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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 19 June 2025
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Displaying 1207 contributions

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Health, Social Care and Sport Committee

National Performance Framework (Proposed National Outcomes)

Meeting date: 10 September 2024

Dr Sandesh Gulhane

Sandesh Gulhane (Glasgow) (Con): First, I declare my interest as a practising NHS general practitioner.

Thank you for coming in to give evidence today. I have a simple question, which is possibly extremely complicated to answer. How do you envisage our measuring the three new outcomes, and what is your definition of success?

Health, Social Care and Sport Committee

National Performance Framework (Proposed National Outcomes)

Meeting date: 10 September 2024

Dr Sandesh Gulhane

Yes.

Health, Social Care and Sport Committee

National Performance Framework (Proposed National Outcomes)

Meeting date: 10 September 2024

Dr Sandesh Gulhane

Housing.

Health, Social Care and Sport Committee

National Performance Framework (Proposed National Outcomes)

Meeting date: 10 September 2024

Dr Sandesh Gulhane

It feels a little bit as though it is saying the opposite of what we know the reality to be. I know that you appreciate that obesity causes heart disease, liver disease, cancer and plenty of other issues. Just last year, 15,176 people were referred to tier 3 weight management services for obesity. That is an increase of almost 4,000 people, yet this indicator does not talk about obesity; it just talks about being overweight. Do you know what is happening with obesity rates and whether they are worse among people who are more deprived?

Health, Social Care and Sport Committee

National Performance Framework (Proposed National Outcomes)

Meeting date: 10 September 2024

Dr Sandesh Gulhane

Thank you.

Health, Social Care and Sport Committee

National Performance Framework (Proposed National Outcomes)

Meeting date: 10 September 2024

Dr Sandesh Gulhane

You are saying that the situation could be far worse than we know.

Health, Social Care and Sport Committee

National Performance Framework (Proposed National Outcomes)

Meeting date: 10 September 2024

Dr Sandesh Gulhane

In my city of Glasgow, there is famously a gap of 15 to 20 years in life expectancy between those in the least deprived areas and those in the most deprived areas, as we measure it at the moment. However, you are saying that it could be far worse.

Let us look at some other indicators on which we are perceived as not doing so well. We know that mental wellbeing has been worse over possibly the past decade鈥攑re-pandemic to now鈥攁nd is continuing to worsen. What should we be doing to reverse that trend? Do we have any data about our young children and kids? Anecdotally, we are all told that mental health is declining, but that does not seem to be being captured.

Health, Social Care and Sport Committee

National Performance Framework (Proposed National Outcomes)

Meeting date: 10 September 2024

Dr Sandesh Gulhane

I am glad that you are here, Professor Collins, because I want to talk about Glasgow. One of the areas that I also picked up on was healthy life expectancy being 60 for males and 61 for females, which is the lowest since data was gathered. We heard from the previous panel members that we seem to be looking at that issue in terms of areas rather than in terms of people who are most deprived. The situation is probably even worse than we think for those most deprived versus those who are least deprived. Do we know whether healthy life expectancy is going up or down for those who are most deprived? Given that the situation in Glasgow is quite stark with regard to the 15 to 20-year difference in life expectancy, what can do to try to reduce that gap?

Health, Social Care and Sport Committee

National Performance Framework (Proposed National Outcomes)

Meeting date: 10 September 2024

Dr Sandesh Gulhane

Going down?

Health, Social Care and Sport Committee

National Performance Framework (Proposed National Outcomes)

Meeting date: 10 September 2024

Dr Sandesh Gulhane

I am sorry, it is wellbeing. The three new outcomes are wellbeing, economy and fair work, and housing and care.