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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 4 May 2021
  6. Current session: 13 May 2021 to 6 February 2026
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Displaying 1368 contributions

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Health, Social Care and Sport Committee

Perinatal Mental Health

Meeting date: 7 December 2021

Dr Sandesh Gulhane

Emma Harper has just asked about training; on that, my question is about ethnicity. What training is being given to ensure that differences in ethnicity are being picked up, assessed and treated? Speaking as a doctor who was trained in the 2000s, I certainly did not receive such training. I direct that question to Dr Chopra and to Dr Ross-Davie.

Health, Social Care and Sport Committee

Perinatal Mental Health

Meeting date: 7 December 2021

Dr Sandesh Gulhane

I did my training at Glasgow royal infirmary, and I know from my time in the maternity and obstetrics unit that there is a separate area—a sort of closed unit—for mothers who experience stillbirth, to ensure that they do not see other people’s happiness. Would it be appropriate to roll out that kind of separate unit that sits a bit further away from the main ward?

Health, Social Care and Sport Committee

Perinatal Mental Health

Meeting date: 7 December 2021

Dr Sandesh Gulhane

That works quite well for me, convener, because my question is for Cat Berry. You have talked about birth trauma. We went through a very difficult birth with my first child and the support really was not there. Although we all recognise that it is the woman who goes through birth trauma, the men and partners also suffer—I suffered—trauma through difficult births. What support is in place not only from your organisation, but from other health boards for the partners of women going through birth trauma?

Health, Social Care and Sport Committee

Sport and Physical Activity

Meeting date: 30 November 2021

Dr Sandesh Gulhane

I want to come in on the level of adults’ activity and participation in sport that David Ferguson spoke about. I also want to expand on Stephanie Callaghan’s question and what the convener said.

I love sport. I played competitive sport all the way through university, but in adulthood that activity is gone. Weather and access to facilities are key factors when we leave school. Norway, which has worse weather than we have, deals with that situation well, so how can we improve it?

Health, Social Care and Sport Committee

Data and Digital Services in Health and Social Care

Meeting date: 23 November 2021

Dr Sandesh Gulhane

I have a number of questions on ethnicity, which Ed Humpherson mentioned in his first response. How can we ensure that we get good ethnicity data for not just patients but the workforce?

Health, Social Care and Sport Committee

Data and Digital Services in Health and Social Care

Meeting date: 23 November 2021

Dr Sandesh Gulhane

My question is for Martyn Wallace, and maybe also for Christopher Wroath. It is about aim 3, which is about allowing healthcare researchers and innovators secure access to data. How can we give companies and innovators access to anonymised data to improve the services that they can provide, and how do we then get a significant benefit from giving them such access?

Health, Social Care and Sport Committee

Data and Digital Services in Health and Social Care

Meeting date: 23 November 2021

Dr Sandesh Gulhane

I have a question for Christopher Wroath and perhaps Steve Baguley. Does the NHS, including primary and secondary care, have the appropriate hardware and broadband speeds to access the digital platform, cloud sharing and all the wonderful innovations that we are looking to introduce?

Health, Social Care and Sport Committee

Data and Digital Services in Health and Social Care

Meeting date: 23 November 2021

Dr Sandesh Gulhane

I have a second—brief—question. You have said that there are 900 different data holders at the moment. Under the Caldicott guardian principles, the GP is responsible for the data, but if we move those data to the cloud and go the way that we want to go by giving lots of other people access to them, who will then be responsible? Surely it cannot be the GP.

Health, Social Care and Sport Committee

Data and Digital Services in Health and Social Care

Meeting date: 23 November 2021

Dr Sandesh Gulhane

Everything that we are talking about sounds fantastic with regard to the data that GPs are holding and everyone being fully integrated and so on. However, the fact is that the GP systems—Vision and EMIS—do not talk to each other at the moment; there is no data integration between the two. I realise that I am straddling two themes with this question, but what can be done immediately to allow GPs to access data from another GP data source?

Health, Social Care and Sport Committee

Data and Digital Services in Health and Social Care

Meeting date: 23 November 2021

Dr Sandesh Gulhane

On the point about data being poorly collected, NHS Lothian’s ethnicity recording went from 3 per cent to 90 per cent over three years. The point about linkage to the CHI number goes back to Emma Harper’s point about data collection fatigue when people are asked about ethnicity on multiple occasions. Surely the way to ensure that all ethnicity data is captured is to ask the question once and link the information to a person’s CHI, which goes through everything.

Once we capture ethnicity data, we must be absolutely sure that we can use that data, when someone presents, to work out symptoms and how we should manage and treat them. For example, a person of black descent with high blood pressure should be started on a calcium channel blocker rather than an angiotensin-converting enzyme inhibitor. Ethnicity makes a huge difference to how we treat people.