Earl of Listowel Portrait The Earl of Listowel (CB)
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My Lords, perhaps I may briefly raise some concerns about the impact of a no-deal Brexit on children in low-income families. I welcome this Bill. As the noble Lord, Lord Rooker, said in opening the debate, there is particular concern about families on low incomes, and the adverse economic impact on them that would follow a no-deal Brexit. In the course of austerity, we have seen families on low incomes suffering significantly. Cuts to local authorities have reduced support for vulnerable families. Consequently, what we have seen and what has been recorded in numerous reports is that the number of children coming into local authority care is rising year on year. Generally, it is children from the poorest families who are taken into the care of the state.

I warmly welcome this Bill as it prevents a no-deal exit. I am concerned that, if we proceed with a no-deal exit, we will see more harm done to these families. I am also concerned about the number of children who are not fully documented and who have uncertain immigration status, and in particular those in care. Local authorities are finding it difficult to get proper documentation for about 3,000 or 4,000 children in their care. In his response, I would be grateful if the Minister could address concerns about their welfare. In fact, he will not be responding. Perhaps the noble Lord, Lord Rooker, or the Opposition might say a few words about their concerns about the impact on low-income families and about the documentation of children with uncertain immigration status, particularly those in local authority care.

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Baroness Finlay of Llandaff Portrait Baroness Finlay of Llandaff (CB)
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My Lords, my noble friend Lady Bull outlined some of the problems very clearly. I want to build on the comments made by the noble Lord, Lord Oates. On reciprocal healthcare, we must remember that 27 million people hold a UK-issued European health insurance card. If the 190,000 UK pensioners who live elsewhere in the EU were to return to the UK, the cost of their healthcare alone would be between £500 million and £1 billion per year. Yet nowhere have we seen provision for this kind of movement happening.

The BMA has just published a document—I declare my interest as a past president—entitled A Health Service on the Brink: The Dangers of a “No Deal Brexit. It is littered with questions that should have been answered during the years since the referendum. We have nearly 22,000 European graduate doctors in the UK, a third of whom have said they are considering leaving. We need reciprocal arrangements for their qualifications. We have 10,000 medical vacancies already. If a third of those doctors go, we will have even more. When people turn up with their sick child or another family member, and have an even longer trolley wait than they have now, or when their relative dies because they cannot get the healthcare they need, the headlines will change dramatically. Sadly, I worry that some implications for individuals in our society have not hit home, in part because we have not told them, openly and honestly, what the implications are.

I have been privileged enough to be a member of the European Advisory Group to the Welsh Government. As the noble Lord, Lord Wigley—I would say “my noble friend”—knows only too well, the concern over farmers is enormous. The concern over fair distribution of food in the event of shortages, because of our rural areas, is huge. We have many SMEs that create component parts, which will almost certainly become non-viable in the event of no deal. Our ports have been trying hard to make provision for the future, but the sudden catastrophe of no deal will jeopardise our economy in Wales. As is known, Wales already has socio- economic problems that go back a long way through our history.

Finally, when considering the implications of no deal, remember all those groups that we will suddenly drop out of. The European Reference Networks look at rare diseases. They are the eyes and ears looking at where disastrous epidemics, pandemics and new diseases are emerging. Without that intelligence, strange conditions will just turn up in emergency departments around the country, with no information ahead of time. For those and many other reasons—the debate has been long and interesting—I strongly endorse the comments made by my noble friend Lady Bull and support this legislation.

Earl of Listowel Portrait The Earl of Listowel
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May I ask my noble friend about implications for the structural funds from the European Union? I understand they have been helpful to Wales in the past. Is she confident that they will be replaced?

Baroness Finlay of Llandaff Portrait Baroness Finlay of Llandaff
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I am grateful to my noble friend for that question because, no, I am not confident that they will be replaced. I know that the Welsh Government have asked the Westminster Government for evidence that the funding will come through. A Statement was made by the Minister about CAP funding for farmers, but many other areas are of concern. People in Wales may not have been as aware of some of the implications as they might have been, nor of how important that infrastructure funding has been in previous years.