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Chamber and committees

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 7 May 2025
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Displaying 3061 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

Gillian Martin

I will follow that up. Women who do not want to go to the NHS mesh removal service may have the option to choose a private provider. Where do you stand on helping women to do that? How will the pathway work?

Health, Social Care and Sport Committee

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

Meeting date: 2 November 2021

Gillian Martin

We will move on to the reimbursement aspect of the bill, which is its main focus; it is about reimbursement for women who have had surgery privately or who have arranged surgery privately. We want to drill down into the eligibility criteria. Stephanie Callaghan will lead on that line of questioning.

Health, Social Care and Sport Committee

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

Meeting date: 26 October 2021

Gillian Martin

Evelyn Tweed and I have questions about what reimbursement might cover and about proof of eligibility.

I am not clear about something. Suppose a woman had surgery involving mesh in Scotland but then opted to have the mesh removed privately when she was not resident in Scotland, although she might be resident in Scotland now. Am I correct in thinking that, if she was not resident in Scotland at the time of the mesh removal surgery, she would not be eligible for reimbursement of what she had paid?

Health, Social Care and Sport Committee

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

Meeting date: 26 October 2021

Gillian Martin

So, if a person was not resident in Scotland at the time when they had mesh removal surgery, that is not included in the scheme.

Health, Social Care and Sport Committee

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

Meeting date: 26 October 2021

Gillian Martin

Okay. We might dig into that later. Some members have questions on the financial memorandum, so it is good to have that point to dig into later.

Health, Social Care and Sport Committee

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

Meeting date: 26 October 2021

Gillian Martin

How do you propose to make clear to the women who present the options that are available to them? The bill allows for patient choice. Women can opt to have their surgery in Scotland or in another part of the United Kingdom, and they can opt to have it done privately. How will the options be made clear to women? To what extent will the approach be patient centred and respect patients’ choices? How will all that be communicated, not just to patients but to general practitioners, given that we have heard from women that there is sometimes a lack of understanding on the part of GPs about mesh complications. Will you also cover that?

Health, Social Care and Sport Committee

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

Meeting date: 26 October 2021

Gillian Martin

If a person has applied for reimbursement and is not satisfied with the level of money that they have been given as a result of the application, what avenues might be open to them to challenge that?

Health, Social Care and Sport Committee

Decision on Taking Business in Private

Meeting date: 26 October 2021

Gillian Martin

Welcome to the eighth meeting in 2021 of the Health, Social Care and Sport Committee.

Our first item is to decide whether to take agenda items 3 to 6 in private. Do members agree to do so?

Members indicated agreement.

Health, Social Care and Sport Committee

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

Meeting date: 26 October 2021

Gillian Martin

Over the years, since Scottish Mesh Survivors first began petitioning, there has been a lot of testimony as to what happened to the women and where trust in the people who had been removing the mesh had dissolved. How has that informed the way in which the services are being taken forward? You talked about the clinicians and surgeons who are involved in the work that you are doing, and the expertise that you have. What learning has come from the mistakes and practices of the past to lead us to where we are now with the bill?

Health, Social Care and Sport Committee

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

Meeting date: 26 October 2021

Gillian Martin

We have heard from many women, and they have all said that there should be a degree of flexibility, because every person’s case, when they have gone for surgery—be it in Bristol or in the States—has been different. There have been different circumstances and, as Emma Harper has mentioned, women have had different health complications. They want to see that recognised and, if someone does not fit into a particular box but has still incurred a lot of costs, they want flexibility. Do you believe that the bill as it stands allows for that?