Trade Deals and the NHS

Debate between Graham Stringer and Neale Hanvey

Monday 16th November 2020 Westminster Hall

[Neale Hanvey (Kirkcaldy and Cowdenbeath) (SNP)]

It is a pleasure to serve under your chairship, Mr Stringer. I thank my hon. Friend the Member for Linlithgow and East Falkirk (Martyn Day) for securing this important debate. The genesis of and support for this petition reflect our values and the esteem in which each nation’s NHS is held. The petition is also a reflection of the public’s mistrust of whether the Prime Minister and his Government will honour their word, and their concern about the risk to the NHS from corporate avarice should it be on the table in any US trade deal.

Before the cronyism, incompetence and allegations of corruption began to dog the Government, the petitioners recognised that the deals the Government had conducted during the coronavirus crisis could be unethical and lacked transparency. Although we are set to see an end to Trumpian politics, in the USA at least, the concern still stands that involving the US financially in our health system could pose a serious health risk to us and our NHS.

Save our outstanding landscapes and convivial culture, there is little more precious to the people in Scotland than their NHS. The NHS in Scotland is unencumbered by a false internal market and there is minimal involvement of the private sector. The public service ethos is rewarded by a satisfaction level of 78%—an impressive 36% higher than for the NHS across the UK.

Perhaps I am worrying unnecessarily, and perhaps the hon. Member for Watford (Dean Russell) is right. Ministers have given repeated assurances on the record that there will be no requirement to increase private provision and no ramping up of drug costs, and that health data is safe, but if the Government are so confident and are assuring us not to worry, why are they hesitant to put an explicit protection in primary legislation?

Sadly, in Scotland we have a track record on which to judge this Government, and an ever sadder track record on which to judge promises and vows from any Westminster Government, whatever their stripe. To digress slightly, this weekend I watched the first ever episode of “Taggart” —from before it was called “Taggart”, in fact. It was set in Glasgow in 1983, at the height of the North sea oil boom, yet the deprivation on show was truly shameful. It was no fluke of filming location. Like many, I walked through those desolate scenes of economic devastation. The loadsamoney Thatcherism was less about the pooling and sharing of resources, or about any dubious acclaim for her ideology, and more about the pulling of that oil wealth from Scotland. Greed is never attractive. Of course, the true value of that wealth was deliberately concealed from the Scottish people, as evidenced by the McCrone report. As the wealth was removed, so too were jobs and hope.

I also had my usual dose of Marr on Sunday morning, and up popped my Kirkcaldy and Cowdenbeath predecessor thrice back. It was a really odd experience, because I thought they were showing a clip from 2014, but actually it was new footage and it was, almost verbatim, the same story and script endorsed by all the Westminster parties in 2014 to disingenuously secure a pyrrhic victory that served only to drive—

[Graham Stringer (in the Chair)]

Order. The hon. Gentleman is straying quite a distance from trade and the NHS. Can he refocus on that?

[Neale Hanvey]

It is the next line, Mr Stringer.

--- Later in debate ---

[Graham Stringer (in the Chair)]

I am grateful to the hon. Gentleman.

[Neale Hanvey]

As I was saying, that only served to drive a surge of support for the SNP and Scottish independence.

Before I am accused of straying too far, what relevance has that to trade deals and the NHS? Well, one simple but absolutely essential word, when the word of another is what our future depends on, is “trust”. Why should my constituents trust this Government? I say that not just because of historical wrongs, but because of their conduct in the here and now.

My hon. Friend the Member for Linlithgow and East Falkirk set out serious questions and concerns, which deserve full and transparent answers. When the crony virus stalks the halls of power, when Ministers puff out their chest and defend their intention to break international law, when the Prime Minister refuses to answer questions in the Chamber but casually insults, when the promises of devo-max have led Scotland to a devo-destroying United Kingdom Internal Market Bill, when the child poverty that this Government have created is dismissed and hunger ignored, and when a pay rise for carers and nurses is unaffordable but an MP’s pay rise will do quite nicely, thank you, why should the people who dedicate their lives to the NHS take this Government’s word for anything? Those people’s belief in altruism and shared endeavour is in peril. They understand the implications of negative lists, standstill clauses, ratchet clauses and the ultimate con, the investor-state dispute settlement process, all of which have the potential to eviscerate the NHS.

The petitioners want to protect the NHS through primary legislation because, as we all know, to neoliberals, health is never the priority; profit is. There is no place in the Scottish NHS for profiteering. This Government must commit to legislating and protecting each part of the NHS. Only then will any trust return.