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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 26 July 2025
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Displaying 1537 contributions

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Meeting of the Parliament

Transvaginal Mesh

Meeting date: 24 October 2023

Katy Clark

I start by paying tribute to the tireless campaigning of mesh-injured women. It is their campaigning that has been the driving force for much of the progress that we have seen on transvaginal mesh. The independent reviews, the creation of the complex mesh surgical service and the reimbursement scheme are all testament to their efforts.

That is one of the reasons why it is so disappointing that many of those women continue to experience so many problems in accessing the medical care that they need. Some have shared publicly their experience in dealing with GPs who still lack basic knowledge and understanding of the complications arising from transvaginal mesh implants. Others have spoken about the long referral times in order to access care and support at the complex mesh surgical service. Women who have been referred to the complex mesh surgical service have also described the lack of a full range of treatment and support options, and women who have had mesh surgically removed have spoken about the lack of aftercare support in relation to their mental health and the trauma that they have endured.

According to Professor Britton, whose initial report on the issue was published back in 2018, the Scottish Government has yet to act on her recommendations. That has been said a number of times in this debate. In her second report, which was published earlier this year, Professor Britton made a series of recommendations to improve the healthcare experience of mesh-injured women. Those recommendations include improving support mechanisms for women who wish to raise concerns with their GP following transvaginal mesh surgery, the creation of a mesh register to keep track of surgeries that have been carried out, and putting patient consent at the heart of healthcare. Labour urges the minister to come forward with recommendations and to deliver. We hope that she is able to give a commitment on that today.

My own office is still receiving new cases from mesh-injured women who are suffering complications and getting in touch. They are currently not getting adequate support from their GP, and they are unaware of the complex mesh surgical service. It is clear that the Scottish Government must do more to support those who are injured and that the issue continues to have an impact on too many lives even after a decade of campaigning by those affected.

The minister will be aware of the work that I have been doing with my constituents Roseanna Clarkin and Lauren McDougall on surgical mesh that is used to treat hernias. Informed consent has been discussed in the debate. Roseanna gave me permission to say that she was told that pig skin, and not the mesh that was used, would be used in her procedure. Such surgical mesh differs from transvaginal mesh, but many people are now suffering from similar complications and life-altering injuries to those that were observed in women who were implanted with transvaginal mesh.

Roseanna and Lauren have a petition before Parliament that calls for an independent review of the use of such mesh and for its use by NHS Scotland to be suspended pending the outcome of that review. I am grateful to the Citizen Participation and Public Petitions Committee for its on-going work on the petition. I know that many of that committee’s members were involved in the initial petitions on transvaginal mesh and recognise the parallels in the experiences of those who have been implanted with surgical mesh to treat hernias.

Despite years of campaigning, Roseanna and Lauren have found the Scottish Government unwilling to engage or failing to take their concerns seriously. The same disregard for the lived experiences of mesh-injured people delayed progress on addressing issues that related to transvaginal mesh. I fear that we are at risk of making the same mistake with surgical mesh that is used to treat hernias.

I therefore very much welcome the fact that the minister recently agreed to meet my constituents and me in the coming weeks to discuss the issue. The need for an urgent independent review could not be clearer, and I hope that the minister will give that further serious consideration.

I previously submitted freedom of information requests to every health board across Scotland in an attempt to establish the scale of the problem with surgical mesh that is used to treat hernias. Many health boards did not hold the requested information or did not respond, but the health boards that did provide information showed the scale of the problem. In NHS Ayrshire and Arran, 8 per cent of patients who were implanted with surgical mesh to treat hernias said that they had complications, and the figure in NHS Lanarkshire was 10 per cent.

Meeting of the Parliament

Transvaginal Mesh

Meeting date: 24 October 2023

Katy Clark

I very much look forward to hearing the minister’s response to my points.

16:48  

Social Justice and Social Security Committee

Pre-budget Scrutiny 2024-25

Meeting date: 5 October 2023

Katy Clark

Gordon MacRae has already spoken about reprioritisation. You will be aware that the medium-term financial strategy analysis highlighted a funding gap for the Scottish Government. In the light of that, how should the Scottish Government respond, and how should it prioritise its budget?

Social Justice and Social Security Committee

Pre-budget Scrutiny 2024-25

Meeting date: 5 October 2023

Katy Clark

Would anyone like to comment on whether there have been any improvements in the transparency of the budget? Do you have any specific suggestions as to how the process could be improved?

Meeting of the Parliament

First Minister’s Question Time

Meeting date: 5 October 2023

Katy Clark

To ask the First Minister what assessment the Scottish Government has made of any impact of operational changes in the Scottish Fire and Rescue Service on response times to recent incidents, including the fires at the Ayr Station hotel and Kitty’s nightclub in Kirkcaldy. (S6F-02428)

Meeting of the Parliament

First Minister’s Question Time

Meeting date: 5 October 2023

Katy Clark

I associate myself with the First Minister’s tribute to our firefighters. He will be aware that the appliance at Kirkcaldy was taken out of operation at midnight later on the day of the fire.

Is the First Minister aware of the serious concerns that the Fire Brigades Union has raised about the impact of the withdrawal last month of 10 appliances, which included the withdrawal of a specialist appliance at Ayr, which the FBU says meant that local firefighters had to wait for an appliance to arrive from Castlemilk, given that the Kilmarnock one had broken down? Will he meet FBU Scotland to discuss its concerns about the impact of budget cuts on public safety?

Criminal Justice Committee

Victims, Witnesses, and Justice Reform (Scotland) Bill: Stage 1

Meeting date: 4 October 2023

Katy Clark

An example that was used by Louise Hill was the fact that children are not being allowed to give evidence remotely or virtually. Should there be a legal mechanism to allow the commissioner to be involved in such a case, so that there could be intervention? Would that kind of area need to be explored to make the commissioner’s role effective?

Criminal Justice Committee

Victims, Witnesses, and Justice Reform (Scotland) Bill: Stage 1

Meeting date: 4 October 2023

Katy Clark

I am grateful for those answers. Thank you.

Criminal Justice Committee

Victims, Witnesses, and Justice Reform (Scotland) Bill: Stage 1

Meeting date: 4 October 2023

Katy Clark

I do not expect you to give a legal answer.

Criminal Justice Committee

Victims, Witnesses, and Justice Reform (Scotland) Bill: Stage 1

Meeting date: 4 October 2023

Katy Clark

I can now—sorry, convener. My screen said that the host was not allowing me to unmute myself. Apologies for that.

Graham O’Neill spoke powerfully about the need to strengthen the powers of the commissioner, and Louise Hill spoke about the implementation gap. That is a powerful criticism not just of the Scottish Government and the justice system but of Parliament itself in its scrutiny role.

I am interested in why we would believe that another voice of criticism, perhaps focusing on some of the failures of the system, is unlikely to be effective unless it has the power to intervene in cases. The panel may all have a view on that. Graham O’Neill has already said that that power should be there. Is that the view of everyone on the panel?