Chamber
Meeting of the Parliament 14 June 2012
14 Jun 2012 · S4 · Meeting of the Parliament
Item of business
PIP Silicone Breast Implants
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 sure that, for those who are affected, it is a very serious matter indeed; they are going through a time of great anxiety.
Although we can be somewhat relieved that no link has been established between the implants and an increased risk of cancer, it is a cause for concern that PIP implants appear to be more prone to rupturing and can be toxic. As my colleague Fiona McLeod pointed out, the rupture rates are estimated to be between 1 per cent and 5 per cent, but the women concerned do not know whether they will fall into that category.
It is welcome news that the NHS and the Cabinet Secretary for Health, Wellbeing and Cities Strategy have reassured the people of Scotland that there is only one known case of PIP implants being used by the NHS. However, I am a little puzzled by that. Does that mean that single purchases of implants are made, or does the patient bring the implants with them? Perhaps the minister could enlighten us.
The NHS is to be commended for offering to remove PIP implants from anyone who has been affected following either NHS or private surgery. We can only hope that the private clinics will choose to offer the same treatment. I echo the call from the Scottish Government and from various members during this morning’s debate that private practices provide the care that their patients expect, and offer surgery to rectify the problem.
Like Margaret Burgess, I agree that we should look again at resurrecting the register of implants. Clinics and hospitals must know the source of their implants and there must be batch numbers, so we should be able to do that. Some women might not even know whether they have PIP implants, and although NHS and private clinics are making efforts to contact those who do, the advice for anyone who is still concerned is to contact their GP or clinic in the first instance.
Reassuringly, it appears that the rigorous MHRA processes were not at fault. The manufacturers fraudulently, and with callous disregard for their customers, altered the make-up of their products. I reiterate my hope that the continuing UK-wide inquiries into the issue will provide both answers and peace of mind for those who have been affected.
It should be borne in mind, however, that no breast implant surgery or cosmetic procedure is entirely without risk. I know that there are often good medical reasons for having breast implants, but I am not alone in being concerned by the ever-increasing numbers of women who feel that they have to put their bodies through this ordeal for cosmetic reasons. The PIP case highlights the real dangers that are involved in cosmetic surgery. The unrealistic image of women that pervades much of our society, most worryingly among our young people, continues to drive women to measures such as cosmetic surgery at great expense and danger to themselves, all in the name of someone else’s idea of beauty.
Carol Craig of the Centre for Confidence and Well-Being is extremely concerned about the amount of money that is spent—by people who can ill afford it—on such treatments. The health impact of the practices is well documented and it is becoming increasingly apparent that the situation threatens to undermine the equality and emancipation of women in our society. We can all agree that the manufacturers and practitioners in question have a duty of care to their customers, but we should not forget the duty of care that we all owe each other in society, and to ourselves as women.
Although we can be somewhat relieved that no link has been established between the implants and an increased risk of cancer, it is a cause for concern that PIP implants appear to be more prone to rupturing and can be toxic. As my colleague Fiona McLeod pointed out, the rupture rates are estimated to be between 1 per cent and 5 per cent, but the women concerned do not know whether they will fall into that category.
It is welcome news that the NHS and the Cabinet Secretary for Health, Wellbeing and Cities Strategy have reassured the people of Scotland that there is only one known case of PIP implants being used by the NHS. However, I am a little puzzled by that. Does that mean that single purchases of implants are made, or does the patient bring the implants with them? Perhaps the minister could enlighten us.
The NHS is to be commended for offering to remove PIP implants from anyone who has been affected following either NHS or private surgery. We can only hope that the private clinics will choose to offer the same treatment. I echo the call from the Scottish Government and from various members during this morning’s debate that private practices provide the care that their patients expect, and offer surgery to rectify the problem.
Like Margaret Burgess, I agree that we should look again at resurrecting the register of implants. Clinics and hospitals must know the source of their implants and there must be batch numbers, so we should be able to do that. Some women might not even know whether they have PIP implants, and although NHS and private clinics are making efforts to contact those who do, the advice for anyone who is still concerned is to contact their GP or clinic in the first instance.
Reassuringly, it appears that the rigorous MHRA processes were not at fault. The manufacturers fraudulently, and with callous disregard for their customers, altered the make-up of their products. I reiterate my hope that the continuing UK-wide inquiries into the issue will provide both answers and peace of mind for those who have been affected.
It should be borne in mind, however, that no breast implant surgery or cosmetic procedure is entirely without risk. I know that there are often good medical reasons for having breast implants, but I am not alone in being concerned by the ever-increasing numbers of women who feel that they have to put their bodies through this ordeal for cosmetic reasons. The PIP case highlights the real dangers that are involved in cosmetic surgery. The unrealistic image of women that pervades much of our society, most worryingly among our young people, continues to drive women to measures such as cosmetic surgery at great expense and danger to themselves, all in the name of someone else’s idea of beauty.
Carol Craig of the Centre for Confidence and Well-Being is extremely concerned about the amount of money that is spent—by people who can ill afford it—on such treatments. The health impact of the practices is well documented and it is becoming increasingly apparent that the situation threatens to undermine the equality and emancipation of women in our society. We can all agree that the manufacturers and practitioners in question have a duty of care to their customers, but we should not forget the duty of care that we all owe each other in society, and to ourselves as women.
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 ...