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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 21 June 2025
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Displaying 1207 contributions

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Health, Social Care and Sport Committee

Subordinate Legislation

Meeting date: 16 January 2024

Dr Sandesh Gulhane

The GMC has said that that is not its role. In the work that you have put out, you have not defined what supervision means.

Health, Social Care and Sport Committee

Subordinate Legislation

Meeting date: 16 January 2024

Dr Sandesh Gulhane

Are you doing work on that? Are you planning to set up a programme?

Health, Social Care and Sport Committee

Subordinate Legislation

Meeting date: 16 January 2024

Dr Sandesh Gulhane

No—and the work that I do with my MDT, including our pharmacists and nurses, is absolutely vital. In fact, my practice nurse handles diabetes better than I do, because it represents is a lot of what she does. However, my argument is that, instead of looking to get doctors into practices, we are seeing expansion of the PA role, and thereby creating that dichotomy.

I have also heard of reports of PAs setting up privately and saying that they can offer all the same services. It is difficult to regulate if we cannot define the supervision level or the scope of practice. They have to be very tight and defined, in the same way as the situation that Emma Harper spoke about when we were talking about what happens in the US.

Health, Social Care and Sport Committee

Subordinate Legislation

Meeting date: 16 January 2024

Dr Sandesh Gulhane

What about my point about the cost of regulating a PA being half that of regulating a doctor?

Health, Social Care and Sport Committee

Subordinate Legislation

Meeting date: 16 January 2024

Dr Sandesh Gulhane

In order to regulate, it is necessary to have very tight definitions of what it is that the profession is doing. There are very tight definitions around nursing and expanded roles and around what doctors do. Given the scope of practice of AAs and PAs, 69 per cent of respondents to a BMA survey said that they were concerned that their role had been expanded more than it should have been. An example that I have heard of is the medical registrar bleep being held by a PA. The holding of that role is one of the most senior positions in a hospital. What is the scope of practice for a PA when it comes to the complaints procedure and the regulation process?

Health, Social Care and Sport Committee

Budget Scrutiny 2024-25

Meeting date: 16 January 2024

Dr Sandesh Gulhane

We now regularly have more than 1,000 drug-related deaths each year, and we seem to be going backwards in the care that we give to people with drug dependency. There has been a reduction, in real terms, in the budget. What is your commitment to that figure and to reducing the number of deaths, and how do you expect people to do that with less money?

Health, Social Care and Sport Committee

Budget Scrutiny 2024-25

Meeting date: 16 January 2024

Dr Sandesh Gulhane

What are your top three priorities with the budget that you have set out? What are the three things that you would want and expect at the end of this year and as we go into the next year?

Health, Social Care and Sport Committee

Subordinate Legislation

Meeting date: 16 January 2024

Dr Sandesh Gulhane

They are not regulated currently, so if you are creating legislation, you can put in any name you want.

Health, Social Care and Sport Committee

Scottish Football Association

Meeting date: 19 December 2023

Dr Sandesh Gulhane

You say that it is an education point. In England, you can see the decisions being discussed with a referee, but you do not get the same in Scotland. Is that something that the SFA is actively stopping or is it just—

Health, Social Care and Sport Committee

Scottish Football Association

Meeting date: 19 December 2023

Dr Sandesh Gulhane

Turning to regulation, I am sure that you know the research that has been carried out by the University of Edinburgh. According to that, only 12.9 per cent of supporters believe that the SFA does a good job for the Scottish game and 11.1 per cent believe that the current governance structure in the Scottish game is sustainable. How do you respond to those figures?