How will Brexit affect health and health services in the UK? Evaluating three possible scenarios.


Fahy, N; Hervey, T; Greer, S; Jarman, H; Stuckler, D; Galsworthy, M; McKee, M; (2017) How will Brexit affect health and health services in the UK? Evaluating three possible scenarios. Lancet. ISSN 0140-6736 DOI: https://doi.org/10.1016/S0140-6736(17)31926-8

Full text not available from this repository. (Request a copy)

Abstract

The process of leaving the European Union (EU) will have profound consequences for health and the National Health Service (NHS) in the UK. In this paper, we use the WHO health system building blocks framework to assess the likely effects of three scenarios we term soft Brexit, hard Brexit, and failed Brexit. We conclude that each scenario poses substantial threats. The workforce of the NHS is heavily reliant on EU staff. Financing of health care for UK citizens in the EU and vice versa is threatened, as is access to some capital funds, while Brexit threatens overall economic performance. Access to pharmaceuticals, technology, blood, and organs for transplant is jeopardised. Information used for international comparisons is threatened, as is service delivery, especially in Northern Ireland. Governance concerns relate to public health, competition and trade law, and research. However, we identified a few potential opportunities for improvement in areas such as competition law and flexibility of training, should the UK Government take them. Overall, a soft version of Brexit would minimise health threats whereas failed Brexit would be the riskiest outcome. Effective parliamentary scrutiny of policy and legal changes will be essential, but the scale of the task risks overwhelming parliament and the civil service.

Item Type: Article
Faculty and Department: Faculty of Public Health and Policy > Dept of Health Services Research and Policy
PubMed ID: 28965715
Web of Science ID: 414250800028
URI: http://researchonline.lshtm.ac.uk/id/eprint/4468793

Statistics


Download activity - last 12 months
Downloads since deposit
0Downloads
64Hits
Accesses by country - last 12 months
Accesses by referrer - last 12 months
Impact and interest
Additional statistics for this record are available via IRStats2

Actions (login required)

Edit Item Edit Item