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Chamber

Meeting of the Parliament 14 June 2012

14 Jun 2012 · S4 · Meeting of the Parliament
Item of business
PIP Silicone Breast Implants
I can only imagine the stress and anxiety that are felt by women who have PIP breast implants. For some time, they have lived with that worry day and daily. Although the expert advice suggests that there is no evidence to support routine removal of PIP implants, I absolutely understand why some women who have them want them to be removed and replaced. Those women know that they have in their bodies implants that are made of a material that is not approved for medical purposes, and they fear that those implants might rupture at any time. In such circumstances, I would be angry and worried and possibly a bit frightened, so I understand the sentiments of the action group.

I am sure that all members support the on-going criminal investigation in France into Jean-Claude Mas, the former owner of PIP. We must not forget that that fraudulent manufacturer has the ultimate responsibility for the distress that has been caused to so many women throughout the world, including, as I understand it, about 1,300 in Scotland. As stated in Lord Howe’s review, the company covered up its deceit and showed complete disregard for the welfare of its customers, which is absolutely shocking. The people who are responsible must be brought to justice.

I welcome the Scottish Government’s actions in responding quickly and giving a commitment that the NHS will provide help and support—including removal of implants, if that is clinically appropriate—for women whose private surgery provider refuses to do so or has gone out of business. Private providers of the procedure throughout the sector have a duty of care to all their patients. Women should not be charged for replacement and removal of PIP implants. People who are affected by the scandal have enough on their plate without having to worry about how they will get the money to put things right.

I hope that any clinical assessment of whether to remove and replace implants will include an assessment of the mental health impact on the individual if the implants are not replaced. As many members have said, lessons need to be learned in order to prevent such an incident from happening again. I therefore welcome the Scottish Government’s involvement in the existing UK-wide inquiries, which are covering a range of issues, including health issues surrounding the implants; improving adverse incident reporting; better communication methods on issues that cause public concern; regulation of the cosmetic surgery industry; and a register of implants, for which there is a strong case.

There is also a European inquiry that is considering better information sharing between EU countries, increasing the scope for EU countries to work together, increased product traceability, and a European database to bring together information about medical devices, economic operations, market surveillance and clinical investigations. Those inquiries and the recommendations that will flow from them should ensure that a similar situation does not arise again.

I understand the sentiments of those who call for a Scottish public inquiry but, as we have heard, the regulation of medical devices is a reserved matter and the licensing of the products is an EU matter. Therefore, a Scottish public inquiry could not properly investigate all the issues. I have no doubt that the Scottish Government and the Parliament will continue to do all that we can to ensure that people in Scotland who are affected by the scandal get the answers that they deserve.

11:04

In the same item of business

The Deputy Presiding Officer (John Scott) Con
The next item of business is a debate on motion S4M-03294, in the name of Jackie Baillie, on women’s health.10:27
Jackie Baillie (Dumbarton) (Lab) Lab
I welcome the opportunity to debate the PIP breast implant scandal.I welcome some of the women who have been caught up in the scandal, who are here today cam...
The Minister for Public Health (Michael Matheson) SNP
I welcome the opportunity to have the debate. I also welcome those from the Scottish campaign group who have joined us for the debate. They have been at the ...
Dr Richard Simpson (Mid Scotland and Fife) (Lab) Lab
One of our concerns is that the second Bruce Keogh review—not the toxicology review—is on cosmetic procedures only. There are many other procedures, such as ...
Michael Matheson SNP
The review is dealing specifically with the issues that arise from the PIP implant matter, and we should give the review group the opportunity to consider th...
Nanette Milne (North East Scotland) (Con) Con
I thank Jackie Baillie for bringing forward the debate, because although we do not agree with her conclusions on the issue we think that it is important that...
Jackie Baillie Lab
In recognising the scale of the problem, does the member support a public inquiry being held at UK level?
Nanette Milne Con
I will give the member my reasons for not doing so later.We must remember that silicone implants carry an inherent risk to an individual’s health. No such im...
Fiona McLeod (Strathkelvin and Bearsden) (SNP) SNP
We are in a serious and worrying situation, so I am glad that we are having this debate. We should take the opportunity to reassure the many women out there ...
Jackie Baillie Lab
I was quoting the cabinet secretary, who has consistently said that we would perhaps be safer using the upper limit, which is 4,000 women.
Fiona McLeod SNP
Thank you, Ms Baillie. I confess that I was not at the Health and Sport Committee meeting that day—I was in hospital getting my gallbladder removed. However,...
The Deputy Presiding Officer (Elaine Smith) Lab
Come to a conclusion, please.
Fiona McLeod SNP
I contend that the EU and the UK have swung too far towards self-regulation and self-policing. Given that Scotland has no voice in Europe and only a small vo...
Mary Fee (West Scotland) (Lab) Lab
When I first heard about the PIP silicone scandal, I was shocked. I still cannot comprehend the feelings of anguish and worry that must have been—and still a...
Margaret Burgess (Cunninghame South) (SNP) SNP
I can only imagine the stress and anxiety that are felt by women who have PIP breast implants. For some time, they have lived with that worry day and daily. ...
Dennis Robertson (Aberdeenshire West) (SNP) SNP
I, too, welcome members of the campaign to the chamber. However, although I have a great deal of sympathy for their situation, I am not sure that a public in...
Jackie Baillie Lab
I did not invent the 4,000 figure; it actually came from the member’s own Cabinet Secretary for Health, Wellbeing and Cities Strategy. Nevertheless, the poin...
Dennis Robertson SNP
As I said, the 4,000 figure came from the UK Government and relates to the purchase of implants. The cabinet secretary was quite right to highlight the upper...
Malcolm Chisholm (Edinburgh Northern and Leith) (Lab) Lab
I first became very concerned about the issue a few weeks ago when a constituent came to one of my surgeries and showed me photographs of two breast implants...
Maureen Watt (Aberdeen South and North Kincardine) (SNP) SNP
There has been much debate about exactly how many women in Scotland, the UK and across Europe might be affected. Those numbers remain unclear, but we can be ...
The Deputy Presiding Officer Lab
We turn to the closing speeches. I call Nanette Milne. You have up to five minutes.11:17
Nanette Milne Con
This has been a worthwhile, interesting and considered debate with good speeches from members in all parts of the chamber. As I said previously, it is import...
Jackie Baillie Lab
This is not about apportioning blame, but about learning lessons of responsibility for the after-care of the women so that the same mistakes do not happen in...
Nanette Milne Con
I appreciate that, but I still think that the on-going work and its conclusions will satisfy.It is certainly true that we can continue to improve regulation ...
The Deputy Presiding Officer Lab
I call Michael Matheson. I can give you around seven minutes, minister.11:22
Michael Matheson SNP
Thank you, Presiding Officer.It has been a useful debate. I think that, on reflection, most members would recognise that this is an issue that goes beyond pa...
Jackie Baillie Lab
Will the minister take an intervention?
Michael Matheson SNP
I am very short of time and I want to cover as many points as I can.A number of members mentioned the introduction of a register. Some members may be aware t...
Dr Richard Simpson (Mid Scotland and Fife) (Lab) Lab
As all members have acknowledged, this has been a useful debate, but some questions remain unanswered.Why should there be an inquiry? Why should we not just ...