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Official Report: search what was said in Parliament

The Official Report is a written record of public meetings of the Parliament and committees.  

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Dates of parliamentary sessions
  1. Session 1: 12 May 1999 to 31 March 2003
  2. Session 2: 7 May 2003 to 2 April 2007
  3. Session 3: 9 May 2007 to 22 March 2011
  4. Session 4: 11 May 2011 to 23 March 2016
  5. Session 5: 12 May 2016 to 5 May 2021
  6. Current session: 12 May 2021 to 30 April 2025
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Displaying 2725 contributions

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Health, Social Care and Sport Committee

Transvaginal Mesh Removal (Cost Reimbursement) (Scotland) Bill: Stage 1

Meeting date: 2 November 2021

Sue Webber

Thank you for those answers. However, going back to what Jackie Baillie said earlier on and the correspondence that we received last night, that trust and confidence are still not there. That binary choice, and the one route into referral via Glasgow, will be an issue.

Although the choice of surgeon is significant, another factor is that, for whatever reason, the Glasgow service has a bad reputation among mesh survivors. What, specifically, are we doing to give women the confidence to come into the service, knowing that they will get a good outcome, wherever it might be, for whatever treatment and whatever the approach might be needed at the other end?

Health, Social Care and Sport Committee

Transvaginal Mesh Removal (Cost Reimbursement) (Scotland) Bill: Stage 1

Meeting date: 2 November 2021

Sue Webber

Thank you; that answers my specific question.

Can you clarify whether all women will still have to refer in via NHS GGC, whether the commissioned service be the Glasgow mesh service, the site in NHS England, the potential site at Spire Healthcare, or overseas? With regard to the hierarchy—that word might not be correct but you will understand it—is there a preferred route? If the women do not want to go to Glasgow, will we encourage them to take up the service in NHS England because it is an NHS service and the wraparound care might be more definable there, or are those choices patient driven? The matter is complicated.

Health, Social Care and Sport Committee

Transvaginal Mesh Removal (Cost Reimbursement) (Scotland) Bill: Stage 1

Meeting date: 2 November 2021

Sue Webber

You have spoken at length, and we have heard much, about the complexity of the wraparound care that the women need. Are you satisfied that the bill and the provision for procurement of services from the private sector will not undermine the NHS in any way?

Health, Social Care and Sport Committee

Transvaginal Mesh Removal (Cost Reimbursement) (Scotland) Bill: Stage 1

Meeting date: 2 November 2021

Sue Webber

Thank you for that answer. We know that the first point of call is often with the woman and her GP, but there are many GPs across the country. What wider publicity and training are being provided about the national mesh service, and particularly about the GPs linking into it and understanding the complications that arise from the surgery, so that they can refer women quickly and effectively into the service?

Health, Social Care and Sport Committee

Transvaginal Mesh Removal (Cost Reimbursement) (Scotland) Bill: Stage 1

Meeting date: 26 October 2021

Sue Webber

Is that the realistic medicine that you referred to earlier in the discussion today?

Health, Social Care and Sport Committee

Transvaginal Mesh Removal (Cost Reimbursement) (Scotland) Bill: Stage 1

Meeting date: 26 October 2021

Sue Webber

Thank you for clarifying that—it was very helpful. What is the position for women who have had mesh removal surgery that has not gone as they expected? When surgery has not been as successful as it was hoped it would be and there are on-going issues, how will that be covered or addressed by the bill?

Health, Social Care and Sport Committee

Transvaginal Mesh Removal (Cost Reimbursement) (Scotland) Bill: Stage 1

Meeting date: 26 October 2021

Sue Webber

My question is also for Terry O’Kelly. We have heard a lot from witnesses about the logistical challenges in managing the private sector experience in the US and England, and the challenges facing the NHS service in gaining trust. Obviously, an NHS-based service will be much better at managing the anticipated and unplanned outcomes of the complex surgery. What is being done to benchmark and reassure people that in Scotland we will have among the best mesh removal specialist services?

Health, Social Care and Sport Committee

Transvaginal Mesh Removal (Cost Reimbursement) (Scotland) Bill: Stage 1

Meeting date: 26 October 2021

Sue Webber

From what we heard this morning before the meeting, the biggest issue appears to be women having the money up front to fund the surgery; the bill is about reimbursement. We also heard that there could be significant on-going costs that are not planned for regarding surgery for removal of mesh and complications—particularly when women access surgery through the private sector. Is there something that we can do to help with that? It will not be a very equal service if there are women who do not have the resources to pay up front then claim it back and therefore cannot access what the bill is, ultimately, trying to achieve.

Health, Social Care and Sport Committee

Transvaginal Mesh Removal (Cost Reimbursement) (Scotland) Bill: Stage 1

Meeting date: 26 October 2021

Sue Webber

In one of your earlier statements, Terry, you spoke of new staff coming on board. Where are they being recruited from? What multidisciplinary areas of expertise do they cover that the team did not cover previously?

Health, Social Care and Sport Committee

Health and Care Bill

Meeting date: 5 October 2021

Sue Webber

Welcome, cabinet secretary. My question is about online advertising. You mentioned the reasons why you want to take that approach, but have you had any thoughts about what you might like to do that would be different from the approaches of the other UK nations?