Top Tweets for #immds
https://t.co/E0qbxGmoHS
We are still fighting 6 years later?
šØāThis is not a story of a few
isolated incidentsā
May 1st #MeshAwarenessDay
#IMMDS July 2020
š¶10. We met women whose lives have been turned upside down by #mesh. Many were healthy
and active but they were offered a quick fix for their incontinence or prolapse. An operation
they thought would cure them has ruined their lives. They have lost their independence,
their careers, life partners, sex life, even their ability to go for a walk. Their relentless
physical pain is like razors inside their body. They feel helpless, alone, and ignored. Some
have suicidal thoughts.
š¶11. Among those we met, and many more who contacted us by email and phone we heard
common themes. These themes arose from patientsā experiences and they are in Chapter 2
of our report. I urge you to read them.
š¶12. I and members of the Review team have conducted many reviews and we all agree ā we
have never encountered anything like this,
the intensity of suffering,
the fact that it has lasted for decades. And the sheer scale. This is not a story of a few
isolated incidents. No one knows the exact numbers affected by mesh, Primodos and
sodium valproate but it is in the thousands. Tens of thousands.
š¶13. As if the physical, developmental and emotional harm werenāt enough, these families have
had to fight to be listened to and to be taken seriously

It is now 6 years since The #IanPaterson inquiry, it reflects exactly the same behaviours as observed in the #IMMDS review regarding the #gaslighting the #mesh injured have suffered - and we are still suffering
šØ thr implanting surgeonsā mistakes were covered up either by themselves, having another go at trying to unbotch their botched surgery, or by their colleaguesā protection by not properly reporting identified injuries, making the avoidably harmed patients look as though they were making up their pain ā¦.
šØReforms are still not implemented as a matter of urgency or law
āClinicians and #healthcare managers displayed āa capacity for wilful blindnessā that allowed Ian Paterson to hide in plain sightāthat is the uncomfortable opening statement of the independent inquiry into Paterson's malpractice, published on Feb 4, 2020āā¦ā¦
ā¦ā¦. āThe inquiry makes a range of valuable recommendations that cover regulatory reform, corporate accountability, information for patients, informed consent, complaints, and clinical indemnity. The crucial message is that these reforms must occur across both the NHS and the private sector and must be implemented earnestly and urgently. But many of the issues in the Paterson case cannot be regulated and flow from the murky waters of medical professionalism.
šØ i find this comment the most profound ā¦ā¦. āAt times during the 87 pages of patient testimony, patients suggested in hindsight they could see that other clinicians knew there was a problem with Paterson but did not say anythingā¦..ā
āThe hurt and disappointment that patients felt with the medical profession are chilling.ā
https://t.co/p2qz7rfklL

@DailyMail https://t.co/k4ROScCsKj
And he sat defending the MHRA at the #IMMDS oral testimony regarding pelvic mesh catastrophic harms and sodium valproate
šØāThose effects went unreported and were misdiagnose for a great length of timeā Anthony Mangnall MP/Hansard ā¦..
In 2020 my nurse colleague #whistleblower ( RGN, BA Dip, BSc Hons) and I wrote a document to Baroness Cumberlege #IMMDS which was officially registered
[FINAL RECOMMENDATIONS FOR IMMDS - Ref Number: A15105]
ā3) The Limitation Act 1980 section 33 allows the claimant to dis-apply the limitation
period, however this section is rarely used by the legal team, therefore another clause
must be inserted to allow Mesh injured patients to proceed irrespective of limitations.
Every law firm in the UK demand evidence and contemporaneous medical records
within 2 years of dates of knowledge or immediately after post-operative surgery.
This is due to the 3 year ruling as they need 1 year to prepare.
This is not only ludicrous but unachievableā
šØThe direct impact of the āeffectsā of mesh harm that went āunreportedā and āmisdiagnosedā āfor a great length of timeā meant that many women were left out of time to make a claim -
šØimo this was deliberately done to stop claims and further, imo, the Limitation Act should be disapplied as new evidence of long term harm has recently been identified @APPGFDNH @PSCommissioner @wesstreeting @StuartAndrew @DHSCgovuk #mesh #publicinquiry
![SusanMorgan19's tweet photo. šØāThose effects went unreported and were misdiagnose for a great length of timeā Anthony Mangnall MP/Hansard ā¦..
In 2020 my nurse colleague #whistleblower ( RGN, BA Dip, BSc Hons) and I wrote a document to Baroness Cumberlege #IMMDS which was officially registered
[FINAL RECOMMENDATIONS FOR IMMDS - Ref Number: A15105]
ā3) The Limitation Act 1980 section 33 allows the claimant to dis-apply the limitation
period, however this section is rarely used by the legal team, therefore another clause
must be inserted to allow Mesh injured patients to proceed irrespective of limitations.
Every law firm in the UK demand evidence and contemporaneous medical records
within 2 years of dates of knowledge or immediately after post-operative surgery.
This is due to the 3 year ruling as they need 1 year to prepare.
This is not only ludicrous but unachievableā
šØThe direct impact of the āeffectsā of mesh harm that went āunreportedā and āmisdiagnosedā āfor a great length of timeā meant that many women were left out of time to make a claim -
šØimo this was deliberately done to stop claims and further, imo, the Limitation Act should be disapplied as new evidence of long term harm has recently been identified @APPGFDNH @PSCommissioner @wesstreeting @StuartAndrew @DHSCgovuk #mesh #publicinquiry](https://pbs.twimg.com/media/G-8MbJ8WUAAbOPa.jpg)
šØwouldnāt it be cheaper to act on the #IMMDS recommendations and create a safer environment for #patientsafety & #transparency #DutyofCandour, instead of paying out Ā£billions in #compensation- it just makes no sense to me
š©Since the Cumberlege Report was published, First Do No Harm, 2020, the number of clinical negligence claims received by the #NHS has generally increased,
šØwouldnāt it be cheaper to act on the #IMMDS recommendations and create a safer environment for #patientsafety & #transparency #DutyofCandour āļø
š„the total paid out for #NHS clinical negligence claims from 2019/20 to 2023/24 is:
£13,779,893,344 = £13.7 BILLION
peaking in 2021/22. In 2023/24, the NHS received 13,784 new clinical negligence claims.
Here's a breakdown of the claims received each year since 2020:Ā
ā¢2019/20: 11,667
ā¢2020/21: 13,351
ā¢2021/22: 15,078 (the highest so far)
ā¢2022/23: 13,551
ā¢2023/24: 13,784
š„The average total cost of #NHS #clinicalnegligence claims per year since 2020 is approximately Ā£2.76 billion.
In the period of 2023/24, the NHS paid out a total of £2.8 billion in clinical negligence compensation claims.
ā¢Total Payout: Ā£2.8 billion.
ā¢Claims Resolved: 13,382.
ā¢Average Payout: Ā£204,672 per claim.
ā¢Claims Settled Without Court Proceedings: 81%.

š©Since the Cumberlege Report was published, First Do No Harm, 2020, the number of clinical negligence claims received by the #NHS has generally increased,
šØwouldnāt it be cheaper to act on the #IMMDS recommendations and create a safer environment for #patientsafety & #transparency #DutyofCandour āļø
š„the total paid out for #NHS clinical negligence claims from 2019/20 to 2023/24 is:
£13,779,893,344 = £13.7 BILLION
peaking in 2021/22. In 2023/24, the NHS received 13,784 new clinical negligence claims.
Here's a breakdown of the claims received each year since 2020:Ā
ā¢2019/20: 11,667
ā¢2020/21: 13,351
ā¢2021/22: 15,078 (the highest so far)
ā¢2022/23: 13,551
ā¢2023/24: 13,784
š„The average total cost of #NHS #clinicalnegligence claims per year since 2020 is approximately Ā£2.76 billion.
In the period of 2023/24, the NHS paid out a total of £2.8 billion in clinical negligence compensation claims.
ā¢Total Payout: Ā£2.8 billion.
ā¢Claims Resolved: 13,382.
ā¢Average Payout: Ā£204,672 per claim.
ā¢Claims Settled Without Court Proceedings: 81%.

These following points collectively underline the regulatory failures and the need for systemic changes within the MHRA to better protect patient safety and ensure more effective regulatory practices.
The report's findings have sparked debates and calls for action to reform how regulatory bodies, especially the MHRA, handle patient safety and product oversight in the UK
š·Lack of Coordination and Accountability: The report criticized the healthcare system, including the MHRA, for being disjointed, siloed, unresponsive, and defensive. There was noted to be a lack of effective linkage between various regulatory bodies, leading to a fragmented approach to patient safety and regulatory oversight.
š·Adverse Event Reporting: The MHRA's system for adverse event reporting, known as the Yellow Card scheme, was highlighted as š¹needing substantial revisionš¹.
There was a noted lack of awareness among both the public and healthcare professionals, which hampers the ability to detect significant adverse outcomes promptly.
š·Regulation of Medical Devices: The report pointed out that the MHRA did not engage in the pre-market phase of medical device development, suggesting a need for a more proactive regulatory role, particularly in relation to adverse event reporting and medical device regulation. It was suggested that the regulatory framework for medical devices should be at least as stringent as the EU Medical Devices Regulations.
š·Patient Engagement: There was a call for improved engagement with patients by the MHRA to ensure that patients have an integral role in regulatory processes, including safety assessments and decision-making.
š·Transparency and Learning from Mistakes: The report emphasized the need for greater transparency in adverse event reporting and a cultural shift from denial to learning from mistakes to enhance patient safety.
š·Post-Marketing Surveillance: The review highlighted the necessity for more robust post-marketing surveillance of both medicines and medical devices to monitor long-term safety and efficacy, which was seen as lacking under the current MHRA practices.
#MHRA #regulatoryreform #medicines #medicaldevices #healthcare #yellowcard #Reform #patientsafety

#IMMDS Review timeline ā±ļø
š©20th January 2020 - ādefendents deceptively marketed their #pelvicmesh products
what chance did the patients have
#redress
#mesh #medicaldevice was promoted via ādeceptive marketingā
https://t.co/EICR3eXCWl
#redress for #mesh injured as no #consent exists via deceptive promotions
@wesstreeting @SharonHodgsonMP @lregan7 @PSCommissioner @CarolineVoaden @IMMDSReview @JuliaCumberlege @jamesosh @AlecShelbrooke

#IMMDS Review #mesh timeline ā±ļø
š©2018 the #BMJ report on #corporate #funding which left patients vulnerable to #harm
#conflictofinterest
https://t.co/b5TVWuROfd
#IMMDS timeline #MESH @bmj_latest
#corporate funding left #patients vulnerable to #harm by #experiment & #greed
There no #consent

On page 166 of the "First Do No Harm" #IMMDS Report, Susan Morgan and Vasanta Suddock RGN discussed the existence of a skills gap related to the use of #vaginal #mesh implants. Here's what they contributed:
š¹Susan Morgan: As an advocate for mesh-injured patients, highlighted the lack of specialised training among healthcare providers in performing mesh surgeries, understanding the potential complications, and managing those complications post-surgery.
š¹ She would have been drawing from her own experiences and those of the women she supports through AMIP, emphasising how inadequate skills contributed to the harm caused by mesh implants.
š¹Vasanta Suddock RGN: Susanās colleague and co-writer was a Registered General Nurse (RGN) & having experience in healthcare, Vasanta Suddock brought an insider's perspective on the healthcare system's shortcomings & pointed out:
š“Training Deficiencies: There was perhaps a lack of ongoing education or training for nurses and doctors specifically related to the latest research, techniques, or safety protocols concerning mesh implants.
š“Patient Care: The importance of proper patient education and informed consent was not given due diligence, which is crucial for procedures like mesh implantation that carry significant risks.
š“Complication Management: The skills gap might also extend to the management of complications post-procedure, where many healthcare providers were not adequately equipped to handle or even recognise issues like mesh erosion or infection
#SusanMorgan #VasantaSuddock #mesh #skillsgap #patientcare #HealthcareReform
@wesstreeting @DHSCgovuk @NHSEngland @PSCommissioner @lregan7 @AlecShelbrooke @SharonHodgsonMP @jamesosh @RupertLowe10 @CarolineVoaden

https://t.co/qnGTXw2IXb
āon the 8th July 2020, the Independent Medicines and Medical Devices Safety Review #IMMDS published the First Do No Harm reportā
āOn the same day as the publication of the report, Matt Hancock, the then, Secretary of State for Health and Social Care, immediately responded with a public apology. He apologised on behalf of the #NHS and the #healthcare system to those who have suffered avoidable harm. The patient-led campaign groups welcomed this apology, in part because the immediate issuing of a fulsome apology fulfilled recommendation 1 of the First Do No Harm report. However, it soon became clear that the implementation of the remaining eight recommendations set out in the report would be fraught with resistance.ā By @shartles1
Has the #Redress Agency recommendation been fulfilled @wesstreeting @SharonHodgsonMP @PSCommissioner @lregan7 @IMMDSReview @JuliaCumberlege @CarolineVoaden

https://t.co/EICR3eX56N
#IMMDS timeline November 2019
āWith regard to #SUI devices,Judge Katzmann concluded:
āHaving regard to the nature and extent of the #risks associated with all the (#medical) devices, the deficiencies of the respondents warnings and the other information they provided the repeated failure to comply with the requirements for #CE marking and the way in which the devices were marketed, at no relevant time was the #safety of any of the #SUI devices such as #persons generally were entitled to expect. Accordingly each SUI device had a ādefectā or āa safety defectā
#REDRESS reasonably expected due to known lack of safety and known defects in the #mesh devices
@wesstreeting @PSCommissioner

https://t.co/9mVNAmWtwX
#IMMDS #MESH #TIMELINE
I have isolated the year 2003, the #MHRA was formed in April of this year and Cody et al aimed to evaluate the effectiveness of #TVT (#mesh)ā¦.it warned that there was very little information available on the long term effectiveness of #TVT
This seems to strongly infer that any TVT #meshes inserted into patients thereafter were #experimental & this was without our knowledge or consent - many thousands were harmed as this treatment continued until Baroness Cumberlege halted this dreadful procedure
#publicinquiry
@wesstreeting @SharonHodgsonMP @AlecShelbrooke @APPGFDNH @JuliaCumberlege @carolinevoaden @lregan7 @jamesosh

āThe #IMMDS Review concluded that the UK #government had a āstrong ethical responsibility to provide #redressā and that a specific redress scheme should be set up for women who had suffered #injury due to #mesh, described as ā#avoidable #harmā, as part of a wide-ranging ā#RedressAgencyā.Ā https://t.co/OwXRM3kNXa
Is the Redress Agency being set up?
@PSCommissioner @wesstreeting @SharonHodgsonMP @APPGFDNH @AlecShelbrooke @JuliaCumberlege @CarolineVoaden @hmtreasury @AvMAuk @bmj_latest
The Hughes Report
The Independent Medicines and Medical Devices Safety Review, (#IMMDS) published in July 2020, highlighted the scale of #avoidableharm related to three medical interventions: hormone pregnancy tests, (#primodos) #sodiumvalproate and #pelvicmesh implants.
One of the Reviewās key recommendations was that separate #redress schemes should be established for patients adversely affected by these interventions
@wesstreeting @SharonHodgsonMP @AlecShelbrooke @APPGFDNH @JuliaCumberlege @MoJGovUK @CarolineVoaden @Nigel_Farage @jamesosh @DHSCgovuk @PSCommissioner
https://t.co/6AzGrJD5B4

#Surgical #skills gap
My colleague & I pointed this out to @JuliaCumberlege & the #IMMDS
there is no #patientsafety with a lack of skills & no amount of discussion changes this - only reinstating skills will prevent #patient #harm
@we@wesstreetingstreeting @PSCommissioner @APPGFDNH @JuliaCumberlege @WomensHealthMag @HSJptsafety @PHSOmbudsman @UKHSA

If you @RCObsGyn donāt have the surgical skills as commented by Ms Elneil at the #IMMDS oral hearings ā¦..,HOW can you now use #mesh as a last resort???
imo you canāt ā¦.AND you wonāt
@PSCommissioner @HSJptsafety @JuliaCumberlege @wesstreeting @SharonHodgsonMP @APPGFDNH @NICEComms
During Oral Hearings Miss Elneil admitted āwe havenāt got the clinical skills to do a culposuspensionā link https://t.co/53WQ9jmkQS
ācan you confirm underFOI how many of your surgeons have since undergone training to reinstate all surgical skills optionsā
Interesting responseš¤

āwritten off by a system that was supposed to care.ā
#pelvicmesh #pain #mesh no #consent #immds
#medicaldevice regulatory failure #publicinquiry
@PSCommissioner @wesstreeting @SharonHodgsonMP @JuliaCumberlege @DHSCgovuk no one is listening 4 years later
NO ONE IS LISTENING
#IMMDS First Do No Harm page 17
2.3 āIn our travels around the country and in the volume of emails and correspondence we received, the personal written testimonies and video-recorded stories,
patients ā almost universally women ā spoke in disbelief, sadness and anger about the manner in which they were treated by the clinicians they had reached out to for help. The words ādefensiveā, ādismissiveā and āarrogantā, cropped up with alarming frequency. They spoke of being āgaslightedā and of not being believed, particularly in relation to pelvic mesh and the suffering of pain. Women, in reporting to us their extensive mesh complications, have spoken of excruciating chronic pain feeling
like razors inside their body, damage to organs, the loss of mobility and sex life and depression and suicidal thoughts. Some cliniciansā reactions ranged from āitās all in your headā to āthese are womenās issuesā or āitās that time of lifeā wherein anything and everything women suffer is perceived as a natural precursor to, part of, or a post-symptomatic phase of, the menopause. For the women concerned this was tantamount to a complete denial of their concerns and being written off by a system that was supposed to care.āhttps://t.co/JJa1cM3NhK
#WomensHealth #WomensRightsAreHumanRights #PatientCare #patientsafety #FirstDoNoHarm

NO ONE IS LISTENING
#IMMDS First Do No Harm page 17
2.3 āIn our travels around the country and in the volume of emails and correspondence we received, the personal written testimonies and video-recorded stories,
patients ā almost universally women ā spoke in disbelief, sadness and anger about the manner in which they were treated by the clinicians they had reached out to for help. The words ādefensiveā, ādismissiveā and āarrogantā, cropped up with alarming frequency. They spoke of being āgaslightedā and of not being believed, particularly in relation to pelvic mesh and the suffering of pain. Women, in reporting to us their extensive mesh complications, have spoken of excruciating chronic pain feeling
like razors inside their body, damage to organs, the loss of mobility and sex life and depression and suicidal thoughts. Some cliniciansā reactions ranged from āitās all in your headā to āthese are womenās issuesā or āitās that time of lifeā wherein anything and everything women suffer is perceived as a natural precursor to, part of, or a post-symptomatic phase of, the menopause. For the women concerned this was tantamount to a complete denial of their concerns and being written off by a system that was supposed to care.āhttps://t.co/JJa1cM3NhK
#WomensHealth #WomensRightsAreHumanRights #PatientCare #patientsafety #FirstDoNoHarm

Read the Cumberlege Review @wesstreeting - that gives you everything you need to know about how bad things are -
What you shouldāve said was that you would now act on Baroness Cumberlegeās recommendations in the #IMMDS Review FIRST DO NO HARM - that was 4 YEARS AGO - youāre talking about another 4 years of piffling paper pushing
Will you be acting on this before you fund yet another āreviewā
Whatās needed a proper independent #publicinquiry & #regulatoryreform
@thismorning #mesh #sodiumvalproate #primodos
Our NHS is broken.
Today, Iāve asked Lord Darzi, an NHS surgeon for 30 years, to lead an independent investigation into the true state of the health service.
The findings will provide the basis for our 10-year plan to get the NHS back on its feet.
@thismorning
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