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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 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

Social Care

Meeting date: 17 May 2022

Dr Sandesh Gulhane

Yes, I do. Minister, could you let me know, briefly, about the timeline for the data that you have just told us about?

Health, Social Care and Sport Committee

Social Care

Meeting date: 17 May 2022

Dr Sandesh Gulhane

I am truly concerned by recommendations that the new community health and social care boards should be in charge of general practitioner contractual arrangements. Integration is important but, with a few exceptions, the HSCPs have failed to engage well with practices. The GP contract is national, not local.

Health, Social Care and Sport Committee

Social Care

Meeting date: 17 May 2022

Dr Sandesh Gulhane

The British Medical Association, through its Scottish GP committee, has said that it was not consulted on the recommendation, and that it is against it. I believe that the Royal College of General Practitioners is against it, too. Why do you want to make those changes and what benefits do you envisage arising from them?

Health, Social Care and Sport Committee

Social Care

Meeting date: 17 May 2022

Dr Sandesh Gulhane

Good morning, minister. Let me give you an example of something that is, unfortunately, all too common. This example is from a home-help staff member, who told me that she gets only 15 minutes per client. She uses the term “client”, not “patient”, as do quite a lot of people—in fact, everyone does—in the sector.

The 15 minutes that the home help gets is for personal care. She puts food in the microwave, gives the medication and pills that are required—basically everything except giving the personal touch of having a sit down, holding a hand and having a gentle chat with the person, which might be their only contact with another human that day. The home help is in a huge rush to get to the next “client” because that travel time is not allocated time.

Now let us look at the other side of that coin—the patient perspective. The patient tells me that they feel rushed, as though there is no time for them and as though they are a burden. That is an example, but it is commonplace throughout our social care workforce. If both sides are saying that they feel rushed, is that acceptable? I assume that you will say that it is not acceptable, so how can we improve the situation in the short term, so that we can do things for people now and not have to wait for the big changes to occur?

Health, Social Care and Sport Committee

Audit Scotland Report: “NHS in Scotland 2021”

Meeting date: 10 May 2022

Dr Sandesh Gulhane

Where are the bottlenecks on the patient journey through the NHS?

Health, Social Care and Sport Committee

Audit Scotland Report: “NHS in Scotland 2021”

Meeting date: 10 May 2022

Dr Sandesh Gulhane

Cabinet secretary, I am glad that Pamela had a great experience but, unfortunately, she is a bit of an exception rather than the rule when it comes to long Covid. You mentioned the Hertfordshire model, which could be used throughout the country. In that model, much of the work is done virtually, because that is how patients want to access the clinic. Many long Covid patients are too tired to physically come into a hospital or clinic, so they cannot access those. Therefore, despite what we heard earlier, the Hertfordshire model could actually work throughout the country.

One of the big words in the guidelines that you referred to is “may”. Surely we need to get to a position in which, across Scotland, there is a clinic that GPs can refer patients to because, right now, what we have is not acceptable.

Health, Social Care and Sport Committee

Audit Scotland Report: “NHS in Scotland 2021”

Meeting date: 10 May 2022

Dr Sandesh Gulhane

Good morning, cabinet secretary. When I see a patient in general practice and, for example, organise an X-ray or put them on to a waiting list to see a hospital consultant, the first question that they always ask me is how long the wait will be.

I know that, along with Audit Scotland, the Public Audit Committee has highlighted that, stating—I paraphrase—that NHS boards should publish data on performance to enable transparency on how NHS boards are managing their waiting lists.

Patients and doctors want to know how long patients have to wait. Why can we not have in the future—in the plan—indicative waiting times that are relatively live, so that we can all go on a website and see how long we need to wait?

Health, Social Care and Sport Committee

Audit Scotland Report: “NHS in Scotland 2021”

Meeting date: 10 May 2022

Dr Sandesh Gulhane

When the Auditor General came before the committee, he said that it will be difficult to evaluate long Covid patients’ outcomes and how they get on through the services. Therefore, with the money that is being spent, will you ensure that we embed a way to see how long Covid patients get on with their journey and also to evaluate the outcomes with those published beforehand?

Health, Social Care and Sport Committee

Audit Scotland Report: “NHS in Scotland 2021”

Meeting date: 10 May 2022

Dr Sandesh Gulhane

When do you expect that to be online?

Health, Social Care and Sport Committee

Tackling Alcohol Harms

Meeting date: 3 May 2022

Dr Sandesh Gulhane

Minister, you spoke earlier about the WHO recommendations. Price and availability are another key part of the issue. We have heard about, and some of us have experienced, the problems with granting licences. A lot of councils feel that, when they are presented with applications for alcohol licences, they cannot say no because of the worry of going to court and losing. I know that Glasgow City Council is doing particularly well in trying to look at the issue, but is there anything that the Scottish Government can do to strengthen the hand of councils around the country so that they can say no to people who present for licences?