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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 7 August 2025
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Displaying 1225 contributions

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Health, Social Care and Sport Committee

Right to Addiction Recovery (Scotland) Bill: Stage 1

Meeting date: 25 March 2025

Dr Sandesh Gulhane

I declare an interest as a practising NHS GP.

Kelda Gaffney, I will start with you, given that you are based in Glasgow. What is your budget like? Has it been cut or increased?

Health, Social Care and Sport Committee

Right to Addiction Recovery (Scotland) Bill: Stage 1

Meeting date: 25 March 2025

Dr Sandesh Gulhane

It has been cut.

Health, Social Care and Sport Committee

Assisted Dying for Terminally Ill Adults (Scotland) Bill: Stage 1

Meeting date: 25 March 2025

Dr Sandesh Gulhane

I remind members of my entry in the register of members’ interests, which states that I am a practising NHS GP and the chairman of the medical advisory group on the bill. It is incredibly brave for any individual to be willing to come forward and put their thoughts on record in a parliamentary setting. Personally, I take that seriously in my reflections on the bill, so I thank the individuals who have done so, as well as the organisations that have engaged with the committee on an incredibly difficult topic. I am sure that we have all had multiple people contacting us on behalf of those who are on both sides of the debate.

Health, Social Care and Sport Committee

Right to Addiction Recovery (Scotland) Bill: Stage 1

Meeting date: 25 March 2025

Dr Sandesh Gulhane

Indeed, but the bill does not force you to say yes to a specific treatment option. It still gives you the clinical choice, allowing you to say, “Actually, Buvidal isn’t good. It isn’t going to work for you as a treatment option.” The bill does not negate that.

However, let us move on. Do you have an idea of the cost that might be incurred if you are not allowed to refuse treatment on the basis of cost? Will there be a significant increase in the costs associated with treatment?

Health, Social Care and Sport Committee

Right to Addiction Recovery (Scotland) Bill: Stage 1

Meeting date: 25 March 2025

Dr Sandesh Gulhane

Dr Galea-Singer, you have talked about how treatment often begins within 24 hours and about the wide range of treatment options that are available, and you have painted a picture of rehabilitation and intervention services being available for every patient. If that is the case, why are drug deaths as bad as they are?

Health, Social Care and Sport Committee

Right to Addiction Recovery (Scotland) Bill: Stage 1

Meeting date: 25 March 2025

Dr Sandesh Gulhane

Eddie Follan, you, too, have talked about the social determinants of health. We have touched on housing, poverty, education and employment. Do you think that it is reasonable for a member’s bill, rather than a Government bill, to legislate for and address those huge determinants of health?

Health, Social Care and Sport Committee

Right to Addiction Recovery (Scotland) Bill: Stage 1

Meeting date: 25 March 2025

Dr Sandesh Gulhane

My next question is for the whole panel. If the bill were to come into force and put the individual’s rights into law, much as the Patient Rights (Scotland) Act 2011 gave people the right to receive in-patient and out-patient care within 12 weeks, would that not bolster your ability to maintain your budgets or even to have them increased in order to help people?

Health, Social Care and Sport Committee

Right to Addiction Recovery (Scotland) Bill: Stage 1

Meeting date: 25 March 2025

Dr Sandesh Gulhane

I have a final question for Dr Galea-Singer, although I do not know whether she will be able to answer it. You talked about diagnosis in one of your first answers. Given that we are at stage 1, changes can be made to the bill. What wording would you prefer to see in the bill instead of references to diagnosis?

Health, Social Care and Sport Committee

Right to Addiction Recovery (Scotland) Bill: Stage 1

Meeting date: 25 March 2025

Dr Sandesh Gulhane

It seems that the social determinants of health are, in fact, covered by the entire budget that has recently been passed.

Dr Galea-Singer, you also talked about enshrining the issue in law and about how we already have the treatment standards. I would just note that the Patient Rights (Scotland) Act 2011 sets out a 12-week legal guarantee for in-patient and day-case treatment, and it was argued at the time that that was not needed. So, we have done this sort of thing before. People are saying that they want this—surely that is a good thing.

Health, Social Care and Sport Committee

Right to Addiction Recovery (Scotland) Bill: Stage 1

Meeting date: 25 March 2025

Dr Sandesh Gulhane

Absolutely, and the bill will, I hope, continue to allow that.

I visited an award-winning outreach programme in Glasgow run by a former heroin user who, genuinely, has won awards for his outreach—that is, for the work that he has been doing in the community. He goes out into the community, he knows it and he knows what is happening in it. However, because of the funding situation, that service is being cut. How can we make things better if award-winning services are being cut?