(9 years, 10 months ago)
Commons ChamberMay I start by commending the hon. Member for Swansea West (Geraint Davies) for bringing this debate to the House? Like others, I have had hundreds of constituents in touch with me about TTIP, particularly about the potential implications for the NHS. That brings home to me not just how preciously people hold their access to health care and how anxious they are about the future of the NHS, but that we are debating a treaty that does not actually exist yet, and that we are not yet in a position to analyse or assess. That is exactly why this process should be open to more effective scrutiny now, and we need to have a much wider debate.
Having waded through some of the papers released by the European institutions—the Commission and others—in recent days, I do not think that they provide definitive answers to the key questions I am being asked, and we really need better answers. When it comes down to it, we need an explicit exclusion of public health care and associated services from TTIP.
Ministers must try to understand why there is such public concern. The negotiations have been shrouded in secrecy, and Ministers have failed to address fully the questions posed by the devolved Governments that arise as a consequence of the distinctive structures and policies of the NHS in the home nations. We need more transparency in this process and cast iron assurances that the treaty will not be a route to the backdoor privatisation of our NHS.
The bottom line is that Scotland must not be bound by a trade deal that could undermine public ownership of our NHS and our ability to make accountable, democratic decisions about public health care and that could usher in creeping clandestine privatisation.
I do not know whether the hon. Lady received the same letter as I did on 19 December from the Secretary of State for Business. It said:
“And the new Commissioner, Cecilia Malmstrom, has also stated explicitly that ‘public service, including health, education and water management, are not on the agenda.’”
I have read those documents, and I am glad that the hon. Gentleman raises that point. What we have had repeatedly are assertions. I read the Commission’s latest publications, which do appear to indicate that state monopolies will be protected. But elsewhere in the text, relating to services of general economic interest—namely utilities and public services—it says that they would be governed by normal competition law
“in so far as the application of such rules does not obstruct the performance in law, or in fact, of the particular tasks assigned to the enterprises in question.”
That does seem to water down the seemingly categorical assurances we have heard elsewhere. In reality, it is not at all clear that the requirement will protect public services in the absence of an explicit opt-out.