Outcomes of UK negotiations with the EU and the impact on the NHS and health sector

Outcomes of UK negotiations with the EU and the impact on the NHS and health sector
NHS Confederation 31 December 2020

• This briefing summarises and reviews the agreements made in the UK-EU deal that will impact health and care in the UK and flags changes, both as a result of and regardless of the deal.

Understanding the impact of Brexit on health in the UK

Understanding the impact of Brexit on health in the UK
Nuffield Trust 22 December 2020

• This major new report maps out the health areas that will be affected by this decisive exit from the Union and discusses the dilemmas faced by the health sector in the face of such huge legislative changes.

Guidance for the health and care sector from 1 January 2021

Guidance for the health and care sector from 1 January 2021

DHSC 20 November 2020 (regular updates)

• Information for industry and organisations involved in health and care on preparing for the end of the transition period on 31 December 2020.

NHS England EU Exit letter

EU exit letter
NHS England 4 November 2020

• This letter advises the NHS to stand up the system response for the end of the transition period with the EU. It confirms the single, shared operational readiness and response structure across those the end of the transition period and COVID-19.

Brexit: the implications for health and social care

Brexit: the implications for health and social care
Kings Fund updated 21 October 2019

• A long read on some of the implications of Brexit for health and social care including staffing, accessing healthcare, regulation of medicines, supply of medicines and medical devices, competition law, working time directive, cross-border co-operation (public health, research, clinical trials), funding and finance.

EU reciprocal healthcare arrangements: Brexit guidance

EU reciprocal healthcare arrangements: Brexit guidance
House of Commons Library Briefing 11 October 2019

• An overview of some of the guidance that the UK Government has published on reciprocal healthcare after Brexit.

Exiting the EU: supplying the health and social care sectors and NAO EU exit hub

Exiting the EU: supplying the health and social care sectors
NAO 27 September 2019

• The NAO has reviewed the Department for Health & Social Care’s (DHSC’s) preparations to make sure the UK has a steady flow of supplies for the health and social care sector when it leaves the EU. Of the Government’s own “reasonable worst case” assumption is that the flow of goods across the Channel could be reduced to 40-60 per cent of current levels on day one. 12,300 medicines used in the UK, DHSC estimates that around 7,000 come from or via the EU.
• The NAO EU exit hub draws together work on departments’ performance on EU exit to date. https://www.nao.org.uk/exiting-the-eu/

Government steps to protect healthcare access for UK nationals living in the EU after 31 October

Government steps to protect healthcare access for UK nationals living in the EU after 31 October [News]
DHSC 23 September 2019

Extract:

• "People already living in the EU who have their healthcare funded by the UK, including pensioners and students, will have their healthcare costs covered for 6 months if we leave without a deal.
• The government has proposed to each EU member state that, if we leave without a deal, existing healthcare arrangements continue until 31 December 2020 in the same way that they do now.
• Discussions are ongoing but if arrangements with all member states have not been finalised by 31 October, Health and Social Care Secretary Matt Hancock has today confirmed the government will provide support to around 180,000 UK nationals living in the EU who currently have their healthcare costs paid for by the UK for a 6-month period following exit day. This includes pensioners, students, those on disability benefits and UK workers temporarily posted in the EU."

How healthcare providers can prepare for Brexit

How healthcare providers can prepare for Brexit
DHSC 20 September 2019

• What providers and commissioners of healthcare services can do to manage the risks of a no-deal Brexit.

Brexit advice hub for local government

Brexit advice hub for local government
LGA

• Nothing new but "useful national advice, sorted by topic area, in one place."

The impact of a no deal Brexit on health and care: an open letter to MPs from Kings Fund, Health Foundation and Nuffield Trust

The impact of a no deal Brexit on health and care: an open letter to MPs
Kings Fund, Health Foundation, Nuffield Trust 3 September 2019

• A summary of the four major areas where the impact of a no deal Brexit could be felt most sharply in health and care.

1. A risk of intensifying the staffing crisis
2. Shortages and price rises for vital supplies
3. The need to care for returning emigrants
4. Funding shortfalls at a time when health and care need it most

Ongoing NHS preparations for EU Exit: Letter from Professor Keith Willett

Ongoing NHS preparations for EU Exit: Letter from Professor Keith Willett
NHS England 23 July 2019

• This letter asks EU exit SROs to ensure that their core teams are in place as soon as possible in preparation for a possible ‘no deal’ exit on 31 October 2019. An assurance exercise will take place at the end of August in order to confirm that these teams are in post and ready, and regional events are being organised during September to discuss further details.

NHS accountability framework 2019 to 2020

NHS accountability framework 2019 to 2020
DHSC 21 May 2019

• This Accountability Framework with NHS England and NHS Improvement, which includes the Government's statutory mandate to NHS England, sets out the expectations for NHS England and NHS Improvement in 2019-20 to deliver the first year of the Long Term Plan and address the immediate needs associated with EU Exit. A further Accountability Framework will then cover the following four-year period.
• Annex A sets out the NHS Long Term Plan and NHS Planning Guidance commitments for 2019-20

Update on Article 50 extension:

Update on Article 50 extension: Letter from Professor Keith Willett
NHS England 18 April 2019

• Professor Willett wrote to CCG and trust Chief Executives on 18 April 2019 to update them on the further extension to Article 50, and the actions that now need to be taken locally to continue to prepare for the UK’s exit from the European Union.

Preparing for the possibility of a ‘no deal’ EU exit for primary care contractors

Preparing for the possibility of a ‘no deal’ EU exit for primary care contractors
NHS England 11 April 2019

• A letter from Professor Keith Willett, EU Exit Strategic Commander and Dr David Geddes, Director of Primary Care Commissioning, following from EU Exit Operational Readiness Guidance for the health and care system, published by DHSC 21 December 2018.
• The letter outlines what has been done nationally to assess the potential risks to primary care, and give clear direction on the actions that contractors delivering primary care still need to take locally.
• Contingency planning for a ‘no deal’ EU exit has focussed on the following areas:
• Continuity of supply
• Non-clinical goods and services
• Reciprocal Care
• Workforce
• Data
• Research and clinical networks
• Raising concerns

EU exit update 29 March 2019

EU exit update 29 March 2019: Letter from Professor Keith Willett
NHS England 1 April 2019

• Professor Keith Willett, EU Exit Strategic Commander and Medical Director for Acute Care and Emergency Preparedness, has written to clinical commissioning group (CCG) and trust chief executives to confirm that they should continue to stand up their operational response to EU Exit, working to an assumed exit date of 12 April.
• Brexit updates:
• NHS Improvement
• NHS England
• Government (incl DHSC)

Healthcare for EU and EFTA nationals living in the UK

Healthcare for EU and EFTA nationals living in the UK
DHSC 19 March 2019

• Information on healthcare for European Union (EU) and the European Free Trade Area (EFTA) citizens living in the UK, if the UK leaves the EU without a deal.
• The government has proposed to EU member states and EFTA states (Norway, Iceland, Liechtenstein and Switzerland) to maintain the existing healthcare arrangements in a no-deal scenario. This offer will apply until December 2020.

Planning for a possible no-deal EU Exit: information for the health and care sector

Planning for a possible no-deal EU Exit: information for the health and care sector
DHSC 11 January 2019 updated 14 March 2019

• Guidance for industry and organisations involved in health and care about contingency plans for a no-deal Brexit. This page brings together documents published on GOV.UK about contingency planning for organisations involved in the health and care sector.
• Contents
• Medicines and medical products: guidance
• Blood, organs and tissues: guidance
• Health and care services: guidance
• Funding programmes
• Food and animal feed
• Tobacco and e-cigarettes
• Correspondence
• News archive

Update on medicines and medical products supply as we exit the EU

Update on medicines and medical products supply as we exit the EU
DHSC News story 25 February 2019

• Further details of the preparations underway to minimise disruption of the supply of medicines and medical products in a no-deal EU Exit.
• For full information on Brexit see https://www.gov.uk/government/brexit

EU Exit actions for medical devices and clinical consumables

EU Exit actions for medical devices and clinical consumables
NHS Improvement 11 February 2019

• Information for NHS providers about the extensive planning and contingency measures that have been put in place for the healthcare system nationally and the additional actions that we are asking providers to undertake as a priority as part of the wider preparations for a ‘no deal’ EU Exit.
• Includes Guidance for heads of procurement on the implementation of EU Exit actions: February 2019