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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 19 December 2025
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Displaying 2369 contributions

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Health, Social Care and Sport Committee

Petitions

Meeting date: 17 January 2023

Emma Harper

Cabinet secretary, you will be aware that I have written to you on a few occasions about specific issues in remote and rural Dumfries and Galloway, such as those in Stranraer. I appreciate your responses, so thank you for those.

I am interested in the centre for excellence for remote and rural health and social care. Sir Lewis talked about education, innovation and collaboration. I am interested in whether the centre will have a role to advocate for people in remote and rural areas, because those folk cannae access the self-help groups and the people who are in urban areas. I know that people use Zoom and so on to engage, so is there a place in the centre for excellence for advocacy to be supported or delivered? I know that Australia has a National Rural Health Commissioner. I am interested in those aspects of the centre for excellence.

Health, Social Care and Sport Committee

Petitions

Meeting date: 17 January 2023

Emma Harper

My question is related to Sandesh Gulhane’s questions about Caithness and Moray and Dr Gray’s hospital. There is the same issue in Stranraer. I hate to go on about it, but women are delivering their babies at the side of the road. There are real recruitment challenges for Dumfries and Galloway in finding midwives for a midwife-led maternity unit at Galloway community hospital. I am not advocating that we start doing emergency caesarean sections—as a former operating room nurse, I have been there, taking babies out of people by crash section in a rush, so I am not advocating that we start doing that in Stranraer, for instance. I know that Maree Todd visited Stranraer in October last year to engage with the local Galloway community hospital action group and to visit the hospital.

The cabinet secretary does not have to respond to this today, but I know that there are real challenges in relation to midwifery-led units, and I am interested in getting an update on the work that is being done with NHS Dumfries and Galloway around maternity services being reinstated at Stranraer.

Health, Social Care and Sport Committee

Subordinate Legislation

Meeting date: 17 January 2023

Emma Harper

It seems reasonable that the order provides the GDC and the NMC with greater flexibility to amend their existing international registration pathways. I know that there are challenges with regard to access to NHS dentistry, especially in my region of Dumfries and Galloway. Will the order ultimately help us with recruitment of dentists and dental practitioners, especially with regard to the issues that are a consequence of Brexit?

Health, Social Care and Sport Committee

Petitions

Meeting date: 17 January 2023

Emma Harper

I have a quick question on education and skills. The mobile skills unit was developed in order to deliver education in more rural areas. A big lorry-sized van provides simulated training for chest tube insertions or even intraosseous needle insertions, for example, and I know that it has been all over Scotland. Is there an opportunity to focus more on that kind of education delivery in remote and rural areas, using the managed skills network or the clinical skills network?

Meeting of the Parliament

Surgical Mesh and Fixation Devices

Meeting date: 17 January 2023

Emma Harper

Will the member give way?

Meeting of the Parliament

Surgical Mesh and Fixation Devices

Meeting date: 17 January 2023

Emma Harper

We are talking about mesh. There is so much choice of mesh that is implanted. Does Sandesh Gulhane agree that the data that we would get from that might—based on the properties of the mesh that is used, such as the type of filament, the tensile strength and the porosity—help us to determine which mesh leads to specific complications such as pain?

Meeting of the Parliament

Surgical Mesh and Fixation Devices

Meeting date: 17 January 2023

Emma Harper

The Shouldice clinic has caveats around issues such as weight loss and stopping smoking and alcohol—it is very selective about the patients that it takes for its non-mesh repair. Do you not agree that it is kind of difficult to compare that with the patient population in Scotland?

Meeting of the Parliament

Surgical Mesh and Fixation Devices

Meeting date: 17 January 2023

Emma Harper

I have, too.

Meeting of the Parliament

Surgical Mesh and Fixation Devices

Meeting date: 17 January 2023

Emma Harper

We have talked about mesh this afternoon, but we havnae really talked about titanium fixation devices, which are also part of Roseanna Clarkin and Lauren McDougall’s petition. Does David Torrance agree that further discussion might be necessary and further evidence might need to be taken on that? We now have biodegradable fixation devices, which are being used more often.

Meeting of the Parliament

Surgical Mesh and Fixation Devices

Meeting date: 17 January 2023

Emma Harper

I am busy on my feet this afternoon, Presiding Officer—it is a really interesting subject for me.

Does Katy Clark agree that it might be worth exploring what they are doing with the one-stop-shop clinic in Barnstaple, Devon, which has a whole pathway sorted for the management of chronic pain from mesh repairs?