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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

Patient Safety Commissioner for Scotland Bill: Stage 1

Meeting date: 21 February 2023

Dr Sandesh Gulhane

Do you have enough resources to be able to expand as you want to?

Health, Social Care and Sport Committee

Patient Safety Commissioner for Scotland Bill: Stage 1

Meeting date: 21 February 2023

Dr Sandesh Gulhane

I have a couple of questions. The first goes back to the voices of staff, and is directed to Shaun Gallagher. Matthew McClelland spoke about whistleblowing legislation, but my understanding is that people who sit on health boards are not covered by that. Does that not create an issue, especially when we are talking about a blame culture? Should we take steps to include members of health boards in such legislation?

Health, Social Care and Sport Committee

Patient Safety Commissioner for Scotland Bill: Stage 1

Meeting date: 21 February 2023

Dr Sandesh Gulhane

It is reassuring to hear that you are all speaking鈥攐ne would expect you to, of course, but it still reassuring.

I suppose that the question is about the investigation. You said that you had previously been in areas where a lot of investigation was done, and that takes a certain amount of skill, time and resource to do. I appreciate that you have been in post for only 100 days, but do you feel that your role is to find those themes and perhaps pass them on to the relevant organisation, or do you feel that your job is to move on to the ones that you want to investigate further?

Health, Social Care and Sport Committee

Patient Safety Commissioner for Scotland Bill: Stage 1

Meeting date: 21 February 2023

Dr Sandesh Gulhane

The remit for the Scottish commissioner is already a bit bigger than yours. A lot of people have come to the committee and asked for other things to be included in that remit, so the role seems to be expanding. Do you feel that our current budget and resource will be enough, or do you feel that it will be okay for the initial phase, with an agile team, but that we would need scope for future expansion?

Health, Social Care and Sport Committee

Patient Safety Commissioner for Scotland Bill: Stage 1

Meeting date: 21 February 2023

Dr Sandesh Gulhane

I understand that you are not able to take on individual cases. However, I go back to the idea of a golden thread. If, for example, multiple people come to you from different parts of the country and present you with a similar issue, will you unfortunately miss that because you cannot investigate individual cases, or do you log the information to see whether there is a golden thread that you are able to pick up?

Health, Social Care and Sport Committee

Patient Safety Commissioner for Scotland Bill: Stage 1

Meeting date: 21 February 2023

Dr Sandesh Gulhane

I will pick up on what the convener said about individual cases. Dr Williams, I appreciate that there are lots of different ways of doing things, but might it be useful for the commissioner to be able to hear about and log individual cases in order to find the golden thread that runs through them?

Health, Social Care and Sport Committee

Patient Safety Commissioner for Scotland Bill: Stage 1

Meeting date: 21 February 2023

Dr Sandesh Gulhane

Everyone on the panel has spoken about other areas that they would like to put under the wing of the patient safety commissioner. Under the current proposals, four members of staff will be allocated to the role, and there are many other commissioners, which is very expensive. Do you feel that the patient safety commissioner will be adequately resourced to handle the situation now and in the future? I direct that question to Shaun Gallagher and Matthew McClelland, who both mentioned the possibility of the commissioner having extra areas of responsibility.

Health, Social Care and Sport Committee

Patient Safety Commissioner for Scotland Bill: Stage 1

Meeting date: 21 February 2023

Dr Sandesh Gulhane

You have a set budget and you report to the Health and Social Care Committee. Do you feel able to tell that committee what you have found out so far and what you need to be able to go a little bit further or, because your funding comes from the Department of Health and Social Care, do you have to take that route鈥攐r do you have to take both routes?

Health, Social Care and Sport Committee

Patient Safety Commissioner for Scotland Bill: Stage 1

Meeting date: 21 February 2023

Dr Sandesh Gulhane

Thank you.

Health, Social Care and Sport Committee

Patient Safety Commissioner for Scotland Bill: Stage 1

Meeting date: 21 February 2023

Dr Sandesh Gulhane

My question is for Dr Williams. I am sorry if I seem to be picking on you. I note that, in its submission, the RCGP talks about the interface between primary and secondary care being where half of all errors and problems occur. You touched on that in response to my opening question to you.

Perhaps I can highlight as an example something that happened when I was in general practice last week. A patient came to me, telling me all the things that the hospital had said and done to them, but I did not get a discharge letter telling me any of that. As a result, I knew less than the patient did about their care. Can you give us any more examples of problems with the interface between primary and secondary care? What, exactly, do you feel a patient safety commissioner could do in that area?