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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 18 December 2025
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Displaying 1329 contributions

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Health, Social Care and Sport Committee [Draft]

Gender Identity Services for Children and Young People (Independent Review)

Meeting date: 17 September 2024

Dr Sandesh Gulhane

Changing sex in medical records can potentially be quite dangerous. I will give you an example. The normal range of haemoglobin is different for men and women, so not knowing that somebody has changed gender could perhaps lead to quite significant harm occurring. How can we ensure that that is addressed in a standardised way across the NHS in Scotland?

Health, Social Care and Sport Committee [Draft]

Gender Identity Services for Children and Young People (Independent Review)

Meeting date: 17 September 2024

Dr Sandesh Gulhane

Going forward?

Health, Social Care and Sport Committee

National Performance Framework (Proposed National Outcomes)

Meeting date: 10 September 2024

Dr Sandesh Gulhane

Sandesh Gulhane (Glasgow) (Con): First, I declare my interest as a practising NHS general practitioner.

Thank you for coming in to give evidence today. I have a simple question, which is possibly extremely complicated to answer. How do you envisage our measuring the three new outcomes, and what is your definition of success?

Health, Social Care and Sport Committee

National Performance Framework (Proposed National Outcomes)

Meeting date: 10 September 2024

Dr Sandesh Gulhane

Yes.

Health, Social Care and Sport Committee

National Performance Framework (Proposed National Outcomes)

Meeting date: 10 September 2024

Dr Sandesh Gulhane

Housing.

Health, Social Care and Sport Committee

National Performance Framework (Proposed National Outcomes)

Meeting date: 10 September 2024

Dr Sandesh Gulhane

It feels a little bit as though it is saying the opposite of what we know the reality to be. I know that you appreciate that obesity causes heart disease, liver disease, cancer and plenty of other issues. Just last year, 15,176 people were referred to tier 3 weight management services for obesity. That is an increase of almost 4,000 people, yet this indicator does not talk about obesity; it just talks about being overweight. Do you know what is happening with obesity rates and whether they are worse among people who are more deprived?

Health, Social Care and Sport Committee

National Performance Framework (Proposed National Outcomes)

Meeting date: 10 September 2024

Dr Sandesh Gulhane

Thank you.

Health, Social Care and Sport Committee

National Performance Framework (Proposed National Outcomes)

Meeting date: 10 September 2024

Dr Sandesh Gulhane

You are saying that the situation could be far worse than we know.

Health, Social Care and Sport Committee

National Performance Framework (Proposed National Outcomes)

Meeting date: 10 September 2024

Dr Sandesh Gulhane

I declare my interest as a practising NHS GP.

Professor Collins, I am glad that you started speaking about the framework. It says that health risk behaviour is maintained, with 26 per cent of people doing two or more risky things. The framework as a whole shows us where we would like to be and where we should be. However, in 2003, there were 1,277 alcohol-related deaths, the highest number since 2008, and, in the past six months, we have had 600 drug deaths. That represents almost 2,000 bereaved families, and our thoughts are with them. That is the worst rate in the UK. Is there a point to having an aspiration when we are simply not seeing any results?

Health, Social Care and Sport Committee

National Performance Framework (Proposed National Outcomes)

Meeting date: 10 September 2024

Dr Sandesh Gulhane

Carol Calder, again, the healthy weight indicator is recorded as being maintained, but the figures show that 65 to 68 per cent of adults and 36 per cent of children in Scotland are overweight. That compares poorly with the figures from the WHO that show that, worldwide, 43 per cent of people are overweight. We also know that obesity levels in Scotland are pretty high compared to the UK and across Europe. However, the way that the data is presented—I think that Professor Collins spoke about this earlier—does not seem to reflect how bad the situation is; it just says that the position of the indicator is maintained from last year. Do you think that we need to look at a different way of reporting so that we can start to see not only where we are compared to last year but where we are compared to other places?