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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 14 January 2026
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Displaying 1347 contributions

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Health, Social Care and Sport Committee

Food Standards Scotland

Meeting date: 7 May 2024

Dr Sandesh Gulhane

I believe that meal replacement shakes are part of a diet culture. A huge proportion of people—I suspect, most people—have been on diets, on and off, for their whole lives. Do consumers feel that things such as meal replacement shakes are healthy alternatives to eating well? If you do think that, what have you done about it?

Health, Social Care and Sport Committee

Food Standards Scotland

Meeting date: 7 May 2024

Dr Sandesh Gulhane

On the perception of healthy foods versus what is actually healthy, a lot of people think that cereal bars are a very healthy alternative to having breakfast, whereas they are in fact full of sugar, salt and other things. A lot of foods are perceived to be healthy but are patently not. What research have you done on that and on the public’s perception of what is healthy?

Health, Social Care and Sport Committee

Gender Identity Services for Children and Young People

Meeting date: 7 May 2024

Dr Sandesh Gulhane

I have a final question, Dr Cass, if I may. An important area is regret and detransitioning. What does your research show about the number of children who experience regret? Indeed, has it been able to show that? You have said that puberty blockers are irreversible, so what do we then do with children who face that issue?

Health, Social Care and Sport Committee

Gender Identity Services for Children and Young People

Meeting date: 7 May 2024

Dr Sandesh Gulhane

Dr Cass, I know that adult services were outside the scope of your review, but you mentioned them in your report. At paragraph 19.31, you stated:

“There was an expectation that patients would be started on masculinising/feminising hormones by their second appointment, which was a cause of concern given the complexity of presentations.”

Did your research show anything similar for children’s services?

Health, Social Care and Sport Committee

Food Standards Scotland

Meeting date: 7 May 2024

Dr Sandesh Gulhane

I declare an interest, in that I am a practising NHS GP. I am a bit disappointed to hear that the issue of a reduction in red meat is due to the climate report, not simply to a discussion about healthy eating. I was glad that Dr Purdon eventually spoke about the risk of colorectal cancer. Ultimately, we need to eat a wide and varied diet, with a rainbow plate; one portion of red meat a week; far more fish; and far more vegetables.

I am also glad that Dr Purdon mentioned the food environment, because that is what I want to speak about. I have heard that all branches of Greggs are approximately 200m from a school. Is that accurate?

Health, Social Care and Sport Committee

Gender Identity Services for Children and Young People

Meeting date: 7 May 2024

Dr Sandesh Gulhane

Gillick competence can mean from the age of 13 onwards, which is why I asked about parents, too. Can we use Gillick competence in this treatment pathway, and, if we can, should the parents be aware?

Health, Social Care and Sport Committee

Food Standards Scotland

Meeting date: 7 May 2024

Dr Sandesh Gulhane

We had a long discussion about that earlier.

I know that time is against us, but I have a final question. I have been on your website and I looked at your X account. You have 6,000 followers, or maybe fewer than that, so that is certainly something that can be improved. I did not see anything about portions on your website or X account. The size of our plates has gone from a side plate to what used to be a serving plate. Portion control is possibly one of the most important ways to have a healthy, balanced diet that allows calorie control and allows us to think about what we are doing. Using hands is a great way of doing that. Do you have any thoughts on that and how to promote it?

Health, Social Care and Sport Committee

Food Standards Scotland

Meeting date: 7 May 2024

Dr Sandesh Gulhane

Thank you.

Health, Social Care and Sport Committee

Gender Identity Services for Children and Young People

Meeting date: 7 May 2024

Dr Sandesh Gulhane

I declare an interest as a practising NHS general practitioner.

Thank you for joining us, Dr Cass. I have grave concerns about the use of puberty blockers for children, given the paucity of evidence and given that the early intervention study did not demonstrate benefit. I feel that ideology and dogma have no place in medical treatment. Given that you have stated that young people’s gender identity is “fluid” and that there is “no hierarchy”, do you feel that there is an age where it becomes more fixed?

Health, Social Care and Sport Committee

Gender Identity Services for Children and Young People

Meeting date: 7 May 2024

Dr Sandesh Gulhane

Certainly, the things that I believed when I was a child are very different from the things that I believe now, as are the things that I feel are or are not important.

In your report, recommendation 8 states that we should be looking to prescribe medication at 18, and recommendation 6 states that we need a trial. If medication were to be given below the age of 18, would it be appropriate for that to happen without parents’ knowledge, or do you feel that 18 is the right point? Also, given your previous statement, why did recommendation 8 state 18 as the age?