Leaving the EU: NHS

Andy Slaughter Excerpts

Thursday 22nd March 2018 Westminster Hall

[Andy Slaughter (Hammersmith) (Lab)]

Thank you for calling me relatively early in the debate, Mr Stringer. I apologise to hon. Members, particularly those on the Front Bench, because I will not be here for the closing speeches, but I will of course read them assiduously. I and some other MPs have a meeting with Imperial Healthcare Trust that has taken a long time to arrange. Given the pressures and crisis of funding in many parts of the NHS, I think I need to be there. It is not entirely irrelevant to the subject of the debate. I will, for the reasons I have given, try to be brief and confine my comments to the issues that affect my constituents.

I am extraordinarily privileged to have some of the finest healthcare and medical research facilities not only in this country, but across Europe and the world, in Hammersmith and Shepherd’s Bush. I have three of the five hospitals in Imperial Healthcare Trust: Queen Charlotte’s and Chelsea, Hammersmith, and Charing Cross. I also have, being built as we speak on a 23-acre site in White City, the major new campus for Imperial College. They are amazing institutions that this country is proud to have, and they are truly international in the staff who work there, their research and co-operation, and the funding that they receive. We cannot avoid the fact that they are grievously affected by the consequences of Brexit. They are resilient organisations and they will do what they can to mitigate the effects.

Just a few weeks ago, Imperial College announced a joint venture with the National Centre for Scientific Research, one of the major French scientific research institutions. There is already a lot of international co-operation, but one of the main purposes of the joint venture is to allow continued access to vital European funding. We welcome attempts to mitigate the effects of Brexit, but when we talk about Brexit it always seems to be about how we can achieve a second-best position. Like my right hon. Friend the Member for Exeter (Mr Bradshaw), who eloquently expressed the variety of damage that Brexit will do to the healthcare sector, I find it difficult to see any positives. Yes, it is possible to see mitigation, but very difficult to see how we are going to be any better off in any capacity as a result of Brexit.

[Sandy Martin (Ipswich) (Lab)]

Does my hon. Friend agree that, given the research facilities he has described in the hospitals in his constituency, we are talking about not only the effect on the institutions, but the ability of the entire health sector to produce the best outcomes for patients in this country, because they get new treatments faster because of the co-operative work being done internationally?

[Andy Slaughter]

Yes, the system is fully integrated across EU countries, and the whole is greater than the sum of its parts.

Last November, the president of Imperial College, Alice Gast, revealed that some of the 2,000 staff at Imperial College who are EU nationals have already left. I will come on to why that should be the case, given what the Government have said on EU nationals. Half of them—1,000 people—have taken legal advice on their positions post Brexit. A quarter of the staff and a fifth of the students at Imperial are from the EU. In the healthcare sector across London there are 20,000 staff from the EU, which is about 15%.

A good example is another of my local hospitals, the Royal Brompton, where 30% of the clinical staff are EU nationals. I have visited the Royal Brompton, and it has the most extraordinary paediatric cardiac surgery unit doing the most advanced and delicate operations on newly born babies. When I visited, all the surgeons who were operating were EU nationals, I think from five different countries. The Government may say, “Well, so what?”, but I do not imagine that they maintain, as has been said previously, that we can give a sudden opportunity to replace many doctors and nurses with home-grown doctors and nurses. That is not going to happen overnight. We know that the demand is such that we will continue to rely on clinicians from abroad for the indefinite future.

[Marsha De Cordova (Battersea) (Lab)]

My hon. Friend is making an incredibly valid point about staffing in our hospitals. My local hospital, St George’s, has already experienced a loss of staff because people from the EU are leaving. Our patients have to wait longer to be seen. For example, one lady who had to see a radiographer was seen within a day, but now she has to wait up to six weeks to be seen. Does he agree that what the Government say does not ring true in reality?

[Andy Slaughter]

I agree with my hon. Friend. If Members are honest, that is the experience that many of us will have had. There are many questions about the health service, as I have indicated, and the situation is simply being exacerbated by removing one of the most compatible, professional and necessary parts of the health service: its staff from the EU27 countries.

Why are we losing those staff? We hear protestations from the Government that those who are here now and until 29 March next year are welcome to stay, but that is not correct. First, there is uncertainty, because nothing is agreed until everything is agreed. Secondly, the rights of EU staff will not be the same as they are now, as my hon. Friend the Member for Westminster North (Ms Buck) indicated in her intervention. There is no continuity of rights; settled status has to be applied for, there has to be a register and there might be identity cards. As often happens, certainly with people in medical research grades, they might leave the country for five years but want to come back, yet they would then no longer have settled status. The position in the transitional phase, we understand, will be different again.

Even if some legal certainty is eventually given, there is still the climate or mood among EU citizens. I can speak confidently about this, because more than 20% of my residents in Hammersmith are EU citizens—it is one of the top three boroughs in the country for the percentage of EU residents—so I talk to them every week. I have now talked to and corresponded with not hundreds but thousands of them over the past two years, and they are extremely concerned. Let us be honest: they have transferrable skills and they can go to work in countries where they feel more welcome and valued than they do here.

The Government have not done enough—indeed, the Government cannot do enough—to reassure those EU citizens. The message that Brexit sends is that they are at least not as welcome as they once were. I will end on this, which I came across when preparing for the debate. It is something that Imperial College Healthcare Trust put out shortly after the referendum, when it introduced #LoveOurEUStaff. The management wrote to the staff:

“Our country is currently in a place of uncertainty. There has been no clear message from the Government about what the future holds for EU citizens living in the UK… I’ve heard that many EU and other overseas citizens are feeling concerned about their futures in the UK. I’ve also seen the media reports of an increase in racist incidents following the referendum vote.”

Eighteen months on, I wish I could say that those comments no longer applied. Sadly, they do. The fact that we are barely nearer certainty in the matter means that every day individuals are voting with their feet, feeling that they will be more welcome and their skills more valued in other countries. Frankly, the Government are not doing very much to address that point. I, too, read the debate and hear what the Minister says about that. I wonder what the Government can do, given the hole that they have dug themselves into.