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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 16 June 2025
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Displaying 1195 contributions

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Health, Social Care and Sport Committee [Draft]

Employment Rights Bill (UK Parliament Legislation)

Meeting date: 20 May 2025

Dr Sandesh Gulhane

Let us just say that we are looking at around three times as much. Is it fair to say that we know that terms and conditions are better for staff who work in local authority care homes?

Health, Social Care and Sport Committee [Draft]

Employment Rights Bill (UK Parliament Legislation)

Meeting date: 20 May 2025

Dr Sandesh Gulhane

Forgive me, but if shareholder profits did not exist—and even if a local authority paid itself only twice as much as the independent sector—would there still be enough money? If we took away every single penny of profit, would there really still be enough money for the independent sector to pay people the same as local authorities do?

Health, Social Care and Sport Committee [Draft]

Right to Addiction Recovery (Scotland) Bill: Stage 1

Meeting date: 20 May 2025

Dr Sandesh Gulhane

I would like to return to my previous question. The bill does not specify what treatment someone who is asking for help should receive. There are myriad options, as well as others that are not listed. Any treatment could be provided, but the fact is that the person has asked for help and would be guaranteed treatment within a certain period of time, in a similar way that people would be guaranteed treatment in other areas.

Why is there such a difference between the legislation on drugs and alcohol, which the bill would be part of, and the legislation in areas such as cancer care?

Health, Social Care and Sport Committee [Draft]

Employment Rights Bill (UK Parliament Legislation)

Meeting date: 20 May 2025

Dr Sandesh Gulhane

I refer to my entry in the register of members’ interests. I am a practising NHS general practitioner, a current British Medical Association member and a former chair of the GP trainees committee.

At the moment, what is the difference between what a local authority pays itself for a care home resident compared to what it pays for a resident who is in a private care home?

Health, Social Care and Sport Committee [Draft]

Employment Rights Bill (UK Parliament Legislation)

Meeting date: 20 May 2025

Dr Sandesh Gulhane

If you could, that would be wonderful.

Health, Social Care and Sport Committee [Draft]

Right to Addiction Recovery (Scotland) Bill: Stage 1

Meeting date: 20 May 2025

Dr Sandesh Gulhane

My final question is about the number of people in Scotland who use substances. Does the Scottish Government have reliable and up-to-date information on the number of people who use substances, beyond opioids and alcohol? Is the Scottish Government looking to ensure that that unmet need is met?

Health, Social Care and Sport Committee [Draft]

Employment Rights Bill (UK Parliament Legislation)

Meeting date: 20 May 2025

Dr Sandesh Gulhane

That comes with costs that are three times higher. We all agree that social care staff need better pay and terms and conditions, but if we were to create bargaining that would, I hope, at least create parity of esteem with local authorities, or possibly raise the overall standards, how would that be affordable without proper funding for the private care home sector?

Health, Social Care and Sport Committee [Draft]

Employment Rights Bill (UK Parliament Legislation)

Meeting date: 20 May 2025

Dr Sandesh Gulhane

To clarify what you have just said, are residents who are paying privately to be in a care home subsidising statutory local authority patients?

Health, Social Care and Sport Committee [Draft]

Employment Rights Bill (UK Parliament Legislation)

Meeting date: 20 May 2025

Dr Sandesh Gulhane

I want to open up the questioning. In a scenario in which money is very tight—which is where we are right now; local authorities are consistently saying that they have no money—if more money is not given to care homes in the independent sector, how can there realistically be a significant improvement in pay and conditions? How can that happen if we do not level up what a local authority pays the independent sector compared to what it pays itself?

Health, Social Care and Sport Committee [Draft]

Right to Addiction Recovery (Scotland) Bill: Stage 1

Meeting date: 13 May 2025

Dr Sandesh Gulhane

That is what my question was about.