Chamber and committees

The Scottish Government designated the Complex Pelvic Mesh Removal Service in NHS Greater Glasgow and Clyde (NHS GGC). This service assesses needs and, where appropriate and subject to shared decision making and informed consent, performs mesh removal surgery.

The Scottish Government fully understands that women feel that they have been let down by clinicians in the past. When establishing the service, NHS GGC has kept this in mind and, as such, there are a number of consultants, including one who has joined the service from NHS England. This gives women choice over who is involved in their care. All patients who are being considered for surgery are reviewed by a multi-disciplinary team that includes mental health, physiotherapy and pain management specialists. The service also employs specialist nurses who help direct women through the service and help to ensure that they are comfortable and reassured during their visit.

More information is available online: National Complex Mesh Surgical Service Webpage .

I refer the member to the answer to question S6W-11633 on‎ 14 November 2022. All answers to written Parliamentary Questions are available on the Parliament's website, the search facility for which can be found at https://www.parliament.scot/chamber-and-committees/written-questions-and-answers

I refer the member to the answer to question S6W-11633 on‎ 14 November 2022. All answers to written Parliamentary Questions are available on the Parliament's website, the search facility for which can be found at https://www.parliament.scot/chamber-and-committees/written-questions-and-answers

A number of women have been assessed at the specialist service in NHS Greater Glasgow and Clyde and have subsequently requested onward referral to the independent providers. It is the responsibility of the patient’s local Health Board to make that referral and, in a number of cases, this has already occurred whilst, in others, preparations for referral are ongoing.

Neither the Scottish Government nor NHS National Services Scotland are able to confirm specifically when any patient will travel to the USA or Bristol for treatment, as the scheduling of surgery is dependent on clinical review by the provider and their subsequent acceptance of the case in question.

In light of the small number of patients referred, it would not be appropriate to disclose exact numbers due to the potential risk to patient confidentiality.

I refer the member to the answer to S6W-11396 on 1 November 2022. All answers to written Parliamentary Questions are available on the Parliament's website, the search facility for which can be found at https://www.parliament.scot/chamber-and-committees/written-questions-and-answers .

Cancer services do not sit in silo, they cross-cut numerous specialties and teams which have been greatly affected by the pandemic, including diagnostics. While those referred as an urgent suspicion of cancer (USC) continue to be prioritised and more patients were treated on a 62-day pathway in the latest published quarter (Q2 2022) compared to pre-COVID, clearly recovery will take time. This is why we published our NHS Recovery Plan in August 2021. It reinforces our commitment to continue to invest in cancer pathways - £10 million was released to Boards in August 2022 – and our ambition to maintain the 31-day standard and achieve the 62-day standard on a sustainable basis.

Our National Cancer Plan set out to recover and redesign cancer services, with 68 individual actions across the patient pathway to improve patients’ experience of care, and roll-out innovative treatments. The plan adopts a ‘Once for Scotland’ approach to cancer services and ensures that access to care and treatment is equitable across Scotland.

The Complex Pelvic Mesh Service provided by NHS Greater Glasgow and Clyde (NHS GGC) offers holistic care for women experiencing mesh complications. There are a number of consultants operating in the service allowing women a choice over who is involved in their care. Complementing this, and to allow women more choice, individuals can also opt to be referred to NHS England services for surgery, or can choose to travel to Spire Hospital in Bristol, or to Dr Veronikis in the USA.

Any woman seeking referral to the mesh service in Glasgow, NHS England, Spire Hospital or Dr Veronikis should initially discuss her case with clinicians within her own Health Board. If considered appropriate at that stage, she will then be referred to the specialist service in NHS GGC for consideration by a full multi-disciplinary team (MDT). If, after careful consideration by both the MDT and the patient, it is agreed that surgery is appropriate, she will then be given the option of receiving treatment through the Glasgow centre, or referral to an NHS England Specialist Centre, the Spire in Bristol, or Dr Veronikis, depending on her wishes.

Regardless of the treatment option chosen, initial assessment in the specialist service in Glasgow is extremely important as it ensures that the patient receives the proper consideration of a full MDT, and will receive care that is fully integrated with any pre- and post-operative care provided locally.

We awarded a contract through a competitive tender for independent VAT advice from Anderson Anderson & Brown LLP. AAB have been commissioned to provide advice and support to SG on VAT implications. This work is ongoing. We will engage with the wider sector and HMT prior to any decision being taken which would have a VAT impact.

We awarded a contract through a competitive tender for independent VAT advice from Anderson Anderson & Brown LLP. AAB have been commissioned to provide advice and support to Scottish Government employees on VAT implications, to produce an options paper exploring the VAT implications of different NCS scenarios, and to produce a final report on the considerations of VAT and eventual outcome. This work is ongoing.

After competitive tender, a contract was awarded to Anderson Anderson & Brown LLP to obtain expert independent advice on the implications of VAT on the NCS and associated Care Boards. No decisions have been made at this point and a full understanding of the impact of all options will be considered.

The Scottish Government is refreshing the non-statutory guidance for Local Child Poverty Action Reports (LCPARs) to support local authorities and health boards to deliver focused reporting on their actions to support priority families. CRER and other stakeholders representing priority families have been consulted in drafting the guidance. This is part of our work with stakeholders to strengthen targeted action for priority groups. We welcome the opportunity to work with CRER to enable a greater focus on BME families in our national and local practice and reporting.

The Scottish Government, in collaboration with other national partners, review LCPARs and engage with local authorities and health boards, offering feedback and sharing learning across areas. This process provides a further opportunity to support local focus on the six priority family groups.

The non-statutory guidance also highlights that the intersectional approach needed to support priority families is best served by person-centred, holistic action. We will continue to support local leads to engage directly with priority families in their areas who have direct experience of poverty to understand, design and deliver the tailored support needed.