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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 5 August 2025
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Displaying 1225 contributions

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Health, Social Care and Sport Committee

Petitions

Meeting date: 21 February 2023

Dr Sandesh Gulhane

I just want to make it clear that I would like to take evidence from Dr Baird, but as part of that wider work.

Health, Social Care and Sport Committee

Patient Safety Commissioner for Scotland Bill: Stage 1

Meeting date: 21 February 2023

Dr Sandesh Gulhane

You have a set budget and you report to the Health and Social Care Committee. Do you feel able to tell that committee what you have found out so far and what you need to be able to go a little bit further or, because your funding comes from the Department of Health and Social Care, do you have to take that route—or do you have to take both routes?

Health, Social Care and Sport Committee

Patient Safety Commissioner for Scotland Bill: Stage 1

Meeting date: 21 February 2023

Dr Sandesh Gulhane

Thank you.

Health, Social Care and Sport Committee

Patient Safety Commissioner for Scotland Bill: Stage 1

Meeting date: 21 February 2023

Dr Sandesh Gulhane

Everyone on the panel has spoken about other areas that they would like to put under the wing of the patient safety commissioner. Under the current proposals, four members of staff will be allocated to the role, and there are many other commissioners, which is very expensive. Do you feel that the patient safety commissioner will be adequately resourced to handle the situation now and in the future? I direct that question to Shaun Gallagher and Matthew McClelland, who both mentioned the possibility of the commissioner having extra areas of responsibility.

Health, Social Care and Sport Committee

Patient Safety Commissioner for Scotland Bill: Stage 1

Meeting date: 21 February 2023

Dr Sandesh Gulhane

I will pick up on what the convener said about individual cases. Dr Williams, I appreciate that there are lots of different ways of doing things, but might it be useful for the commissioner to be able to hear about and log individual cases in order to find the golden thread that runs through them?

Health, Social Care and Sport Committee

Patient Safety Commissioner for Scotland Bill: Stage 1

Meeting date: 21 February 2023

Dr Sandesh Gulhane

My question is for Dr Williams. I am sorry if I seem to be picking on you. I note that, in its submission, the RCGP talks about the interface between primary and secondary care being where half of all errors and problems occur. You touched on that in response to my opening question to you.

Perhaps I can highlight as an example something that happened when I was in general practice last week. A patient came to me, telling me all the things that the hospital had said and done to them, but I did not get a discharge letter telling me any of that. As a result, I knew less than the patient did about their care. Can you give us any more examples of problems with the interface between primary and secondary care? What, exactly, do you feel a patient safety commissioner could do in that area?

Health, Social Care and Sport Committee

Patient Safety Commissioner for Scotland Bill: Stage 1

Meeting date: 21 February 2023

Dr Sandesh Gulhane

Just on that point, do you feel that our current culture is one in which there is blame, so people are a bit worried, and that the patient safety commissioner might help with that situation? Matthew McClelland, I direct that follow-up question to you, too. In previous committee meetings we have heard about cover-ups, with people being very worried and using Datix forms or the words, “I’m going to complain about you” as threats to get what they want. Do you feel that we have a culture of blame, which we need to move away from?

Health, Social Care and Sport Committee

Patient Safety Commissioner for Scotland Bill: Stage 1

Meeting date: 21 February 2023

Dr Sandesh Gulhane

The NMC and the GMC both undertake investigations, which involve a very different skill to that of analysis, and can be resource heavy and difficult to do. Knowing how difficult it is to do investigations, do you feel that the patient safety commissioner should highlight areas of concern but use other agencies to carry out investigations, thus making resources go further?

10:15  

Health, Social Care and Sport Committee

Patient Safety Commissioner for Scotland Bill: Stage 1

Meeting date: 21 February 2023

Dr Sandesh Gulhane

Thank you for coming to the Scottish Parliament, Dr Hughes. My question is about individual cases. I know that you are not responsible for those, but does that lead to frustration with people who are contacting you?

Health, Social Care and Sport Committee

Petitions

Meeting date: 21 February 2023

Dr Sandesh Gulhane

I reiterate what I said about the previous petition. I think that we should also fold this petition into our potential look at rural healthcare.

I agree with what Gillian Mackay says about the other issues and about listening and talking to other ministers. As I said, when I was on my way down to Dumfries and Galloway, the roads were terrible. That would put people off going there and moving around. We should certainly ask the Minister for Transport about that.

Further, it is not possible for people to obtain housing in rural and island areas because it costs so much or it is just not available. Those are all factors when it comes to recruitment and retention.

11:45