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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 4 November 2025
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Displaying 1251 contributions

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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?

Health, Social Care and Sport Committee

Patient Safety Commissioner for Scotland Bill: Stage 1

Meeting date: 7 February 2023

Dr Sandesh Gulhane

I asked this question of the patient witness panel, and I am keen to ask you the same and also to bring in the threads of what has been said already. Dr Lamont talked about the fact that the commissioner will need to hear from individual patients. Simon Watson spoke about capturing patterns and about how, ideally, individuals will speak to the commissioner. The policy memorandum estimates that the commissioner will have four staff. Clearly, a lot more individuals will come forward, and, if patients are going to go directly to the commissioner, the numbers could be in the thousands. Do we need to significantly increase the number of staff and, if so, do we need to significantly increase the budget?

Health, Social Care and Sport Committee

Patient Safety Commissioner for Scotland Bill: Stage 1

Meeting date: 7 February 2023

Dr Sandesh Gulhane

I want to pick up on something that Rosemary Agnew said in her opening statement about patient whistleblowing. I am not talking about the extreme situations that Simon Watson mentioned. Before the pandemic, my experience in hospital was of long waits or of patients who were in wards that were particularly hot in the summer and they were feeling overwhelmed. They would tell me, as their doctor, and they would tell our nursing staff, but they would not put in a complaint because they were too worried about the staff. They saw that they were working as hard as they could and that it was not their fault. I found that, despite our raising those points, it did not make a difference until patients complained. Therefore, we were encouraging patients to complain.

Do you feel that having a patient safety commissioner would be a good way for stories like that to be picked up? We have heard about the golden thread. Alternatively, is the local complaints procedure the best place for such issues to be dealt with?

Health, Social Care and Sport Committee

Patient Safety Commissioner for Scotland Bill: Stage 1

Meeting date: 7 February 2023

Dr Sandesh Gulhane

Before I ask my question, I will touch on something that Bill Wright said. With regard to the culture of defensiveness, what happened in the past is very different to what goes on now. Doctors certainly do whistleblow, and we have seen that on a number of occasions. As a doctor, when I make a mistake, one of the first things that I do is apologise. We all make mistakes, because that is the reality, so I hope that that comment was about the higher board level rather than about individuals.

NHS Scotland—and the NHS in general—is fantastic, but I am realistic enough to know that improvements can be made. From what I have been hearing, it seems that everyone is keen for the commissioner to take and listen to evidence from individuals, but we need to be clear that, potentially, thousands of people will be writing to or seeing the commissioner. My question is based around the fact that the current budget is for four members of staff plus the commissioner. Do you want to see a significant increase in the budget and, thus, the number of staff who work for the commissioner? That question goes first to Bill Wright.

Health, Social Care and Sport Committee

Patient Safety Commissioner for Scotland Bill: Stage 1

Meeting date: 31 January 2023

Dr Sandesh Gulhane

Do you feel that it would be useful to have powers such as the ability to fine a public sector organisation?