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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 18 June 2025
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Displaying 3234 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

That is very interesting. I was going to ask what the potential impact would have been if you had done but, given that you have not received any such correspondence, that is very difficult to quantify.

I hand over to my colleagues, who have further questions on the theme of eligibility.

Health, Social Care and Sport Committee

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

Meeting date: 2 November 2021

Gillian Martin

A couple of other questions have been raised about eligibility and reimbursement under the bill. I understand your point about crowdfunding, but many women will have had family members give them substantial donations and will want those family members to be reimbursed, too. Is that being taken into account? If someone has been loaned or given thousands of pounds by family members or someone else, will they be able to give that back?

Health, Social Care and Sport Committee

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

Meeting date: 2 November 2021

Gillian Martin

It is worth mentioning that, on the back of its discussion with us, the alliance sent us a letter. The letter highlights some of the experiences that women have had, both at primary care level and when they were seeing a consultant, and some of the issues that they were not happy about. The cabinet secretary got a copy of that letter.

I will go back to Greig Chalmers.

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?