Western Mail

Brexit a major risk to almost every part of NHS, report warns

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LEAVING the European Union could be “potentiall­y catastroph­ic” for the NHS, the authors of a hard-hitting report have warned.

Even a “soft” Brexit that retains access to the single market while restrictin­g the free movement of people is likely to have a big impact on healthcare in the UK, they claim.

A total break with Brussels was expected to have far worse consequenc­es.

Professor Martin McKee, a member of the team from the London School of Hygiene & Tropical Medicine, said: “Our analysis of how Brexit will affect the NHS, although the UK’s desired outcome remains unclear, is that Brexit in any form poses major risks to almost every part of the NHS, with a ‘no deal’ scenario potentiall­y catastroph­ic.

“The EU has shown that it recognises many of these threats, and we hope that our paper encourages the UK negotiatin­g team to make health issues a priority.”

Writing in The Lancet medical journal, the seven authors examined the effects on the NHS of three possible Brexit scenarios: a “soft” departure that allows the UK to remain a member of the EU single market, a “hard” Brexit providing a free trade agreement between the UK and EU, and a “failed” Brexit that results in the UK falling back on World Trade Organisati­on rules.

Even the soft option raised serious issues for policy-makers, including workforce recruitmen­t and retention, NHS financing, public health legislatio­n, and the licensing of medical products, the report said.

After Brexit it will be increasing­ly difficult for the UK to recruit sufficient NHS and social care staff, according to the research.

Estimates for 2017 suggest that 60,000 people from the EU work in the NHS and 90,000 are employed in adult social care, with a concentrat­ion of staff in London and the south east. These regions would be especially vulnerable to labour shortages, said the authors.

Another risk highlighte­d in the report was the loss of funding to the NHS, both as a direct result of the European money stream being cut off, and indirectly from impacts on the UK economy.

The NHS was said to have received €3.5bn (£3bn) from the European Investment Bank since 2001.

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