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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

Alternative Pathways to Primary Care

Meeting date: 22 March 2022

Dr Sandesh Gulhane

Christiana, I would like to suggest something in relation to what you said—that anywhere there is a human being, we need to have a listening ear, we need the help, and we need to be holistic. What are we doing to help people coming across from Ukraine as far as link working is concerned? The social prescribing aspect will be key here, I think.

Health, Social Care and Sport Committee

Alternative Pathways to Primary Care

Meeting date: 22 March 2022

Dr Sandesh Gulhane

My other question is about retention. I am a bit concerned about that, because a report in 2020 suggested that one in three link workers planned to resign within a year due to a lack of support and supervision. To what extent are those problems undermining the shift to social prescribing? What can we do to reverse that?

Health, Social Care and Sport Committee

Alternative Pathways to Primary Care

Meeting date: 22 March 2022

Dr Sandesh Gulhane

I want to pick up on something that Alison Leitch said at the beginning of the session, about how much GPs like having link workers. As a working GP, I can tell you that I love my link worker, because they take a lot of work away from me around social issues, navigating benefits and so on. I simply cannot do those things, because I do not have time, so I absolutely love my link worker.

I have two questions. One is on recruitment and the other is on retention. The Scottish Government was looking to recruit 250 community link workers in GP surgeries by 2021, but there are areas such as Aberdeenshire, Forth Valley, Midlothian, Highlands and the Western Isles without any link workers. What assessment have you made of the efforts that have been made in that regard? How can we stop areas from falling further behind?

Health, Social Care and Sport Committee

Alternative Pathways to Primary Care

Meeting date: 22 March 2022

Dr Sandesh Gulhane

Chris, you said that ALISS has been around for 12 years, and that communication is not what it should be. As a GP, I had never heard of ALISS. No GP that I know has ever heard of it. Organisations who have given evidence to us have not heard of it. It is not that the comms are not what they should be; they are non-existent. After 12 years, I would expect a good data source to be something that people use and know about. Is ALISS value for money, or should we look to use that money for something else?

Health, Social Care and Sport Committee

Alternative Pathways to Primary Care

Meeting date: 22 March 2022

Dr Sandesh Gulhane

Scott Henderson said that GPs were not a target for ALISS. Up to 60 per cent of the things that GPs do are social. In 2018, the new GP contract came in, which had a focus on link workers. I would say that ALISS would have been a wonderful resource for GPs to know about—perhaps not 12 years ago but certainly from 2018 onwards. Why were GPs not targeted? Not doing so seems nonsensical.

Health, Social Care and Sport Committee

Alternative Pathways to Primary Care

Meeting date: 22 March 2022

Dr Sandesh Gulhane

The issue of a single electronic patient record has come up a lot. Many of the organisations that we heard from spoke about the great benefits that the creation of a single electronic patient record could bring.

I have two questions, the first of which is for Dr Paul Perry. How useful would such a record be from an out-of-hours NHS 24 point of view? What progress has been made in that regard since December 2021?

Health, Social Care and Sport Committee

Alternative Pathways to Primary Care

Meeting date: 22 March 2022

Dr Sandesh Gulhane

What can we do to stop other areas falling behind?

Health, Social Care and Sport Committee

Alternative Pathways to Primary Care

Meeting date: 15 March 2022

Dr Sandesh Gulhane

I ask these questions on behalf of Sue Webber. I will direct the first one to Dr Marshall, and then I will ask a wider question.

In December, the BMA was not happy about the shortage of doctors in Scotland. The new workforce strategy talks about having 800 new GPs by 2027. In 2019, Audit Scotland was not very happy with that and threw that claim into doubt. Dr Marshall, what is your assessment of the workforce strategy?

As far as the roles of AHPs are concerned, how can we do better workforce planning to ensure that we get what we need?

Health, Social Care and Sport Committee

Alternative Pathways to Primary Care

Meeting date: 15 March 2022

Dr Sandesh Gulhane

I want to touch on inequalities. The issue is very pertinent to Dr Marshall, as someone who works in Govan. I will ask a question that I also put to the first panel. What worries do you have about the link between alternative pathways and digital exclusion?

Health, Social Care and Sport Committee

Alternative Pathways to Primary Care

Meeting date: 15 March 2022

Dr Sandesh Gulhane

I am.

Given that the workforce plan is rather GP and NHS-centric, we are concerned about how you can feed into it. Can you tell us about the feedback that you gave? What needs to happen for you to be included? What do you feel that you need?