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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 5 November 2025
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Displaying 3377 contributions

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Health, Social Care and Sport Committee

Alternative Pathways to Primary Care

Meeting date: 29 March 2022

Gillian Martin

The pharmacy first and minor ailments services have been more successful than other routes. Are there any specific areas where a little more work needs to be done to give patients confidence? In particular, I am thinking about those patients who say, “I need to see my GP”, and feel that they are being fobbed off when another route is suggested to them. That is a key point in the cultural mindset.

Health, Social Care and Sport Committee

Alternative Pathways to Primary Care

Meeting date: 29 March 2022

Gillian Martin

I have one final question before I bring in Carol Mochan. You mentioned a better experience for GPs. Given that GP workload is extremely pressurised, do you think that when the model starts to kick in and there is public acceptance of the fact that there are several different ways to access care, it might make GP practice more attractive to medical graduates because they will be dealing with acute cases, which will really put their training into action, as opposed to the nurse practitioner side of things?

Health, Social Care and Sport Committee

Alternative Pathways to Primary Care

Meeting date: 29 March 2022

Gillian Martin

Thank you, cabinet secretary.

As you mentioned, it has been a number of years since 2018, when the Scottish Government started the reforms relating to pathways and multidisciplinary teams. Previously, there was a traditional model in which the GP was the first, and often the only, port of call for people to access healthcare. Obviously, the plan is to widen that out.

One reason why we decided to do our inquiry was that, from speaking to stakeholders, we got a sense that public awareness of the issue is not quite where it could be. Certainly, we had a lot of responses to that effect in our survey of patients across Scotland and in discussions with patient groups. The model that the Government wants to promote is not quite landing in every area of Scotland. What are your thoughts on how the Government can take forward the approach and create a culture change? How can you give assurance to patients that an alternative pathway is not a wrong pathway, that they do not have to see their GP for everything, and that in fact it might be better to access an alternative pathway?

Health, Social Care and Sport Committee

Alternative Pathways to Primary Care

Meeting date: 29 March 2022

Gillian Martin

Sue Webber has questions on workforce and capacity.

Health, Social Care and Sport Committee

Alternative Pathways to Primary Care

Meeting date: 29 March 2022

Gillian Martin

Sandesh Gulhane would like to ask a final question.

Health, Social Care and Sport Committee

Alternative Pathways to Primary Care

Meeting date: 22 March 2022

Gillian Martin

Awareness is one thing, but there is also choice. Digital care is not for everyone. We see that in our inboxes—we have people emailing us saying, “I’ve been fobbed off” and “I want to see someone face to face”. Are you cognisant of that?

Health, Social Care and Sport Committee

Alternative Pathways to Primary Care

Meeting date: 22 March 2022

Gillian Martin

Would anyone else like to come in on that, or are we content to move on?

Health, Social Care and Sport Committee

Alternative Pathways to Primary Care

Meeting date: 22 March 2022

Gillian Martin

That is a good point.

I am looking at the clock, and some members still want to come in on other themes, so I ask Evelyn Tweed to direct her supplementary question to somebody.

Health, Social Care and Sport Committee

Alternative Pathways to Primary Care

Meeting date: 22 March 2022

Gillian Martin

I thank the four panel members for their evidence, which has been very interesting and helpful. We need to round off the session. We will have a 10-minute break before we come back with the second panel.

10:41 Meeting suspended.  

10:52 On resuming—  

Health, Social Care and Sport Committee

Alternative Pathways to Primary Care

Meeting date: 22 March 2022

Gillian Martin

We move to our second evidence session, in which we will examine the role of technology in alternative pathways to primary care. I welcome Scott Henderson, who is head of programme for digital front door at the Scottish Government, who is representing Technology Enabled Care Scotland; Chris Mackie, who is digital hub and ALISS programme manager at the Health and Social Care Alliance Scotland; Dr Paul Perry, who is associate medical director at NHS 24; and Adam Stachura, who is head of policy and communications at Age Scotland.

Your ears will have been burning during our evidence sessions, because the role of technology in alternative pathways to primary care has come up throughout our inquiry. I will begin by asking about the awareness of patients and the public of the digital services that are available. Do you think that people find them useful? Do they understand what is available? Do such services give the people of Scotland greater capacity to manage their own healthcare? Obviously, that will depend on the demographic, although I do not want to pre-empt what you have to say.

I would be interested to hear everyone’s thoughts on those issues, starting with Scott Henderson.