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Chamber and committees

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 18 June 2025
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Displaying 1195 contributions

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Health, Social Care and Sport Committee

Health and Social Care Integration

Meeting date: 4 October 2022

Dr Sandesh Gulhane

I listened to Vicky Irons speaking. As a doctor, I, too, am confused about where IJBs sit. There is confusion about authority, governance and lines of accountability, so what she said makes real sense to me.

In relation to the National Care Service (Scotland) Bill, Audit Scotland said:

“A clearer line about Care Boards superseding Integration Authorities and the timeline for this would have been beneficial. This would assist current Integration Authorities ... with medium- and longer-term planning.â€

Do you agree? Are you concerned that the bill as drafted is undermining such medium and longer-term planning?

Health, Social Care and Sport Committee

Winter Planning

Meeting date: 27 September 2022

Dr Sandesh Gulhane

As a GP, I know the troubles that we have with recruiting GPs, especially in rural areas, which is why I want to direct my question to Dr Coldwells. We heard about MDTs in the previous part of the meeting. When they are there, they are very good. In fact, I would suggest that there are a number of occasions on which it is better to see a member of the MDT than it is to see a GP, but patients feel as though they are being fobbed off. They do not feel that they are being seen by someone in primary care. What can you do to ensure that we take patients with us, and how can you improve messaging, because it is not getting out to the public?

Health, Social Care and Sport Committee

Winter Planning

Meeting date: 27 September 2022

Dr Sandesh Gulhane

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Health, Social Care and Sport Committee

Winter Planning

Meeting date: 27 September 2022

Dr Sandesh Gulhane

My question was about the new cancer statistic of 76.3 per cent, which is the worst on record. Obviously, that is a priority area, so what are you doing to ensure that we get that figure up?

Health, Social Care and Sport Committee

Winter Planning

Meeting date: 27 September 2022

Dr Sandesh Gulhane

Jeff Ace, initially, because he is nodding, but it is for all the boards, I am afraid.

Health, Social Care and Sport Committee

Winter Planning

Meeting date: 27 September 2022

Dr Sandesh Gulhane

It is just a very quick point. To be clear, sadly, it is not pharmacy staff who are getting double pay, but the pharmacy chains. When you write to us, could you look at that?

Health, Social Care and Sport Committee

Winter Planning

Meeting date: 27 September 2022

Dr Sandesh Gulhane

My question is for Dr Armstrong, mainly because NHS Greater Glasgow and Clyde is the biggest board. With regard to waiting times, Dr Iain Kennedy, the new chair of BMA Scotland, has said that figures that have been compiled suggest that patients are not getting a realistic picture of the delays with orthopaedics, and orthopaedic surgeons are saying that only the most urgent care is being prioritised while patients

“face languishing on waiting lists for years due to lack of capacity.â€

How do you respond to that and what can you do to ensure that we get those waiting lists down?

Health, Social Care and Sport Committee

Winter Planning

Meeting date: 27 September 2022

Dr Sandesh Gulhane

It is important to say to anyone who is watching that, if you are eligible to get a vaccine, please, please go and get one, because it will save your life.

I thank the witnesses for coming to see us. I listened to what Ms Lamb said with a lot of interest and I will pick up on Tess White’s question. You said that £7.5 million had been spent on modelling. You have not talked about anything specific that is being done to improve what will happen. Are you confident that the NHS will cope this winter, based on the modelling that you have spent £7.5 million on and all the work that you have been doing? Will you tell us about the things that you have done under the strategies?

Health, Social Care and Sport Committee

Winter Planning

Meeting date: 27 September 2022

Dr Sandesh Gulhane

In answer to an earlier question, you talked about the increase in workforce, but the British Medical Association has said that consultant vacancies are now at 15 per cent and that there are 6,000 nursing vacancies. We have talked about the right care, right place guidance, but I note that the community pharmacies that David Torrance asked about choose to close for a half-day on Saturdays so that they can move staff to another pharmacy and get paid double.

We have also mentioned out-of-hospital capacity, but I note that OPAT was being used at Raigmore hospital in 2015. You talked about the strength of integration with regard to delayed discharge, but we have actually had a decrease in bed numbers and a record number of people who are ready to go being delayed in hospital. Moreover, staff and patients do not really like the redesign of urgent care.

I just want to look at what you say has happened and the problems that we are seeing now. For example, the cancer statistics that have just come out show that only 76.3 per cent of patients are being seen within the target. That figure is the worst on record, and it is a priority area. How are we going to address and fix the situation?

Health, Social Care and Sport Committee

Winter Planning

Meeting date: 27 September 2022

Dr Sandesh Gulhane

Most important, what is going to happen with other things? We know that we are going to get a winter surge, but how are we going to help cancer patients, for example? Our stats have come out. The figure of 76.3 per cent is the worst on record. Clearly, it is a priority area. How can we protect those patients when it comes to winter, and get that flow continuing?