Parliament

Gordon Campbell | Parliament TV | Parliament Today | Video | Questions Of the Day | Search

 

New surgical mesh safeguards put in place

Hon James Shaw

Acting Associate Minister of Health


25 September 2018 MEDIA STATEMENT

The Government has introduced strict new safeguards on the use of surgical mesh that are expected to limit its use in urogynaecological surgery.

“We all expect the health care system to keep us safe, yet too many women have suffered harm from the use of surgical mesh. These new safeguards are to give women greater confidence in our health care system”, said Acting Associate Minister of Health James Shaw.

“District Health Boards are to stop using surgical mesh in urogynaecological surgery unless they can guarantee that credentialing standards and robust informed consent processes are being met.

The Ministry of Health has today written to DHB chief executives, chief medical officers, and the professional colleges advising of new requirements to be in place before any surgical mesh surgeries take place.

These requirements are:

i. Assessing surgeons undertaking urogynaecological surgical mesh work against credentialing guidance developed by the Australian Commission on Safety and Quality in Health Care.

ii. Ensuring rigorous informed consent processes that include understandings of the associated risk.

“Only senior medical practitioners with the appropriate training, qualifications, experience, and fitness to practice will be able to continue using surgical mesh in these surgeries,” said Mr Shaw.

“DHBs have been asked to report back to the Ministry of Health by 8 October on their review of services and whether they will continue to undertake urogynaecological surgeries involving surgical mesh.

“Today’s announcement adds to the actions already taken in New Zealand to ensure the safety of patients and limit the use of mesh. In December, Medsafe removed multiple mesh products from the market.

“We are working closely with a Surgical Mesh Roundtable, which includes key groups such as Mesh Down Under, to progress a full work programme on surgical mesh.

“The use of mesh in urogynaecological surgery has been decreasing in recent years. This announcement today is about further reducing the risk to patients where surgical mesh remains a valid treatment option.

The Government is also investigating the option of a national registry to monitor the use of surgical mesh.

“While this option is being considered, DHBs have been asked to hold and maintain local registers, as a more immediate step, to collect information on surgeries involving surgical mesh. This will support identifying those most at-risk, patient follow up and ensuring robust informed consent processes are being followed.”

“The actions announced today are another important step in this government’s response to surgical mesh and minimising the risks to keep people safe,” said Mr Shaw.

Background

Credentialing is a process for assigning specific clinical responsibilities to health practitioners on the basis of their education and training, qualifications and fitness to practice within a defined context. The prime focus of credentialing is patient safety and it is a cornerstone of clinical governance. (www.health.govt.nz/publication/credentialling-framework-new-zealand-health-professionals).

The Ministry of Health is working with the Surgical Mesh Roundtable to develop guidance for the credentialing of surgical mesh services and surgeons in New Zealand. In the interim, DHBs have been advised to refer to credentialing guidance developed by the Australian Commission on Safety and Quality in Health Care (refer: www.safetyandquality.gov.au/our-work/transvaginal-mesh/resources/).

ends

© Scoop Media

 
 
 
Parliament Headlines | Politics Headlines | Regional Headlines

Gordon Campbell: On Whether Trump Is Likely To Be Impeached

'Tis the season to be jolly, and for wrapping a plea bargain under the Christmas tree for all ye formerly merry, Trump-connected gentlemen.

Reportedly, Michael Cohen, Paul Manafort and Michael Flynn have all been co-operating with the probe led by special counsel Robert Mueller.

Flynn has done 19 interviews so far. So what chance has the Trump presidency got of surviving, all things considered? More>>

 
 

Dealing Crackdown, Addiction Support: Government Action On Synthetics

The NZ Drug Foundation has welcomed the Government’s response to synthetic drug deaths. The response strikes a balance between giving law enforcement the tools they need to target criminal networks and changing drug law to make it easier for people to access help when they need it. More>>

ALSO:

Strategy Committee Unanimous: Wellington To Forge Ahead With Convention Centre

The three-storey Cable Street building, with around 18,000-square metres of floor space, will comfortably be able to host 1500 people for conventions. It includes a 1651sq m exhibition area that will attract international exhibitions too big for nearby Te Papa and provide an always-changing visitor attraction. More>>

ALSO:

Surveying The Surveillance: First IGIS Review Of Warrants Under New Act

The report sets out the Inspector-General’s interpretation of the new warrant provisions under the ISA and her expectations of the GCSB and NZSIS when they prepare warrant applications. More>>

SSC: 2018 Public Service Workforce Data Published

State Services Commissioner Peter Hughes has published the 2018 Our People, Public Service Workforce Data , which shows the Public Service is making significant progress in important areas. More>>

ALSO:

Sinking Cap: Auctions, Permanent Forests, Added To ETS

The move to auctions, signalled in an August consultation paper, will help put a cap on the number of emission units available over time. Annual announcements, looking forward five years, will help provide certainty for scheme participants, she said. More>>

ALSO:

Joint Select Committee Report: Achieving Smokefree 2025

In a historic first for select committees, the Māori Affairs Committee and the Health Committee presented their joint report on achieving the Smokefree 2025 goal to the House on Tuesday, 11 December 2018. More>>

"Shared Interests And Democratic Values": Peters To Visit USA

Deputy Prime Minister and Foreign Affairs Minister Winston Peters will travel to Washington D.C. for talks with US Secretary of State Michael R. Pompeo and other senior members of the US Administration. More>>

 
 
 
 
 

LATEST HEADLINES

  • PARLIAMENT
  • POLITICS
  • REGIONAL
 
 

InfoPages News Channels