My Lords, it is a great pleasure to follow the noble Lord, Lord Judd.
The two health-related issues that I shall raise relate to our reliance on radioactive isotopes produced in the EU, to which Clauses 27 and 28 relate, and the employment of health and care workers from EU states, on which the Bill is silent.
Approximately 1 million UK patients each year rely on radioisotope procedures to diagnose or treat many conditions. These include cardiovascular imaging and cancer treatment. In addition to the TCA, the UK and the EU signed a nuclear co-operation agreement which is to define the future of the UK’s relationship with the European Atomic Energy Community, or Euratom. This is a good deal for clinicians, for researchers and, of course, for patients.
We import around 80% of the medical radioisotopes we use, most coming from the Netherlands, Belgium and France, and it will be critical that their transit is smooth and without delays, or we will not get what we pay for. These cannot be stockpiled, and as soon as they are produced they begin to decay. The longer the delay in transit, the smaller the dose of useful isotope that remains. These amendments are good for our health.
Less positively, I regret that in the Bill there is no mention of mutual professional recognition of qualifications. Will the Minister outline how this will now function, or is the idea now defunct? The EU’s policy of freedom of movement and mutual recognition of professional qualifications within the EU meant that British health workers could work across the EU, and many health and social care professionals currently working in the UK come from other EU countries. This includes 55,000 of the NHS’s 1.3 million workforce and 80,000 of the 1.3 million workers in the adult social care sector. These will not be easy to replace. A recent rough estimate of the current shortfall of nurses across all disciplines in England is 43,000. Now, EU nurses are feeling unwelcome and the number leaving the NHS to return home has grown. Are EU nationals working in our health and care sector still welcome? The Home Secretary is on record saying that we should be reliant on British staff.
Finally, I return to scrutiny. The noble Baroness, Lady Taylor of Bolton, made some powerful remarks, and her Constitution Committee’s response to the Bill makes for interesting reading. It notes the Bill’s omission of sunset provisions and disagrees with the Government on post-legislative scrutiny of the Bill, recommending that the House should decide how best to scrutinise
the trade and co-operation agreement. I get the impression that today’s debate is not the end of scrutiny, only the beginning.
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