Not great news if your an img and wanted to go into a competitive speciality. One option to consider is applying for Long Residence after 10 years. This is Indefinite Leave to Remain (permanent residence) and will mean you don't have restrictions on your specialty applications.
For instance if you completed a 6 year degree, 2 years foundation and 2 years core surgical training you would quality for Long Residence and you can apply via same day service at the Home office premium service centres now for Long residence. Just try to reduce the number of days outside the UK such as in the summer months. For those on a 5 year degree they could do an mphil or extra year of core training if possible to get to the 10 year mark.
I hope this helps create some ideas for those affected.