10. Statement by the Minister for Health and Social Services: The Impact of a 'No Deal' Brexit on our Health and Care Services

Part of the debate – in the Senedd at 4:25 pm on 22 January 2019.

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Photo of Helen Mary Jones Helen Mary Jones Plaid Cymru 4:25, 22 January 2019

With regard to the issue of radioisotopes, this is actually, as he says, a serious potential risk. Not that anyone is going to voluntarily not wish to sell them to the Welsh NHS anymore, but there are, as he rightly highlights, practical issues—which can be overcome, though with considerable expense—and of course there are the legal issues. Now, Professor Wyn Owen has warned us that there is a danger that, if there is no agreement, suppliers will either take the view that they'll carry on supplying the UK until told not to, which would be fine in the short term, or they won't supply until they receive legal clarification that they are allowed to do so. So, I'm hoping that the Minister will be able to provide us with a little more detail about the discussions that he's had with the relevant persons in the UK Government to ensure that this legal position is clarified in the event of a 'no deal' Brexit, and I would encourage him to consider, given the current state of the UK Government, which appears to be unable to organise itself out of a wet paper bag—I'd ask him to consider being prepared to deal directly with Brussels on this particular issue. Obviously, we need a UK-wide solution, but, if that's not forthcoming, I'm sure the Minister would agree with me that we cannot afford to leave the people dependent on these services and the Welsh NHS without the necessary supplies.

The Minister mentions in his statement the work that's ongoing—the research—to look at the composition of the social care and childcare workforce in Wales. This will be very useful, but I'm hoping that the Minister can provide us with some details this afternoon about the timescale for that work, because it, obviously, is a matter of urgency to identify where those gaps may be forthcoming, and, if we end up with problems in the social care workforce, that will inevitably have a knock-on effect, of course, into healthcare, because we won't be able to discharge people from hospitals.

With regard to the points he raises in terms of medicines, and he speaks about being essentially reliant on work being undertaken by the UK Government—and I'm not sanguine, I'm not reassured, by that, though I realise that, at some levels, that is necessary—I wonder if the Minister can share with us this afternoon, or perhaps he would write to Members in due course, any details that he is identifying about medicines that are likely to be affected, and whether or not he is satisfied, as things stand, with the assurances that are being received from manufacturers. Similarly, with regard to the medical devices and consumables, in the Minister's statement he said he will take additional steps in areas where he has concern. I wonder if he's in a position to give us any early indications today about what those areas of concern might be, and what contingency steps are in place.

Now, the Minister refers, rightly, to the very good Public Health Wales report that many of us received today or yesterday. I would commend it as a valuable piece of work, though in one aspect I would beg to disagree. One of the possible positive outcomes of a 'no deal' Brexit that they highlight is a possible reduction in the consumption of alcohol. Well, for myself, I think a 'no deal' Brexit is more likely, frankly, to drive me to drink, if you'll forgive my levity, Deputy Presiding Officer.

But I'd like to call the Minister's attention to a couple of the recommendations. There are nine in the report—further areas for work. Recommendation 7 says that further research is needed on the impact of Brexit on mental health and well-being, community resilience, particularly highlighting children and young adults, and farmers and rural communities, the port areas, and black and ethnic minority groups. Can the Minister say whether he's yet been able to have, or his officials have been able to have, any discussions with Public Health Wales about what that research should look like and who should be carrying that out? And, similarly, with regard to recommendation 9, where Public Health Wales highlight the fact that the public health workforce currently lacks the experience and skills to influence and contribute to trade agreements, they say that the public health system should consider how to build knowledge, skills and capacity to ensure that health and well-being are considered at the forefront of such processes. Again, I'd be grateful if the Minister can inform us either what steps are already in place to start responding to that recommendation, or what further steps he will take, because it does seem that that may be crucial.

Finally, recommendation 3 is about leadership, and the recommendation is that leadership across the totality of Brexit issues needs to continue to provide overall direction to Wales's response. I do hope the Minister will assure us that he will continue to take a very clear personal role in leadership in this regard, with the health and social care sector. His statement indicates that we will be continuing, at present, to place a great deal of reliance on UK arrangements and plans. Given some of the things that the Minister has said in the past, I'm surprised that he's any more sanguine than I am that these UK arrangements and plans will deliver. Can I seek his assurance today that, given the chaos that is Brexit in Westminster at present, he stands ready to make sure that any direct representations that need to be made on Wales's behalf in the field of health and care are made by him?