Contribution
My Lords, I was tempted to make a joke about filling the gap in the noble Lord’s information, given what we are talking about. Noble Lords are aware that I am passionate about Northern Ireland, and there are many issues that I thoroughly enjoy talking about with Members of your Lordships’ House. I did not realise that dental amalgam was going to be one of them, so noble Lords will have to bear with me.
I am very aware of people’s travel arrangements for this evening, so I will be short and sweet, but I will reflect on Hansard in case I have missed anyone’s comments. I also hope that my noble friend Lady Hayman is getting better, but I am not sure that watching your Lordships’ House is going to assist in that, so I hope she is having chicken soup and lying in bed.
Many points have been raised, and I will try to cover them all. There are some on which I would like to reassure noble Lords. On others, I think it might be helpful to Members of your Lordships’ House if I offered a meeting to discuss the constitutional aspects of this with regard to the Windsor Framework, because as the noble Baroness, Lady Suttie, highlighted, we have a constitutional issue here and we also have the SI at hand.
I will try to touch on many issues for reassurance, but noble Lords are aware that this is not the first, nor will it be the last, time that we talk about the effectiveness of the Windsor Framework and where some of the challenges are. I would very much welcome the opportunity to have further conversations on it.
The noble Baroness, Lady Hoey, touched on the fact that pressure was placed through discussions in Parliament and elsewhere to make sure that this issue was raised. In fact, the noble Baroness had the benefit of being the first person to table a Question of this Government on any issue, and it was on this issue on our first day out. I thought I was going to have my first outing as Northern Ireland spokesperson talking about this issue; it turns out I was not first, but I was not going to escape.
Turning to the specific concerns that were raised, I want to put noble Lords’ minds at rest about poppies. They are available to be bought, with additional materials, and are freely available in Northern Ireland. As noble Lords are aware, I would be horrified if people could not purchase them.
The EU Commission notice was touched on. The Government have considered all our obligations in developing this SI, including the nature of the notice. The arrangements are already in effect and have been since January this year. The SI strengthens the enforcement measures, and we are comfortable with where we are; the SI gives it further practicalities.
On enforcement, the Northern Ireland Environment Agency—an executive agency of DAERA—will keep accurate records of all regulatory and enforcement action undertaken, along with information provided by Northern Ireland’s Department of Health. This will enable assessment, over time, of the impact of the prohibitions and exemptions on Northern Ireland.
I also assure both the noble Baroness, Lady Hoey, and the other Members of your Lordships’ House who raised this issue that there will be no guards on the border checking people’s teeth. I know that that was a concern, but I assure noble Lords that it will not be how enforcement of this is done.
Dental tourism and members of the republic using these services was raised by several noble Lords. Republic of Ireland patients will not be entitled to NHS dentistry, and residency needs to be proven. People will still be able to access their dentist in Northern Ireland in the same way as they did before non-amalgam fillings, as they can in the Republic of Ireland, but not via the NHS.
The noble Lord, Lord Bourne, and several noble Lords asked about dental amalgam and what the Government are doing to improve dental services. State-funded healthcare is a devolved matter and responsibility of the Scottish, Welsh and Northern Ireland Governments. I was pleased to see the Northern Ireland Government announce an extra £7 million for dentistry services this year, but we are working together on both the issues that dentists currently face and these issues.
On the proposed updates to mercury regulations in Great Britain and what action is being taken in the UK to reduce mercury use, the UK will be laying legislation this year to prohibit the import, export and manufacture in Great Britain of a number of products containing intentionally added mercury. These products will also be phased out in Northern Ireland by the EU mercury regulations. The legislation will prohibit several mercury-containing products.
I apologise to the noble Baroness, Lady Bennett, as I realise that some of her issues interlay with others. The health impacts of the continued use of dental amalgam were touched upon. Dental amalgam is a well-established, safe and effective dental filling material. There is no evidence that amalgam fillings cause any harm to the health of dental patients. However, mercury, when released into the environment in large volumes, can cause harm and this is carefully managed by the UK to reduce any environmental impact.