Lord Crisp Portrait Lord Crisp (CB)
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My Lords, I voted remain in the referendum not for any great love of the European Union and its institutions but for the reason described by my noble friend Lord Armstrong of Ilminster: our future is about being connected with others in this very connected world and we will be stronger for it. Indeed, I recall the Select Committee on soft power’s report, which described the positive future for the UK as the best networked country in the world. In many ways, we could be the best connected country in the world and that would be a strong place for us to be, so it is sad to see that we are stepping back from the European Union and Europe at the same time as we seem to be stepping back from other areas of our international role, including international development. We are doing it just at the point when, it seems to me, the people we have been aiding and working with in low and middle-income countries are beginning to gain some political power that may help us in future.

Like other people who voted remain, I wish to move on, and the aim is to get the best deal we can in every sector in the negotiations that are under way to ensure that we can have as positive a result from Brexit as possible. Like other noble Lords, I have interests in some specific areas that need to be given detailed scrutiny. In my area of health, I have a number of concerns, some of which have already been mentioned. I shall list a few. There is the big question of securing continuity of staffing for health and social care, research and the scientific community. This is the greatest vulnerability facing the health system in this country and one that we need to make sure is protected. In addition, there is access to research funds and to research collaborations with our partners in Europe, which are so important. There is reciprocal healthcare between ourselves and our fellow citizens of Europe, as we now are. We need to understand how all these issues are affected by the provisions of the Bill in detail and in practical terms. I am sure we will come to that.

One specific area is the importance of public health safeguards and provisions. Before going further, I note that I am indebted for advice on this matter to the Faculty of Public Health—I declare an interest as an honorary fellow. Public health in the broadest sense encompasses everything from pollution to health services: everything that affects the health of the population. It is vital to our health and well-being, critical for the sustainability of the NHS and social care, and will of course contribute to the long-term productivity and prosperity of our nation, not least by ensuring that we have a healthy workforce but also by ensuring that we are able to compete on a global stage by providing the support for the country’s vital biomedical and life sciences sector, which will be so important in the future. It is good to see that the Government are supporting this sector in a positive way.

As we all know, diseases know no boundaries, and I am pleased that the Secretary of State for Health has outlined his commitment that the Government will aim to maintain UK participation in European co-operation on areas such as disease prevention and public health. Although this assurance is welcome, we will need more specific commitments. I hope the Minister will offer reassurance to the public and professionals that the Bill will “do no harm” to the public’s health and that no provision introduced as a result of it will widen inequalities or increase pressure on the NHS and social care. This is important, and I believe other noble Lords will table an amendment to the Bill seeking a commitment to maintain a high level of protection for public health through all their legislation. Providing this reassurance in the Bill would be consistent with the Government’s intention to provide certainty and with their commitment to improve the population’s health.