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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 Inequalities

Meeting date: 21 June 2022

Dr Sandesh Gulhane

With respect, alcohol consumption fell among those who were not deprived, but we saw alcohol consumption rise among people who have an alcohol problem and among the most vulnerable people. A report by Public Health Scotland found no clear evidence of a reduction in alcohol consumption among people drinking at harmful levels following the implementation of minimum unit pricing. However, you are absolutely right to say that there has been a collapse of recovery services, which is key. We have also found that those who are drinking have just switched what they drink, as I said in my first question.

The United Kingdom Government has increased tax on the basis of the alcohol level, so tax is increased on spirits and there are lower tax rates for drinks that are weaker in their alcohol content—those that are 3.5 per cent alcohol, for example—and for low and no-alcohol drinks. Should we be promoting low and no-alcohol drinks? Should we introduce a system that looks not just at pricing? In terms of health inequalities, our approach to alcohol is a huge area that does not seem to be quite working.

Health, Social Care and Sport Committee

Health Inequalities

Meeting date: 21 June 2022

Dr Sandesh Gulhane

Dr Cawston, you said earlier that there is a standard amount of money going into general practice. Was I mistaken in thinking that, initially, GPs who worked in areas of high deprivation actually got more funding but that, following the introduction of the new GP contract, although there is an element of the funding allocation that concerns deprivation, more money is going to the care of those who are elderly and living with complex needs, which has reduced the money that is going into areas of deprivation?

Health, Social Care and Sport Committee

Health Inequalities

Meeting date: 14 June 2022

Dr Sandesh Gulhane

My question relates to the one that Tess White asked. I want to focus on the inverse care law, which says that people who need help most often have the least access to it. As Toni Groundwater will know, that can be seen in the fact that there is a lack of prison medics. There are also areas with high levels of poverty that have the lowest number of available GPs and dentists for people living in them to access. Focusing on healthcare, are there any good schemes, and can they be scaled up to allow people to have more access to healthcare?

Health, Social Care and Sport Committee

Health Inequalities

Meeting date: 14 June 2022

Dr Sandesh Gulhane

Existing issues have been highlighted by Covid, and we can now see the big fault lines throughout Scotland quite clearly. In the light of what Covid has shown us, what should be our number 1 priority to tackle, and how could we go about doing that?

Health, Social Care and Sport Committee

Health Inequalities

Meeting date: 14 June 2022

Dr Sandesh Gulhane

You mentioned that you want an IT system for prescribing. As a general practitioner, I see people who come out of prison because they need healthcare, but I do not know what diagnoses have been made in prison. You spoke in your opening statement about mental health issues. A lot of that comes to the fore in prison, where people are seen and their mental health condition is diagnosed. I do not know what that diagnosis is or what drugs they have been prescribed. Some people come to me asking for drugs that I do not ordinarily prescribe—a specialist usually prescribes them. We are in a completely unsatisfactory situation for the patient, as well as for me, because I simply do not know what to do.

We want an IT system that works and talks to other systems, and we want digital prescribing. What are your needs and asks to make the process of a prisoner coming out of prison and accessing healthcare better not only for the patient but for the healthcare professional? Invariably, that is the same thing.

Health, Social Care and Sport Committee

Subordinate Legislation

Meeting date: 14 June 2022

Dr Sandesh Gulhane

On vocational training and the fact that it will now be NES that pays rather than individual employers, does that mean that NES will also pay pension contributions? I assume that it does. Will the regulations also allow dentists who are on vocational training to access NHS benefits, including the cycle-to-work scheme?

Health, Social Care and Sport Committee

Health Inequalities

Meeting date: 14 June 2022

Dr Sandesh Gulhane

I want to pick up on the financial impact of going to prison. When someone gets released from prison, do the jobs that they can get pay much less? Indeed, will they struggle to get any job whatsoever?

Health, Social Care and Sport Committee

Health Inequalities

Meeting date: 31 May 2022

Dr Sandesh Gulhane

Dr Jackson, I am keen to ask you for some specific examples of systemic racism. Following on from that, are there any examples of good practice—perhaps in local work—that we could push forward as Scotland-wide policies?

Health, Social Care and Sport Committee

Health Inequalities

Meeting date: 31 May 2022

Dr Sandesh Gulhane

Dr Jackson, what can we do to improve our understanding of the systemic issues that you have described?

Health, Social Care and Sport Committee

Health Inequalities

Meeting date: 31 May 2022

Dr Sandesh Gulhane

I would like to hear more about Dr Jackson’s comment that systemic racism is operating in Scotland. We are all aware of the problems that the pandemic highlighted for people from black and ethnic minorities in jobs that were more front facing, but the phrase “systemic racism” really struck me. I would like to explore a little more what you meant by that.