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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 15 January 2026
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Displaying 1352 contributions

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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.

Health, Social Care and Sport Committee

Winter Planning 2023-24

Meeting date: 5 September 2023

Dr Sandesh Gulhane

Community link workers in Glasgow have written to me en masse to say that there are deep-end practices where community link workers are being cut. The meeting that I had suggested that some—a lot—of community link workers are considering their jobs, given the changes that might be coming down the road. If that is the case, how are we helping primary care if we are getting those deep cuts in our link workers?

Health, Social Care and Sport Committee

NHS Scotland (Performance and Recovery)

Meeting date: 27 June 2023

Dr Sandesh Gulhane

Cabinet secretary, I have brought this point up before, both with boards and, indeed, the previous cabinet secretary, although not with you.

In NHS Greater Glasgow and Clyde—as in other health boards, but in Greater Glasgow and Clyde, in particular—there are information leaflets in many different languages, but Hindi is still not one of them. That is despite my having brought it up on a number of occasions. Why is that? Will you look to urgently chase that up?

Health, Social Care and Sport Committee

NHS Scotland (Performance and Recovery)

Meeting date: 27 June 2023

Dr Sandesh Gulhane

Yes.