- Asked by: Neil Findlay, MSP for Lothian, Scottish Labour
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Date lodged: Monday, 06 March 2017
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Current Status:
Answered by Shona Robison on 17 March 2017
To ask the Scottish Government whether it will reclassify all medical mesh implant products as high risk, in light of the EU's recent decison to do so.
Answer
It is the responsibility of the MHRA to regulate medical devices in the UK, and the Scottish Government will act as necessary, according to its advice.
- Asked by: Neil Findlay, MSP for Lothian, Scottish Labour
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Date lodged: Monday, 06 March 2017
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Current Status:
Answered by Shona Robison on 17 March 2017
To ask the Scottish Government whether it will recommend making it mandatory to (a) use a medical mesh device registry and (b) report adverse events involving medical mesh devices and, if not, what other methods it will use to record the number and extent of adverse incidents involving these devices.
Answer
I refer the member to the answer to question S5W-07740 on 17 March 2017. All answers to written Parliamentary Questions are available on the Parliament's website, the search facility for which can be found at http://www.parliament.scot/parliamentarybusiness/28877.aspx
- Asked by: Neil Findlay, MSP for Lothian, Scottish Labour
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Date lodged: Monday, 06 March 2017
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Current Status:
Answered by Shona Robison on 17 March 2017
To ask the Scottish Government when it has (a) met and (b) been in contact with any medical mesh device manufacturer since the publication of the interim report from the Independent Review of Transvaginal Mesh Implants in October 2015.
Answer
Neither Scottish Government Ministers nor officials have met with, or contacted, manufacturers in relation to mesh devices.
- Asked by: Neil Findlay, MSP for Lothian, Scottish Labour
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Date lodged: Monday, 06 March 2017
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Current Status:
Answered by Shona Robison on 17 March 2017
To ask the Scottish Government how the recommendations of the Independent Review of Transvaginal Mesh Implants will protect women who could be invited to participate in research involving the use of medical mesh products.
Answer
Until the Independent Review’s recommendations are published it is not possible to comment on them. In general terms, clinical research in Scotland is governed by the Scottish Executive Health Department Research Governance Framework for Health and Community Care, published in 2006. The RGF sets exacting and well established standards around the ethics, science, patient care, information, health and safety, finance and quality research culture for clinical research studies. It also details the responsibilities and accountabilities of key people and organisations involved in research studies to ensure robust governance arrangements are in place to assure these standards are maintained. The full document is available from the Scottish Government website.
http://www.gov.scot/Topics/Research/by-topic/health-community-care/chief-scientist-office/6864/6933.
- Asked by: Neil Findlay, MSP for Lothian, Scottish Labour
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Date lodged: Monday, 06 March 2017
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Current Status:
Answered by Shona Robison on 17 March 2017
To ask the Scottish Government how many pending legal cases there are that involve the use of medical mesh devices to treat hernias.
Answer
Records suggest that there are fewer than five current legal cases involving the use of mesh to treat hernias.
- Asked by: Neil Findlay, MSP for Lothian, Scottish Labour
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Date lodged: Monday, 06 March 2017
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Current Status:
Answered by Shona Robison on 17 March 2017
To ask the Scottish Government under what circumstances it considers that the use of medical mesh would be unavoidable, and whether the report of the Independent Review of Transvaginal Mesh Implants will confirm and describe these situations.
Answer
Decisions around the circumstances in which the use of mesh in any individual patient’s treatment is appropriate are a matter between the patient and the clinicians involved in her case. The Independent Review is expected to publish its final report during the spring. Health Boards will take appropriate action depending on the report's recommendations.
- Asked by: Neil Findlay, MSP for Lothian, Scottish Labour
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Date lodged: Monday, 06 March 2017
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Current Status:
Answered by Shona Robison on 17 March 2017
To ask the Scottish Government what alternative, non-mesh treatments are available to patients being treated for hernias.
Answer
Non-mesh treatments include both surgical and non-surgical interventions. Surgical interventions include the use of simple suture repairs or the use of host native tissue.
- Asked by: Neil Findlay, MSP for Lothian, Scottish Labour
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Date lodged: Monday, 06 March 2017
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Current Status:
Answered by Shona Robison on 17 March 2017
To ask the Scottish Government whether it is content that all available evidence will be included in the final report published by the Independent Review of Transvaginal Mesh Implants.
Answer
I understand that all relevant evidence available has been considered by the Review. The passage of time between the publication of the Interim Report and the forthcoming Final Report is due to the Review awaiting the publication of several key studies.
- Asked by: Neil Findlay, MSP for Lothian, Scottish Labour
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Date lodged: Monday, 06 March 2017
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Current Status:
Answered by Shona Robison on 17 March 2017
To ask the Scottish Government whether there are any situations in which standard non-mesh procedures cannot be provided by the NHS, and whether it expects the final report of the Independent review of Transvaginal Mesh Implants to identify and describe these situations.
Answer
I refer the member to the answer to question S5W-07740 on 17 March 2017. All answers to written Parliamentary Questions are available on the Parliament's website, the search facility for which can be found at http://www.parliament.scot/parliamentarybusiness/28877.aspx
- Asked by: Neil Findlay, MSP for Lothian, Scottish Labour
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Date lodged: Monday, 06 March 2017
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Current Status:
Answered by Shona Robison on 17 March 2017
To ask the Scottish Government whether informed consent is always required from patients being treated for hernias with medical mesh devices.
Answer
Informed consent and shared decision making are expected prior to any procedure being carried out. The Chief Medical Officer goes into this in more detail in her Realistic Medicine report.
http://www.gov.scot/Resource/0051/00514513.pdf.