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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 4 May 2021
  6. Current session: 13 May 2021 to 13 February 2026
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Displaying 1372 contributions

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Health, Social Care and Sport Committee [Draft]

Non-surgical Procedures and Functions of Medical Reviewers (Scotland) Bill: Stage 1

Meeting date: 16 December 2025

Dr Sandesh Gulhane

I know that time is short, so I will move on to my final question. When people go to the shops to buy paracetamol, they expect the drugs that they can buy—whether we are talking about Panadol or anything else—to essentially be the same thing. They are drugs that work and are regulated. However, we know that Botox is not always Botox, and people buy it from all sorts of different places.

We also know that people’s training is not the same. If you go to a doctor, pharmacist or nurse, you expect a basic level of training. I am keen for the bill to ensure that such training takes place. At one of our first evidence sessions, we heard about a practice that removes moles and skin lumps. The overriding regulator—the person who looks at those lumps and decides whether they are cancer—is not a registered nurse and certainly not a doctor. My fear is that those lumps are not being sent to a pathology lab. I did orthopaedics for many years, and I would not have been allowed just to whip out a lump on my own with no supervision or without the consultant knowing about it. I trained in surgery for a long time. You would not see somebody for a lump or mole who is not a professional and is not regulated. Is that going to fall within the provision to ensure safety and that people are not having cancers removed in that way?

10:15  

Health, Social Care and Sport Committee [Draft]

Non-surgical Procedures and Functions of Medical Reviewers (Scotland) Bill: Stage 1

Meeting date: 16 December 2025

Dr Sandesh Gulhane

Do you think that you might be able to lodge an amendment in that regard at stage 2 or stage 3?

Health, Social Care and Sport Committee [Draft]

Non-surgical Procedures and Functions of Medical Reviewers (Scotland) Bill: Stage 1

Meeting date: 16 December 2025

Dr Sandesh Gulhane

Are there any examples of procedures that osteopaths undertake that would be exempted?

Health, Social Care and Sport Committee [Draft]

Non-surgical Procedures and Functions of Medical Reviewers (Scotland) Bill: Stage 1

Meeting date: 16 December 2025

Dr Sandesh Gulhane

I am sure that my colleagues will come on to that, so I will move on.

The minister spoke about permitted premises being very important. When we took evidence from dentists, they mentioned the fact that not all practices are inspected by HIS and that the regime that applies depends on whether any private work is done in the practice. How will you ensure that dentists and dentists’ premises are captured?

Health, Social Care and Sport Committee [Draft]

Non-surgical Procedures and Functions of Medical Reviewers (Scotland) Bill: Stage 1

Meeting date: 16 December 2025

Dr Sandesh Gulhane

On that point about confidence, I would say that, in the 2000s, there was not a great deal of confidence in the process, and things has been improved robustly as time has gone on.

Is there going to be a time limit for such a review? What would count as new evidence for it?

Health, Social Care and Sport Committee [Draft]

Non-surgical Procedures and Functions of Medical Reviewers (Scotland) Bill: Stage 1

Meeting date: 16 December 2025

Dr Sandesh Gulhane

My final question is for Annemarie MacAlpine. What is the opinion of the Association of Registrars of Scotland?

Health, Social Care and Sport Committee [Draft]

Non-surgical Procedures and Functions of Medical Reviewers (Scotland) Bill: Stage 1

Meeting date: 16 December 2025

Dr Sandesh Gulhane

Would an osteopath be able to prescribe Botox?

Health, Social Care and Sport Committee [Draft]

Non-surgical Procedures and Functions of Medical Reviewers (Scotland) Bill: Stage 1

Meeting date: 16 December 2025

Dr Sandesh Gulhane

I declare an interest as a practising national health service general practitioner.

Good morning. As the convener has said, part 2 of the bill has nothing to do with, and is completely separate from, part 1, but the bill is the vehicle for getting this policy into legislation. Why do we need it? Can you give me an example of when it would be necessary to use it?

Health, Social Care and Sport Committee [Draft]

Non-surgical Procedures and Functions of Medical Reviewers (Scotland) Bill: Stage 1

Meeting date: 16 December 2025

Dr Sandesh Gulhane

The word “supervise” appears in the bill. A lot of us want to know what that means. For example, if a prescribing doctor is supervising people, do they need to be in the room during the procedure? How many people would it be appropriate for someone to supervise? Could one doctor supervise 100 people, for example, or is there a limit?

Health, Social Care and Sport Committee [Draft]

Subordinate Legislation

Meeting date: 16 December 2025

Dr Sandesh Gulhane

I declare an interest as a practising NHS GP.

Given the policy objectives and the movement to a high-trust, low-bureaucracy approach, I would be interested to know what sampling is taking place in terms of looking at a proportion of practices to ensure compliance. We have just been discussing death certificates, and we sample about 10 per cent of death certificates to ensure accuracy.

Moving on to the mandatory training aspect, I fully support the idea of getting people into work as dentists and, on the face of it, giving people a provisional status for six months is a very good thing. My question is, does that concern the NHS only, or does it include private work? Can a dentist take the six months and perform private work? Is there any oversight of the dentist over those first six months?

Those are my only questions. In general, I support the move to ensure that dentists are working here in Scotland.