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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 20 June 2025
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Displaying 1207 contributions

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Health, Social Care and Sport Committee

National Health Service Waiting Times

Meeting date: 4 June 2024

Dr Sandesh Gulhane

I refer to something that Professor Din was talking about: the qFIT, or quantitative faecal immunochemical test. One issue that I have in primary care is that I do not have access in all the different health boards to request tumour marker tests. Aside from tumour markers, one condition that probably has a worse outcome than cancer is heart failure, and I cannot request a proBNP everywhere. Surely it would be a good first step in detecting those things earlier if GPs were able to request such tests.

Health, Social Care and Sport Committee

National Health Service Waiting Times

Meeting date: 4 June 2024

Dr Sandesh Gulhane

It is the standardisation that is the problem. I can request a proBNP in some places, while I cannot do so in other places. As a surgeon, how many sessions are you personally operating, on average?

Health, Social Care and Sport Committee

National Health Service Waiting Times

Meeting date: 4 June 2024

Dr Sandesh Gulhane

You mentioned lung screening in your response to me.

Health, Social Care and Sport Committee

Social Care (Self-directed Support) (Scotland) Act 2013 (Post-legislative Scrutiny)

Meeting date: 4 June 2024

Dr Sandesh Gulhane

That is relevant to what was said earlier about people coming out of university and not being trained highly enough, especially around self-directed support, and the fact that there is no protected time for social workers to do some learning, even though people in every profession need to continue to do professional development.

Training more people is one thing, but we also have to retain them. What can we do to retain social workers and stop them leaving the profession?

Health, Social Care and Sport Committee

National Health Service Waiting Times

Meeting date: 4 June 2024

Dr Sandesh Gulhane

Okay. It seems rather disappointing that the strategy talks about

“opportunities for redesign of ways of working”

when surely IT, including basic IT, is the most important way of redesigning for interface.

Health, Social Care and Sport Committee

Social Care (Self-directed Support) (Scotland) Act 2013 (Post-legislative Scrutiny)

Meeting date: 4 June 2024

Dr Sandesh Gulhane

I declare an interest as a practising NHS GP. This question is for Dr Kellock. We have strategies such as the dementia strategy, we have the Promise and we have the proposal for a national care service. There are times when those policies will rub up against one another. How will we be able to navigate our way through that?

Health, Social Care and Sport Committee

Social Care (Self-directed Support) (Scotland) Act 2013 (Post-legislative Scrutiny)

Meeting date: 4 June 2024

Dr Sandesh Gulhane

Dr Kellock, I have a number of very direct questions, so it is fair enough if you do not know the answers. How many social workers do we have in Scotland?

Health, Social Care and Sport Committee

Social Care (Self-directed Support) (Scotland) Act 2013 (Post-legislative Scrutiny)

Meeting date: 4 June 2024

Dr Sandesh Gulhane

It is safe to say that social workers are not sitting idle; they are very busy doing what they do. Some 40 per cent of social workers reported that their workload was unmanageable; 70 per cent of social workers reported that they could not complete their work in their contracted hours; and 20 per cent of the social work workforce left in 2020, with 40 per cent planning to leave in the next three years. On top of that, rural areas find it hard to recruit and train social workers.

However, everything that I see coming through from the Scottish Government requires social workers. For example, the implementation of the Children (Care and Justice) (Scotland) Bill requires 500 social workers. So, even with more money coming in to be spent, if we do not have the necessary number of social workers and the ones that we have leave after only six or seven years, how can we possibly implement policies successfully?

Health, Social Care and Sport Committee

National Health Service Waiting Times

Meeting date: 4 June 2024

Dr Sandesh Gulhane

You are right. Lots of friends of mine who are orthopaedic surgeons say that they are over the moon if they have an all-day operating list. They do not get to operate as an orthopaedic surgeon or general surgeon. I used to be an orthopaedic trainee, and those guys train so that they can operate. If they are just getting a day a week of operating time, that is simply not good enough. It is not the fault of the surgeons. They are desperate to operate, but many of them are not getting to do so. If you are not getting into theatre to operate on patients, how on earth can we clear the backlog?

Health, Social Care and Sport Committee

National Health Service Waiting Times

Meeting date: 4 June 2024

Dr Sandesh Gulhane

We will certainly come on to that.

The national workforce strategy refers to

“collaborative working across RCGP, CfSD, Scottish Government, Health Board Interface Groups and other relevant stakeholders to identify new opportunities for redesign of ways of working that can be applied nationally to challenges across the interface. Potential examples for scoping may include referral guidelines, IT, Community Treatment and Care services and unscheduled care.”

What have you done with that IT? Speaking as a national health service worker, it is appalling.