Trade Deals and the NHS

Greg Hands Excerpts

Monday 16th November 2020 Westminster Hall

[The Minister for Trade Policy (Greg Hands)]

It is a pleasure to serve under your chairmanship, Mr Stringer. I thank the hon. Member for Linlithgow and East Falkirk (Martyn Day) for opening this debate, as well as the more than 110,000 members of the public who raised this topic, which is hugely important to us all. There have been a lot of rumours, confusion and misstatements about this subject, so I am more than happy to set the record straight.

The NHS is this nation’s most popular institution, but it is far more than an institution. For more than 70 years, it has been there for all of us, from cradle to grave. It has played a very personal role in all our lives, in some of the most joyful and, indeed, saddest moments. In the midst of this terrible pandemic, the importance of the NHS has become even more acute. I pay tribute to the extraordinary staff up and down our country who are battling the coronavirus outbreak so valiantly and selflessly, and I extend my deepest sympathy to those who have lost loved ones during the pandemic, including, I might add, to myself: my father died of coronavirus on 13 April this year. However, it is thanks to the bravery and expertise of our world-class doctors, nurses and hospital staff in containing the virus that we are able to meet here in this House today, and I am hugely grateful for that.

Let me be very clear: our NHS will not be for sale in any future trade deal with the US or, indeed, in any trade deal at all. For the sake of parliamentary time, I can be very brief—the word “no” is one of the shortest in the language—and say no, not at all and never. Protecting the NHS is a fundamental principle of our trade policy. The NHS, its services and the prices it pays for drugs are not for sale, and we will not agree measures that undermine the Government’s ability to deliver on those commitments. The NHS is not, and will never be, for sale to the private sector, whether overseas or domestic, and no trade deals will ever be able to alter these fundamental facts.

The Government have been consistently clear about our commitment to the guiding principles of the NHS—that it is universal and free at the point of need. As set out in the October 2017 White Paper “Preparing for our future UK trade policy”, the Government will continue to ensure that decisions on how to run public services are made by UK Governments, including the devolved Administrations, and not—this has never been the case—by our trade partners. No trade agreement has ever affected our ability to keep our public services public nor forced us to change the way we run them, and that is not going to change now. Safeguarding the UK’s right to regulate in the public interest and to protect public services, including the NHS, is of the utmost importance. That was, is and will remain the Government’s position.

I turn to the points raised in the debate. The hon. Member for Linlithgow and East Falkirk mentioned two or three points. First, he is right to say that the NHS is devolved in Scotland and that trade policy is reserved. We recognise the fact that trade policy impacts on areas of devolved competence, and that is why I work closely with the Scottish Government to ensure that we have a common understanding. We work well together in those spaces.

The hon. Gentleman mentioned an ISDS threat to public services. The UK is already subject to the ISDS in more than 90 agreements. We have never had a successful claim brought against the United Kingdom through an ISDS court. No ISDS court could overturn Parliament or force any change to the law. This has been stated before, but the Trade Bill refers to the continuity of existing trade agreements; it does not refer to future free trade agreements. The EU does not have a trade agreement with the United States; therefore, the United States is not within the scope of the Trade Bill.

I heard some brilliant speeches from my hon. Friends the Members for Bishop Auckland (Dehenna Davison) and for Watford (Dean Russell). My hon. Friend the Member for Bishop Auckland talked about how the Labour party and others are whipping up fear. That is absolutely correct, and I have seen it in my constituency. At the last four general elections, the Labour party has run on the fact that Charing Cross Hospital will be either demolished or close—the last four! I can report that Charing Cross Hospital is doing very well and, actually, the Secretary of State for Health announced a floor-by-floor refurbishment of the hospital just a couple of months ago. My hon. Friend is absolutely right to say that there has been record investment under this Conservative Government and that trade is the answer to our long-term prosperity.

We had a passionate, knowledgeable and superb speech from my hon. Friend the Member for Watford about his local NHS, which I know quite well. The excellent Watford General Hospital has served my family—they come from Amersham in Buckinghamshire—for two generations. It is a brilliant hospital, and he spoke with great passion about it.

We heard some of the fears from the hon. Members for Birkenhead (Mick Whitley), for Hornsey and Wood Green (Catherine West), for Leicester East (Claudia Webbe) and for Luton South (Rachel Hopkins). I will deal with the question from the hon. Member for Luton South about the CPTPP. In the negative or positive lists, one is expressly allowed to exclude public services that one does not want to be subject to a trade agreement. The UK could and would negotiate specific exemptions in CPTPP for the NHS and other public services that we deem to be important to us. Of course that lies within our rights.

The NHS in Scotland is devolved, as we know, but the hon. Member for Kirkcaldy and Cowdenbeath (Neale Hanvey), in his summary, quickly moved on to talking about separation. In almost record time, even by the standards of the Scottish National party, he showed that separation is more to him important than either the NHS or trade.

I turn to my old friend—certainly not my hon. Friend, but he is a friend—the hon. Member for Sefton Central (Bill Esterson). I am not quite sure whether he has noticed the subtle change in Labour’s approach to trade policy as it has moved across north London from the hon. Member for Brent North (Barry Gardiner) to the right hon. Member for Islington South and Finsbury (Emily Thornberry). On drug prices, the UK has a robust intellectual property regime for pharmaceuticals and medical devices. We will not make changes to our IP regime that would lead to increased medical prices for the NHS. Our negotiation objectives—a lot of people have referred to the US’s negotiation objectives, but no one has referred to our objectives, which were published on 2 March—state that the NHS will not be on the table, the prices paid for drugs will not be on the table and the services that the NHS provides will not be on the table.

The hon. Gentleman also talked about a set of dates—he told an incredible story involving the Cato Institute and an astonishing series of dates. He said that he does not believe in coincidences, but perhaps he might believe in conspiracy theories.

As we are an independent global Britain, the Government are working hard to build our trade policy. As set out in the Government’s manifesto and again in our negotiation objectives, the NHS will not be on the table. Decisions on how to run the NHS and all public services are made by UK Governments, including the devolved Administrations, and no trade deal will change that.

[Bill Esterson]

Will the Minister give way?

[Greg Hands]

I am coming to a conclusion.

The UK’s high standards of data protection will be maintained. The Government are clear that health and care data should only ever be used or shared lawfully, treated with respect and held securely, with the right safeguards in place. I am going to leave a few minutes for the response, Mr Stringer. It is absolutely clear that any trade deal could not be ratified without scrutiny by Parliament. There is also a separation between international and domestic law, so any changes made to the NHS through a trade deal would need domestic implementing legislation, just as much as if those changes were to be made without a trade deal. There is no way to sidestep Parliament. The Government will never agree to a trade deal with the US or any other country that risks the future of our national health service or which could undermine the Government’s ability to deliver on our manifesto commitment to the NHS.

There are, however, benefits of trade for the NHS. The whole debate has been focused on fears and threats, but there are benefits. To continue supporting public services such as the NHS, which we all value and from which we all benefit, it is crucial that we have a strong economy. Now that we have left the EU, we find ourselves with a golden opportunity to strike free trade deals around the world, which will help to fuel our economic recovery from covid-19.

In conclusion, the question is asked over and over again, but the answer is not going to change. The NHS is not on the table in any future trade deal. The price it pays for drugs is not on the table and the services it provides are not on the table. The Government will not accept any trade deal that changes our ability to regulate the NHS or any public services, nor will we agree to any measures that would put NHS finances at risk or reduce clinician and patient choice. Scare stories otherwise simply do not fit with the facts. The Government will always put patients and the sustainability of the NHS first.

As an independent trading nation, the UK is reaching out to partners around the world that support our shared values of freedom and democracy and making great trade deals, starting with our friends in the United States, Australia and New Zealand and the deal with Japan that we have already delivered. It is by working together as a global community and embracing values-driven and value-generating trade with like-minded partners that we will be able to beat this dreadful virus and build back a stronger economy to sustain our vital public services, not least our beloved national health service.