- Asked by: Neil Findlay, MSP for Lothian, Scottish Labour
-
Date lodged: Friday, 11 October 2019
-
Current Status:
Answered by Jeane Freeman on 8 November 2019
To ask the Scottish Government, further to the answer to question S5F-03626 by Nicola Sturgeon on 10 October 2019 (Official Report, c.15), what its response is to reports that some mesh patients have been advised, and have had recorded on their notes, that they had a full mesh removal only to find out subsequently that this was not the case, resulting in some having residual and remaining mesh removed and, in light of these reports, what action is being taken to ensure that patients are given accurate information.
Answer
As indicated in response to S5O-03674, it is important that we give further consideration to those reports. This is a serious issue and the proper process requires careful review of selected patient cases. We therefore need to establish which cases require review and, importantly, to identify individuals with the required knowledge, authority, standing and independence to carry that out. Health Board accountable officers discussed the matter at their October meeting. I have asked NHS Greater Glasgow and Clyde to propose a means, scope and timeline for that review to be conducted, with assurance from the Accountable Officers group and the Chief Medical Officer that that is the required level of response to determine the basis of the reports.
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
-
Date lodged: Friday, 11 October 2019
-
Current Status:
Answered by Jeane Freeman on 8 November 2019
To ask the Scottish Government, further to the answer to question S5F-03625 by Nicola Sturgeon on 10 October 2019 (Official Report, c.12), what its position is on holding a full public inquiry into mesh removal practice in Scotland.
Answer
Earlier this year I asked that a short-life working group be set up to examine the present course of care for women who experience mesh complications. The group agreed a remit to consider what additional steps could be taken to offer choice to women who want – and are clinically suitable for – removal of mesh. The group further agreed to review and identify areas of best practice in the United Kingdom and beyond, and if not already available, consider how these can be provided in Scotland. The group's remit is set out in more detail in response to S5W-23623 on 6 June 2019.
Given the action already taken by the Scottish Government, it is not clear what a public inquiry would achieve.
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
-
Date lodged: Friday, 11 October 2019
-
Current Status:
Answered by Jeane Freeman on 8 November 2019
To ask the Scottish Government what information it has regarding the five issues that have attracted the largest amount of legal actions against NHS Scotland since 1999.
Answer
Neither the Scottish Government nor NHS Central Legal Office holds the information sought.
- Asked by: Neil Findlay, MSP for Lothian, Scottish Labour
-
Date lodged: Friday, 11 October 2019
-
Current Status:
Answered by Jeane Freeman on 8 November 2019
To ask the Scottish Government what sanctions are available where clinicians are found to have provided misleading information to patients or have recorded this on patients' notes.
Answer
The General Medical Council (GMC) sets the professional standards to which all UK doctors must work as a condition of continuing registration; recording their work, establishing and maintaining partnerships with patients, and acting with honesty and integrity. Where serious concerns are raised about a doctor’s behaviour or professional performance, the GMC will investigate and take action where necessary. The GMC will normally work with employers (where applicable) in the first instance, to see if there are any wider concerns about a doctor and identify if concerns relate to contractual matters or potentially impaired fitness to practise. Where a doctor’s fitness to practise is found by a panel of the Medical Practitioners’ Tribunal Service (MPTS) to be impaired for any reason, that panel will impose appropriate professional sanctions such as a period of supervised practice or, for the most serious failures, erasure from the medical register and removal of licence to practise.
- Asked by: Neil Findlay, MSP for Lothian, Scottish Labour
-
Date lodged: Friday, 11 October 2019
-
Current Status:
Answered by Jeane Freeman on 8 November 2019
To ask the Scottish Government, further to the answer to question S5F-03625 by Nicola Sturgeon on 10 October 2019 (Official Report, c.12), in light of the First Minister's comment that "clinicians will visit the United States in November...and remain willing to meet [the mesh surgeon] Dr Veronikis, if he agrees to reconsider his position", if this meeting does go ahead and Dr Veronikis agrees to come to Scotland, what the earliest possible date could be for him to start carrying out operations.
Answer
Any visit by Dr Veronikis will take place after discussions with the Chief Medical Officer who, as set out in response to S5W-25664 on 8 November 2019, is visiting him in the US this week. As previously advised in answer to S5O-03531 on 12 September 2019, Dr Veronikis has indicated that he has clinical commitments until at least January 2020.
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
-
Date lodged: Friday, 11 October 2019
-
Current Status:
Answered by Jeane Freeman on 8 November 2019
To ask the Scottish Government, further to the answer to question S5F-03625 by Nicola Sturgeon on 10 October 2019 (Official Report, c.12), whether it will fund mesh removal surgery in the US for women if they do not opt for tissue- and muscle-sparing removal or non-tissue and muscle-cutting removal.
Answer
Health Boards may seek out-of-area treatments for patients where considered necessary and appropriate. However, any such referral is a matter for the patient and the clinicians involved in the case.
As indicated in answer to S5W-23623, answered on 6 June 2019, should a patient make a request of this kind, clinicians will initially have a discussion with that patient and, if agreed, will then refer it to the Health Board for consideration. The Health Board will review the application, in doing so considering whether the treatment requested can reasonably be provided in Scotland, and in due course will inform the clinician and patient whether the request is accepted.
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
-
Date lodged: Friday, 11 October 2019
-
Current Status:
Answered by Jeane Freeman on 8 November 2019
To ask the Scottish Government what the process is for commissioning partners in international mesh expertise, and how it ensures that bias is not an influencing factor.
Answer
The continued sharing of learning and experience is an accepted part of a clinician’s role. UK clinicians will seek to work with other clinicians or academics based on their reputation amongst peers and an assessment of the specific learning or technical practice they can bring.
Should any engagement require a formal contract, Health Boards will undertake due diligence as set out in answer to S5W-25684 on 8 November 2019.
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
-
Date lodged: Friday, 11 October 2019
-
Current Status:
Answered by Jeane Freeman on 8 November 2019
To ask the Scottish Government whether (a) it and (b) NHS Scotland made an attempt to contact the US mesh surgeon, Dr Veronikis, when he was in the UK in September 2019, in light of the reports that he offered a meeting.
Answer
Scottish Government officials informally discussed with Dr Veronikis the possibility of meeting with him during his September visit. However, this was ultimately not considered practical.
- Asked by: Neil Findlay, MSP for Lothian, Scottish Labour
-
Date lodged: Friday, 11 October 2019
-
Current Status:
Answered by Jeane Freeman on 8 November 2019
To ask the Scottish Government what information it has regarding whether Scotland-based surgeons have provided the US mesh surgeon, Dr Veronikis, with portfolios of their mesh removal skills.
Answer
Scottish clinicians were not requested to provide evidence of skills prior to travelling to the US. However, comparison of techniques and review of available objective evidence of both benefit and harm, will form part of the discussions clinicians are undertaking during their visit there.
- Asked by: Neil Findlay, MSP for Lothian, Scottish Labour
-
Date lodged: Friday, 11 October 2019
-
Current Status:
Answered by Jeane Freeman on 8 November 2019
To ask the Scottish Government whether mesh-injured women who settle legal cases out of court are required to sign non-disclosure agreements.
Answer
NHS Central Legal Office is not aware of any of any case where a pursuer has been required to sign a non-disclosure agreement.