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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 11 September 2025
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Displaying 2172 contributions

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Health, Social Care and Sport Committee

Scrutiny of NHS Boards (NHS Dumfries and Galloway, NHS Tayside and NHS Lanarkshire)

Meeting date: 2 May 2023

Emma Harper

Professor Archibald, you talked about prevention and keeping folk out of hospital. I am the convener of the cross-party group in the Scottish Parliament on lung health. We talk about keeping fit, healthy and out of hospital people who have chronic obstructive pulmonary disease. It is the same for asthma. Are you undertaking such work as well?

Health, Social Care and Sport Committee

Scrutiny of NHS Boards (NHS Dumfries and Galloway, NHS Tayside and NHS Lanarkshire)

Meeting date: 2 May 2023

Emma Harper

It is just a quick question. What has been learned from the Sturrock review, which has been taken forward in other NHS boards?

Health, Social Care and Sport Committee

Complex Mesh Surgical Service

Meeting date: 2 May 2023

Emma Harper

How are women advised about waiting times, for instance, or what they should expect? Do you have feedback around the processes? Is the communication done electronically or by letter or telephone call? How do we ensure that each individual feels that their preferred way of communicating is what is used?

Health, Social Care and Sport Committee

Complex Mesh Surgical Service

Meeting date: 2 May 2023

Emma Harper

I am interested in going right back to the beginning, knowing what we now know about complications caused by mesh implanted for stress urinary incontinence. As a nurse who worked in the operating theatre, I participated in anterior and posterior pelvic floor repair operations. However, before we even go there, is there work being done to encourage continence nurses, physios, midwives, and so on, to talk about things such as pelvic floor exercises? That advice would be free. Are we measuring whether that work, which might mitigate the need for any surgical intervention in the first place, is happening?

Health, Social Care and Sport Committee

Complex Mesh Surgical Service

Meeting date: 2 May 2023

Emma Harper

One of my former colleagues teaches Pilates, and she also does pelvic floor exercises as part of that, to destigmatise the issue. She sees young women in schools and is breaking down the barriers of conversation. Do you support taking education out to schools before young women start having experiences that might lead to urinary incontinence?

Health, Social Care and Sport Committee

Scrutiny of NHS Boards (NHS Dumfries and Galloway, NHS Tayside and NHS Lanarkshire)

Meeting date: 2 May 2023

Emma Harper

I have a question for Jeff Ace, but before I ask it I remind everybody that I am a former NHS Dumfries and Galloway employee and was part of the Covid vaccination team as a nurse during the pandemic.

What particular changes have been made for service delivery? We met last Friday, as part of our normal updates. Parts of Dumfries and Galloway are really remote and rural, so one of the things that you talked about was the development of home teams. Will that help to manage the service in a better way—not necessarily to make savings, but to improve efficiency?

Health, Social Care and Sport Committee

Complex Mesh Surgical Service

Meeting date: 2 May 2023

Emma Harper

Yes—I have a quick point. The deputy convener mentioned the Shouldice approach. A Shouldice repair has strict criteria such as losing weight, having no alcohol and being able to exercise. It might be difficult to apply that in Scotland, where people who present as needing an inguinal hernia repair that uses mesh, for instance, might have additional comorbidities. We cannae compare apples wi oranges.

Health, Social Care and Sport Committee

Scrutiny of NHS Boards (NHS Dumfries and Galloway, NHS Tayside and NHS Lanarkshire)

Meeting date: 2 May 2023

Emma Harper

Jeff Ace talked about a Scotland-wide approach, with combined or joint services. Do you mean combined human resources as part of joint work and integration, or combined financial services? Is that something that could work for NHS Dumfries and Galloway, which is a small board, or does there need to be a Scotland-wide approach, as well?

Health, Social Care and Sport Committee

Scrutiny of NHS Boards (NHS Dumfries and Galloway, NHS Tayside and NHS Lanarkshire)

Meeting date: 2 May 2023

Emma Harper

I have a quick question for Jeff Ace about international recruitment. You have been quite successful in recruiting nurses. Not only a warm welcome, orientation and training are required; a wider holistic approach is required. Is housing a challenge in recruiting folk to remote or rural areas such as Dumfries and Galloway? If so, what can be done about that?

Health, Social Care and Sport Committee

Scrutiny of NHS Boards (NHS Dumfries and Galloway, NHS Tayside and NHS Lanarkshire)

Meeting date: 2 May 2023

Emma Harper

The recovery plan is a five-year plan; coming out of Covid is not an overnight fix. It will take time, and I know that as a nurse myself.

I am interested in the cancer diagnostics centres. One was created in Ayrshire and Arran, one in Fife and one in Dumfries and Galloway. Prevention and early diagnostics are happening in NHS Dumfries and Galloway, where there is a trial of self-sampling for cervical cancer diagnosis. Would Mr Ace like to comment on that?