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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]

Right to Addiction Recovery (Scotland) Bill: Stage 1

Meeting date: 13 May 2025

Dr Sandesh Gulhane

That there is a top-down, bad attitude that is coming through to our health professionals?

Health, Social Care and Sport Committee [Draft]

Right to Addiction Recovery (Scotland) Bill: Stage 1

Meeting date: 13 May 2025

Dr Sandesh Gulhane

Before I move on to my topic, I want to talk about early intervention and the points that were discussed. Along the line of a patient’s journey for whatever problem they might have—whether that be addiction to alcohol or drugs, or a medical issue such as a chest infection—there are multiple touch points with services. When you have a member’s bill, which is a very narrow-scoped bill, it should not look at the entire patient journey. It needs to be very focused on something, and this bill is very focused on trying to improve things for those people who are at the end of the journey and who are saying, “I need help. I need some medical intervention.”

That is not to reduce the rights of people to have early intervention; it is absolutely vital that that happens. Cuts are occurring in my area of Glasgow that are stopping that early intervention from happening, but that has nothing to do with the bill. If we look specifically at this narrow bill, which is about the person who has said, “I want medical help,” will it help them?

Health, Social Care and Sport Committee [Draft]

Right to Addiction Recovery (Scotland) Bill: Stage 1

Meeting date: 13 May 2025

Dr Sandesh Gulhane

Thank you.

I want to move on to treatment determinations. In the evidence provided by the Salvation Army and WithYou, there was discussion about the attitudes of healthcare professionals and how the bill would create a power imbalance. There was also discussion about the fact that people are being denied access to treatments from professionals right now. How can we improve the situation right now for people who want help while there seems to be that power imbalance? Why do you think that the bill would create further power imbalance?

Health, Social Care and Sport Committee [Draft]

Right to Addiction Recovery (Scotland) Bill: Stage 1

Meeting date: 13 May 2025

Dr Sandesh Gulhane

I declare an interest as a practising NHS GP.

On the point about addiction being used as a diagnosis, it was clear from our evidence session with the Royal College of Psychiatrists that the word “addiction” is perhaps not the right word to use. I am sure that Douglas Ross, who is the member in charge of the bill, will be looking into that.

If we were to amend the bill—because we need to say that the patient has something, although that does not necessarily have to be a diagnosis—what should be the way to access the right to treatment? Is it simply that the patient would like to receive treatment? What exactly would you suggest?

Health, Social Care and Sport Committee [Draft]

Right to Addiction Recovery (Scotland) Bill: Stage 1

Meeting date: 13 May 2025

Dr Sandesh Gulhane

I declare an interest as a practising NHS general practitioner.

Kirsten Horsburgh, you spoke of data. The figure that really matters is the 1,172 drug deaths in 2023, at 27.7 deaths per 100,000 people. That is three times higher than the next nearest country, which is Ireland. The other figure that matters is the 1,277 alcohol deaths in 2023. We can all agree that those levels are disgracefully high.

Justina Murray, you spoke of families talking about going into battle “armed with information” and how this bill could be a retrograde step. Would it not be important that the families who are armed with information could go into the battle that you speak of—which is what is happening right now—with a right in law to get treated?

Health, Social Care and Sport Committee [Draft]

Right to Addiction Recovery (Scotland) Bill: Stage 1

Meeting date: 13 May 2025

Dr Sandesh Gulhane

If we created a bill that said that, by law, you would have to be able to get a GP appointment within a week, would that not completely change the conversations that would occur with GP receptions?

Health, Social Care and Sport Committee [Draft]

Right to Addiction Recovery (Scotland) Bill: Stage 1

Meeting date: 13 May 2025

Dr Sandesh Gulhane

Tracey, I am glad that you know how the funding works, because I struggle with it. The system is very opaque. I do not think that we are able to accurately audit the way in which the money is distributed.

We have spoken about the third sector and communities. In my region of Glasgow, funding for award-winning services is being cut. NHS Grampian has been escalated to level 4 of the NHS national performance framework, partly because of the financial situation there. Further cuts will occur. One of the easiest places to make those cuts seems to be within drug and alcohol services in the community. How can we protect the community services that do amazing work, especially the people who know individuals? They know when they are starting or stopping their substance misuse and what is going on with them, and they are able to intervene.

Health, Social Care and Sport Committee [Draft]

Right to Addiction Recovery (Scotland) Bill: Stage 1

Meeting date: 13 May 2025

Dr Sandesh Gulhane

That could be put into the bill through amendments at the next stage. If that were to be an amendment to the bill, would it not—to go back to my question—be important for the families, who you are saying go into battle, to have that right?

Health, Social Care and Sport Committee [Draft]

Right to Addiction Recovery (Scotland) Bill: Stage 1

Meeting date: 13 May 2025

Dr Sandesh Gulhane

Annemarie, do you wish to respond before I move on to further questions?

Health, Social Care and Sport Committee [Draft]

Right to Addiction Recovery (Scotland) Bill: Stage 1

Meeting date: 13 May 2025

Dr Sandesh Gulhane

Thank you.