Dr Julian Lewis: To ask the Secretary of State for Health and Social Care, what recent assessment his Department has made of the efficacy of current techniques for the removal of failed vaginal mesh implants; what support the Government is providing to research on how to remove that mesh (a) more completely and (b) less traumatically than at present; and whether that research includes any technique for dissolving mesh prior to removal. [13837]
[Due for Answer on 15 June. Answered on 18 June.]
HOLDING ANSWER: The Department of Health and Social Care has indicated that it will not be possible to answer this question within the usual time period. An answer is being prepared and will be provided as soon as it is available.
ANSWER
The Minister of State for Mental Health, Suicide Prevention and Patient Safety (Nadine Dorries): There is very little published evidence linked to the efficacy on the removal of failed vaginal mesh implants. In order to effectively monitor outcomes of the procedures carried out, the specialist mesh services will be required to record data on a central patient–identifiable database, subject to patient consent.
NHS England has published a service specification to support the delivery of specialised services for women with complication of mesh, which sets out the standards for these services. The specification requires that all mesh services are to meet annually in a clinical summit to present data and discuss surgical and non-surgical outcomes. NHS England and NHS Improvement’s Pelvic Floor Health Programme is to establish a research and education group to promote pelvic floor health research and education. This will include mesh complications and removal.