{"id":89662,"date":"2018-08-28T05:02:02","date_gmt":"2018-08-28T05:02:02","guid":{"rendered":"http:\/\/www.bnreport.com\/uk-hospitals-yet-to-start-planning-for-no-deal-brexit-7\/"},"modified":"2018-08-28T05:02:02","modified_gmt":"2018-08-28T05:02:02","slug":"uk-hospitals-yet-to-start-planning-for-no-deal-brexit-7","status":"publish","type":"post","link":"https:\/\/www.bnreport.com\/en\/uk-hospitals-yet-to-start-planning-for-no-deal-brexit-7\/","title":{"rendered":"UK hospitals yet to start planning for no-deal Brexit"},"content":{"rendered":"

LONDON \u2014 The majority of U.K. hospitals have yet to make plans for a no-deal Brexit, according to data provided under Britains Freedom of Information Act.<\/p>\n

A survey of NHS trusts carried out by POLITICO suggests that almost no formal contingency planning for a no-deal scenario has begun at the local level. Of 38 trusts in England that responded to a Freedom of Information request to disclose documents relating to preparations and impact assessments on different Brexit scenarios, 35 said they hold no such documents.<\/p>\n

Conservative MP and chair of the House of Commons health committee Sarah Wollaston said NHS organizations urgently need to be told their responsibilities and what action is being taken by national bodies to avoid medicines and equipment shortages in the event of a no-deal Brexit.<\/p>\n

The former family doctor said an absence of planning for a cliff-edge departure from the EU in March next year could be \u201ccompletely paralyzing\u201d for the NHS.<\/p>\n

\u201cIf youre talking about stockpiling, actually building a refrigerated warehouse doesnt happen in two weeks. [We need to know] the sheer scale of this, what products it actually affects, and who is actually doing it,\u201d she said, adding that the government needs to provide granular detail \u2014 down to plans for the supply of \u00adindividual medicines \u2014 in its technical notes on no-deal preparations, which are due to be published in batches.<\/p>\n

\n

\u201cThere are some medicines, devices \u2026 that we cant make in this country\u201d \u2014 Sarah Wollaston MP<\/em><\/p>\n<\/blockquote>\n

Health and pharmaceuticals are two of the topics that will be covered by the first wave of technical notes, due Thursday, the Department for Health and Social Care (DHSC) confirmed. NHS trusts are expected to receive information directly following the publication of the documents.<\/p>\n

The technical notes are expected to outline how the government has consulted with nearly 100 suppliers, including pharmaceutical companies and storage firms, with all human medicines subjected to a review of their supply chain this year. The department tested the contingency plans during a series of meetings with industry bodies.<\/p>\n

The U.K.s health and social care secretary, Matt Hancock, told the House of Commons health committee last month<\/a> that the government is actively \u201cworking with industry to prepare for the potential need for stockpiling.\u201d A dedicated operational team with specialist industry knowledge will advise on how to achieve the required capacity for key medicines, he said.<\/p>\n

Wollaston said that certain products would be particularly vulnerable to shortages.<\/p>\n

<\/p>\n

Matt Hancock, the U.K.s health and social care secretary | Niklas Hallen\/AFP via Getty Images<\/p>\n

\u201cThere are some medicines, devices \u2026 that we cant make in this country,\u201d she said. \u201cThere is not a drop of insulin [which is required daily by many diabetics, including Prime Minister Theresa May] produced in this country \u2026 We cant source plasma in this country because of the leftover concerns about CJD [Creutzfeldt-Jakob disease, know colloquially as mad cow disease] for example. Its all imported. If people dont get their plasma products that will have very major knock-on implications for people having certain kinds of surgery and certain kinds of treatments.\u201d<\/p>\n

Wollaston also cited the need for a contingency plan for the supply of radio isotopes, which cannot be effectively stockpiled and which are used in 700,000 diagnostic procedures, notably for cancer patients, every year in the U.K.<\/p>\n

Citing her work as a family doctor, she added: \u201cWhen I was in practice on a very occasional basis there would be, say, a fire in a warehouse somewhere or a problem with a particular batch of medicine. Suddenly youd be wasting a whole afternoon trying to source a drug for somebody. Imagine that on a grand scale. It would be completely paralyzing.\u201d<\/p>\n

Long list of concerns<\/h3>\n

One of the 150 NHS trusts in England surveyed, the Christie NHS Foundation Trust in Manchester disclosed an email it sent to the government tax agency \u2014 Her Majestys Revenue and Customs \u2014 in July, in response to an inquiry about Brexit \u201cbusiness concerns.\u201d The Christie trust listed \u201cavailability of drugs from European suppliers,\u201d \u201cprice of drugs from EU locations,\u201d \u201cdrugs approval processes,\u201d \u201cavailability of EU workers\u201d and \u201ctimely supply of medical supplies\u201d among its concerns.<\/p>\n

\u201cA significant proportion of our drugs are manufactured and shipped from EU locations. Supply chains are on a just in time basis and any delay in supplies could have a direct impact on patient treatments,\u201d the email said.<\/p>\n

Another trust, the East Suffolk and North Essex NHS Foundation Trust, said it is \u201cawaiting guidance from relevant national bodies\u201d \u2014 a message echoed in a leaked letter reported by the BBC<\/a> on Tuesday, in which the NHS Providers organization, which represents hospitals and other frontline providers, expressed concern that there has been \u201cno formal communications\u201d from national planning organizations NHS England or NHS Improvement on preparations for a no-deal Brexit.<\/p>\n

\n

\u201cThe risk to public services is real and we need appropriate national contingency planning\u201d \u2014 Chris Hopson, chief executive of NHS Providers<\/em><\/p>\n<\/blockquote>\n

The NHS Providers letter, written by Chief Executive Chris Hopson, said the risk of a no-deal Brexit is \u201cgrowing.\u201d It said that NHS England and NHS Improvement appeared to consider Brexit planning the responsibility of central government and local trusts, and noted a \u201cnervousness about communicating with trusts because of political sensitivities and what might appear in the media.\u201d<\/p>\n

\u201cWe are cognisant of the political and commercial sensitivities here, but the risk to public services is real and we need appropriate national contingency planning,\u201d Hopson wrote.<\/p>\n

A DHSC spokesperson said: \u201cThe government is confident of reaching a deal with the EU that benefits patients and the NHS.<\/p>\n

\u201cAs the public would expect we have been planning for all situations, speaking directly to industry across the medical supply chain, from pharmaceutical trade bodies to storage providers, so patients continue to get medicine in exactly the same way they do now in the event of there being no deal.<\/p>\n

\u201cOn Thursday the government will begin setting out its plans, including publishing guidance to industry and the health and care system on preparing for a no-deal scenario.\u201d<\/p>\n

Read this next: Trumps legal blows fuel impeachment fears<\/a><\/em><\/h2>\n

Original Article<\/a><\/p>\n

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<\/a><\/h5>\n","protected":false},"excerpt":{"rendered":"

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