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Seòmar agus comataidhean

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 5 May 2021
  6. Current session: 12 May 2021 to 17 June 2025
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Displaying 1195 contributions

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Health, Social Care and Sport Committee

Right to Addiction Recovery (Scotland) Bill: Stage 1

Meeting date: 18 March 2025

Dr Sandesh Gulhane

I would certainly hope that, when people get into treatment, they are then able to move on. I would hope that it would not be a case of saying, “This is the one path—and that is you done.”

My—

Health, Social Care and Sport Committee

Subordinate Legislation

Meeting date: 18 March 2025

Dr Sandesh Gulhane

Do you remove time allocated for breaks from the calculations?

Health, Social Care and Sport Committee

Subordinate Legislation

Meeting date: 18 March 2025

Dr Sandesh Gulhane

Thank you.

12:15  

Health, Social Care and Sport Committee

Right to Addiction Recovery (Scotland) Bill: Stage 1

Meeting date: 18 March 2025

Dr Sandesh Gulhane

I declare an interest as a practising national health service general practitioner. I thank the witnesses for coming here this morning.

I have questions around existing rights and the provisions in the bill. Do you—especially Dr Shivaji—think that we are in an acceptable position when it comes to drug and alcohol deaths in Scotland?

Health, Social Care and Sport Committee

Right to Addiction Recovery (Scotland) Bill: Stage 1

Meeting date: 18 March 2025

Dr Sandesh Gulhane

Public Health Scotland has talked about “measurable outcomes”. What measurable outcomes do we currently have and what measurable outcomes would you like to see?

Health, Social Care and Sport Committee

Right to Addiction Recovery (Scotland) Bill: Stage 1

Meeting date: 18 March 2025

Dr Sandesh Gulhane

What is the definition of drugs in relation to the MAT standards in other legislation?

Health, Social Care and Sport Committee

Right to Addiction Recovery (Scotland) Bill: Stage 1

Meeting date: 18 March 2025

Dr Sandesh Gulhane

Let us concentrate on psychiatry. You have said that the word “addiction” is too vague. The bill also refers to substance “dependence”. What term would you prefer?

Health, Social Care and Sport Committee

Right to Addiction Recovery (Scotland) Bill: Stage 1

Meeting date: 18 March 2025

Dr Sandesh Gulhane

We will be coming on to that issue, so I do not want to touch on it just yet.

I suppose that this is more of an open question. When it comes to clinical decision making and a patient wanting a specific treatment—I am thinking of other areas of healthcare and somebody wanting a specific type of treatment for, say, cancer—doctors or other healthcare professionals might not tell them that they can have it. However, what the bill proposes is slightly different in that it sets out a requirement that a response be given to such a request. Is that helpful?

Health, Social Care and Sport Committee

Right to Addiction Recovery (Scotland) Bill: Stage 1

Meeting date: 18 March 2025

Dr Sandesh Gulhane

Yes.

Health, Social Care and Sport Committee

Right to Addiction Recovery (Scotland) Bill: Stage 1

Meeting date: 18 March 2025

Dr Sandesh Gulhane

I will go back to a couple of things that you said, Dr Shivaji. On the issue of MAT standards versus the provisions of the bill, is three weeks not a maximum, which would not prevent treatment from being given on the day or faster, if required?

Emma Harper talked about rural areas, and you mentioned access to services. What is the current position on access to services? Do we have access to the services in the way that you described that you would like to see?

I am sorry to ask a third question, because you have just talked about this, but the “International Classification of Diseases 11th Revision” defines “Disorders due to substance use” as a cluster of cognitive, behavioural, and psychological features reflecting an internal driving force to use a substance, causing clinically significant harm to physical or mental health, or leading to harmful behaviour. Again, that could include use of nicotine—ICD-11 does not exclude it. Sorry for the three questions in a row.