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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 9 August 2025
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Displaying 1074 contributions

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Health, Social Care and Sport Committee

Tackling Alcohol Harms

Meeting date: 3 May 2022

Paul O'Kane

My question is focused on the online purchase of alcohol and how we can perhaps further regulate that. It obviously became more prevalent during the pandemic lockdown periods. Certainly, people can buy alcohol from Amazon and other online sites, and we saw relaxation of licensing rules to allow pubs and venues to deliver to people’s homes. I want to get a sense from the minister of whether any work will be done to review the impact of online sales and what they contribute in terms of the overall percentage.

Health, Social Care and Sport Committee

“NHS in Scotland 2021â€

Meeting date: 19 April 2022

Paul O'Kane

Convener, I have not quite finished.

Health, Social Care and Sport Committee

“NHS in Scotland 2021â€

Meeting date: 19 April 2022

Paul O'Kane

I am tempted to go into a shopping list of things that I would like Audit Scotland to look at, but I will resist.

10:45  

Given the pressures that exist in emergency medicine, which this committee hears quite a lot about, and, more broadly, in respect of A and E attendance and the Scottish Ambulance Service, will a particular focus be placed on emergency medicine?

The committee is holding an inquiry on pathways into care, and we are looking at GP and pharmacy services and the different levels of service that can be offered. Is there any work forthcoming from Audit Scotland that might help to supplement and support our work?

Health, Social Care and Sport Committee

“NHS in Scotland 2021â€

Meeting date: 19 April 2022

Paul O'Kane

Key to many of our questions this morning is the issue of scrutiny and the on-going assessment of the work that has been done in order to deliver change. What future work on health and social care is Audit Scotland currently planning to undertake?

Health, Social Care and Sport Committee

“NHS in Scotland 2021â€

Meeting date: 19 April 2022

Paul O'Kane

Good morning. I am interested in how social care and the national care service sit alongside each other. In January, you produced a report in which you highlighted the scale of the challenge in social care, which sits alongside the pressures that exist in the NHS. We know that delayed discharge and blockages further up, at the other end of the scale, are often caused by a lack of availability of care packages.

In your January report on social care, you said that the Government needed to move faster to take action to alleviate some of the issues than the five-year timescale that is envisaged for a national care service to be set up. Are there things that can be done now to alleviate the issues that are being experienced in the NHS and to provide social care more quickly? Do those include improving pay and conditions of staff, further recruitment of new care staff and looking at care packages across the country?

Health, Social Care and Sport Committee

Alternative Pathways to Primary Care

Meeting date: 29 March 2022

Paul O'Kane

I thank the cabinet secretary for that commitment.

Health, Social Care and Sport Committee

Alternative Pathways to Primary Care

Meeting date: 29 March 2022

Paul O'Kane

We have also had discussions—I have been slightly banging on about this—about the need to provide digital spaces in locations in our communities. An obvious example that comes to mind is libraries. I have spoken before about how we can use libraries—and improve and protect their services—so that people can access digital services where they need to. That does not necessarily have to be in the main, public part of the library; there are definitely spaces elsewhere where people can be supported to do that in communities.

In a lot of communities, particularly in rural locations, the GP surgery is one of the few amenities, so it becomes the hub and focus. A challenge or a barrier can be that people might not want to go online alone at home. How do we ensure that an increasing number of facilities are available to people in community settings where they can access information and advice, or indeed get a consultation, online?

Health, Social Care and Sport Committee

Alternative Pathways to Primary Care

Meeting date: 29 March 2022

Paul O'Kane

My question follows on from some of those that have been asked already and is about the data that is available. Figures from Public Health Scotland show that the number of whole-time equivalent GPs has gone down: we are at the lowest level since 2013. Although the head count is going up, the whole-time equivalent number is a better yardstick in helping us to understand the picture of services across the country.

We have not had any figures on whole-time equivalent GPs since 2019. I do not know whether the cabinet secretary has any information about that; if so, the committee would be keen to see it and to know where we are with whole-time equivalent GPs. Can you commit to providing that information?

Health, Social Care and Sport Committee

Alternative Pathways to Primary Care

Meeting date: 29 March 2022

Paul O'Kane

Receptionists are not the only staff in GP practices. We have heard about signposting and gatekeeping and all sorts of things, and we had some good evidence from Dr Graeme Marshall, who talked about reception teams training with clinical staff and the more administrative staff. Do you see any opportunity to standardise some of that training?

Because of the nature of GP practices, this would be hard, but perhaps we could look at the pay and conditions of those on the more administrative side and how we might enhance their roles. After all, we know that they are doing more than just answering the phone and talking to patients.

Health, Social Care and Sport Committee

Alternative Pathways to Primary Care

Meeting date: 29 March 2022

Paul O'Kane

We have heard evidence from patient groups, particularly the Riverside patient participation group, which I think is from Musselburgh, about digital exclusion and health needs. Those two things coincide. We understand that approximately 10 per cent of the population do not have access to new technology or the skills that are required to use it, and that those people are the most likely to have the greatest health needs—there is a clear correlation. I am keen to get a sense from the cabinet secretary of how those patients’ routes into primary care can be protected and enhanced, given the challenges.