No Deal and supply of medicines

Many qualifying with degrees from our universities are now going overseas to practice their professions as they fear Britain will be a declining economy following brexit
Really, Grandad?
Where did you read that?
I think the bullying culture within the NHS is a far more likely reason for staff leaving.
Just for the record, I’m a Remoaner.
I just don’t think Brexit is a reason for U.K. trained doctors leaving the profession or the country.

www.google.co.uk/amp/s/amp.theguardian.com/society/2018/nov/01/nhs-doctors-bullying-abuse-bma-survey

Apologies for typing "in directly" twice above.

Mawnbroon, Brexit is indirectly is indirectly responsible for the shortage of nurses, doctors etc in the Health Service as it is throughout other professions in the United Kingdom.

Many qualifying with degrees from our universities are now going overseas to practice their professions as they fear Britain will be a declining economy following brexit. The foregoing brings about difficulties in recruitment in many professions, and that places increased pressure on those remaining in any workplace leading to resignations.

The above then leads to a "vicious circle" of ever increasing pressure on staff, leading to ever more people leaving the profession/industry or this country

From the link

Barking, Havering and Redbridge University hospitals NHS trust, which runs both hospitals, said it had been planning to centralise chemotherapy services in Romford, and had accelerated the move when it found it could not replace the four nurses who are leaving. The departures will reduce the number of cancer nurses working across both hospital sites delivering chemotherapy from 19 to 15

Hard to blame Brexit for the 2 out of the 6 nurses they need being on maternity leave.

4 nurses down is indeed a worrying problem, but is the recruitment shortage directly attributable to Brexit or a general shortage of specialist nurses?

Is this scaremongering - is has started already:

www.theguardian.com/society/2018/nov/03/london-hospital-ilford-drops-chemotherapy-nursing-shortage-nhs?CMP=share_btn_fb&fbclid=IwAR00Lfk9aU7dHTgX-xYSHkPa9fWAEI12tso4GckuCEAzgPQ1RgSJrizjFVI

Leaving the EU without a deal could have ‘catastrophic’ consequences for patients and the NHS, the BMA has warned.

A no-deal exit from the EU in March 2019 would have wide-ranging and dramatic implications for the entire health service, according to the BMA’s latest paper examining the potential effects of Brexit.

The report warns that crashing out without a deal would jeopardise everything from EU staff’s ability to work in the NHS, to the supply of medicines and the collapse of reciprocal health arrangements denying treatment to patients in the UK and in Europe.

It further accuses ministers of failing to give due consideration to medicine and health in Brexit negotiations, adding that the Government’s planning and contingency preparations for the health service have been ‘too little, too late’.

BMA council chair Chaand Nagpaul said that the association had made clear its opposition to Brexit and demands for the public to have the final say on any deal, at this year’s BMA annual representative meeting.

He added that doctors had a duty to highlight their concerns over what a no-deal Brexit might mean for their patients and for the NHS.

He said: ‘It has become clear to the BMA that the risks of Brexit for the nation’s health are too great, and that it is becoming increasingly difficult to secure the kind of deal which will work to the benefit of patients, the medical workforce and health services across the UK and Europe.

‘Now that more is known regarding the potential impact of Brexit on patients, the health workforce and health services, the BMA believes the public should have a final say on the Brexit deal, to reject a “no deal” and all the risks that such an outcome carries.

‘Some will say the BMA is scaremongering by warning of the dangers of a "no-deal" Brexit, but this is not the case. As experts in delivering health services and providing care for our patients, we have a duty to set out the consequences of leaving the EU with no future deal in place.’

www.bma.org.uk/news/2018/august/no-deal-would-be-catastrophic

This is not scaremongering. It is a serious warning from the BMA, who I trust to understand the NHS.

No Smileless
It can't be good for your stress levels, which in turn can't be good for your health varian, so if you think the NHS is going to disintegrate post-Brexit, it may be advisable to calm down and de-stress.

Good grief varian is there really no limit to your scare mongering?

It is increasingly clear that failure to reach a deal with the EU on the terms of Brexit would be a disaster for the NHS. The repercussions of a no-deal Brexit could be so catastrophic as to destabilise the NHS to the point of disintegration.

www.pulsetoday.co.uk/views/blogs/dr-kailash-chand/a-no-deal-brexit-threatens-the-very-existence-of-the-nhs/20037366.article

Returning to the supply of medicine, should the UK "crash out" of the European Union in a no deal scenario, then even if there is agreement on all sides, drug supply would still be a major problem.

Medications, enter and leave Britain in the main not on single load dedicated vehicles, but as composite loads on many different journeys and vehicles. In that and by example, any one of those vehicles could be carrying pallets or cages of medications as twenty percent of a thirty-ton load with the remaining tonnage made up of vehicle parts, produce, paper reels or almost anything.

It may well be that disruption through the ports could commence at the end of March. In that, queues will develop on the approach to those ports and even with the best of wills between the UK and EU customs, how is it to be known which vehicles the medications are on and how could those part loads be brought to the front of that chaos.

The RHA and the FTA have outlined the above to the government in the last few days, but it would seem no plans are in place for port disruption in a no deal scenario as was only too well demonstrated in parliament today.

Concerning times indeed in regard to medications and other essential freight supplies.

Yes, we are.
That report stated our growth was 0.2%.
It is now 0.4%.

Do you ever think of anything else but Brexit, varian?
Please don't answer that if you think I am being too inquisitive, but I do wonder.

We are not improvng. The referendum vote has already caused a great deal of damage.
.

That Guardian report was from 18 months ago, varian

Just look at the facts

www.theguardian.com/business/2017/may/31/uk-comes-bottom-of-the-g7-growth-league-as-canada-takes-the-lead

Some of you may have noticed that Varian likes to quote the OBR. If you have nothing better to do look up how many times their predictions have been proven wrong.

Budget 2018: The OBR shows how Brexit has hurt the UK economy

The Office for Budget Responsibility warns that the economy is 2 to 2½ per cent smaller as a result of the Leave vote.

www.newstatesman.com/politics/economy/2018/10/budget-2018-obr-shows-how-brexit-has-hurt-uk-economy

Since the referendum the UK economy has gone from having one of the best growth rates in the G7 to being the poorest performing.

If you voted Leave you may think that our economy is doing well, but then if you voted leave you may have a tendency to believe lies.

Unfortunately I see no end in all this blaming of Brexit for everything, and unfortunately I fear it will continue long after we have left.

Meanwhile, our country is continuing to thrive. Our economy is doing well, and is now expected to rise faster than had previously been thought.

Unemployment is at its lowest level for, I believe four decades.

Yet still the moaners persist in talking us down. Of course those who think the EU is so wonderful could always move to, say Italy( where youth unemployment is over 30%) or Greece which is still struggling.

hot air could be full of germs

Well it’s certainly causing lots of hot air

The weather will be blamed on Brexit next.

ie as far as general worldwide shortages allow them to be. Of course, any shortages will be blamed on Brexit even if they are not due to that.

I am assured by my MP that they do Lazigirl

You are right Jalima that it is not unknown for there to be a shortage of medicines, epipens for instance, which is universal, and occurs periodically. The reasons it seems are multiple, changes in treatment, fluctuations in demand & manufacture and one of the main ones appears to be short shelf life. Obviously not confined to UK but we can do without any further disruption which I hope Brexit will not bring. My concern is suitable storage & temperature for medicines at points of entry if backlogs occur. Suitable storage does not apparently at present exist. I trust and hope that no government would jeopardise it’s populations health by not having robust contingency plans in place.

I think it's universal Fennel and I'm not sure why.
There was a problem over 12 months ago with the medication I am on and the (well-known) pharmacy had to try various wholesalers before they could source it.

I have already mentioned the worrying shortage of Epipens worldwide. The manufacture of medicines is being outsourced to many countries now and there seems to be a resultant chaos, not just in the UK.
The flu vaccine, for example, has been in short supply this autumn.

ps It's in French Fennel, my French is a bit rusty!