Brexit

The UK (including Scotland) may be leaving the European Union in the coming months. This process is often known as 'Brexit'.

Brexit may have an effect on the way we live in Scotland and this could include changes to health and social care.

The Care Inspectorate is working with the Scottish Government and all other key stakeholders to take steps to prepare for these potential impacts, including producing up-to-date information on how Brexit may affect health and social care provision.

Not all information is available at this time. Regular updates will be made to this page as new information becomes available, so please check back regularly.

The Care Inspectorate expects all care services in Scotland to continue to deliver high-quality care which meets people's needs and respects their rights and choices, as laid out in Scotland's Health and Social Care Standards.

We recognise that this is a time of uncertainty and challenge for care providers. The Care Inspectorate will continue to support care services across Scotland to meet the needs of people who rely on them. We are committed to helping ensure everyone in Scotland experiences high-quality care at all times and we are actively supporting care services to provide the best possible care.

Medicines, medical devices and clinical consumables

In a 'no deal' situation there are likely to be new delays at the UK border, which may reduce normal levels of supplies of:

  • some medicines
  • medical devices (instruments and other equipment used in hospitals and other health and social care settings)
  • clinical consumables (disposable or short life goods used in hospitals and other health and social care settings).

The Scottish Government, together with Welsh Government and the Administration in Northern Ireland, has been working with the UK Government to seek to maintain supplies to as close to normal as possible.

Drug companies have stockpiled in the UK medicines normally transported here from other EU countries and the NHS has stockpiled other medical supplies. These stockpiles provide an extra six weeks of supply compared to normal levels. In addition, in the event of a 'no deal', medical supplies will be given priority for entry into the UK.

Shortages do happen in the NHS sometimes and there are systems in place to inform GPs and pharmacists about any issues. Advice is also given to GPs and pharmacists about alternative products that can be prescribed to replace any of these products where supply is short. This means that:

  • clinicians should not write longer NHS prescriptions than normal
  • people should not stockpile medicines at home: this can be unsafe anyway and could cause disruptions to supply.

For more information, please read Scottish Government's update on medicine supplies. This includes contingency plans being developed by NHS National Services Scotland and the Scottish Government for continued supply of medical devices and clinical consumables, including to the social care sector, in the event of disruption.

Health and social care workforce

EU nationals play a valuable role in providing health and social care services in Scotland. They have always been, and will continue to be, very welcome in Scotland. EU citizens currently living in Scotland will continue to be able to access health and social care.

EU citizens should be able to continue working as they do now but will need to apply for settled status before 30 June 2021 if an exit deal is agreed. In the event of a ‘no deal’ EU exit the deadline is 31 December 2020.

The Scottish Government’s EU citizens living in Scotland page gives the latest information on this, including details on how to apply for the EU Settlement Scheme.

In relation to professional registration, in a ‘no deal’ scenario non-UK EU staff will not need to do anything, and will remain on the register for as long as they continue to meet all the normal requirements of continued registration.

Citizens Advice Scotland is also delivering a support and advice service for all citizens resident in Scotland with more complex needs or particular challenges who are affected by the UK Government’s EU Settlement Scheme. Part of the service is a full-time national helpline available on 0800 916 9847. More information is available on the Citizens Advice Scotland website.

The gov.scot site also contains information about Brexit in:

  • Español (Spanish)
  • Français (French)
  • Italiano (Italian)
  • Polski (Polish)

Concerns

If providers have any particular concerns around how Brexit may impact their ability to deliver care, we advise they contact their relevant local authority/health and social care partnership.

More information

More details on health and social care after Brexit will be added to this page as new information is available.

Meanwhile, there are a number of other sites the providers can check for more information and updates:

  • EU Exit Briefing for Scottish Care Members – This briefing serves as a guidance for social care providers to prepare for any adverse impacts that could result from Brexit. This document details simple steps that social care providers can take to ensure that necessary preparation is undertaken to meet their obligations and responsibilities.
  • mygov.scot/brexit – Information from the Scottish Government on Brexit and how it may affect people and businesses in Scotland.
  • Brexit Vulnerability Index Map – Find out how communities across Scotland may be affected by Brexit with this interactive map produced by Scottish Government. This map can be used to help local authorities and other organisations prepare for Brexit. 
  • prepareforbrexit.scot – The website is a resource for all businesses in Scotland to continue to actively prepare for a no-deal Brexit.