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The Health Landscape


EU Exit – Continuity of Medicine Supply at the End of the Transition Period  Brexit Bulletin

Please click here for the latest update from Welsh Government 

This information was correct as of 28 January 2020. Please visit the Preparing Wales website and the Wales NHS Confederation Frequently Asked Questions on their website for the most up-to-date advice.

Preparing Wales for a No Deal Brexit 

Contractors may be interested to see the attached link to the new Preparing Wales website which provides a single source of information about the actions the Welsh Government is taking to prepare for the significant impact of a ‘no deal’ Brexit. It sets out guidance and advice for citizens, organisations and economic sectors across Wales about the steps that need to be taken to prepare for this outcome .

You will see there is a specific Health and Social Services section and, in particular, there is a letter from Andrew Goodall, Director General Health and Social Services/ NHS Wales Chief Executive (click here).

In addition a letter has been published in the form of a Welsh Health Circular (WHC) from Andrew Evans Chief Pharmaceutical Officer confirming the arrangements in place to secure a supply of medicines in the event of a hard Brexit.  A copy of the WHC can be accessed here.
There is detailed guidance on the potential impact for contractors on the PSNC website at
CPW would recommend that all contractors should educate themselves on what providers and commissioners of healthcare services can do to manage the risks of a no-deal Brexit. The best document to look at is the DHSC Operational Readiness Guidance, this can be found at and provides perhaps the most comprehensive information on DHSC and government planning that is available.
PSNC have also provided a briefing which sets out what the key contractor actions shuld be distilled from the operational readiness guidance.  This can be found at
Joint Ministerial Letter to Health Workforce
To view the letter issued by Welsh Government and Welsh NHS Confederation, please use the following links (English / Welsh)

Serious Shortage Protocols
Draft legislation on Serious Shortage Protocols (SSPs) has been laid before Parliament and should come into force in early February 2019. The protocols, for use in the event of a serious shortage of a medicine, may give community pharmacies the ability to dispense less, give a different strength or pharmaceutical form or provide an alternative product.
It is envisaged that where serious shortages occur, each medicine would have its own SSP which will need to be developed carefully to ensure that it can be implemented in practice. CPW will work closely with PSNC on this. The draft legislation now laid is intended to provide the legal basis for the introduction of these SSPs.
CPW supports this legislation as part of the measures that will help to manage any serious shortages of medicines, such as those which may occur if the UK exits the EU without a ratified deal (a no-deal Brexit). Further information is available here.

For further information on submission of prescriptions supplied under a Serious Shortages Protocol (SSP), click here.

The latest version of the common questions and answers on FMD prepared by MHRA and DHSC can be accessed here.

Brexit Bulletins
6th March 2019
2nd April 2019
13th June 2019
7th October 2019

Brexit Communications 
Letter to NHS Chief Execs - Preparations for Exiting the EU
Brexit Arrangements Letter (English / Welsh)
DHSC Letter regarding transition period

Immigration Advice Service Posters
A4 English
A4 Welsh 
A5 Flyer - bilingual