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Chamber

Meeting of the Parliament (Hybrid) 24 November 2021

24 Nov 2021 · S6 · Meeting of the Parliament
Item of business
Transvaginal Mesh Removal (Cost Reimbursement) (Scotland) Bill: Stage 1

I thank my fellow members of the Health, Social Care and Sport Committee, who are all here today, for their work on the bill over recent weeks.

I welcome this opportunity to open the debate for Scottish Labour, as our party has been at the forefront of this issue for years. I afford particular recognition to the efforts of the former Lothian MSP Neil Findlay to get justice for the women who have been affected by mesh. He and members of other parties across the chamber recognised early that they were dealing with an unspeakable injustice, and that we simply could not let it pass.

Before I begin my comments on the bill, I want to share my recognition of the women who have campaigned relentlessly to keep the issue on the agenda in Scotland. Their efforts have increased awareness of this serious problem not only here, but across the UK. Their campaigning has meant that, unlike many other people who never receive the compensation that they deserve, the women are close to justice. It is a brilliant story of courage and tenacity, and one of which Scotland should be proud. However, only by saying that we got it wrong in the first place and by rectifying mistakes can we truly embrace that pride. Certainly, we can do so only after those who are out of pocket have the record set straight.

Every member should take time to recognise the efforts of the women, and to reflect on the steps that have been taken to get us to this point—not least, so that we do not make the same mistakes again. We can never celebrate enough serious democratic engagement by the people who are at the sharp end in our society, so I encourage other groups who feel that they have been treated unjustly to come forward. This is their Parliament and it is our duty to help them.

As others have, I want to thank again the women who forced us to listen to them. I thank them for coming forward, I thank them for making us listen and I thank them for sharing their stories. I know that that must have been difficult.

The Health, Social Care and Sport Committee is recommending that the general principles of the bill be supported; my party shares that recommendation. As a member of the committee, I have been impressed with the detail in, and the care that has been taken over, the bill. We can all agree that the general principles are moral and just.

A quick timeframe for getting the bill over the line is necessary, because the women who have been affected by mesh have suffered more than enough. I will be looking for guarantees on that, as we proceed. It is now our duty to make certain that the bill delivers on its promise of fairness.

Although the financial implications might seem to be relatively small, for those who will be helped the bill is worth an unimaginable amount. It represents recognition of their fight and of the fact that they were right all along.

During committee meetings, I was struck by the lengths to which many women have gone in order to get their mesh removed. We have heard some examples of that. For a good number of women, it involved travelling across the world. The committee heard stories of women travelling across the world who had to live in hotel rooms before their operation and after their surgery because they required to stay for treatment. We can all imagine how much, in those circumstances, we would have wished to be home with our loved ones while we were recovering. People did not commit to such steps lightly; as a result, we cannot approach the issue lightly.

That is not to say that there are not concerns that need to be addressed. There has been some recognition of that, but we need greater clarity and it being made plain who will qualify for mesh removal reimbursement and who will not. Throughout the process, I have been contacted by women who find the proposals either difficult to understand or imprecise. We can make adjustments to ensure that no one misses out. That point has been addressed by the convener and the cabinet secretary. A bit of peace of mind can go a long way, so I am glad that we addressed many such worries during the committee hearings, and that we are doing so again in the debate.

We are considering in the chamber some of the hidden complexities that many people who are observing the debate from afar might not have considered. There is a strong case for individuals who had their original mesh surgery done by NHS Scotland, but who were not ordinary residents in Scotland at the time of their removal surgery, being eligible for reimbursement. I hope that the cabinet secretary will reassure us on that, and that the bill will include such a provision.

The last thing that anyone wants is for us to end up with the women again feeling ignored or short changed by the system. I, and others, made that clear to the cabinet secretary in committee, and I have been assured that that will not be the case. However, the Government can equally be assured that any deviation from those expectations will not be accepted by Scottish Labour or the women involved.

The cabinet secretary has committed, quite rightly, to being flexible in determining what costs will be reimbursed under the terms of the bill, but the committee has argued that much greater detail is required—perhaps to be included at later stages—for cross-party support to be gained. However, we have been reassured by the cabinet secretary’s acceptance of the points that have been made by members, so I trust that that will be realised.

Scottish Labour will support the bill at stage 1. However, if the reasonable expectations of the women are not sufficiently met, we will, before the bill can be passed, lodge amendments to ensure that the principles that have been laid out today are delivered.

Again, I thank everyone who has been involved in the bill for their hard work. I look forward to its next stages and to passing serious and life-changing legislation of which we can all be proud.

15:28  

In the same item of business

The Presiding Officer (Alison Johnstone) NPA
I remind members of the Covid-related measures that are in place. Face coverings should be worn when moving around the chamber and across the Holyrood campus...
The Cabinet Secretary for Health and Social Care (Humza Yousaf) SNP
I am pleased to open the debate on the Transvaginal Mesh Removal (Cost Reimbursement) (Scotland) Bill. I would like first to thank the Health, Sport and So...
The Presiding Officer NPA
I call Gillian Martin to speak on behalf of the Health, Social Care and Sport Committee. 15:06
Gillian Martin (Aberdeenshire East) (SNP) SNP
Over the years, we have all heard countless accounts of the complications of transvaginal mesh surgery and its lifelong effects, even after the mesh has been...
Martin Whitfield (South Scotland) (Lab) Lab
I very much welcome Gillian Martin’s powerful speech in support of the bill. With regard to the end date, did the committee consider whether the date of com...
Gillian Martin SNP
I guess that that is implicit in what I have just said, because there is a gap. The committee has not specified what we think the date should be, but we have...
Sandesh Gulhane (Glasgow) (Con) Con
I point members to my declaration of interests; I am a practising doctor. It is not every day that parties on opposite sides of the chamber see eye to eye, ...
Humza Yousaf SNP
I want to put on the record a clarification. Dr Gulhane referred to an amount of money per surgery. He is right to say that we specify amounts in the financi...
Sandesh Gulhane Con
When the health secretary came to the Health, Social Care and Sport Committee, he made it clear that there will be no cap; I did not intend to imply that the...
Carol Mochan (South Scotland) (Lab) Lab
I thank my fellow members of the Health, Social Care and Sport Committee, who are all here today, for their work on the bill over recent weeks. I welcome th...
Alex Cole-Hamilton (Edinburgh Western) (LD) LD
It gives me great pleasure to speak for the Liberal Democrats in support of the bill’s general principles at stage 1. When it comes to domestic health scanda...
Stuart McMillan (Greenock and Inverclyde) (SNP) SNP
I welcome the bill and pay tribute to everyone who has campaigned on the issue, including, most importantly, the women who have campaigned for justice. I tha...
Craig Hoy (South Scotland) (Con) Con
As a new member, I am pleased to be able to speak in this debate about what is a short but landmark piece of legislation. Although it is a bill that has take...
David Torrance (Kirkcaldy) (SNP) SNP
I was a member of the Public Petitions Committee back in 2014, when the issue of polypropylene mesh medical devices was brought to the committee’s attention ...
Katy Clark (West Scotland) (Lab) Lab
It is a pleasure to speak in the debate and I welcome the bill. I congratulate all those who have campaigned for the legislation over such a long time. I als...
Evelyn Tweed (Stirling) (SNP) SNP
As a member of the Health, Social Care and Sport Committee, I am pleased to take part in this debate, and I welcome the cross-party support for the bill’s ge...
Gillian Mackay (Central Scotland) (Green) Green
As a member of the Health, Social Care and Sport Committee, I am pleased to speak in support of the bill at stage 1. I thank all the women who came to give ...
Kaukab Stewart (Glasgow Kelvin) (SNP) SNP
I thank the cabinet secretary and the members of the Health, Social Care and Sport Committee for their work in introducing the bill. More than anyone, though...
Pam Gosal (West Scotland) (Con) Con
I am honoured to be contributing to the debate. It is important that the women who were forced to seek private arrangements to remove transvaginal mesh are r...
Siobhian Brown (Ayr) (SNP) SNP
I welcome the bill before Parliament today. “I have been attempting to navigate through the absolute nightmare of living with mesh for 12 years.” That is ...
The Deputy Presiding Officer (Liam McArthur) LD
Before calling the final speaker in the open debate, I remind members that anybody who has contributed to the debate needs to be in the chamber for the closi...
Martin Whitfield (South Scotland) (Lab) Lab
I extend my thanks to the committee for its report. I, too, want to put on record my admiration for the women who have fought with dignity and determination ...
The Deputy Presiding Officer LD
We move to the closing speeches. I note that Gillian Mackay is not present in the chamber, and I expect an explanation for that in due course. 16:27
Paul O’Kane (West Scotland) (Lab) Lab
In closing for Scottish Labour, I begin by reflecting the strong consensus that we have heard in the debate. Stage 1 of the bill marks a significant mileston...
The Deputy Presiding Officer LD
Given the time in hand, I invite Jackson Carlaw to wind up for a generous seven minutes. 16:33
Jackson Carlaw (Eastwood) (Con) Con
Thank you, Presiding Officer. I genuinely feel considerable pride in our Parliament this afternoon. In contributing to the debate, I am not without some emo...
Gillian Martin SNP
Does the member think that that points to a wider issue about women not being believed when they come forward with health issues? Does he agree that we shoul...
Jackson Carlaw Con
I absolutely do. In the previous session, I sat in a meeting of the Public Petitions Committee—along with David Torrance, I think—and listened to one special...
Humza Yousaf SNP
I have seen Dr Veronikis’s response. We actually had a helpful response from him recently, so progress is being made. I can give an absolute assurance on two...
Jackson Carlaw Con
I thank the cabinet secretary for that assurance. We must ensure that the delivery of that assurance follows the delivery of the bill. I thank Gillian Marti...