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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 8 August 2025
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Displaying 1225 contributions

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Health, Social Care and Sport Committee

Alcohol (Minimum Pricing) (Scotland) Act 2012 (Post-legislative Scrutiny)

Meeting date: 6 February 2024

Dr Sandesh Gulhane

Good morning. Thank you for coming in.

Alison Douglas, I will start with you. How accurate has the Sheffield model been in each of its iterations prior to its update?

Health, Social Care and Sport Committee

Alcohol (Minimum Pricing) (Scotland) Act 2012 (Post-legislative Scrutiny)

Meeting date: 6 February 2024

Dr Sandesh Gulhane

You said a number of things in that opening answer. You said that 156 lives had been saved as if it were a fact, but that is an estimate based on modelling that is under intense scrutiny. You talked about comprehensive evidence, but you were referring to only one out of the 30 papers that were evaluated.

The other issue that I want to get into here is that of dependent drinkers. How has MUP affected dependent drinkers? Before I come back to Alison Douglas, I would like to bring in Justina Murray.

Health, Social Care and Sport Committee

Alcohol (Minimum Pricing) (Scotland) Act 2012 (Post-legislative Scrutiny)

Meeting date: 6 February 2024

Dr Sandesh Gulhane

Was it statistically significant?

Health, Social Care and Sport Committee

Alcohol (Minimum Pricing) (Scotland) Act 2012 (Post-legislative Scrutiny)

Meeting date: 6 February 2024

Dr Sandesh Gulhane

I declare an interest as a practising NHS GP.

Can I come back to you, please, Dr Cheema? We looked at Public Health Scotland’s modelling—it was modelling, because we all know that the number of deaths has gone up—and saw that it modelled against England. If it had modelled against Wales, we would have seen no difference, which is what Wales has found. If we had modelled against Northern Ireland, we would have seen that MUP exacerbated the number of deaths. Therefore, the way that the data was collected is a bit of a concern. What are your thoughts about that?

Health, Social Care and Sport Committee

Alcohol (Minimum Pricing) (Scotland) Act 2012 (Post-legislative Scrutiny)

Meeting date: 6 February 2024

Dr Sandesh Gulhane

The evidence shows that dependent drinkers are spending more on their alcohol consumption.

I will come back to Alison Douglas. What has been done to help dependent drinkers, who are spending more money, to come away from alcohol? How have measures such as alcohol brief interventions worked for dependent drinkers who have sought treatment?

Health, Social Care and Sport Committee

Budget Scrutiny 2024-25

Meeting date: 16 January 2024

Dr Sandesh Gulhane

We now regularly have more than 1,000 drug-related deaths each year, and we seem to be going backwards in the care that we give to people with drug dependency. There has been a reduction, in real terms, in the budget. What is your commitment to that figure and to reducing the number of deaths, and how do you expect people to do that with less money?

Health, Social Care and Sport Committee

Budget Scrutiny 2024-25

Meeting date: 16 January 2024

Dr Sandesh Gulhane

What are your top three priorities with the budget that you have set out? What are the three things that you would want and expect at the end of this year and as we go into the next year?

Health, Social Care and Sport Committee

Subordinate Legislation

Meeting date: 16 January 2024

Dr Sandesh Gulhane

They are not regulated currently, so if you are creating legislation, you can put in any name you want.

Health, Social Care and Sport Committee

Subordinate Legislation

Meeting date: 16 January 2024

Dr Sandesh Gulhane

No—and the work that I do with my MDT, including our pharmacists and nurses, is absolutely vital. In fact, my practice nurse handles diabetes better than I do, because it represents is a lot of what she does. However, my argument is that, instead of looking to get doctors into practices, we are seeing expansion of the PA role, and thereby creating that dichotomy.

I have also heard of reports of PAs setting up privately and saying that they can offer all the same services. It is difficult to regulate if we cannot define the supervision level or the scope of practice. They have to be very tight and defined, in the same way as the situation that Emma Harper spoke about when we were talking about what happens in the US.

Health, Social Care and Sport Committee

Subordinate Legislation

Meeting date: 16 January 2024

Dr Sandesh Gulhane

What about my point about the cost of regulating a PA being half that of regulating a doctor?