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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

The petition is focused on one particular area, but we know that there is an issue at Dr Gray’s hospital and that plenty of other rural areas have the same issue. Paul Sweeney said that we cannot always have an expert in a small village. However, experts could travel to different areas where they are needed, which would make it easier for people to get the help that they need. I would like expand our wider inquiry into rural health so that we could have an evidence session on maternal health in rural areas.

Health, Social Care and Sport Committee

Patient Safety Commissioner for Scotland Bill: Stage 1

Meeting date: 21 February 2023

Dr Sandesh Gulhane

We heard from Dr Williams of the RCPG, who was on the previous panel, about the primary and secondary care interface. I think that that gap exists in all health services—it is not exclusive to Scotland; it is also in England, Wales and Northern Ireland. Are you able to focus on and make contributions on that, or is it about finding the relevant person to pass concerns on to?

Health, Social Care and Sport Committee

Petitions

Meeting date: 21 February 2023

Dr Sandesh Gulhane

I will make a wider point to start with before focusing on the petition itself. The dedication of our staff who work in remote and rural areas is without exception. They are extremely dedicated and work very hard. However, despite their hard work, I feel that our patients who live in remote and rural areas get a far worse service than those who live in urban communities. There are a number of reasons for that, and Emma Harper has mentioned a few of them, including travel and there not being the required expertise. We also know that there is a lack of staff in remote and rural areas in comparison with urban areas. That applies to nurses, doctors and GPs. Retention is also important in those areas.

I have done a GP shift in Dumfries and Galloway, so I know that travel is one of the issues. When I drove to my shift, the road was flooded. At one point, I genuinely thought that I was going to drown. Admittedly, there was a storm. Patients face travel issues day in, day out in rural areas. What we offer is not good enough.

I would advocate our looking into rural healthcare generally and having an inquiry that would incorporate a lot of what we have spoken about and a lot of what the petitions highlight.

On PE1845, I am not sure that an agency is the way forward. However, I think that the issues that it raises need to be part of our potential work on rural healthcare.

Health, Social Care and Sport Committee

Patient Safety Commissioner for Scotland Bill: Stage 1

Meeting date: 21 February 2023

Dr Sandesh Gulhane

I understand that you are not able to take on individual cases. However, I go back to the idea of a golden thread. If, for example, multiple people come to you from different parts of the country and present you with a similar issue, will you unfortunately miss that because you cannot investigate individual cases, or do you log the information to see whether there is a golden thread that you are able to pick up?

Health, Social Care and Sport Committee

Patient Safety Commissioner for Scotland Bill: Stage 1

Meeting date: 21 February 2023

Dr Sandesh Gulhane

The remit for the Scottish commissioner is already a bit bigger than yours. A lot of people have come to the committee and asked for other things to be included in that remit, so the role seems to be expanding. Do you feel that our current budget and resource will be enough, or do you feel that it will be okay for the initial phase, with an agile team, but that we would need scope for future expansion?

Health, Social Care and Sport Committee

Patient Safety Commissioner for Scotland Bill: Stage 1

Meeting date: 21 February 2023

Dr Sandesh Gulhane

My first question is very straightforward: do you feel that you have enough resources?

Health, Social Care and Sport Committee

Patient Safety Commissioner for Scotland Bill: Stage 1

Meeting date: 21 February 2023

Dr Sandesh Gulhane

Do you have enough resources to be able to expand as you want to?

Health, Social Care and Sport Committee

Patient Safety Commissioner for Scotland Bill: Stage 1

Meeting date: 21 February 2023

Dr Sandesh Gulhane

I have a couple of questions. The first goes back to the voices of staff, and is directed to Shaun Gallagher. Matthew McClelland spoke about whistleblowing legislation, but my understanding is that people who sit on health boards are not covered by that. Does that not create an issue, especially when we are talking about a blame culture? Should we take steps to include members of health boards in such legislation?

Health, Social Care and Sport Committee

Patient Safety Commissioner for Scotland Bill: Stage 1

Meeting date: 21 February 2023

Dr Sandesh Gulhane

It is reassuring to hear that you are all speaking—one would expect you to, of course, but it still reassuring.

I suppose that the question is about the investigation. You said that you had previously been in areas where a lot of investigation was done, and that takes a certain amount of skill, time and resource to do. I appreciate that you have been in post for only 100 days, but do you feel that your role is to find those themes and perhaps pass them on to the relevant organisation, or do you feel that your job is to move on to the ones that you want to investigate further?

Health, Social Care and Sport Committee

Patient Safety Commissioner for Scotland Bill: Stage 1

Meeting date: 7 February 2023

Dr Sandesh Gulhane

Thank you for your answers. We would love to see that information, Simon.

I return to what Rosemary Agnew said. I know that I am veering outside of the resource theme, but this is important. If we set up an organisation that had the scope to expand, what would our measure of success be that would indicate that it needed to expand?