NHS Mesh Operations

Part of 3. Topical Questions – in the Senedd at 3:16 pm on 11 July 2018.

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Photo of Vaughan Gething Vaughan Gething Labour 3:16, 11 July 2018

I think it's important to reiterate the recognition of the significant harm that has been caused where mesh procedures have gone wrong. I've met people in that position directly themselves and all of us have been affected by the very real testimony they provided. The situation here in Wales is that we have had a more vigilant approach since the report that was published and the statement that I made in May to this place, and we need to make sure that similar vigilance is continued. It is important—I don't want to get lost in redescribing what's happening in England or trying to say there is more or less vigilance, but I think there is similar vigilance across the nations of the United Kingdom on this issue. If you refer back to what Baroness Cumberlege herself has said, she said,

'At this stage in our review we are not recommending a ban'.

In the response from the Chief Medical Officer for England, in her correspondence to Baroness Cumberlege, she also referred to a conversation with Baroness Cumberlege where she said, 'It would be wrong to impose a blanket ban. I would emphasise we should remain mindful that, for some patients, this can be a last treatment option for a debilitating condition.'

So, that's the challenge. It's not for the politicians to decide, 'Here is a list of operations where you may use mesh and others where you may not'; this is about the advice and the guidance that is being given to medical professionals about the care they have with and for their patients, and for genuinely informed consent about the risks that exist as well. So, this really should be an area where politicians hesitate to say, 'I have decided for you what is appropriate treatment', including if it's a genuinely last-resort treatment, which is the position that we'd already reached in Wales with the expert review that we had.

We will continue to work on a non-partisan basis between the Governments of the United Kingdom, but crucially with the regulator and with NICE, and also with the clinical community and, crucially, with the individual citizens themselves who have either been harmed through mesh use in the past, but equally for those people where this could be a last-resort treatment. That is the point—that it's genuinely a last-resort treatment and there's action we will be taking in Wales about other treatment options, more conservative treatment options, in advance of any potential decision for a surgical procedure to be undertaken. 

So, I hope that gives genuine reassurance to Members, who I know, in different parties, are concerned about this issue. The approach we're taking in Wales is no less vigilant than any of the other United Kingdom countries. It's in all of our interests to see further action taken on improving care in this area, which is why we have an expert group that is due to carry on and take forward this issue, meeting for the first time, as I said in answer to Jack Sargeant, at the start of August.