The Department of Health and Social Care has assessed and contacted 448 suppliers of medicine and has regular and detailed conversations with the industry.
This week, the Nuffield Trust joined 11 union leaders to warn that no deal would disrupt the supply of life-saving medicine and exacerbate the largest staffing crisis in our NHS’s history. What level of mortality rate is acceptable to the Secretary of State as the price to pay for this devastating no-deal Brexit?
The hon. Gentleman does not reflect the reality of the significant preparation that the industry has done over the last three years, and I pay tribute to it for that. For example, one of the leading insulin manufacturers, Novo Nordisk, has 18 weeks’ worth of supplies, while the Government had asked for six weeks’ worth. The industry has gone above and beyond in its preparation, and a huge amount of work has been done.
I was recently contacted by a constituent with a rare condition. She has stopped producing cortisol and needs to take a synthetic form of it to survive. If she stops taking her medication, she will be dead within 10 days. What does the Secretary of State have to say to my constituent, who is afraid that the Government are gambling with her life?
I would say that we should not be scaring people unnecessarily. The Government have put in place a framework to ensure supply. We have also put in place an express freight service, which will give even more capacity on a 24-hour basis and between two to four days for larger pallets. There is additional capacity, and a huge amount of work has been done on storage, but this is an issue of mutual interest for the UK and the Commission, and we are working on it jointly.
Anyone who is facing cancer treatment wants to know that they can get the medicine and the medical devices they need as quickly as possible and with certainty. Dr Buscombe from the British Nuclear Medicine Society says that the system for delivering radioactive isotopes in the event of a no-deal Brexit is “fragile”. What does the Secretary of State say to patients who are concerned to hear that?
I was a Health Minister, and as part of business as usual there are always issues of supply, usually with around up to 50 lines. We have had it in the last few weeks with HRT, which is totally unconnected to Brexit. These are issues that the Department is well used to preparing for. It is in the interest of both sides to get this right. Two thirds of Ireland’s medicine comes through the land bridge in Great Britain. This is something that both sides are working to deliver because it is of interest to both of us.
I welcome the Government’s preparations to prevent medicine shortages in the event of no deal and the fact that the Secretary of State highlighted the impact this will have on the Republic of Ireland. As he rightly says, two thirds of medicines to the Republic come through and over UK motorways, so it is in the EU’s interests as well to prevent no deal.
My hon. Friend is right. This is about preparing. It is not about scaring people unnecessarily. Around 220 lorries impact Ireland. This is of mutual interest, and we want to get it right with them. That is why we are working with member states on this. It is not just about stock and not just about flow; it is also about flow the other way. A significant number of UK medicines from firms like AstraZeneca go to Europe, so this is in the interests of the EU27 and the UK, which is why considerable work has been done on it.
Exports: No Deal
Richard Burden (Birmingham, Northfield) (Lab)
2. What recent assessment the Government have made of the effect on the transportation of goods of the UK leaving the EU without a deal.
The Government have prioritised flow of goods at the border and put in place a range of easements to support that fluidity.
Richard Burden
I do not get any sense from the Secretary of State that he intends to implement the decisions of this House in ruling out no deal. What would his response be to Rod McKenzie of the Road Haulage Association, who only this week said this of his experience of Ministers in relation to what he describes as the “clear and present” threat of no deal:
“What we need is action, and we need action now. And there’s this gap between what they say they’re going to do, and what they have so far failed to deliver”?
When will we see delivery from this Government? When will the Government even meet unions representing drivers to discuss their real fears about the impact of a no-deal Brexit on drivers’ hours and safety?
Again, the hon. Gentleman is ignoring the evidence. The Government are acting. He should look at, for example, the auto-enrolment of EORI—economic operator registration and identification—numbers. Some 87,955 VAT-registered businesses that trade only with the EU have, as part of auto-enrolment, had those numbers sent out. My right hon. Friend the Chancellor of the Duchy of Lancaster was in Calais meeting his counterpart and discussing these very issues. There are material issues to address, but it does not progress debate in this House if people ignore the reality of the work that the Government are doing.
“car industry’s ‘just in time’ supply chains rely on fluid cross-Channel trade routes”,
and that we
“need to start talks now on how we make sure this flow continues if we leave without a deal.”
Some of us have been making this point for some time. Can my right hon. Friend say: who are these proposed talks with, have they started, when does he expect them to finish and will he publish an update on how far they have got?
This is the first opportunity I have had since my right hon. Friend left the Government to pay tribute to the work that he did as a senior Minister, in particular, if I may say so, in relation to the British steel industry. I know he was an assiduous champion of its interests at the Cabinet table.
What I was highlighting in that thread was the talks the Chancellor of the Duchy of Lancaster was having that Friday in Calais. The fact is that issues about the documentation required and the flow are of mutual interest. It was pertaining to the issues touched on in the communiqué issued by the Commission yesterday. It is in the interests of both sides, including those of leaders in northern France, that we get the flow of these goods right.