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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 4 May 2021
  6. Current session: 13 May 2021 to 16 September 2025
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Displaying 2847 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

Roseanne McDonald said that you are seeking to assess whether the clinician who will carry out the procedures in the Spire hospital in Bristol has an affiliation with an NHS trust in England. Is that because they work only privately at the moment?

Health, Social Care and Sport Committee

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

Meeting date: 2 November 2021

Sue Webber

I have two questions: one about the reimbursement process and one on service commissioning for the future. We will deal with the reimbursement element first. Mr Hornby has spoken about it being a case-by-case process. We have heard from many of the witnesses about how complicated the issue of what we call wraparound costs is—we already know that the surgery is complicated, that no two cases are the same and that unexpected costs occur.

The administration of the reimbursement scheme sounds like it might be quite complex. At the same time, the payment will not be made until everything is concluded, but women will want to be reimbursed as quickly as possible. What extra resources has NSS put in to administer the scheme successfully to tie it all in for the women at the end of a traumatic period of their lives?

Health, Social Care and Sport Committee

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

Meeting date: 2 November 2021

Sue Webber

NHS National Services Scotland has expressed concern that the bill might set a precedent for other groups in a similar position. What have you and your team learned from the experience to ensure that we will not have to consider similar provision for other procedures in the future?

Health, Social Care and Sport Committee

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

Meeting date: 2 November 2021

Sue Webber

I have a quick question for Dr Jamieson. What is the time period between the first and second consultations? That will have a big impact when you are planning your service.

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 coming along, cabinet secretary. You mentioned the cross-party support for the bill, but given that the NHS has always had the ability to refer patients for services between Scotland and England, can you see any reasons why you might not need to establish the reimbursement scheme?

Health, Social Care and Sport Committee

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

Meeting date: 2 November 2021

Sue Webber

Our papers say that, when we called for views on the bill from the health boards, we received responses only from NHS Highland and NHS Greater Glasgow and Clyde. That is an indicator that the health boards are perhaps not aware of what is going on despite the publicity that the matter has had. What work is under way to publicise the service to the various NHS boards throughout Scotland? What is the timeline for them to receive guidance on the referral routes to make the process as clear as possible for women who will access the service via their local health boards?

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

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?