Parliament Workbench
Data: Official Report to 12 Nov 2026

Official Report · Committee

Current Petitions

Polypropylene Mesh Medical Devices (PE1517)

Tuesday 27 January 2015 Public Petitions Committee About 11:15 Petitions 16 contributions · 6 speakers

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The record

16 contributions
John Pentland Lab The Convener · Motherwell and Wishaw
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The next petition is PE1517, on polypropylene mesh medical devices. I welcome Neil Findlay and John Scott to the meeting. As members are aware, due to the weather in the New York area, Adam Slater is unable to appear by videoconference today. I know that that will come as a disappointment to the petitioners, who are here today, and to others who have contacted me and are also in the public gallery. We have a note by the clerk and two written submissions.

I suggest that we reschedule the evidence session with Mr Slater. What are members’ views on that?

John Pentland Lab The Convener · Motherwell and Wishaw
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Do you have any comments, Mr Findlay?

Neil Findlay Lab Lothian
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Before I make any comment, I would like to know whether the committee has come to any conclusions about how to proceed with the petition.

Jackson Carlaw Con West Scotland
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I have a point that would lead us to that stage.

The committee was appalled by the evidence that we heard, and we were enormously encouraged by the cabinet secretary’s action in calling for a suspension of the use of such devices. However, it has been disturbing to hear that their use has, nonetheless, proceeded in a number of places.

Underneath it all, I am increasingly concerned by the drift of travel in the various reviews that are taking place, to which we have previously referred—particularly the review that is being conducted by the Medicines and Healthcare products Regulatory Agency. It seems to me that the MHRA is moving towards recommending that the benefits of proceeding with mesh implants outweigh the risks. It states that it has come to that conclusion despite the fact that

“there is some evidence of under-reporting and there are concerns that MHRA is not aware of all women who have experienced problems.”

That seems to be, potentially, quite a dramatic obstacle to the progress that many of us thought was being made. Are we able to invite the MHRA to give evidence to the committee? I think that, when it concludes its review, which I think will happen in March, we ought to seek to take evidence from the MHRA. I am concerned that its report may give force to the direction of travel of Governments—potentially beyond our shores—despite the fact that there is considerable concern on our part that the rather glib assessment that

“the benefits ... outweigh the risks”

seriously fails to represent the concerns that we have heard from those who have given evidence to us. We can see what we thought was tremendous progress going into reverse, and we have a responsibility to take evidence and pursue the issue. Thereafter, we may open up the issue to wider debate in the Parliament when we have an opportunity to do so.

Neil Findlay Lab Lothian
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I thank Mr Carlaw for that.

It is disappointing that Mr Slater cannot give evidence, although that is perfectly understandable, given the weather conditions in the US at the moment.

We know that, since the cabinet secretary announced his alleged suspension of the use of mesh, it is still being fitted inside the bodies of women in Scotland, but that is now called a clinical trial. Since then, we have also witnessed multimillion-pound compensation settlements being paid out to several people, with thousands more sitting in the pipeline. A range of other issues are related to the on-going scandal, on matters such as the ethics of how medical trials work, the involvement of professionals in those trials and the people who sit on the review bodies. There is a tangled web of issues that we have to unravel.

If we are going to get all that out in the open—and out in the open it must come—it is up to the Parliament to do that. Whether that is through a Public Petitions Committee inquiry—I have never sat on the committee, so I do not know whether that is within its remit—by asking the Health and Sport Committee to hold an inquiry or by having a committee debate in the Parliament, something has to happen to allow us to debate all the complex issues that relate to the case.

Mr Slater used a powerful analogy in the Sunday Mail at the weekend. He said:

“Politicians wouldn’t allow a car on the road if one in 10 crashed and injured people.”

For nine out of 10 people driving those cars, the benefit outweighs the risk, but one in 10 could crash the car and end their life or dramatically change it. Are we going to allow that to continue to happen in Scotland, when we know what has happened across the US and the world?

I am happy to come back to the committee and I am keen to hear Mr Slater’s evidence, but my appeal is that the committee makes a decision very soon as to how it wants to proceed and whether to bring the issue to the Parliament or have a more in-depth inquiry. Every day that we delay, the potential is that another woman’s life is ruined.

John Scott Con Ayr
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I identify myself with the foregoing remarks of colleagues. I, too, am disappointed that Mr Slater cannot give evidence, although obviously that is for entirely understandable reasons.

I am concerned about the different approaches that health boards are taking. Given the precedent that is being set in America, I am concerned about the financial liabilities that individual health boards might incur, as compensatory payments might subsequently be required. Ultimately, that will come back on to the Scottish Government.

I am disappointed that the MHRA, apparently almost by its own admission, might not be aware of all the risks or problems. What is the point of such a body if it admits that it is not aware of all the risks? Therefore, it is absolutely right that it should be invited in front of the committee to explain itself. Mr Findlay draws the analogy with one in 10 cars being defective. That would not be an acceptable standard in transport, so I cannot see why it is acceptable in health matters and, in particular, with mesh implants.

Therefore, I support the view that the issue must be investigated much more fully than it appears to have been. If the Parliament is taking the lead in the world on the issue, all power to its elbow.

John Pentland Lab The Convener · Motherwell and Wishaw
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As I said at the outset, we should schedule an evidence-taking session with Mr Slater as soon as possible, and I think that we should also invite the MHRA to give evidence. I have been advised that we cannot compel it to attend, but we will endeavour to do that. On whether we should hold an inquiry into the matter, I do not know how the process would work, but it might be quicker to have a debate on it in the chamber.

The action that the committee can take quickly is to get in touch with Mr Slater and the MHRA. That will be the end of our evidence taking, and we will then be able to compile our report and send it to the relevant parties. Thereafter, a quicker way forward might be to have a chamber debate rather than an inquiry.

Jackson Carlaw Con West Scotland
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I remind colleagues that the Scottish Government has an independent review under the chairmanship of Dr Lesley Wilkie, which will make its own recommendations based on the MHRA review. As well as the MHRA, we might want to invite the chair of that independent review group to give evidence so that we can understand its thinking, based on what it has heard.

John Wilson Ind Central Scotland
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I support Jackson Carlaw’s point. As well as evidence from Mr Slater, the MHRA and the chair of the independent review body, it might be useful to take evidence from the Cabinet Secretary for Health, Wellbeing and Sport. From the initial discussion that we had with the previous cabinet secretary, the committee was under the impression that all mesh implant operations had been suspended pending the inquiry. It is clear that that did not happen and that some health boards are using the issue of clinical trials as a way round the suspension.

It would be useful to hear evidence from the cabinet secretary and her Scottish Government officials, the MHRA and Mr Slater before we have a chamber debate, as there are still issues that we need to examine. I would not want the committee to ask for a chamber debate without all the facts being before us, including the results of the MHRA’s evidence-seeking inquiry.

Some concerns have been raised about the Department of Health’s response to the committee, because it is clear that it is not doing a full trawl of all those who have had mesh implant operations to find out whether there have been benefits. Mr Findlay mentioned the analogy of one person in 10, but the committee has heard that a number of patients are coming forward only now, because of the campaign and because of the discussions that have taken place in the committee.

It is incumbent on us to ensure that the MHRA is doing as full an inquiry as possible before it presents evidence, and that the independent inquiry that the Scottish Government has set up does likewise. That will ensure that we reflect the true situation out there and not a hypothetical situation, or what is suspected. We know from the evidence that we have received so far that not all medical staff have reported where there have been complications and some patients have not been aware who to report the complications to.

We need to ensure that any inquiry that is carried out is a full inquiry that takes on board the views and experiences of all patients who have undergone these operations.

Neil Findlay Lab Lothian
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I have two points. First, time is of the essence here, because the more we delay, the more potential there is for more people to be, in my view, victims of this growing scandal.

Secondly, I have not spoken to the petitioners today, but I can almost guarantee that, if the committee gets people in to give evidence on the issue, the same number of people will be here in the public gallery each time. They are probably the most determined and diligent campaigners I have come across in a long time.

Given the pain and suffering of many of these people, which is a challenge to their being here, I make an appeal that one session is held and everyone is invited to attend it, rather than the committee holding three or four sessions, in which case people who find it difficult to travel and to walk would have to come here time and again.

David Torrance SNP Kirkcaldy
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The European Commission took evidence at the end of last year and has a report coming out this month. It might be worth while inviting it to give us evidence as well.

John Pentland Lab The Convener · Motherwell and Wishaw
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As there are no further comments, I will sum up. There are five action points. First, we will quickly get in touch with Mr Slater and invite him to give evidence. Secondly, we will invite the chairman and chief executive of the MHRA along. Thirdly, we will write to the new Cabinet Secretary for Health, Wellbeing and Sport and invite her back for an update. Fourthly, we will consider whether to have a single agenda item and to try to accommodate as many witnesses as we can on that day, but we will need to consider the logistics of that. The fifth point is that we will also invite the European Commission to give evidence. Are we agreed?

Members indicated agreement.

Neil Findlay Lab Lothian
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Convener, you said that the committee would invite the cabinet secretary “for an update”. Just so that I am clear, does that mean that the committee will write to the cabinet secretary and she will come here to give an update, rather than doing it through correspondence?

John Pentland Lab The Convener · Motherwell and Wishaw
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Yes. We will invite the cabinet secretary to come back to the committee. Is that agreed?

Members indicated agreement.

John Pentland Lab The Convener · Motherwell and Wishaw
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Thank you, colleagues.

Meeting closed at 11:46.

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