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Official Report: search what was said in Parliament

The Official Report is a written record of public meetings of the Parliament and committees.  

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Dates of parliamentary sessions
  1. Session 1: 12 May 1999 to 31 March 2003
  2. Session 2: 7 May 2003 to 2 April 2007
  3. Session 3: 9 May 2007 to 22 March 2011
  4. Session 4: 11 May 2011 to 23 March 2016
  5. Session 5: 12 May 2016 to 4 May 2021
  6. Current session: 13 May 2021 to 17 September 2025
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Displaying 1244 contributions

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Health, Social Care and Sport Committee [Draft]

Pre-budget Scrutiny 2026-27

Meeting date: 9 September 2025

Dr Sandesh Gulhane

I make a declaration of interest as a practising NHS general practitioner.

One of the most important parts of the PBMA approach would be to know exactly how money is spent and where it goes. Is that correct?

Health, Social Care and Sport Committee [Draft]

Pre-budget Scrutiny 2026-27

Meeting date: 9 September 2025

Dr Sandesh Gulhane

How you spend your money is one aspect. My other question is about outcomes. When you make a strategic decision, do you need to know clearly and up front what you hope will be the outcome of that investment and how that outcome will be measured?

Health, Social Care and Sport Committee [Draft]

Pre-budget Scrutiny 2026-27

Meeting date: 9 September 2025

Dr Sandesh Gulhane

I will take long Covid as an example. An announcement was made that £10 million was to be spent over three years. A series of freedom of information requests was made about how that money was spent. You could see where the money was allocated to a health board, but it was impossible to find out where it was spending that money.

Even if we did not embed the PBMA approach, would knowing how the money was being spent lead to a significant improvement in our ability to plan and strategise?

Health, Social Care and Sport Committee [Draft]

Pre-budget Scrutiny 2026-27

Meeting date: 9 September 2025

Dr Sandesh Gulhane

Just because something is difficult does not mean that it should not be done, in my opinion. Any business would know exactly, to the penny, where its money goes.

Health, Social Care and Sport Committee [Draft]

Pre-budget Scrutiny 2026-27

Meeting date: 9 September 2025

Dr Sandesh Gulhane

I have not been published as much as the two of you—I have only a BSc—but I was taught that you should measure your outcomes before you start to look at the results from your analysis. You need to know what it is that you are looking for. You do not throw a ring over data once you have achieved it.

When we talk about a top-down approach, we can think about alcohol spend. In relation to how minimum unit pricing was introduced, it was not abundantly clear to me what the outcome data was prior to looking at the results and deciding what we had found for the money that we had spent. That was given as an example of a PBMA approach. What do you think about that? How would you have gone about that policy from a PBMA point of view?

Health, Social Care and Sport Committee [Draft]

Pre-budget Scrutiny 2026-27

Meeting date: 9 September 2025

Dr Sandesh Gulhane

Thank you very much.

Health, Social Care and Sport Committee [Draft]

Pre-budget Scrutiny 2026-27

Meeting date: 9 September 2025

Dr Sandesh Gulhane

I will be very brief. Dr Ruta, you spoke about doctors needing to be responsible for the way that money is spent and the budgeting, and about the fact that they do not listen to managers. I would argue that that position is a bit too much, and that doctors should not listen to managers. However, how can you make doctors responsible for budgets?

10:15  

Health, Social Care and Sport Committee [Draft]

National Good Food Nation Plan

Meeting date: 2 September 2025

Dr Sandesh Gulhane

BBC Good Food has 37 15-minute recipes for people to use. There are slow cookers that use very little energy and can create healthy meals when you are not even there. Surely that is the type of thing that we need to be promoting.

Health, Social Care and Sport Committee [Draft]

National Good Food Nation Plan

Meeting date: 2 September 2025

Dr Sandesh Gulhane

Was it tasty, good and something that you would happily have again?

Health, Social Care and Sport Committee [Draft]

National Good Food Nation Plan

Meeting date: 2 September 2025

Dr Sandesh Gulhane

What help will be given in relation to venison, which is a healthy way of eating meat, or to supply chains and abattoirs? How will we ensure that Scottish people get to eat Scottish meat?