Summary

  • The Finance and Constitution Committee take evidence on the EU Withdrawal Act from Brexit Secretary Mike Russell

  • Environment, climate change, land reform and rural economy ministers face portfolio questions

  • The Scottish government delivers a statement on transvaginal mesh, following calls for an inquiry after the death of a woman was linked to controversial mesh implants

  • MSPs debate the suicide prevention action plan

  • Scottish Green co-convener leads a debate on social enterprise and child poverty

  1. Background: Target to cut Scottish suicide rate by 20% by 2022published at 14:55 British Summer Time 12 September 2018

    Media caption,

    Science and stigma: the parents who lost sons to suicide

    The Scottish government has set a target of reducing the country's suicide rate by 20% by 2022.

    Mental Health Minister Clare Haughey announced the target alongside a new suicide prevention action plan.

    Suicide prevention charity Samaritans had claimed the Scottish government was not taking the issue seriously enough.

    Ms Haughey insisted Scotland has "made real progress in reducing deaths by suicide", but said there was "far more to do" to tackle the issue.

    The government is setting up a national suicide prevention leadership group, headed by former Police Scotland deputy chief Rose Fitzpatrick, to be backed by a £3m innovation fund.

    If you are feeling emotionally distressed and would like details of organisations which offer advice and support, go online to bbc.co.uk/actionlineor you can call for free, at any time to hear recorded information 0800 066 066.

  2. Personal experiences shaped prevention plan says ministerpublished at 14:52 British Summer Time 12 September 2018

    Mental Health Minister Clare Haughey
    Image caption,

    Mental Health Minister Clare Haughey

    Mental Health Minister Clare Haughey welcomes the fact that her first debate in her new post is on suicide prevention, highlighting how suicide has touched her own life.

    She says it is important to highlight that suicide is not acceptable or inevitable in Scotland.

    The 20% fall in the suicide rate is welcome and the minister praises all those who fed into this.

    Ms Haughey explains the suicide plan sets out a cross-government approach to prevent death by suicide and has been developed in partnership with stakeholders, partners and those effected by suicide.

    The views expressed and experiences shared played a hugely important part in shaping the action plan.

  3. Postpublished at 14:49 British Summer Time 12 September 2018

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  4. Suicide Prevention Action Plan: Every Life Matters - Scottish government debatepublished at 14:48 British Summer Time 12 September 2018

    Suicide Prevention PlanImage source, Scottish government
    Image caption,

    Suicide Prevention Plan: Every Life Matters

    Mental Health Minister Clare Haughey will now lead a debate on the recently published Suicide Prevention Action Plan: Every Life Matters, external.

  5. Postpublished at 14:48 British Summer Time 12 September 2018

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  6. Background: How did we get here?published at 14:48 British Summer Time 12 September 2018

    Patient representatives Olive McIlroy and Elaine Holmes resigned from the review groupImage source, bbc
    Image caption,

    Patient representatives Olive McIlroy and Elaine Holmes resigned from the review group

    Concerns were first brought to the attention of the Holyrood's petitions committee in 2014 by campaigners who complained that complications were frequently under-reported by doctors.

    The Scottish government urged all health boards to stop using the procedure until more evidence was gatheredand set up an independent review to look into safety concerns.

    But the guidance was widely ignored, withBBC Scotland revealing in December 2016 that hundreds of operations had been carried out since the "suspension".

    The final draft of the safety review, published in March 2017, was itself mired in controversy.

    Campaigners, including Elaine Holmes and Olive McIlroy - who lodged the original petition with the parliament on behalf of the Scottish Mesh Survivors campaign - branded it a "whitewash".

    Read more here.

  7. Former health secretary seeks assurance procedures will be haltedpublished at 14:48 British Summer Time 12 September 2018

    SNP MSP Alex Neil
    Image caption,

    SNP MSP Alex Neil

    SNP MSP Alex Neil seeks assurances that the enforcement action announced today will definitely see a halt to procedures, unlike the suspension he announced as health secretary four years ago.

    He also urges health ministers across the UK to get together to deal with the MHRA which is "totally unfit for purpose".

    Ms Freeman responds that she is satisfied that the halt will be adhered to though she will continue to consider if more can be done.

    She also says that other UK health ministers have been invited to discuss these matters with her and she would be happy to include MHRA in these discussions.

  8. Background: What are mesh implants?published at 14:47 British Summer Time 12 September 2018

    • Over the past 20 years, more than 100,000 women across the UK have had transvaginal mesh implants, which are used to treat pelvic organ prolapse (POP) and stress urinary incontinence (SUI), often after childbirth.
    • The mesh, usually made from synthetic polypropylene, is intended to repair damaged or weakened tissue.
    • While the vast majority of women suffer no side-effects, others have reported chronic and debilitating pain, with some being left unable to walk.
  9. Lib Dem MSP asks about surgery to remove meshpublished at 14:47 British Summer Time 12 September 2018

    Lib Dem MSP Alex Cole-Hamilton
    Image caption,

    Lib Dem MSP Alex Cole-Hamilton

    Lib Dem MSP Alex Cole-Hamilton welcomes to announcement.

    He seeks further information on the review of hernia mesh and wonders about surgery to remove mesh implants where appropriate.

    Ms Freeman says today's announced does not apply to the use of mesh for other conditions as there is not enough evidence to suggest this would be appropriate.

    However she adds that this will be kept under review.

    On mesh removal, the health secretary is unable to answer at present but she agrees to get back to him in person.

  10. Background: Mesh implants - timelinepublished at 14:46 British Summer Time 12 September 2018

    The mesh is made of polypropolene, a type of plasticImage source, bbc
    Image caption,

    The mesh is made of polypropolene, a type of plastic

  11. Green MSP asks if women opting for mesh will be informed of this statementpublished at 14:44 British Summer Time 12 September 2018

    Green MSP Alison JohnstoneImage source, bbc
    Image caption,

    Green MSP Alison Johnstone

    Green MSP Alison Johnstone also welcomes the announcement but says the halt is overdue.

    Ms Johnstone asks whether a woman who chooses to go ahead with a mesh implant will be told about today's statement and get a chance to meet with those affected by the procedure.

    The minister says again the halt will only be lifted when we have absolute confidence that the high vigilance protocol have been carried out.

  12. Postpublished at 14:44 British Summer Time 12 September 2018

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  13. Minister denies previous mesh statements were misleadingpublished at 14:42 British Summer Time 12 September 2018

    Ms Freeman says her position is to consider a range of evidence which comes from more than one source, and adds that for some women this procedure was the only way to help.

    She does not agree that previous statements were misleading and she adds that what has been announced today takes Scotland ahead of the rest of the UK.

    The review of the review is independent and she tells the chamber she does not know when it will be published.

    I am not closing the door to any further issues which arise Ms Freeman says, but today we can say we have heard what the women has said and we have put in place steps to ensure women are given all possible information.

  14. 2014 evidence 'stark and more than enough' to ban mesh insists Labour MSPpublished at 14:40 British Summer Time 12 September 2018

    Labour MSP Neil Findlay
    Image caption,

    Labour MSP Neil Findlay

    Labour MSP Neil Findlay warmly welcomes today's decision to halt the use of mesh in Scotland.

    He highlights the Scottish Mesh Survivors group has been calling for this for six years, adding that if the Scottish government has listened then it would have saved many women from misery.

    Mr Findlay says the MHRA is not fit for purpose.

    However, he argues previous claims that the Scottish government was restricted in what it could do was "bogus" given the measures put in place today.

    The independent review into mesh was a whitewash, he insists, and he asks when the review of the review will be complete.

    Mr Findlay states the evidence available in 2014 was "stark and more than enough" to take the action announced today.

  15. Medical director accountable officer to ensure high vigilance protocol happenspublished at 14:38 British Summer Time 12 September 2018

    Ms FreemanImage source, bbc

    Ms Freeman replies this is an issue that deserves mature reflection and consideration and she welcomes Mr Carlaw's committment to do just that.

    The health secretary explains the new protocol is designed to put in place further steps that restrict the use of mesh in these cases.

    She points out women will be fully informed of the all the consequences of all the options and says the medical director will be the accountable officer for ensuring that every step in the high vigilance protocol has been taken.

    The health secretary explains there must always be fully informed consent.

    She reiterates the chief medical officer has told health boards to halt the use of mesh in the two procedures she has outlined.

  16. What enforcement will there be to ensure the new protocol is rigourously applied?published at 14:34 British Summer Time 12 September 2018

    Tory MSP Jackson Carlaw welcomes this "decisive step" and says he hopes Elaine Holmes and Olive Mcllroy and all the women affected can "at least give one unqualified cheer for the progress that it represents."

    He pays tribute to "the women who died Eileen Baxter and Michelle McDougall, one directly, one indirectly, of this process."

    The Tory MSP says there is still an opportunity for the government and parliament to apologise to the women affected by the "whole mesh scandal".

    He says he will lobby the UK government on this issue and says the NHRA is "hopelessly ineffective" in dealing with mesh implants.

    Tory MSP Jackson CarlawImage source, bbc
    Image caption,

    Tory MSP Jackson Carlaw

    He asks what enforcement can be there to ensure the new protocol is rigourously applied.

    "Finally cabinet secretary can I say well done".

  17. High vigilance, restricted use protocol in placepublished at 14:31 British Summer Time 12 September 2018

    Operations will be allowed to go ahead provided it is a woman's express wish, with clear informed consent demonstrated, Ms Freeman states.

    The purpose of the high vigilance, restricted use protocol is to ensure the procedure is not used unless there is absolutely no alternative and the patient is informed, she says.

    The health secretary asserts medical directors are responsible for signing off the use of mesh and no mesh can be procured by a surgeon unless under exception circumstances.

    Health board directors will be responsible to ensuring the high vigilance process is used in each individual woman's case, she adds.

    Ms Freeman tells the chamber that the chief medical officer has announced a prospective audit into all procedures, which will run until such a time where a UK-wide registry is developed.

    NICE guidance is expected to put out a consultation on mesh on October/November, she says.

  18. Background: Inquiry call after mesh implant 'linked to woman's death'published at 14:26 British Summer Time 12 September 2018

    Eileen BaxterImage source, Baxter family

    The Scottish government has been urged to launch an inquiry after the death of a woman was linked to controversial mesh implants.

    Eileen Baxter, 75, from Loanhead, died in hospital in Edinburgh last month.

    Labour MSP Neil Findlay said that he believed it was the first time mesh had been specifically cited as an underlying cause of death in Scotland.

    Nicola Sturgeon said the government would consider a review if it received information about Mrs Baxter's case.

    The use of mesh implants in NHS Scotland was suspended four years ago in all but exceptional circumstances.

    Read more.

  19. Health boards told to halt mesh use in pelvic organ prolapse and stress urinary incontinencepublished at 14:23 British Summer Time 12 September 2018

    Ms FreemanImage source, bbc
    Image caption,

    Ms Freeman

    Ms Freeman explains the chief medical officer has continued to keep this under review and is listening to the women who have been affected of this.

    The health secretary says: "I have today asked the chief medical officer to instruct health boards to immediately halt the use of transvaginal mesh altogether in cases of both pelvic organ prolapse and stress urinary incontinence, pending the implementation of a new restricted use protocol, that will ensure procedures are only carried out only in the most exceptional circumstances."

    She goes on to say the halt in use will not effect other uses of mesh, but they will be continually reviewed.

  20. Postpublished at 14:19 British Summer Time 12 September 2018

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