House of Lords Questions by Lord Phillip Hunt, March 25, 2019
QUESTION ONE Will the Govt expand the scope of the Independent Medicines and Medical Devices Safety Review to include hernia mesh?
ANSWER ONE No, but the Department expects that the conclusions of the Review will contain lessons for organisations across the health system..
QUESTION TWO Will Govt ask NICE to produce guidance on all hernia mesh
ANSWER TWO No
QUESTION THREE What assurances have Govt received that surgeons in England continue to maintain their skills in non-mesh hernia repair treatments.
ANSWER THREE Surgeons follow NICE guidelines (Hang on a minute you just told us there are no plans to draw up a full set of guidelines!)
QUESTION FOUR Will the Govt commission research on the number of patients who have been adversely affected by hernia mesh operations.
ANSWER FOUR No
QUESTION FIVE Do NHS Digital statistics tell us the number of patients adversely affected by hernia mesh operations.?
ANSWER FIVE No
House of Lords February 28, 2019
Safety of Medicines and Medical Devices https://hansard.parliament.uk/Lords/2019-02-28/debates/5C15EA5D-06A3-4F43-90BE-A3FBE6225E54/SafetyOfMedicinesAndMedicalDevices
Research briefings for debate in House of Lords on February 28
Led by Lord O Shaugnessy the debate is to look at steps to improve safety of medicines and medical devices https://researchbriefings.parliament.uk/ResearchBriefing/Summary/LLN-2019-0024
February 15 2019
Politics Home magazine. Owen Smith writes that regulations need toughening up for medical devices
February 12, 2019 Owen Smith leads a debate into toughening up medical device licensing
Toasters and plugs get toucher checks than medical implants. MP Owen Smith calls for National Registries and tougher regulations. Jackie Dyle Price calls on women suffering mesh complications to sue their surgeons for clinical negligence
July 10, 2018 Jackie Doyle Price gives statement on the mesh suspension
Having reviewed Baroness Cumberlege’s recommendation and having considered the NHS’s progress in implementing the relevant NICE guidelines across the system, the Chief Medical Officer and senior clinicians have concluded that we should institute a pause in the use of vaginally inserted mesh to treat prolapse and the use of tape or slings to treat stress urinary incontinence. They have concluded that this should be done through implementation of a high vigilance programme of restricted practice.
June 18, 2018 Patrick O’Grady asks who the Governemnt are taking their mesh advice from
The usual sources of NHS, MHRA, royal colleges and NICEhttps://www.parliament.uk/business/publications/written-questions-answers-statements/written-question/Commons/2018-06-18/154743/
June 18, 2018, Patrick O’Grady asks about ventral mesh rectopexy coding
There will not be a specific hospital code for VMR until 2020. https://www.parliament.uk/business/publications/written-questions-answers-statements/written-question/Commons/2018-06-18/154744/
5 June, 2018 Lord Phillip Hunt asks about the three year time limitations for women with mesh to sue for medical negligence
The Government have no plans to extend this but it can be disapplied in circumstances that the court agrees are just under the 1980 Limitation Act. https://www.theyworkforyou.com/wrans/?id=2018-05-21.HL8072.h&s=mesh+speaker%3A13353#gHL8072.q0
9 May, 2018. Seven questions by Lord Phillip Hunt with written answers from Lord James O’Shaugnessy.
The questions focus on hernia mesh, a pelvic mesh suspension, will regulatory processes be improved, how can the Government assure us patients get full information on risks, what action is being taken to ensure mesh is not offered as the first line of treatment for SUI or prolapse. Also, Lord James O’Shaugnessy replies that translabial scans will not be offered at specialist hospitals to diagnose mesh complications.
To ask Her Majesty’s Government whether they plan to commission new guidelines from NICE in relation to hernia mesh.
In the light of the publication on 17 April of the national audit of patients will the Government suspend the use of pelvic mesh.
In the light of issues experienced by patients with mesh, does the Government plan to improve the regulatory system for medical devices. https://www.parliament.uk/…/writte…/Lords/2018-04-25/HL7280/
Is the Government satisfied that patients are getting full information about the risks of mesh and that the use of terms such as tape, ribbon or sling are not misleading patients in seeking to avoid the term mesh. https://www.parliament.uk/…/writte…/Lords/2018-04-25/HL7281/
To ask Her Majesty’s Government what action they are taking to prevent mesh from being offered routinely to patients as a first intervention.
Will the Government ensure translabial scans are available at every acute hospital where urogynecologists and gynaecologists are seeing women for pain and complications after the implantation of pelvic mesh. https://www.parliament.uk/business/publications/written-questions-answers-statements/written-question/Lords/2018-04-30/HL7404/
Will the Government bring forward the NICE guidelines for mesh in stress-related urinary incontinence from 2019 to 2018.
May 2018 Patrick Grady asks the house questions on Ventral Mesh Rectopexy
19 April, 2018. A three hour debate in the main chamber of the House of Commons led by MP Emma Hardy.
The debate calls for a retrospective audit into surgical mesh for pelvic organ prolapse and stress urinary incontinence; notes that NICE guidance recommends against the use of surgical mesh for pelvic organ prolapse and that no NICE recommendations have been made for stress urinary incontinence; notes that Sheffield University recently announced the development of a new mesh material; and calls on the Government to suspend prolapse and incontinence mesh operations while the audit is being carried out, to bring forward the NICE guidelines for mesh in stress related urinary incontinence from 2019 to 2018, and to commit to a full public inquiry into mesh if the audit suggests that this is the best course of action. https://hansard.parliament.uk/Commons/2018-04-19/debates/C5B94EB2-2398-4F0E-BE9E-D502ACEBFA62/SurgicalMesh
April 19, 2018 Sharon Hodgson says her mum is one of those suffering – yet her mum only realised when she saw Sharon on the Parliamentry TV talking about it.
26 February, 2018. Jeremy Lefroy asks about mesh suspension
Jeremy Lefroy calls for an immediately suspension of the use of medical procedures involving vaginal mesh https://www.theyworkforyou.com/wrans/?id=2018-02-08.127530.h&p=24957
21 February, 2018. Government review into Primodos, Valproate and mesh implants is announced.
Secretary of State for Health Jeremy Hunt said: “To do better in the future, we need to ensure that patient voices are bought to the table as systematically and consistently as other voices in the system.”
Baroness Julia Cumberlege will assess:
ONE: The robustness and speed the of processes followed by the relevant authorities and clinical bodies to ensure that appropriate processes were followed when safety concerns were raised;.
TWO: Whether the regulators and NHS bodies did enough to engage with those affected to ensure their concerns were escalated and acted upon.
THREE: Whether there has been sufficient co-ordination between relevant bodies and the groups raising concerns.
FOUR: Whether an independent system is needed to decide what further action may be required in these cases or in the future.
FIVE: Whether there has been widespread harm requiring a public inquiry.
18 October, 2017 The first Sling The Mesh debate in Westminster Hall, chaired by MP Emma Hardy.
The debate is to ask that this House has considered the risks of surgical mesh implants. Health minister Jackie Doyle Price says guidance shows it is still the best product for treating SUI but advice for prolapse is more mixed.
She says the problem is not the product but with clinical practice.
She continues: “I am horrified to hear ..that many women did not know they were having the device fitted in the first place. That general issue indicates some arrogance of the medical profession towards women. The stories I have heard from colleagues, about how their constituents have been treated by their GPs when they have gone for treatment, are indicative of that. Women tend to suffer in silence. Quite often that means they are not the best at championing themselves. That is clearly unacceptable.”
17 October, 2017 stats query by Lord Porter
Lord Porter of Spalding asks how many women have had surgical mesh implants since the introduction of the operation. https://www.parliament.uk/business/publications/written-questions-answers-statements/written-question/Lords/2017-10-31/HL2734/
10 October, 2017, MHRA query by Paul Masterson
Scottish MP Paul Masterson asks what discussion have taken place with the MHRA in relation to transvaginal mesh products.