The Official Report is a written record of public meetings of the Parliament and committees.
All Official Reports of meetings in the Debating Chamber of the Scottish Parliament.
All Official Reports of public meetings of committees.
Displaying 1027 contributions
Health, Social Care and Sport Committee
Meeting date: 17 December 2024
Brian Whittle
When I spoke to the health board and the local council in Ayrshire recently, they both said that we need to stop talking about delayed discharge and start talking about flow through the hospital. In Scotland, generally speaking, people spend too much time in hospital, and we need to deal with that. Surely that is a job for AI, which can be used to predict when people will come in the front end and out the back end. Is it not time that we looked at that, rather than just keeping on talking about delayed discharge?
Health, Social Care and Sport Committee
Meeting date: 10 December 2024
Brian Whittle
First, I should say, as a slight aside, that I have a wee morality issue with our trying to draw people from other countries.
I want to follow up what Dr Gulhane was saying about 40 per cent of people not having access to dentists in the past two years—or, I should say, that 60 per cent have had access—and about that being an improvement. My concern would be, as Emma Harper has said, that 40 per cent would include a high percentage of people in rural areas as well as in Scottish index of multiple deprivation 1 and 2 areas. With regard to the point that Mr Ferris made, it is important that we make policy based not on hearsay but on strict data, so how are we measuring that? Given the importance of our being able to measure where that 40 per cent of people are, so that we can target them, how is that happening?
Health, Social Care and Sport Committee
Meeting date: 10 December 2024
Brian Whittle
That is very welcome, but on the ground in my area, third sector organisations in particular are finding that there are issues with getting access to a toothbrush, let alone dental treatment. It worries me that, potentially, we are not collecting the data that we need in order to understand the direction of travel. I go back to the issue of how we are measuring this. How are we gathering the data? Any information in the particular area of prevention is helpful.
Health, Social Care and Sport Committee
Meeting date: 10 December 2024
Brian Whittle
Good morning, minister and colleagues. My questions follow on from those asked by my colleague, Mr Sweeney. The fact that 95 per cent of people are registered with a dentist does not mean that 95 per cent of people are getting access to a dentist. We should recognise that.
What we have heard anecdotally about waiting lists and the amount of time that it now takes to get an appointment with a private dentist is another indicator that we still have a wee bit to go.
On inequalities, we read that there is a 23.5 per cent difference between the most deprived and the least deprived in the rate of obvious decay. Before the pandemic, there was a significant rise in the number of children with extractions, which is really worrying. You will be aware of my fascination with preventative medicine. On top of that, we have had Covid, exacerbating a significant problem. How are we monitoring that? Are we measuring the impact that childsmile, which is a significant intervention, is having on inequality?
Health, Social Care and Sport Committee
Meeting date: 10 December 2024
Brian Whittle
I think that we would agree that investment in prevention is probably the greatest investment we can make. Is there potentially a way to expand oral health checks into secondary schools? Has any work been done on what the impact of that would be?
Health, Social Care and Sport Committee
Meeting date: 26 November 2024
Brian Whittle
Good morning, minister and officials.
I want to ask about accountability in the national care service. It is fair to say that there is a pretty strong divergence among views about where accountability should lie. You mentioned the postcode lottery, which I recognise very much from my area—Ayrshire—which has three councils and one health board, with significant variation among the three councils. How would you address the need to overcome the postcode lottery while recognising that local government will still have responsibility for delivering the service?
Health, Social Care and Sport Committee
Meeting date: 26 November 2024
Brian Whittle
As an aside, I think that Ayrshire is a very interesting example of that. I happened to meet the chief executive on Friday and asked her why there was such divergence locally. I wonder whether you have done the same. I thought that it was quite enlightening.
Health, Social Care and Sport Committee
Meeting date: 26 November 2024
Brian Whittle
The Public Bodies (Joint Working) (Scotland) Act 2014 was about trying to integrate health and social care. It is fair to say that whatever changes you make in social care will have a significant impact on delivery of healthcare in general. Why, therefore, is a national care service, not a national health and social care service, the right model?
Health, Social Care and Sport Committee
Meeting date: 26 November 2024
Brian Whittle
I have a further small question. Are you still committed to the creation of a national care service board, and how will that be constructed?
Health, Social Care and Sport Committee
Meeting date: 19 November 2024
Brian Whittle
I go back to the initial question: internationally, in countries that have introduced assisted dying, is there any evidence to suggest, or have you looked at any evidence that suggests, that palliative care has been impacted one way or the other?