The Official Report is a written record of public meetings of the Parliament and committees.
All Official Reports of meetings in the Debating Chamber of the Scottish Parliament.
All Official Reports of public meetings of committees.
Displaying 848 contributions
Health, Social Care and Sport Committee
Meeting date: 15 March 2022
Stephanie Callaghan
I want to dig a wee bit more into the issues that Paul O’Kane has raised. The big picture really matters. The GP relationship is established over many years, and it is important to many patients. GPs know their patients and their circumstances, and that relationship allows GPs to have the sensitive discussions that patients might otherwise be unwilling to have.
We have talked about the fact that there should be no wrong door. This might be a question for Clare Morrison and Jess Sussmann initially. Is it realistic for a variety of organisations to have someone who is the key person—the trusted person—to the individual patient, who offers continuity and helps the patient to get access to all the primary care services?
Health, Social Care and Sport Committee
Meeting date: 15 March 2022
Stephanie Callaghan
I am not undermining the GP’s place at all, but we tend to find that individuals will have a particular person whom they connect with, especially as they get older. That will be their go-to person for advice, who could say to them, “You really need to see your GP about that,” or “It would be a really good idea to go to your pharmacist.”
We have talked about link workers. We do not have them everywhere just now, and that is perhaps part of the issue. Realistically, patients will probably choose their own key person or go-to person.
Health, Social Care and Sport Committee
Meeting date: 15 March 2022
Stephanie Callaghan
We touched on the single electronic patient record during Gillian Mackay’s questions, and I have a further question on that. Going back to what Clare Morrison of the previous panel said—all the other witnesses agreed with her—having a single electronic patient record would be transformational, with all the different health professionals being able to access things at the same time, together with social care, social work and so on. Clare also suggested having a single cloud system that all the other different systems can talk to, so that the information is available to everyone.
My first question is whether you guys agree that it would be transformational to have a single electronic patient record. Secondly, does it sound realistic to have an integrated cloud-based system that all the other different systems could talk to? That would be really helpful. I suppose that that pulls in the previous question about link workers, with everyone having access to all the information.
Health, Social Care and Sport Committee
Meeting date: 15 March 2022
Stephanie Callaghan
That is great. I think that we all know the joys of having to copy and paste stuff, and we would rather avoid it.
Health, Social Care and Sport Committee
Meeting date: 15 March 2022
Stephanie Callaghan
Yes, I do. It is clear that all the witnesses agree that such a record would be transformational and a massive benefit. Where are we right now on patient record sharing? What progress do you see on plans to improve that? What plans are coming along in the future, and what has come in so far?
Health, Social Care and Sport Committee
Meeting date: 15 March 2022
Stephanie Callaghan
Is there any sign of those issues abating? Are there any plans to rectify the situation, as far as you are aware?
Health, Social Care and Sport Committee
Meeting date: 15 March 2022
Stephanie Callaghan
They trust that person, and they feel that they can rely on them.
How realistic is it for that to happen? Is that understood, and is that part of the system? We talk about the no wrong door policy, but there is also a push to get patients to go in the right direction, either on their own or through a link worker.
Health, Social Care and Sport Committee
Meeting date: 15 March 2022
Stephanie Callaghan
The Healthcare Improvement Scotland practice administrative staff collaborative has seemed to improve triage and referral to the appropriate professionals. Could that be rolled out more widely?
Health, Social Care and Sport Committee
Meeting date: 15 March 2022
Stephanie Callaghan
Patients often see the GP receptionist as being a kind of gatekeeper who can, on occasion, be determined to keep them out. How can we improve the perception of GP receptionists and support staff in the practices? Is Health Improvement Scotland’s practice administrative staff collaborative a route towards that, or is there something else that could change?
Health, Social Care and Sport Committee
Meeting date: 15 March 2022
Stephanie Callaghan
I have a quick follow-up question for Julie Mosgrove, who spoke about diabetes being spotted really early and about referring people to their GPs. Does she refer people directly to other primary care pathways or to specialists? Is that appropriate? I am trying to figure out how this fits together. Do people always have to go back to a GP or can onward referrals be made that skip that step if it is unnecessary?