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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 4 May 2021
  6. Current session: 13 May 2021 to 30 September 2025
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Displaying 206 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

Jackie Baillie

That is helpful and clear.

I would like to ask a question that is not directly linked to the bill but is about a matter of concern that we have heard about and discussed this morning. It has been raised by the women who are affected and relates to waiting times. We heard that 20 women were waiting for surgery. Dr Jamieson rightly pointed out that it was unlikely that the 12-week treatment time guarantee would be fulfilled. For reasons of elective surgery being cancelled because of Covid, that is perfectly understandable.

There are 64 women who have been reviewed, but the suspicion is that many more have been referred—we do not know how many and I would welcome it if the figures were provided for that—and some are waiting for up to two years. I will read you a couple of quotes. One woman said:

“Just had a letter today from my gynaecologist in Paisley that it’s taking two years for referral to the Mesh Service”,

which is part of the same health board. Another comment that was made was:

“I had an MRI in September which showed inflammation around mesh. I was told they would send me an appointment to discuss it with the Mesh Service. My initial appointment is July 2022, ten months after the MRI.”

What can you do to improve those waiting times? I am sure that you agree that those women have waited long enough.

Health, Social Care and Sport Committee

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

Meeting date: 2 November 2021

Jackie Baillie

Is 12 July quite an arbitrary date? Equally, could another date be picked?

Health, Social Care and Sport Committee

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

Meeting date: 2 November 2021

Jackie Baillie

You are suggesting that it will not be long, but we are all aware that winter pressures are coming. Would not it be more realistic to plan on the basis that it will not be until after the winter that you will be back doing full surgery on the 20 mesh women?

Health, Social Care and Sport Committee

Interests

Meeting date: 2 November 2021

Jackie Baillie

I have no relevant interests, convener.

Health, Social Care and Sport Committee

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

Meeting date: 2 November 2021

Jackie Baillie

Yes. I hoped to question the cabinet secretary on that area.

Given that, in all honesty, only a small number of women may be affected, why are you sticking rigidly to 12 July? You could make it the date when the bill was introduced, for example, or the date of stage 3 and the passage of the bill. We are not talking about a huge number of women. I am thinking about the consequences of women not being reimbursed and then having to go through the mesh service right from the beginning when they are already making progress.

Health, Social Care and Sport Committee

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

Meeting date: 2 November 2021

Jackie Baillie

That is good news for the women. How many have been referred to the service so far, and how long are they waiting?

Health, Social Care and Sport Committee

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

Meeting date: 2 November 2021

Jackie Baillie

The committee has received written evidence from some women. One went to the gynaecology service in Paisley, which is in the same health board area, but it has taken two years for her to be referred to the mesh service. Another woman reported having a magnetic resonance imaging scan in September and being told that she would get an appointment with the mesh service, but that appointment is for July 2022, which is 10 months away. I am trying to drill down into how long people are waiting before they even get to you.

Health, Social Care and Sport Committee

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

Meeting date: 2 November 2021

Jackie Baillie

I want to ask Dr Lamont about the group of women who would describe themselves as the in-betweeners: those who are in the process of arranging private treatment while the bill is going through the Parliament. Should they be covered by the bill? Will the setting up of the specialist service have any impact on them? Could they be asked to start at the beginning and then be referred through the specialist service, or should they be covered by the bill?

Health, Social Care and Sport Committee

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

Meeting date: 2 November 2021

Jackie Baillie

My questions are also for Dr Jamieson.

I will go back to timing. You said that 20 people are waiting for surgery. How long is it anticipated they will wait?

Health, Social Care and Sport Committee

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

Meeting date: 2 November 2021

Jackie Baillie

I am not suggesting that we need something once those contracts are in place. The key point is that there is a gap between 12 July and when those contracts are established. Given that it is unlikely that a huge number of women will be involved—we are talking about only a small number of women—why can you not close that gap so that they are covered by this reimbursement bill?