Health Law Outside the EU: Immediate, Intermediate and Long Term Impacts

Lead Research Organisation: University of Birmingham
Department Name: Law School

Abstract

Health - in particular the NHS - was a key issue in the European Union (EU) referendum. Recent reports show many voted 'leave' on the promise of an extra £350 million a week being given to the NHS. However, the assumption that the decision to leave will automatically improve healthcare and enhance the NHS is highly problematic. Brexit brings huge challenges for legislators and policymakers. EU law has affected health policy in the United Kingdom (UK) for decades and is entwined in the delivery of healthcare across the devolved nations. Significant health policy and law questions arise in regard to such diverse areas as drug and medical devices approval; cross border treatment of patients whether as tourists or workers; public health matters, e.g. food safety, communicable disease control and tobacco regulation; and matters such as health data, clinical research, and quality and safety of human materials. Unpicking what the post-Brexit legal and policy position in this area should be requires detailed analysis of the manner in which the laws of the devolved nations, UK and EU currently interact. For example, in some areas such as pharmaceutical regulation EU law provides the overarching legal framework and we will need to explore how this will be replaced. In other areas, such as the regulation of human tissue and organs, EU law has an important but much less extensive impact in an area still largely dominated by domestic legal principles where there are distinctly different approaches across devolved jurisdictions- will the status quo remain post the Great RepeaL Bill? How will changes to health policy and practice, covered by EU law since before the UK joined, be managed? What mechanisms need to be put in place to ensure that standards of clinical care, regulatory oversight and health-related research are maintained, or ideally improved?

This project will address 4 main research question. First, how do the laws of the four devolved nations, UK and EU currently interact in the field of health? Secondly, what will the impact be upon domestic health law in the UK when the UK leaves the EU? Thirdly, how will changes to health policy and practice upon UK withdrawal from the EU be managed and what mechanisms will need to be put in place? Finally, what will be the impact on broader international law/agreements on health? These questions will be answered by focusing on four overlapping substantive areas: public health, mobility, research, pharmaceuticals and medical devices

(a) Public Health: this will focus on systemic impacts on health in areas including communicable/non-communicable diseases/ tobacco control etc. (b) Mobility: this will include consideration of the impact on the health and care workforce, patient mobility and reimbursement of treatment costs both for health tourists and workers. (c) Research: this will include clinical trials regulation, data protection and regulation of use of human material including blood, tissue and cells. (d) Pharmaceuticals and Medical Devices:- this will involve consideration of the removal of existing EU structures and what legal frameworks will be needed at domestic level to replace them.

The project involves primarily desk-based research, with the addition of a limited number of qualitative semi-structured interviews of key stakeholders. These methods will be augmented through dissemination and engagement events placed throughout the project. These will shape the research-in-progress and facilitate impact.
The project comprises 3 unfolding Work Packages (WPs), which gradually layer the conceptual work for the 3 temporal elements (immediate; intermediate; long-term) at the devolved jurisdictional levels and at the broad UK level, with each being managed by a member of the project team: McHale (PI), Flear (Co-I) and Hervey (Co-I). The team will be supported by a full-time project-length post-doctoral Research Fellow

Planned Impact

The project will be managed to actively engage with, maintain, and develop contact with user communities from the outset, throughout its lifespan, and beyond. This is to ensure we maximis and continue to gauge the impact of the research long after its conclusion. The impact strategy will be built on the Investigators' wide-ranging expertise and established networks in this area. We will seek to create impact within the following communities in particular: (1) policy/legislative communities; (2) health professionals; (3) non-governmental organisations (NGOs); (4) wider publics and (5) scholars

Policy/Legislative Communities: In WP1, an 'upstream' scoping seminar will be held at the University of Birmingham Brussels office. This will involve early engagement of existing and new contacts at the EU level, including health-related NGOs in order to consider how the project sits within and can contribute to UK health policy. The seminar will flag the research to users and provide the basis for generating impact through early mutual learning, allowing aspects of the project-in-progress to be configured to best meet attendees' needs (who will be among those optimally placed to action and disseminate the project results). Interviews with regulators in WP3 will enable further refinement of impact-generation through engagement with these key stakeholders. Policy briefs will be distributed to policymakers engaged through the project, including e.g. to leaders in the Department of Health, Public Health England, Members of the House of Commons Health Select Committee etc. The Advisory Group includes individuals with high-level policy contacts, and relationships with these policy actors will be carefully nurtured during the course of the project (with a view to helping to contour policy conversations and potentially shaping specific changes). Maintaining contact with the regulators and regulatory challengers after the project will also provide a means of determining and measuring impact, such as if and how their approaches, policies, or strategies have changed as a result of the research.

Health Professionals: Our Advisory Group includes an internationally eminent public health scholars (McKee) who are extremely well-networked in academic, healthcare, and policy communities who will guide engagements with health professional organisations.

NGOs: Impact with NGOs will be initially facilitated by the Brussels seminar (WP1), as noted above. Our Steering Group and interviews with NGOs (WP2) will further develop our engagements and relationships, as will the wider public engagement activities (see next).

Public: We will actively seek opportunities to contribute to media and public debates about Brexit and healthcare e.g. via op-eds in Guardian Comment is Free. We intend to create impact by seeking opportunities to present our research in accessible ways at community group meetings and other forums. The PI and Co-I's all have extensive experience at communicating research to diverse audiences.

Scholars: High quality publications will be produced for journals within which the Investigators have experience in publishing (e.g. Medical Law International Medical Law Review, Journal of Medical Ethics and Science, Technology & Human Values etc.), and the results will also be disseminated through relevant (inter)national conferences and institutional newsletters,.

All the above stakeholders will be reached through other online means; e.g. research findings will be communicated via a project website linked to the websites of Birmingham, Sheffield and QUB Law Schools and via Twitter.
 
Description The grant met key objectives for the first part of the grant by holding Workshops with stakeholders in Brussels, Edinburgh, Belfast, Cardiff and Birmingham (McHale, Hervey and Flear). We have been involved in policy engagement and impact related activities through involvement with Select Committees in House of Commons and House of Lords (McHale and Hervey). We have been involved with closed meetings with stakeholders in the Scottish Government and have presented on the implications of Brexit and the NHS to Members of the Scottish Parliament and Administrative staff and separately to Scottish Government civil servants (McHale). We have been involved in 5 Reports published by UK in a Changing Europe- Cost of No Deal and The Manifesto's uncovered (McHale) and Brexit and the NHS (McHale, Hervey and Flear) and Article 50 - one year on( McHale and Hervey). We have produced a project report "The NHS and Health Law Post Brexit: Views from Stakeholders and the Devolved Jurisdictions" drawing upon the first part of our interview data which we launched at an event in the Houses of Parliament sponsored by Preet Gill MP in December 2018. . McHale, Hervey and Flear have co-edited a special edition of the Journal Medical Law International. McHale and Flear have written single authored articles for that special edition and Hervey and Speakman have produced a co-authored article. We have a project team article forthcoming in the journal Regional Studies. McHale and McHale and Speakman have published separate pieces addressing issues in relation to HIV and AIDS and Brexit and also alcohol control.
Exploitation Route We hope that our findings will be further used by policy makers in shaping the Brexit debate along with academic commentators in examining the development of Health Law after Brexit. McHale has been cited in House of Commons and House of Lords Select Committee Reports in relation to evidence she has presented. Hervey has been a specialist select Committee advisor to two Select Committees- one House of Lords and the other House of Commons. McHale, Hervey and Flear have been cited in press reports- both general and specialist press in relation to their project work.
Sectors Healthcare,Government, Democracy and Justice,Pharmaceuticals and Medical Biotechnology

URL https://www.healthybrexit.org/
 
Description Our findings are currently beginning to inform policy development by the Faculty of Public Health and the work of House of Commons and House of Lords Select Committees into Brexit and Health care. McHale's Select Committee Evidence has been cited in two Select Committee Reports (2017)(2018). Hervey and McHale have been involved in the development of the Faculty of Public Health's Do No Harm amendment. McHale's work has been sought by the Scottish Government.
First Year Of Impact 2017
Sector Healthcare,Government, Democracy and Justice
Impact Types Policy & public services

 
Description "The NHS and Health Law Post Brexit: Views from Stakeholders and the Devolved Jurisdictions" cited by Preet Kaur Gill MP in HC debate 14 January 2019 on the European Union (Withdrawal) Act
Geographic Reach National 
Policy Influence Type Citation in other policy documents
URL https://hansard.parliament.uk/Commons/2019-01-14/debates/5BFB8E71-8F0F-457B-AE2C-7B639181710D/Europe...
 
Description Faculty of Public Health Brexit strategy: assisted FPH with writing their Brexit strategy and policy, feeding into a proposal to amend the EU (Withdrawal) Bill, which I helped to draft, and writing policy / advisory documents to support the amendment. It was tabled by Lords Patel, Hunt and Warner and Baroness Jolly (see p 6 of the website link below)
Geographic Reach National 
Policy Influence Type Membership of a guideline committee
URL https://services.parliament.uk/bills/2017-19/europeanunionwithdrawal/documents.html
 
Description Gave evidence to a government review - Oral Evidence given to the Health and Sport Committee, Scottish Parliament on impact of leaving the European Union on health and social care in Scotland: 13 March 2018
Geographic Reach Local/Municipal/Regional 
Policy Influence Type Participation in a advisory committee
Impact The evidence provided feeds into the view of the Committee and is part of a larger conversation about Scotland's constitutional settlement in post-Brexit UK.
URL http://www.parliament.scot/S5_HealthandSportCommittee/Minutes/Minutes.13.03.2018.pdf
 
Description J McHale, Oral evidence given to the House of Lords EU Home Affairs and Health Subcommittee, Inquiry on Brexit and Reciprocal Healthcare, 11th October 2017
Geographic Reach National 
Policy Influence Type Gave evidence to a government review
 
Description J.McHale cited by Martyn Day MP in House of Commons debate on the Healthcare (International Arrangements) Bill on 14 November 2018
Geographic Reach National 
Policy Influence Type Gave evidence to a government review
URL https://hansard.parliament.uk/Commons/2018-11-14/debates/AB673F21-0991-4259-9E3E-7E55324939AD/Health...
 
Description Oral Evidence given to the House of Commons Health Select Committee on impact of Brexit on blood, organ and tissue safety: 5th December 2017
Geographic Reach National 
Policy Influence Type Gave evidence to a government review
 
Description Specialist Adviser to House of Lords EU Home Affairs Sub-Committee Inquiry into Brexit and Reciprocal Healthcare
Geographic Reach National 
Policy Influence Type Participation in a national consultation
URL https://www.parliament.uk/business/committees/committees-a-z/lords-select/eu-home-affairs-subcommitt...
 
Description Specialist Adviser to the House of Commons Health Committee Inquiry on Brexit and health and social care: Phase 2 (products)
Geographic Reach National 
Policy Influence Type Participation in a national consultation
URL https://www.parliament.uk/business/committees/committees-a-z/commons-select/health-committee/inquiri...
 
Description Worked with Mark Dayan, Nuffield Trust, writing briefing on future regulatory options for UK's permanent relationship with the EU as it affects health and social care
Geographic Reach National 
Policy Influence Type Participation in a advisory committee
URL https://www.nuffieldtrust.org.uk/research/brexit-relationship-eu-shape-nhs#regulation-of-life-scienc...
 
Description "Healthcare and the Digital Single Market: The Opportunities, the Challenges and the Brexit effect", 
Form Of Engagement Activity A talk or presentation
Part Of Official Scheme? No
Geographic Reach International
Primary Audience Other audiences
Results and Impact Invited presentation of paper Healthcare and the Digital Single Market: The Opportunities, the Challenges and the Brexit effect", at "The Health of the Future Perspective and New Challenges of Health Law" Conference University of Bologna, October 2019
Year(s) Of Engagement Activity 2019
 
Description 'Overview: what does Brexit mean for health and health law' for project workshop, Brussels, 20 October 2017 
Form Of Engagement Activity A talk or presentation
Part Of Official Scheme? No
Geographic Reach International
Primary Audience Policymakers/politicians
Results and Impact Presentation on 'Overview: what does Brexit mean for health and health law' for project workshop, Brussels, 20 October 2017 (attended by c 20 delegates from a range of stake holders)
Year(s) Of Engagement Activity 2017
 
Description 'The legal position on Brexit', Consulegis Annual Workshop, Sheffield 
Form Of Engagement Activity A talk or presentation
Part Of Official Scheme? No
Geographic Reach International
Primary Audience Industry/Business
Results and Impact Keynote lecture on 'The legal position on Brexit', Consulegis International Network of Law Firms Annual Workshop, Sheffield 9 February 2018, attended by c 40 delegates from law firms across Europe and the USA. Lawyers present asked for more information, eg Alex Christen of Capital Law.
Year(s) Of Engagement Activity 2018
 
Description 8. 'The Futures of EU Health Law in the UK after Brexit' for Health Law and the UK: Where now after Brexit?, University of Birmingham, 4 May 2017 
Form Of Engagement Activity A talk or presentation
Part Of Official Scheme? No
Geographic Reach National
Primary Audience Policymakers/politicians
Results and Impact See description of event in Jean McHale's record
Year(s) Of Engagement Activity 2017
 
Description Brexit, the NHS and Health Law: Implications for Scotland 
Form Of Engagement Activity A talk or presentation
Part Of Official Scheme? No
Geographic Reach Regional
Primary Audience Policymakers/politicians
Results and Impact Invited presentation to members of the Scottish Government
Year(s) Of Engagement Activity 2020
 
Description Cited in Deutsche Welle 
Form Of Engagement Activity A press release, press conference or response to a media enquiry/interview
Part Of Official Scheme? No
Geographic Reach International
Primary Audience Public/other audiences
Results and Impact Cited in an article on the effect of Brexit on health
Year(s) Of Engagement Activity 2018
URL http://www.dw.com/en/the-nhs-and-brexit-dont-get-sick-in-the-uk/a-42098537
 
Description Cited in The Independent 
Form Of Engagement Activity A press release, press conference or response to a media enquiry/interview
Part Of Official Scheme? No
Geographic Reach National
Primary Audience Public/other audiences
Results and Impact Cited in The Independent on the impacts of Brexit on health
Year(s) Of Engagement Activity 2017
URL http://www.independent.co.uk/news/health/brexit-latest-news-repeal-law-public-health-threat-warning-...
 
Description Cited in the Daily Mail 
Form Of Engagement Activity A press release, press conference or response to a media enquiry/interview
Part Of Official Scheme? No
Geographic Reach National
Primary Audience Public/other audiences
Results and Impact Cited in the Daily Mail on the health impacts of Brexit
Year(s) Of Engagement Activity 2017
URL http://www.dailymail.co.uk/health/article-4692026/Britons-face-pricey-travel-insurance-EHIC-goes.htm...
 
Description Invited participant in 'The European Union (Withdrawal) Bill 2017: Legal and Policy Analysis', closed workshop,Liverpool Law School, 29 September 2017 
Form Of Engagement Activity A formal working group, expert panel or dialogue
Part Of Official Scheme? No
Geographic Reach National
Primary Audience Policymakers/politicians
Results and Impact Invited to participate in discussions at 'The European Union (Withdrawal) Bill 2017: Legal and Policy Analysis', closed workshop, attended by members of Scottish, Welsh and Northern Irish civil service, House of Commons staff, and other stakeholders, Liverpool Law School, 29 September 2017
Year(s) Of Engagement Activity 2017
 
Description Invited presentation delivered by Jean McHale at British Medical Association Conference "Brexit means....what for patients? 
Form Of Engagement Activity Participation in an activity, workshop or similar
Part Of Official Scheme? No
Geographic Reach National
Primary Audience Professional Practitioners
Results and Impact J McHale Invited Presentation 'Clinical Trials for Medicinal Products and the Regulation of Medicines: Brexit an uncertain future' at British Medical Association conference 'Brexit Means.What for Patients?', London, 19 September 2017
Year(s) Of Engagement Activity 2017
 
Description Invited presenter in Brexit Symposium, University of Oxford, sponsored by Monckton Chambers 
Form Of Engagement Activity A talk or presentation
Part Of Official Scheme? No
Geographic Reach National
Primary Audience Undergraduate students
Results and Impact Gave a talk on Legal and Policy aspects of Brexit for health at the University of Oxford's Brexit Symposium, sponsored by the barristers Monckton Chambers.
Year(s) Of Engagement Activity 2018
URL https://www.law.ox.ac.uk/events/brexit%20symposium
 
Description J McHale , 'Health Law Outside the EU: Immediate, Intermediate and Long-Term Impacts' at POST (Parliamentary Ofice for Science and Technology), Portcullis House, Westminster, 30 October 2017 
Form Of Engagement Activity A talk or presentation
Part Of Official Scheme? No
Geographic Reach National
Primary Audience Policymakers/politicians
Results and Impact J McHale presented at 'Health Law Outside the EU: Immediate, Intermediate and Long-Term Impacts' at POST (Parliamentary Office for Science and Technology) event on ESRC Brexit research for policy, Portcullis House, Westminster, 30 October 2017
Year(s) Of Engagement Activity 2017
 
Description J McHale and E M Speakman: Project dissemination meeting at Cardiff University on 'The NHS and Brexit: Implications for health law and policy in Wales', 7 March 2019 
Form Of Engagement Activity A talk or presentation
Part Of Official Scheme? No
Geographic Reach Regional
Primary Audience Policymakers/politicians
Results and Impact Presentation to policymakers, postgraduate medical students and third sector organisation. Sparked questions and subsequently interviewed several attendees.
Year(s) Of Engagement Activity 2019
 
Description J McHale and E M Speakman: Project dissemination meeting at Scottish Parliament, Edinburgh on 'The NHS and Brexit: Implications for health law and policy in Scotland', 27 February 2019 
Form Of Engagement Activity A talk or presentation
Part Of Official Scheme? No
Geographic Reach Regional
Primary Audience Policymakers/politicians
Results and Impact Presentation to the Scottish Parliament. Recorded and subsequently made available as a podcast: https://scottishparliament.podbean.com/e/the-potential-implications-of-brexit-on-health-and-social-care/.
Year(s) Of Engagement Activity 2019
URL https://scottishparliament.podbean.com/e/the-potential-implications-of-brexit-on-health-and-social-c...
 
Description J McHale and EM Speakman presentation on 'Public Health, Law and the Devolveds: The Brexit Effect(s)' for Socio-Legal Studies Association Conference, Leeds, 4 April 2019 
Form Of Engagement Activity A talk or presentation
Part Of Official Scheme? No
Geographic Reach National
Primary Audience Other audiences
Results and Impact Presentation on project findings to academics working in socio-legal studies.
Year(s) Of Engagement Activity 2019
 
Description J McHale, 'Brexit and the NHS: Immediate, Intermediate and Long-Term Impacts', University of Liverpool conference NHS at 70, Liverpool, 29 June 2018 
Form Of Engagement Activity A talk or presentation
Part Of Official Scheme? No
Geographic Reach National
Primary Audience Policymakers/politicians
Results and Impact J McHale, 'Brexit and the NHS: Immediate, Intermediate and Long-Term Impacts', University of Liverpool conference NHS at 70, Liverpool, 29 June 2018
Year(s) Of Engagement Activity 2018
 
Description J McHale, 'Brexit, what does is mean for medicine in Northern Ireland?', Belfast, 25 October 2018 
Form Of Engagement Activity A talk or presentation
Part Of Official Scheme? No
Geographic Reach Regional
Primary Audience Professional Practitioners
Results and Impact J McHale, 'Brexit, what does is mean for medicine in Northern Ireland?', keynote address at Annual Clinical Education Day, Queen's University Medical School and the Northern Ireland Medical and Dental Training Agency, Belfast, 25 October 2018
Year(s) Of Engagement Activity 2018
 
Description J McHale, 'The EU, Brexit and traditional herbal medicines; Freedom to practice or the end of legitimacy?', Canterbury, 8 November 2018 
Form Of Engagement Activity A talk or presentation
Part Of Official Scheme? No
Geographic Reach National
Primary Audience Professional Practitioners
Results and Impact J McHale, 'The EU, Brexit and traditional herbal medicines; Freedom to practice or the end of legitimacy?', invited presentation at event Negotiating the Boundaries of Legitimate Healthcare, at University of Kent, Canterbury, 8 November 2018
Year(s) Of Engagement Activity 2018
 
Description J McHale, 'The NHS at 70 and Brexit' at German-British Society Meeting, Berlin, 9 July 2018 
Form Of Engagement Activity A talk or presentation
Part Of Official Scheme? No
Geographic Reach International
Primary Audience Other audiences
Results and Impact J McHale, 'The NHS at 70 and Brexit' at German-British Society Meeting, Berlin, 9 July 2018
Year(s) Of Engagement Activity 2018
 
Description J McHale, M Flear and EM Speakman: Project dissemination meeting at the Law Society, Belfast on 'The NHS and Brexit: Implications for health law and policy in Northern Ireland', 28 March 2019 
Form Of Engagement Activity A talk or presentation
Part Of Official Scheme? No
Geographic Reach Regional
Primary Audience Professional Practitioners
Results and Impact Presentation to practising health lawyers in Belfast.
Year(s) Of Engagement Activity 2019
 
Description J McHale, T Hervey, M Flear, EM Speakman: Project dissemination meeting at Portcullis House, Westminster: 'The NHS and Health Law Post Brexit: Views from Stakeholders and the Devolved Jurisdictions', 4 December 2018 
Form Of Engagement Activity A talk or presentation
Part Of Official Scheme? No
Geographic Reach National
Primary Audience Policymakers/politicians
Results and Impact McHale, Hervey, Flear and Speakman all presented at a dissemination meeting at Portcullis House, Westminster, London on 'The NHS and Health Law Post Brexit: Views from the Stakeholders and the Devolved Jurisdictions', 4 December 2018
Year(s) Of Engagement Activity 2018
 
Description J McHale: Broadcast on 38 degrees Facebook Live session on Brexit and the NHS, 4 December 2018 
Form Of Engagement Activity A broadcast e.g. TV/radio/film/podcast (other than news/press)
Part Of Official Scheme? No
Geographic Reach National
Primary Audience Media (as a channel to the public)
Results and Impact Broadcast on 38 degrees Facebook Live session on Brexit and the NHS, 4 December 2018
Year(s) Of Engagement Activity 2018
URL https://www.facebook.com/peoplepowerchange/videos/brexit-qa-live-our-nhs/333772674020300/
 
Description J McHale: Response to media enquiry and subsequently quoted in international journal: "'No deal' Brexit would leave UK science staring down the barrel", Chemistry World, 13 September 2018 
Form Of Engagement Activity A press release, press conference or response to a media enquiry/interview
Part Of Official Scheme? No
Geographic Reach International
Primary Audience Media (as a channel to the public)
Results and Impact Cited in Chemistry World on the need for a separate agreement on access to medicines.
Year(s) Of Engagement Activity 2018
URL https://www.chemistryworld.com/news/no-deal-brexit-would-leave-uk-science-staring-down-a-barrel/3009...
 
Description J McHale: Response to media enquiry and subsequently quoted in national newspaper article: "Britains could lose health cover in Europe after Brexit, report warns"; The Guardian 28 April 2017 
Form Of Engagement Activity A press release, press conference or response to a media enquiry/interview
Part Of Official Scheme? No
Geographic Reach National
Primary Audience Public/other audiences
Results and Impact Commented for the Guardian on risk of loss of reciprocal healthcare provision.
Year(s) Of Engagement Activity 2017
URL https://www.theguardian.com/politics/2017/apr/28/brexit-european-health-insurance-card-ehic-healthca...
 
Description J McHale: Response to media enquiry and subsequently quoted in national newspaper article: "EU patients may miss out on medicines in no-deal Brexit, says AstraZeneca"; The Guardian 7 August 2018 
Form Of Engagement Activity A press release, press conference or response to a media enquiry/interview
Part Of Official Scheme? No
Geographic Reach National
Primary Audience Media (as a channel to the public)
Results and Impact Quoted in national press on access to medicines in the event of a no-deal scenario.
Year(s) Of Engagement Activity 2018
URL https://www.theguardian.com/politics/2018/aug/07/eu-patients-may-miss-out-on-medicines-in-no-deal-br...
 
Description J McHale: Response to media enquiry and subsequently quoted in national newspaper article: "No Deal Brexit Explained: What does no-deal Brexit mean for the NHS?"; The Express 29 September 2018 
Form Of Engagement Activity A press release, press conference or response to a media enquiry/interview
Part Of Official Scheme? No
Geographic Reach National
Primary Audience Media (as a channel to the public)
Results and Impact Spoke to the Express in response to a query about the potential impact on the NHS of a no-deal scenario.
Year(s) Of Engagement Activity 2018
URL https://www.express.co.uk/news/politics/1024352/no-deal-brexit-explained-what-does-no-deal-brexit-me...
 
Description J. McHale Invited presentation on Brexit and medical devices at Workshop on Everyday Cyborgs at University of Newcastle on 8th December 
Form Of Engagement Activity A talk or presentation
Part Of Official Scheme? No
Geographic Reach International
Primary Audience Postgraduate students
Results and Impact J. McHale presentation on "Brexit, Medical Devices and the Government's Elusive Impact Case Study" at the Everyday
Cyborgs Workshop Friday 8th December 2017 at the University of Newcastle
Year(s) Of Engagement Activity 2017
 
Description J. McHale Participation in meeting organised by UK in a Changing Europe with representatives of the Scottish Government 13th December 2017 
Form Of Engagement Activity Participation in an activity, workshop or similar
Part Of Official Scheme? No
Geographic Reach Regional
Primary Audience Policymakers/politicians
Results and Impact Invited closed meeting with members of the Scottish Government and other ESRC project leads to discuss the Impact of Brexit in Scotland in various areas including health, 13th December 2017
Year(s) Of Engagement Activity 2017
 
Description M Flear, 'Diagnosisng Brexit Impacts on Health' event, Parliament Building, Stormont, Belfast, 13 September 2018 
Form Of Engagement Activity A talk or presentation
Part Of Official Scheme? No
Geographic Reach Regional
Primary Audience Policymakers/politicians
Results and Impact Presentation at Parliament Building, Stormont, Belfast on 'Diagnosing Brexit Impacts on Health' event, 13 SEptember 2018
Year(s) Of Engagement Activity 2018
 
Description M Flear, 'EU Regulation of Medical Devices: Sociotechnical Order and Implications for Brexit', Newcastle, 8 December 2017 
Form Of Engagement Activity Participation in an activity, workshop or similar
Part Of Official Scheme? No
Geographic Reach National
Primary Audience Postgraduate students
Results and Impact M Flear, 'EU Regulation of Medical Devices: Sociotechnical Order and Implications for Brexit', Everyday Cyborgs Workshop, University of Newcastle, 8 December 2017
Year(s) Of Engagement Activity 2017
 
Description McHale, Hervey, Flear and Speakman: Project dissemination meeting at University of Birmingham, Brussels office on 'The NHS and UK Health Law: Where now after Brexit', 25 January 2019 
Form Of Engagement Activity A talk or presentation
Part Of Official Scheme? No
Geographic Reach International
Primary Audience Policymakers/politicians
Results and Impact McHale, Hervey, Flear and Speakman: Project dissemination meeting at University of Birmingham, Brussels office on 'The NHS and UK Health Law: Where now after Brexit', 25 January 2019
Year(s) Of Engagement Activity 2019
 
Description Member of 14 member Advisory Board of Healthier In 
Form Of Engagement Activity A formal working group, expert panel or dialogue
Part Of Official Scheme? No
Geographic Reach International
Primary Audience Public/other audiences
Results and Impact Healthier In is a grassroots campaign group led by Professor Martin McKee CBE, MD FMedSci. It is closely allied with the larger campaign group Scientists for the EU, led by Dr Mike Galsworthy.
Year(s) Of Engagement Activity 2017
URL http://healthierin.eu
 
Description PRESENTATION TO MEMBERS OF THE SCOTTISH PARLIAMENT AND THEIR STAFF 
Form Of Engagement Activity A talk or presentation
Part Of Official Scheme? No
Geographic Reach Regional
Primary Audience Policymakers/politicians
Results and Impact I was invited by Scottish Government Officials to present on Brexit and Health and Social Care in Scotland at a Breakfast seminar on Wednesday 7th February 2018 at the Scottish Parliament in Edinburgh to MSP's and Parliamentary officials. The seminar is part of on-going academic engagement in the Scottish Parliament and is aimed to improve scrutiny by providing an opportunity for Members and their staff to access academic knowledge on
policy issues.
Year(s) Of Engagement Activity 2018
 
Description Panellist on 'Patients and Professionals' in Brexit and The NHS UK in a Changing Europe, London, 14 March 2018 
Form Of Engagement Activity A talk or presentation
Part Of Official Scheme? No
Geographic Reach National
Primary Audience Policymakers/politicians
Results and Impact The event raised awareness of the effects of Brexit on the NHS among relevant stakeholders. The timing coincided with the passage of the EU (Withdrawal) Bill through parliament, and stakeholders were able to lobby their MPs with concerns. A number of MPs were present at the event, including Dr Philippa Whitford MP.
Year(s) Of Engagement Activity 2018
URL http://ukandeu.ac.uk/event/brexit-and-the-nhs/
 
Description Plenary speaker on 'Brexit' for Health Services Research UK Annual Symposium, Nottingham 6 July 2017 
Form Of Engagement Activity A talk or presentation
Part Of Official Scheme? No
Geographic Reach National
Primary Audience Professional Practitioners
Results and Impact Plenary speaker on 'Brexit' for Health Services Research UK Annual Symposium, Nottingham 6 July 2017 (attended by c250 leading researchers together with senior managers, decision makers and service users from a broad range of NHS and social care bodies, central and local government, industry and the third sector)
Year(s) Of Engagement Activity 2017
 
Description Podcast for UK in EU ESRC project BrExpats (PI Michaela Benson, Goldsmiths) 
Form Of Engagement Activity A broadcast e.g. TV/radio/film/podcast (other than news/press)
Part Of Official Scheme? No
Geographic Reach International
Primary Audience Public/other audiences
Results and Impact Podcast with Michaela Benson and Sarah McCloskey on the position of UK nationals in EU-27 countries, and their continued access to healthcare post-Brexit.
Year(s) Of Engagement Activity 2017
URL http://brexitbritsabroad.libsyn.com/ep005-the-legal-position-of-british-nationals-resident-in-the-eu...
 
Description Presentation J McHale, The Impact of Brexit on the Regulation of Pharmaceuticals and Clinical Trial at Brexit the Road Ahead' Seminar, , Birmingham, November 2017 
Form Of Engagement Activity A talk or presentation
Part Of Official Scheme? No
Geographic Reach National
Primary Audience Professional Practitioners
Results and Impact J McHale, Delivery of presentation on 'The Impact of Brexit on the Regulation of Pharmaceuticals and Clinical Trials', 'Brexit the Road Ahead' at a seminar at the Seminar, ESRC Social Science Festival, Birmingham Repertory Theatre, Birmingham, November 2017
Year(s) Of Engagement Activity 2017
 
Description Presentation on 'Brexit and reciprocal health care'workshop, Birmingham, 26 October 2017 (attended by c 20 delegates from a range of stake holders) 
Form Of Engagement Activity A talk or presentation
Part Of Official Scheme? No
Geographic Reach National
Primary Audience Policymakers/politicians
Results and Impact Presentation on 'Brexit and reciprocal health care' , project workshop, Birmingham, 26 October 2017 (attended by c 20 delegates from a range of stake holders)
Year(s) Of Engagement Activity 2017
 
Description Presentation on 'Research, Science, Technology and Health after Brexit' for MANREG conference on Brexit, Regulation and Society, Manchester 13 June 2017 
Form Of Engagement Activity A talk or presentation
Part Of Official Scheme? No
Geographic Reach National
Primary Audience Public/other audiences
Results and Impact Presentation on 'Research, Science, Technology and Health after Brexit' for MANREG conference on Brexit, Regulation and Society, Manchester 13 June 2017, and follow up blog piece
Year(s) Of Engagement Activity 2017
URL http://events.manchester.ac.uk/event/event:j3b-j1c6kbbt-tj1g4c
 
Description Presentation on 'The Law, the Great Repeal Bill, Health and Brexit', for Society for Social Medicine conference, Health and Brexit, Wellcome Trust, London, 18 May 2017 
Form Of Engagement Activity A talk or presentation
Part Of Official Scheme? No
Geographic Reach National
Primary Audience Professional Practitioners
Results and Impact I gave a presentation on 'The Law, the Great Repeal Bill, Health and Brexit', for Society for Social Medicine conference, Health and Brexit, Wellcome Trust, London, 18 May 2017, and took part in small group discussions on the day. Thereafter, I helped to write the SSM position paper on Brexit, which will be published in due course once adopted.
Year(s) Of Engagement Activity 2017
URL https://socsocmed.org.uk/2017/05/26/health-brexit-conference-lancet-write-up/
 
Description Presentation on Legal aspects of Brexit and implications for healthcare' for Brexit: an opportunity for UK healthcare, Royal Society of Medicine, London, 28 September 2017 
Form Of Engagement Activity A talk or presentation
Part Of Official Scheme? No
Geographic Reach National
Primary Audience Professional Practitioners
Results and Impact Presentation on 'Legal aspects of Brexit and implications for healthcare' for Brexit: an opportunity for UK healthcare, Royal Society of Medicine, London, 28 September 2017. Attended by members of the Royal Society of Medicine
Year(s) Of Engagement Activity 2017
 
Description Response to media inquiry and subsequently quoted in national newspaper article "NHS could face £1bn Brexit bill for treating expats, health think tank warns" The Independent 30th May 2017 
Form Of Engagement Activity A press release, press conference or response to a media enquiry/interview
Part Of Official Scheme? No
Geographic Reach National
Primary Audience Public/other audiences
Results and Impact I was approached by the Independent onlinenewspaper and then subsequently quoted in their article "NHS could face £1bn Brexit bill for treating expats, health think tank warns" The Independent 30th May 2017
Year(s) Of Engagement Activity 2017
URL http://www.independent.co.uk/news/health/nhs-brexit-care-retired-expats-double-1bn-billion-500m-nuff...
 
Description Roundtable panelist at Sheffield event 
Form Of Engagement Activity A talk or presentation
Part Of Official Scheme? No
Geographic Reach Local
Primary Audience Public/other audiences
Results and Impact Presented as roundtable panellist on 'The legal position', public event, Delivering Brexit: Progress, Challenges, Consequences, Department of Politics and Crick Centre, Sheffield, 18th May 2018, and took questions from the audience, enhancing public understanding of the legal restrictions on delivering Brexit.
Year(s) Of Engagement Activity 2018
 
Description Roundtable panellist on barriers to justice for EU nationals, ESRC project workshop, EU Rights Project: Testing the theory of EU citizenship and the limits of equal treatment 
Form Of Engagement Activity A talk or presentation
Part Of Official Scheme? No
Geographic Reach National
Primary Audience Professional Practitioners
Results and Impact Roundtable panellist on barriers to justice for EU nationals, ESRC project workshop, EU Rights Project: Testing the theory of EU citizenship and the limits of equal treatment, PI Dr Charlotte O'Brien, York 22 and 23 June 2017 (attended by c50 lawyers, advice workers, tribunal judges and academics working on EU citizens' rights)
Year(s) Of Engagement Activity 2017
 
Description T Hervey, 'Health and Rights: Reproductive Health', Kings Transnational Law Summit, London, 10-13 April 2018 
Form Of Engagement Activity A formal working group, expert panel or dialogue
Part Of Official Scheme? No
Geographic Reach National
Primary Audience Policymakers/politicians
Results and Impact T Hervey, 'Health and Rights: Reproductive Health', Roundtable panellist, Kings Transnational Law Summit, London, 10-13 April 2018
Year(s) Of Engagement Activity 2018
 
Description T Hervey, 'New Trends in Health Systems & Patients' Rights', Santander, Spain, 14-16 November 2018 
Form Of Engagement Activity Participation in an activity, workshop or similar
Part Of Official Scheme? No
Geographic Reach International
Primary Audience Policymakers/politicians
Results and Impact T Hervey, 'New Trends in Health Systems & Patients' Rights'. Specialised workshop at the International Autumn School on Health, Law & Bioethics, Santander, Spain, 14-16 November 2018
Year(s) Of Engagement Activity 2018
 
Description T Hervey, 'The Impact of Brexit on fundamental rights: the case of healthcare', Trento, Italy, 28 March 2018 
Form Of Engagement Activity Participation in an activity, workshop or similar
Part Of Official Scheme? No
Geographic Reach International
Primary Audience Postgraduate students
Results and Impact T Hervey, 'The Impact of Brexit on fundamental rights: the case of healthcare', staff and PhD student seminar, University ofTrento, Italy, 28 March 2018
Year(s) Of Engagement Activity 2018
 
Description The Cabinet Office Constitution Group 'Academic Roundtable' on EU Exit and Devolution 
Form Of Engagement Activity A formal working group, expert panel or dialogue
Part Of Official Scheme? No
Geographic Reach National
Primary Audience Policymakers/politicians
Results and Impact I was invited to attend a roundtable on the EU (Withdrawal) Bill and devolution. The session provided delegates with an overview of the UK Government's approach to the devolution provisions in the EU (Withdrawal) Bill and frameworks, before opening into a discussion and exchange of views on specific issues to inform future policy thinking. The Cabinet Office invited around 12 leading academics from across the UK and around 25 officials from key UK Government departments, the Scottish Governmen
Year(s) Of Engagement Activity 2018
 
Description Two presentations: 'Setting the scene: what does Brexit mean for patients?' and 'Accessing healthcare here and abroad: How will Brexit affect the treatment of visitors from the EU and vice versa' for Symposium on Brexit means what for patients?, British Medical Association Patient Liaison Group, London, 19 September 2017 
Form Of Engagement Activity A talk or presentation
Part Of Official Scheme? No
Geographic Reach National
Primary Audience Professional Practitioners
Results and Impact Two presentations: 'Setting the scene: what does Brexit mean for patients?' and 'Accessing healthcare here and abroad: How will Brexit affect the treatment of visitors from the EU and vice versa' for Symposium on Brexit means what for patients?, British Medical Association Patient Liaison Group, London, 19 September 2017 (attended by c75 delegates from the BMA and other health sector organisations)
Year(s) Of Engagement Activity 2017
URL https://www.bma.org.uk/-/media/files/pdfs/about%20the%20bma/how%20we%20work/professional%20committee...
 
Description Workshop examining impact of Brexit on Health Law in Northern Ireland 
Form Of Engagement Activity Participation in an activity, workshop or similar
Part Of Official Scheme? No
Geographic Reach Regional
Primary Audience Professional Practitioners
Results and Impact The Northern Ireland Workshop was held in Belfast on 15th December 2017 (Brexit and Health Law: Implications for Northern Ireland), attendees included British Medical Association Northern Ireland Chair, representatives from Royal College of Midwives, Pharmaceutical Society of Ireland, from Northern Ireland Civil Servants and representatives from regulatory bodies in the Republic of Ireland
Year(s) Of Engagement Activity 2017
 
Description Workshop examining the Impact of Health Law outside the EU for Wales 
Form Of Engagement Activity Participation in an activity, workshop or similar
Part Of Official Scheme? No
Geographic Reach Regional
Primary Audience Policymakers/politicians
Results and Impact The Wales Workshop was held in Cardiff on 18th January 2018(Brexit and Health Law: The Welsh Dimension). Attendees included representatives from Public Health Wales, the British Medical Association, the Royal College of Nurses, the Royal College of Midwives and the Welsh Government along with representatives from the medical devices industry.
Year(s) Of Engagement Activity 2017
 
Description Workshop in Brussels engaging with policy makers and health professionals on the impact of Brexit on Health Law in the UK 
Form Of Engagement Activity Participation in an activity, workshop or similar
Part Of Official Scheme? No
Geographic Reach International
Primary Audience Policymakers/politicians
Results and Impact The first was held at the University of Birmingham Office in Brussels on 20 October 2017 in Brussels. Audience members included representatives from DG Sanco, the European Association of Hospital Doctor, and some health insurers with representatives from the London Government Office in Brussels and the Northern Irish and Scottish Office in Brussels
Year(s) Of Engagement Activity 2017
 
Description Workshop with Stakeholders examining the impact of Brexit in England: Birmingham 26th October 2017 
Form Of Engagement Activity Participation in an activity, workshop or similar
Part Of Official Scheme? No
Geographic Reach Regional
Primary Audience Professional Practitioners
Results and Impact Birmingham workshop (Brexit and Health Law: The English Dimension) took place on 26 October 2017. Attendance was 15 people. Attendees included the President of the Faculty of Public Health (who also gave a presentation), a representative from the Nuffield Trust, stakeholders including representatives from the Patient Association and Addisons Disease Society as well as a range of NHS people. We received positive feedback engagement particularly from the Faculty of Public Health who have continued engagement with the project.
Year(s) Of Engagement Activity 2009,2017
 
Description Workshop with policy makers examining the Impact of Brexit on Health Law in Scotland 
Form Of Engagement Activity Participation in an activity, workshop or similar
Part Of Official Scheme? No
Geographic Reach Regional
Primary Audience Policymakers/politicians
Results and Impact The Edinburgh workshop (Brexit and Health Law: The Scottish Dimension) took place on 24 November 2017. 18 stakeholders attended included Scottish government civil servants working in areas such as public health and tobacco control, e-health and professional and workforce issues.
Year(s) Of Engagement Activity 2017