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English
Hart Publishing
20 March 2025
What does the UK's exit from the EU mean for health and the NHS?

This book explains the legal and practical implications of Brexit on the NHS: its staffing; especially on the island of Ireland; medicines, medical devices and equipment; and biomedical research. It considers the UK’s post-Brexit trade agreements and what they mean for health, and discusses the effects of the COVID-19 pandemic on post-Brexit health law.

To put the legal analysis in context, the book draws on over 400 conversations the authors had with people in the north of England and Northern Ireland, interviews with over 40 health policy stakeholders, details of a film about their research made with ShoutOut UK, the authors’ work with Parliaments and governments across the UK, and their collaborations with key actors like the NHS Confederation, the British Medical Association, and Cancer Research UK. The book shows that the language people use to talk about hoped-for legitimate post-Brexit health governance suggests a great deal of faith in law and legal process among ‘ordinary people’, but the opposite from ‘insider elites’.

Not What The Bus Promised puts the authors’ knowledge and experiences centre frame, rather than claiming to express ‘objective reality’. It will be of interest to any reader who cares about the NHS and wants to understand its present and future.
By:   , , , , , ,
Imprint:   Hart Publishing
Country of Publication:   United Kingdom
Dimensions:   Height: 234mm,  Width: 156mm,  Spine: 25mm
Weight:   454g
ISBN:   9781509951536
ISBN 10:   1509951539
Series:   Hart Studies in Law and Health
Pages:   352
Publication Date:  
Audience:   Professional and scholarly ,  Undergraduate
Format:   Paperback
Publisher's Status:   Active
1. Introduction 2. Aims and Approach I: Stories within a Story, Positionality and Reflexivity 3. Aims and Approach II: People, Time and Locations, Conducting our Research and Analysis 4. Scope: The Effects of EU Law on Health and the NHS 5. Cross-border Healthcare in Great Britain 6. Cross-border Healthcare in Northern Ireland 7. NHS Staffing 8. Medicines, Medical Devices and Equipment 9. Biomedical Research 10. The UK’s Trade Relationships, the NHS, and Health 11. Accountability for Post-Brexit Health Governance 12. Conclusions

Tamara K Hervey is Jean Monnet Professor of EU Law at City, University of London, UK. Ivanka Antova was Research Fellow on the HGAB Project, UK. Mark L Flear is Professor of Law and Socio-Legal Studies at Queen’s University Belfast, UK. Matthew Wood is Senior Lecturer in the Department of Politics at the University of Sheffield, UK.

Reviews for Not What The Bus Promised: Health Governance after Brexit

An impressive amount of data collected over many years is woven into the analysis in a narrative way, including interviews with politicians and policymakers and various set-ups prompting street conversations like Vox pops. These breadth and depth of data (and the transparency surrounding the methods) give the book an exceptional level of palpability, which makes it surprisingly accessible given the complexity of the topic. * Political Studies Association * A creative and courageous book * Katy Hayward, Queen's University Belfast * Meticulous and informative, but also gripping and even moving in parts. -- Charlotte Godziewski * City, University of London * [The book’s] legacy is its investigation of the intersection between the “noise” of Brexit-time and the “silence” and timelessness of law. -- Francesca Strumia * City, University of London * The authors of this fine book make a persuasive case that Brexit is bad for health… Not What the Bus Promised brilliantly starts the first step of much-needed post-Brexit health governance reform in the UK. * Medical Law International * A must-read … covers multiple layers of health governance … compelling and highly informative … rigorous, detailed and nuanced … well-researched, rich and multifaceted in its analysis, and written in an engaging way that should appeal to both academics and policy makers. * European Law Review *


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