Part of 1. Questions to the First Minister – in the Senedd at 1:57 pm on 19 November 2019.
Well, I'm not going to get drawn into a fantasy list of hypothetical questions about a manifesto that is yet to be published. There is, though, a real issue in the comments that Mark Reckless has made, and that's the future of our consultant workforce in particular, but, more broadly than that, senior staff within the national health service. There is the unresolved challenge of our future relationship with Europe. And it's a matter of fact that both the General Medical Council and the British Medical Association have stated that, in surveys of their membership, a number of our European Union nationals are making preparations to potentially leave the United Kingdom, depending on the outcome of our future relationship with Europe.
The bigger issue, though, in the here and now is the challenges about tax and pensions. We just need to be clear about this: changes to tax and pension rules introduced by the UK Government have had a real impact upon staff within the national health service. They've led to unexpected and higher taxation bills; they've also led to doctors in particular withdrawing from providing part of the service. It's a genuine UK-wide issue, directly caused by changes introduced by the UK Government when the Member was in fact a Conservative Member of Parliament.
But more than that, I have written to, I have corresponded with, I have spoken with UK health Ministers—I've written to the Treasury about this as well—asking them to undo the damage that they have done. Because it will cost our national health service the goodwill of our staff that we've burned up and potentially lost for good. More than that, to recover the additional lists that we have lost, we'll probably end up paying more in the independent sector; it will cost us more to provide the same activity. And the solution on offer in England is not a long-term answer. They're using public funds to undo the damage done by a different decision in another part of Government. I issued a statement last week that highlighted that 15,000 patient treatment episodes in Wales over five months have been impacted by the tax and pension changes. It really is time for an attack of common sense in the United Kingdom to undo the damage they have done to our national health service, to our staff, and, in particular, the people who rely on the health service itself.