problems of domestics from overseas. It is an elementary course, and is designed for those whose knowledge of English is very poor. These may be new arrivals in Britain, or they may have lived here for years but never have had the confidence or the opportunity to make a serious attempt to learn the language.