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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 7 August 2025
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Displaying 1225 contributions

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Health, Social Care and Sport Committee

Programme for Government 2023-24

Meeting date: 12 September 2023

Dr Sandesh Gulhane

Good morning, cabinet secretary. I have heard some heart-breaking stories from 11-year-olds with long Covid who are unable to get out of bed, asking their parents if this is all that their lives are going to be and saying that it is just not worth continuing. What would you say to such a child and their family? What tangible help have you put in place and will be put in place for kids with long Covid?

Health, Social Care and Sport Committee

Winter Planning 2023-24

Meeting date: 5 September 2023

Dr Sandesh Gulhane

In the light of what Nicky Connor has said about the real-time action that is being taken, and Pamela Milliken’s comments about being more flexible and the things that are being done, I wonder whether both witnesses can follow up on their comments in writing with more information about what all that means.

I want to turn from primary to secondary care and ask John-Paul Loughrey from the Royal College of Emergency Medicine a question. On your data on people dying as a result of waiting in accident and emergency departments too long, we, too, have found that the number of people dying in A and E after waiting more than four hours has gone up 164 per cent since 2018. Are you concerned that we are going to see that situation escalate this winter?

Health, Social Care and Sport Committee

Winter Planning 2023-24

Meeting date: 5 September 2023

Dr Sandesh Gulhane

We have been talking in exactly the same terms for a decade now. For example, John-Paul Loughrey might send me a letter from A and E on a Saturday, saying, “Can you please do these things for this patient, who doesn’t necessarily need to be here?”, but when the patient rocks up to me on the Monday, I will still not have that letter. We do not talk in that way.

Let me ask something more basic. When are GPs going to be able to do something as simple as repeat prescriptions without having to sign them in what might be a dangerous way? As a GP, I have to sign all repeat prescriptions, but I do not have the time to read them—no GP does. When can we have something really basic and simple that other countries have had for a long time, which is automatic repeat prescriptions?

Health, Social Care and Sport Committee

Winter Planning 2023-24

Meeting date: 5 September 2023

Dr Sandesh Gulhane

I thank the panel for joining us today. I will ask you exactly the same question that I asked the first panel. We in primary care do not have the ability to call a code black and say that there is far too much pressure; a GP partner’s workload is unlimited. What are you doing to mitigate that and enable GPs to do more for patients than simply firefight and provide the basics?

Health, Social Care and Sport Committee

Winter Planning 2023-24

Meeting date: 5 September 2023

Dr Sandesh Gulhane

I turn to my final question. Recent statistics show that 820,000 Scots are on a waiting list. That leads to pressures not only on GPs, because people will come back to their GP, but on A and E departments, because everyone cannot get the help that they need from their GP, so they start going to A and E and the cycle continues, which makes things far worse. What are you doing to ensure that patients are seen in a more timely manner when it comes to referrals?

Health, Social Care and Sport Committee

Winter Planning 2023-24

Meeting date: 5 September 2023

Dr Sandesh Gulhane

I will ask the same question that I asked the first panel. I and other GPs find it very difficult when a patient, after going to an A and E department at the weekend, turns up and says, “Oh, someone in A and E asked me to come and see you”, because I will have no idea why if I have not received a document from the A and E department. Our systems do not communicate with one another efficiently. What are you doing now to ensure that we have consistent good messaging between us, given that we have been talking about this for an awfully long time?

Health, Social Care and Sport Committee

Winter Planning 2023-24

Meeting date: 5 September 2023

Dr Sandesh Gulhane

Okay. There is ongoing work, but it has been going on for a decade plus, and we are not there yet. The interface between all our different areas is dangerous; that includes primary care and specialties.

I ask about this all the time. In other countries, repeat prescriptions can be done automatically for GPs. If we had that here, it would mean that I, as a GP, would not have to sit and sign a thick stack of prescriptions that I do not really have time to read, but just have to get on with. When will we have repeat prescriptions done in that manner?

Health, Social Care and Sport Committee

Winter Planning 2023-24

Meeting date: 5 September 2023

Dr Sandesh Gulhane

Thank you, convener.

Good morning, and thank you for coming in for our first meeting of the new term. My first question is directed at Nicky Connor and Pamela Milliken, if that is okay. As we saw last year, when it comes to winter planning the focus is on what is going on in accident and emergency departments and hospitals. However, in primary care, general practitioners cannot call a code black and say that they are overwhelmed and that it is impossible to do what they are doing safely. I was at work during the summer, when it was almost like that. When I was on call, I was doing things at a speed that was not overly safe, but things had to be done that way because that is how we got through the number of patients who were needing help. What plans do you have in place for primary care come the winter?

Health, Social Care and Sport Committee

Winter Planning 2023-24

Meeting date: 5 September 2023

Dr Sandesh Gulhane

When will that happen for repeat prescriptions?

Health, Social Care and Sport Committee

Winter Planning 2023-24

Meeting date: 5 September 2023

Dr Sandesh Gulhane

Thank you.