►
Description
www.parliament.scot
The Impact of Leaving EURATOM
That the Parliament notes what it sees as the importance of the medical isotopes that are used in radiotherapy for the treatment of cancer, diagnostic work and therapy throughout Scotland and the rest of the UK; understands that, because of Brexit, the UK will be leaving EURATOM, which is an international body that is legally joined with the EU to regulate nuclear material; believes that the UK does not produce any of these isotopes and that two-thirds of the countries that it imports them from are EU member states; understands that transporting them can be difficult, as radioisotopes have a very short half-life and cannot be stored for long periods of time; believes that any delay can lead to a decrease in useable material and, subsequently, the cancellation of appointments; understands with concern that leaving EURATOM could result in shortages of medical isotopes, increases in cost, and more medical operations in place of radiotherapy; believes that this would have a negative affect for people in the Highlands and Islands and across Scotland who rely on such treatment, and, in order to continue the necessary trade arrangements around the isotopes, notes the calls for the UK Government to come to an agreement that allows the country to remain a part of EURATOM.
Published by the Scottish Parliament Corporate Body.
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A
Thank
you.
The
final
item
of
business
is
a
members
business
debate
on
motion,
one
one,
eight,
four,
nine
in
the
name
of
David
Stewart
on
the
impact
of
leaving
you
at
home,
the
debate
will
be
concluded
without
any
questions
being
put.
Can
ask
those
members
who
wish
to
speak
early
to
be
to
press
the
request
to
speak
buttons,
though
now
Colin
David
Stewart,
to
open
the
debate?
Let's
just
do
it
please
Thank.
B
You
presiding
officer
could
I
thank
all
members
for
staying
behind
tonight
to
support
this
motion
and
for
signing
my
motion
as
well,
and
those
who
had
not
yet
signed
I,
of
course,
always
welcome
sinners
who
repent
and
on
the
surface,
presiding
officer.
This
debate
may
seem
like
a
SATA
gate
for
another
round
of
brexit
speeches,
plus
a
seminar
on
an
our
key
institution
erratum
or
a
poor
man's
lecture
on
nuclear
physics
and,
however,
I'm
so
even
a
member.
Here's
underneath
false
pretenses.
B
The
issue
this
evening
is
very
simple:
the
future
treatment
and
care
of
cancer
patients
and
the
security
of
supply
of
radioisotopes.
Notwithstanding
my
opening
statement.
So
no,
so
let
me
attempt
to
set
the
context
of
the
problem.
The
UK
joined
the
European
atomic
energy
community,
better
known
as
Euratom
on
1st
of
January
1973.
B
The
UK
gave
notice
to
leave
your
atom
as
part
of
the
article
50
process,
and
you
have
been
commissioned,
for
their
part,
are
clear
in
a
recent
statement
they
said
and
I
quote,
Euratom
treaty
will
cease
to
apply
to
the
UK
on
the
30th
of
March
2019.
So
why
is
this
a
problem
for
the
health
services
and
cancer
patients?
Well,
your
autumn
is
a
crucial
and
essential
vehicle
for
the
management
of
Radio
isotopes,
as
the
European
supply
agency
mission
statement
makes
clear.
B
Their
job
is
to
support,
secure
and
safe
supply
and
use
of
medical
Radio
isotopes.
Now
members
will
be
aware
that
Medical
Radio
isotopes
are
used
in
radiotherapy
for
treatment
of
cancer
and
in
nuclear
medicine
for
both
diagnostic
work
and
therapy.
The
principle
radioisotope
used
worldwide
is
titanium,
and
this
is
derived
from
a
parent
ailment,
there's
a
half-life
of
66
hours.
The
element
is
tane
from
a
small
number
of
research
nuclear
reactors,
none
of
whom
are
located
in
the
UK.
B
The
Hinkley
Point
nuclear
research
facility
planned
for
2027
could
produce
radio
medical
isotopes,
but
the
jury
is
out
as
when
that
facility
will
be
completed.
So
the
bulk
of
the
UK
supply
is
from
the
EU
facilitated
by
the
Euratom
supply
operation.
For
example,
the
HFR
reactor
in
the
netherlands
supplies
the
UK
and
has
a
capacity
for
a
third
of
global
demand.
However,
it's
estimated
there
will
cease
operations
in
2024,
so
the
context
is
presiding
officer.
We
have
a
world
shortage
of
medical
isotopes.
A
key
provider.
B
Canada
has
just
ceased
production,
so
the
EU
is
home
to
four
of
the
top
six
global
producers
at
the
distance
to
Australia
and
South
Africa,
who
are
also
significant
players.
I
mean
they
are
problematic.
Providers
supply
would
be
limited
by
the
decay
of
medical
isotopes,
which
would
occur
soon
transportation.
So
the
key
issue
is
the
isotopes
of
short
half-lives.
That
means
the
decay
rapidly
and
cannot
be
stored.
This
creates
an
urgent
need
for
a
constant,
reliable,
unpredictable
supply,
but
of
course
this
is
filled
in
the
past
and
has
created
global
shortages.
B
So
your
atom
has
a
central
and
crucial
leadership
role
here.
They
supervise
the
supply
chains.
So,
for
example,
was
the
crisis
in
2008
with
the
closure
of
the
Channel
Tunnel
again
in
2015,
when
industrial
action
that
Cali
caused
chaos
to
the
transportation
of
isotopes
and
caused
the
cancellation
of
treatment
across
the
UK.
So
I
am
arguing
today
that
there's
a
clear
and
present
danger
to
the
NHS
in
Scotland
and
beyond
is
the
loss
of
frictionless
borders
prospects.
This
could
result
in
a
traumatic
failure
to
deliver
medical
isotopes.
B
On
time
to
cancer
patients,
as
the
Royal
College
of
radiologists
have
said,
and
I
quote,
navigating
black
citizen
doubtedly
a
huge
past
for
ministers
by
our
access
to
these
vital
materials
for
diagnosing
and
treating
cancer,
must
not
be
left
to
slip
down
the
negotiations
list.
So
really
isotopes
are
essential
tools
for
nuclear
medicine,
which
combined
with
a
drug
that
guides
isotopes
to
particular
part
of
the
body.
The
scale
of
use
is
immense
and
invaluable
in
the
UK,
around
700,000
nuclear
medical
procedures
are
carried
out
each
year
with
approximately
70,000
of
those
in
Scotland.
B
So
it's
essential
in
diagnosing
coronary
disease,
detecting
the
spread
of
cancer
to
the
bones
and
biomedical
research.
As
the
British
nuclear
medicine
Society
said,
patients
will
be
poorly
served
by
not
having
a
cheap
plentiful
supply
of
Technium
the
most
commonly
used
medical
isotope.
So
why
are
options
presiding
officer
well,
first
of
all,
on
our
very
simplistic
level.
If
it
ain't
broke,
why
fix
it
stay
in
your
atom?
However,
the
current
administration's
UK
government
means
that
decision
is
unlikely.
B
Secondly,
we
could
Luke
associate
status
of
your
atom
under
2006
of
the
treaty,
so
this
gives
receptacle
rights
and
special
procedures,
so
the
best
example
is
Switzerland
who
joined
in
2014
that
gives
access
to
funding
for
nuclear
research
or
thirdly,
we
could
have
third
country
status
under
article
101
of
the
treaty,
so
UK
could
join
us
a
CEO
in
Canada
the
advantage.
There's
we
have
common
research
on
shared
cost
basis
and
more
technically
and
I
apologize
for
the
technology
was
it--after.
We
could
create
more
cyclones
in
Scotland.
B
This
is
not
from
the
more
recent
Doctor
Who
film
there's
actually
a
facility,
a
linear
accelerator
which
produces
really
isotopes
for
pets
and
CT
scanners.
Pet
scan
has
been
positron
emission
tomography,
so
they're
three
in
Scotland
and
Glasgow,
Edinburgh
and
Aberdeen,
but
no
spare
capacity
to
the
other
PET
scanner
in
Dundee
and,
of
course,
when
I'm
on
my
feet,
I
must
campaign
for
a
PET
scanner
in
the
highlands
for
Highland
spends
300
thousand
scans
alone.
However,
in
my
view,
a
large
scale
switch
is
expensive
and
probably
unlikely.
B
And
fifthly,
what
were
waiting
for
in
CLE
point
C
to
be
up
and
running
in
2027?
Well,
the
big
question
said
earlier:
will
it
be
on
time
what
will
its
capacity
be
and
we
still
need
to
organise
the
supply
chain
management?
June,
the
House
of
Commons,
with
drawable
debates,
many
MPs
made
telling
contributions
that
we've
draw
from
the
Klump
the
Euratom
supply
agency,
Junior
global
shortage
missile
isotopes.
B
Why,
then,
should
the
club
care
for
us
as
the
old
seeing
from
Capitol
Hill,
goes
if
you're
not
at
the
table,
you're
on
the
menu,
and
you
do
not
need
the
predictive
powers
of
the
brand
seer
who,
incidentally,
protected
the
Second
World
War
from
the
17th
century
to
divine
the
future
in
this
area
we
have
a
global
shortage
of
radioisotopes.
We
could
choose
none
of
her
own
and
we're
leaving
the
market
the
produces
the
majority
of
the
world's
supply.
B
C
C
Rapid
withdrawal
from
the
euro
atoms
wealth
disaster,
many
experts
in
the
field
of
nuclear
energy,
including
the
British
nuclear
energy
society,
have
suggested
that,
following
the
UTS
departure
from
Euratom,
many
power
stations
across
the
country
may
not
be
able
to
source
nuclear
fuel
such
as
uranium-235
or
plutonium
239.
So
the
UK
doesn't
have
an
agreement
agreement.
We
won't
have
the
necessary
isotope
material
to
provide
our
services
for
our
patients.
C
Given
my
health
background,
I'd
like
to
focus
my
speech
on
the
health
implications
of
leaving
Narottam,
the
shipment
is
dock
of
radioactive
medical,
isotopes
used
for
x-rays
and
MRI
scans
and
PET
scanners.
As
DVR
as
mentioned,
is
it's
really
necessary
to
provide
cancer
treatment
for
certain
patient
population
and
I,
see
it's
under
threat?
The
means
that
there
may
be
significant
delays
to
patients.
Her
looking
to
access,
life-saving
medical
treatments
in
a
timely
manner
may
lead
to
premature
and
unnecessary
deaths,
presiding
officer
earlier
this
year,
my
colleague,
dr.
C
Philippa
Whitford,
spoke
in
the
House
of
Commons
to
be
on
this
subject.
She
has
first-hand
knowledge
of
medical
isotopes
as
a
breast
surgeon
herself
and
I'd
like
to
echo
what
she
said
and
I
quote,
the
Royal
College
of
radiologists
are
concerned
that
an
inability
easily
to
bring
isotopes
into
the
country
could
affect
half
a
million
scans
and
10,000
kinds
of
treatments.
Isotopes
cannot
be
stored
because
they
have
a
shortened
half-life,
so
we
do
need
your
atom.
These
are
not
pharmaceutical
medicines
that
can
be
stockpiled,
as
has
been
suggested
by
other
medicines.
C
C
Concerning
so
I'd
like
to
ask
the
Scottish
Government
what
it
can
do
to
support
our
NHS
health
ports
to
address
these
challenges
of
leaving
yacht.
This
is
a
sixty-year-old
treaty
to
support
safety
and
supply
of
much-needed
medical
isotopes.
These
isotopes
are
saving
lives
and
I.
Think
it's
really
important
that
we
bring
this
attention
to
the
chamber
today.
Thank
you
very
much.
Thank.
D
You,
deputy
presiding
officer
and
I
had
to
welcome
the
opportunity
to
debate
this
important
matter
and
I
thank
David
Stewart
for
allowing
us
to
have
this
discussion
here
tonight.
I
can't
pretend
to
match
his
scientific
expertise,
but
Ron
Whittle
has
a
chemistry
degree,
I'm
told
so.
Please
save
your
questions
for
him.
I
also
promised
not
to
do
a
standard,
brexit
speech,
not
least
given
the
very
serious
implications
this
has
for
cancer
patients.
I
don't
represent
the
UK
government,
but
I
do
feel
it's
only
fair
to
put
their
position
forward
to
the
chamber.
D
A
significant
amount
of
discussion
has
already
taken
place
at
UK
level
on
the
matter
of
our
membership
of
your
Atem
and
I.
Do
believe
that
this
is
an
issue
which,
on
all
sides,
whether
you
voted
to
leave
or
to
remain.
There
is
some
consensus.
The
Prime
Minister
stated
in
a
speech
in
May
that
she
wants
the
UK
to
have
a
deep
science
partnership
with
the
EU
and
that
the
UK
would
like
the
option
to
fully
associate
ourselves
with
the
excellent
base.
D
European
science
and
innovation
programs,
including,
and
she
quoted
the
successors
to
horizon
2020
and
erratum
R
and
T.
Last
year,
the
e
section
of
State
for
business
Greg
Clarke
said
that
it
is
the
government's
ambition
to
maintain
as
many
benefits
as
possible
through
a
close
association
with
your
Atem
in
the
future,
and
it's
been
recognized
that
the
need
to
protect
the
progress
that
has
been
made
over
the
years.
D
The
significant
progress
over
the
years
between
the
UK
and
the
EU
and
respect
of
nuclear
research
and
nuclear
decommissioning,
expertise,
for
example,
and
that
brexit
must
not
hinder
this
in
the
future
and
part
of
the
checkers
proposal
does
include
continued
cooperation
and
information
sharing
with
the
European
Observatory
on
the
supply
of
medical,
Radio,
isotopes
and
I
would
say
that
the
UK
government
has
a
priority.
Ensuring
a
close
relationship
with
the
erratum
exists
after
we
leave
the
EU
now,
while
I
recognize
that
much
of
Davis
to
its
motion
relates
to
radioisotopes.
D
There
are
some
I
think
important
points
to
make
them
about
the
passage
of
the
nuclear
safeguards
Act
in
2018,
which
is
an
important
aspect
of
all
this
for
several
reasons.
Firstly,
it
allows
the
UK
government
to
make
regulations
for
and
implement
international
agreements
in
relation
to
nuclear
safeguarding
which
will
be
required
once
the
UK
leaves
your
a
team.
It
allows
existing
legislation
to
be
amended
by
regulation
in
relation
to
a
draw
and
it
extends
a
bill
to
the
whole
of
the
UK
and
ultimately,
I
believe
that
it
will
allow
for
continuity.
D
It
does
note
that
the
Euratom
treaty
refers
to
medical
radioisotopes
and
the
prohibition
of
custom
duties
etc,
and
these
reference
do
not
set
any
restrictions
or
limitations
on
trade
in
such
materials
with
countries
outside
the
you
you
so
I
would
submit
deputy
presiding
officer,
there's
nothing
in
the
erratum
treaty
impeding
the
UK's
ability
to
continue
to
access
medical
radioisotopes
from
the
EU
when
the
UK
is
no
longer
a
member
state
and
the
UK's
ability
to
import
medical
Radio
isotopes
will
not
be
affected
by
a
withdrawal
from
Urata.
Of
course,
Emma.
C
And
there
are
issues
around
the
erratum
treaty,
which
means
that
there's
a
free
flow
of
movement
of
scientists.
So
is
that
part
of
the
red
line
that
Theresa
May
has
where
we're
not
going
to
allow
migration
of
workers,
because
that
would
impede
the
ability
to
continue
with
research
in
Euratom
Donnell.
A
E
I
to
congratulate
David
Stewart
on
bringing
this
debate
on
a
very
important
topic,
which
was
highlighted
in
a
report
from
the
health
and
sport
committee
earlier
this
year.
I'm
pleased
to
support
this
debate
there
for
us
communion
of
the
committee,
also
because
of
the
important
role
that
my
home
city
of
Aberdeen
has
played
in
the
field
of
medical
physics.
E
Members
will
know
that
credit
for
the
invention
and
development
of
magnetic
resonance,
imaging
and
of
PET
scanners
belongs
to
pioneers
like
the
late
Jim,
Hutchison
and
John
Maillard
at
Forrester,
Hope
Aberdeen,
Royal
Infirmary
is
also
today,
one
of
the
several
centres
of
nuclear
medicine
in
Scotland
studies,
which
provide
vital
diagnostic
and
treatment
tools
for
cancer
patients.
In
particular.
E
The
delivery
of
those
services
depends
on
nuclear
physicists
on
radiologists
and
on
radiographers,
all
in
the
different
ways,
highly
skilled
and
high-value
staff,
some
of
whom
are
sadly
in
short
supply,
not
just
in
aberdeen
but
across
the
scottish
NHS.
In
addition,
hospitals,
like
airai,
have
radio
pharmacies
which
are
responsible
for
procuring
the
isotopes
and
managing
the
radioactive
material
so
essential
to
these
medical
uses.
E
Those
pharmacy
specialists
are
also
much
to
be
commended
for
their
essential
contribution
and
the
good
relationships
they
have
built
up
with
the
manufacturers
of
the
isotopes
in
Europe
and
further
afield,
have
played
an
important
role
in
ensuring
the
reliability
of
supply
on
patience
depend.
That
said,
this
is,
by
definition
not
a
perfect
market
or
even
a
medically
focused
business
model.
The
suppliers
of
radioisotopes
did
not
go
into
business.
To
meet
medical
need,
their
core
business
is
typically
military
or
civil
nuclear
power
generation
or
related
research.
E
Now
the
reason
for
the
British
government
giving
separate
notice
of
the
UK's
intention
to
leave
your
atom
as
part
of
the
black
Caesar
process,
but
simply
that
the
members
of
the
European
Union
are
signatories
of
the
relevant
treaty,
but
as
both
David
Stewart
and
I'm
a
Harper
mentioned,
it
is
technically
separate
from
the
EU
itself.
There
is
therefore
nothing
to
prevent
UK
ministers
from
seeking
to
protect
the
many
benefits
of
Urata
membership,
including
access
to
radioisotopes
as
part
of
the
wider
negotiations
on
her
future
relationship
with
the
European
Union.
E
That,
of
course,
depends
on
ministers,
put
him
forward
serious
and
credible
proposals
for
that
relationship
across
the
board,
in
particular
around
the
terms
of
trade,
for
the
avoidance
of
tariffs
and
other
barriers
between
the
United
Kingdom
and
the
European
Union,
and
the
prospects
for
that
clearly
remain
to
be
seen.
As
has
been
said,
the
commissioning
of
Hinkley
Point,
see
perhaps
in
2027,
will
resolve
these
critical
supply
issues
at
that
time,
but
that
is
no
consolation
to
those
who
need
access
to
radioisotopes
in
the
next
few
years.
E
Supply
from
EU
countries
like
France
Belgium
and
the
Netherlands,
which
has
been
mentioned,
remains
essential
and
securing
that
supply
well
into
the
2020
has
to
be
a
high
priority
for
the
UK
government.
If
UK
ministers
are
able
to
address
these
issues
in
the
next
few
weeks
or
months,
the
negotiating
position
is
strengthened
by
the
fact
that
European
countries
rely
on
being
able
to
import
radio
ligands,
which
are
manufactured
in
the
UK
by
GE
Healthcare.
E
But
if
ministers
do
not
solve
the
problem,
not
only
will
patients
here
lose
out,
but
there
must
be
a
risk
that
GE
healthcare
ultimately
choose
to
really
relocate
that
high
value
high
business
high
technology
business
to
somewhere
else
in
the
European
Union.
There
is
then
a
lot
of
stake
in
economic
terms,
as
well
as
in
health
terms,
and
the
UK
government
must
go
forward
and
do
everything
it
can
to
resolve
this
issue
as
early
as
possible
for
all
our
sakes.
Thank.
F
Thank
you
can
also
thank.
He
was
jerk
for
bringing
this
debate
into
the
chamber,
I
think
in
the
Maelstrom
that
currently
consumes
British
and
Scottish
politics
with
brexit,
and
the
continued
constitutional
bond
fight.
I.
Think
today's
debate
should
be
actual
I
was
the
opportunity
to
have
a
much-needed,
balanced
and
informed
debate
on
the
potential
fallout
if
you'll
excuse
the
pun
or
otherwise
that
breaks
it
may
bring.
It
also
serves
to
highlight
the
importance
of
the
negotiations
currently
underway
and
what
our
role
Curtin
should
be.
F
Ensuring
important
issues
such
as
today's
topic,
I'm,
not
allowed
to
fall
through
the
cracks
and
and
I,
was
going
to
intervene
in
a
couple
of
speeches
there
birthday
I,
don't
want
to
to
undervalue
or
underestimate
the
need
in
establishing
this
movement
of
isotopes
across
their
borders.
But
but
I
did
want
to
note
that
a
and
there
are
those
of
all
that
are
those
isotopes
that
have
a
very
short
half-life
which
which
David
Stewart
has
mentioned.
F
F
Indeed,
the
matterhorn
intention
has
been
only
very
clearly
in
the
industrial
strategy
to
support
the
scientific
community
and
to
build
as
much
support
for
it,
as
we
can,
after
believe,
the
European
Union
I
think
when
we
discuss
medical
isotopes
and
contrary
to
what
has
been
in
some
reports.
Medical
Review
isotopes
are
not
classed
a
special
fissile
material
and
therefore
not
subject
to
the
same
nuclear
safeguards.
So
the
UK's
ability
to
import
medical
isotopes
from
you
and
the
rest
of
the
world
shouldn't
be
affected.
I
think
awesome.
I
also
wanted.
Of
course,
I
was.
D
B
Reluctant
argue
with
people
with
degrees,
in
industrial
chemistry
and
but
I
do
have
a
letter
from
the
European
Commission,
because
this
I
knew
this
issue
would
come
up.
They
make
it
quite
clear
that
radioisotopes,
as
in
the
case
of
other
goods,
are
covered
by
the
treaty
and
the
functioning
of
the
European
Union
concerning
the
single
market,
but
that
means
that
their
import
or
export
are
still
subject
to
customs
procedures
or
regulatory
face.
B
F
I
think
the
Austrians
have
internet
and
he
of
course,
I'm
not
I'm,
not
gonna,
argue
that
what
I
was
merely
pointing
out
that
it's
not
classed
as
special
fissile
material,
so
it
can.
It
can
actually
be
imported
from
around
the
world
and
from
Europe
I.
Just
assume
I.
Think
I
also
want
to
have
a
look
at
the
the
be
emmys
view
on
this
and,
of
course,
it's
suggesting
that
you've
gotten,
which
should
negotiate
a
formal
agreement
with
your
item
similar
to
the
ones
that
I'm
pleased
with
non-eu
countries
such
as
Switzerland.
F
So
there
is
a
precedence
they
set
for
collaborative
working
with
countries
outside
of
the
EU
from
the
UK
I
think
negotiating
a
formal
agreement.
The
Euro
item
would
ensure
consistent
and
timely
access
to
really
of
isotopes
for
medical
purposes
and
facilitate
close
collaboration
on
radiation
research
and
support
from
the
EU
s
perspective.
Thorne
negotiating
a
formal
agreement
with
UK
would
underpin
continued
collaboration
with
UK
nuclear
research
institutions
and
facilitate
that
continued
access
to
UK
data,
which
supports
EU
involvement
in
research
projects.
F
F
If
I
could
finish
in
the
bosom
of
political
posturing
that
surrounds
brexit
I
do
also
think
we
have
a
responsibility
to
ensure
issues
such
as
a
relationship
with
your
item
remain
hang
on
the
agenda
and
those
breaks
at
negotiations
and
I
would
prefer
that
we
do
this
in
a
public
forum
to
inform
public
of
the
work.
That's
been
done,
but
I
do
understand
why
political
parties
may
be
reluctant
to
act
on
these
issues
and
published
so
I'd.
F
G
You
and
well,
first
of
all,
can
I
join
others
and
congratulate
in
Dave's
shirt
on
securing
this
important
debate
tonight
in
2016,
62%
of
voters
in
Scotland
indicated
their
wish
to
remain
within
the
European
Union.
Despite
the
clear
and
decisive
wishes
of
the
Scottish
people,
the
UK
government
has
pressed
ahead
regardless,
but
its
intention
to
take
the
whole
of
the
UK
out
of
the
EU
Scottish
government
has
demonstrated,
in
our
analysis,
Scotland's
place
in
Europe.
G
Last
week,
the
First
Minister
called
on
the
UK
government
to
seek
an
extension
to
the
article
15
negotiations
and
to
reconsider
our
proposal
to
remain
in
the
single
market
and
the
customs
union
in
order
to
get
mitigate
the
worst
damage
of
brexit.
It's
crucial
that
UK
government
ensures
that
there
are
robust
contingency
plans
in
place
to
safeguard
an
uninterrupted
supply
of
medicines
and
medical
products,
including
medical
isotopes
that
are
sourced
from
the
EU
many
of
the
practical
issues
related
to
medical
isotopes
supply
such
as
n3
and
customs
control
or
outside
the
Scottish
Government's
control.
G
However,
we
continue
to
press
the
Department
of
Health
to
cooperate
and
to
fully
engage
with
us
around
the
brexit
preparation
plans.
Members
can
be
assured
that
we
are
preparing
for
all
eventualities
related
to
EU
withdrawal
officials
have
been
working
closely
with
NHS
Scotland
boards
over
the
past
month
to
mitigate
the
risks
and
potential
implications
where
possible.
G
Nhs
boards
are
taking
forward
their
own
planning
for
breaks
and
I
can
assure
Emma
Harper
that
we
are
supporting
them
in
this
work.
Within
the
context
of
a
fluid
and
rapidly
developing
situation.
All
boards
have
consistently
identified
concerns
relating
to
the
obvious
workforce
issues.
They've
also
identified
issues
around
medicines,
medical
isotopes,
medical
devices,
clinical
trials,
access
to
future
EU
funding
and
the
right
of
Scottish
citizens
to
access
state
provided
health
care
across
the
EU.
G
In
August
this
year,
UK
number
government
announced
plans
to
secure
supplies
of
medicines,
medical
devices
and
clinical
consumables
in
the
case
of
a
new
brexit
deal.
This
had
included
intent
to
stockpile
medicines,
which
may
be
impacted
by
delays
at
the
UK
border
to
ensure
there
was
an
additional
six
weeks.
G
So
it's
critical
that
the
reach
hospitals
as
soon
as
possible
and
are
not
held
up
in
by
customs
delays.
The
UK's
membership
of
the
European
Union
is
inextricably
inextricably
linked
to
membership
of
Europe.
The
European
economic
energy
club
and
while
it
is
possible
perhaps
to
have
some
sort
of
other
arrangement,
clearly
is
better
to
be
part
of
such
a
club
than
to
be
a
bystander.
So
in
leaving
the
EU
and
by
extension,
Yotam.
The
UK
government
risks
the
future
production
and
supply
of
medical
isotopes
to
the
whole
of
the
UK.
B
To
always
the
first
time
we
could
say,
I've
actually
be
worth
every
word
that
the
minister
said
and
his
contribution
and
has
the
Scottish
Government
looked
at
doing
a
contingency
plan
for
the
potential
shortages
in
the
future,
for
example
using
healthcare,
provement
Scotland.
To
do
analysis
of
this
and
the
other
point
I
was
making
about
cycle
funds
are
important
because
we
do
have
control
over
that.
Your
own
city
of
Dundee
doesn't
have
that
the
raw
material
needed
and
could
I
put
a
plea
in
for
looking
at
decentralized
about,
particularly
in
rig
more
Inverness.
A
G
I
think
is
the
clarity
of
the
implications
of
break,
say
and
become
you
know,
and
clearly
we
need
to
wicker
all
the
options
to
make
sure
we
can
try
to
mitigate
em.
What
is
a
really
bad
situation
and
a
Nezzer
bad
situation.
So,
in
contrast
to
the
rosy
picture
painted
by
Donald,
Cameron
and
bi-metal,
there
are
significant
concerns
by
stakeholders
such
as
the
British.
G
Nicu
are
medicines
Society
and
the
British
Medical
Association
the
remains
considerable
uncertainty,
and
as
such,
we
are
clear
that
UK
government
is
playing
with
the
lives
of
those
people
in
Scotland
and
indeed
those
in
the
rest
of
the
United
Kingdom
who
depend
upon
these
life-saving
products.
Of
course,
Brian.
A
F
Particular
intervention
just
to
clarify
I
knew
we
was,
are
trying
to
take
a
picture
rosy
picture
as
an
ardent,
a
Romina
and
one
of
the
62%
in
Scotland,
as
you
see,
or
the
40%
in
the
UK.
As
you
see,
while
I
was
trying
to
do
this,
to
see
that
within
this
and
violently
we
have
is
massively
important.
Yes,
when
making
political
points
and
political
steam
is
here,
but
in
this
particular
debate,
I
think
it's
massively
important
that
we
get
the
opportunity
to
continually
raise
these
issues
and
keep
them
on
the
agenda.
G
Minister,
the
member
member
is
correct
em,
but
there
are
many
risks
that
are
associated
with
brexit,
and
many
of
those
areas
are
reserved
areas
of
the
UK
government,
which
makes
it
difficult
for
us
is
is
it
is
important,
as
a
member
said,
and
as
mr.
sphere
obviously
brought
this
to
the
chamber,
it
is
important
we
have
these
discussions
and
but
there
are
huge
risks
around
supply
of
medicines,
medical
isotopes
and
medical
devices.
G
The
UK
government
process,
what
their
position
on
leaving
the
single
market
and
the
customs
union,
then
they
do
to
knowing
the
harm
that
they
keep
in.
The
computer
are
invaluable
NHS
we're
clear
that
all
people
living
in
Scotland,
including
those
who
have
to
deal
with
a
life-changing,
does
they
have
clarity
and
reassurance
from
the
UK
government,
particularly
the
supplies
of
critical
medical
products
such
as
isotopes
used
in
their
diagnosis
and
treatment
of
Jesus
such
as
cancer
will
not
be
disrupted
disrupted.
G
Members
can
be
assured
that
we
will
continue
to
push
the
UK
government
for
those
insurance.
Those
assurances
and
presenting
officer
Scotland
did
not
vote
for
breakfast
as
and
the
potential
consequences
become
clearer
by
the
da's
time.
For
the
UK
government
to
wake
up
and
start
working
to
the
T
in
Scotland
and
the
ukies
place
in
the
single
market
and
customs
union
and
keep
us
in
Europe
on.
Thank
you.