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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 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 heartbreaking testimony of Isobel from Prestwick, one of my constituents. She got in touch when there was nowhere else to turn, after years of suffering due to the mesh implant. She has given me permission to tell her story today.

Twelve years ago, Isobel received the implant in the hope that it would improve her quality of life after the birth of her second child. The mesh, which had been around for a number of years before that, was hailed as a revolutionary treatment for women suffering from stress incontinence or a prolapse, issues that arise from having children. Isobel’s surgery was to correct a prolapsed bladder. Fast forward to now, and Isobel has had to have six surgeries to correct the damage and remove the mesh, and a hysterectomy. However, every day, she continues to live with chronic pain in her legs and buttocks, bladder complications, erosion of tissue and, sadly, the original problem of the bladder prolapse. The pain was so great that she had to call time on her 30-year career in education.

It is not just Isobel—today, we have heard countless stories of women who have severe and constant pain in their abdomen, stomach, bladder or limbs. We have heard stories about women in wheelchairs and, sadly, about deaths.

The women going through that living hell have had to fight every step of the way to get help. Through evidence sessions and inquiries, they shared the most intimate details of their medical history, while still being in pain, and having nowhere to turn.

Only 5cm of mesh was ever removed from Isobel, with the mesh centre in Glasgow discharging her, saying that there was nothing more that it could do.

Earlier this year, women were promised surgery in England and the US to correct the wrongs that were caused by the mesh implants. We must do more, and we must act quicker, because women say that they feel like they have been forgotten about. Sometimes, the wait to see a specialist can be up to two years. Women are suffering day to day, and two years is an eternity. We must be prepared to pay for the damage that has been caused.

Day-to-day living is getting harder for Isobel. She has left no stone unturned in her pursuit of a better quality of life. Finally, Isobel turned to me. It is important that I am the last in the chain. I need to find a solution for her. I am acutely aware that the solution is money.

For some women, the Government’s announcement gave them hope, which is a feeling that they thought that they had given up on a long time ago. However, we need more than hope and promises—we need action.

The bill seeks to reimburse women who have paid for the procedure themselves, including the travel costs, whether that be to Bristol or the US. As has been mentioned, the cost of the procedure can vary between £16,000 and £23,000. Many people like Isobel just do not have the money to pay those costs up front. We must remove all barriers to the surgery that seeks to give back some quality of life.

Isobel told me:

“Because of the ongoing complications and chronic pain ... my youngest daughter has never met the real me.”

She describes that as the worst of all the side effects.

We cannot turn back the clock, but we can correct matters going forward. We need to streamline the pathways that will, ultimately, give Isobel her life back. We need a concrete achievable timeline. Her daughter cannot afford to wait another two years to meet the real Isobel.

I am grateful that the Scottish Government, through the bill, will help the women. However, today, I ask that we go further, and that we make referrals and decisions more quickly, that we put in place contracts for the removal of mesh and we put in place funding across the board, not just for those who can afford to pay for the surgery up front.

I welcome the committee’s recommendation to request further detail from the Government on campaigns to publicise the complex mesh national surgical service, on the training for primary care staff on mesh complications and on the person-centred approaches to supporting individuals through treatment, including pre and post-operative support.

I ask the cabinet secretary to comment on cases such as Isobel’s. If my constituent does not wish to have further surgery in Glasgow and wants to choose her own consultant, such as Dr Veronikis, to carry out the procedure, would the Government consider supporting such women, to bring peace of mind and a conclusion to their ordeal?

It is only fitting that I end with Isobel’s words:

“Many ‘older’ mesh survivors who have been through the system have been discriminated against and ignored. Time is running out.”

I welcome stage 1 of the bill as we move to rectify the situation.

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...