7. Statement by the Cabinet Secretary for Health and Social Services: Brexit — The Risks for the Future of Health and Social Care in Wales

Part of the debate – in the Senedd at 5:35 pm on 26 June 2018.

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Photo of Vaughan Gething Vaughan Gething Labour 5:35, 26 June 2018

Thank you for the comments. I'm not surprised that you haven't changed your mind on leaving the European Union, but I would have thought that there would be a dose of reality, again, on what that actually means if we leave with a no deal or a hard Brexit. Look, on the workforce for the health service outside of the European Union, we've had a long and spirited correspondence and conversation between officials, with the United Kingdom Government, and, indeed, every organisation representing health and care staff right across the UK has called on the UK Government, for a long time, to change the environment or to change the rules around people being recruited into our health service. So, I welcome the u-turn announced by Sajid Javid to lift the tier 2 restrictions. That was a positive step forward, and that was always within the gift of the United Kingdom. It was the madness of having the Home Office say to the health service, 'You can't restrict the staff that you need, who you could recruit to meet our health and care needs, because we put an artificial cap on the numbers that can come in.' So, that's nothing to do with the European Union.

I just think, in terms of your suggestion that this is about the European Union punishing the United Kingdom, this basically comes down to, if you leave a club and you say, 'I don't want to play by the rules; I want all the benefits, but I'll then decide what else I want to do as well', then that is absolutely where we can't be. We have to have a range of measures that deal with the reality of European Union-wide institutions and rules, and if we want to benefit from those, then we will need to act in a way that is consistent, and have agreement about doing so.

On your point at the start of your speech, saying nobody wants medicines and equipment to have any restrictions—of course we want to be free of restrictions, but that requires us to have systems that allow us to do so. So, that is why arrangements around customs and trade do matter: 47 million pharmaceutical products each year go into the European Union, and about 39 million come back the other way. There's huge trade going on here between us and the rest of Europe, so the customs arrangements and trade arrangements really do matter in this area of activity too. They're underpinned by EU-wide systems in terms of how medicines and how equipment come into use within Europe. And there's a common centrepoint here: we either want that to continue, or we're prepared to bear restrictions that will cause real harm to people in our country. My view is we should not countenance that possibility. We should not wish to say it is acceptable to have an average six-month delay for new medicines to become available, as is directly the case now in Switzerland. I do not believe that would be acceptable. The Welsh Government does not believe that would be acceptable either.