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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 4 May 2021
  6. Current session: 13 May 2021 to 5 September 2025
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Displaying 1296 contributions

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Health, Social Care and Sport Committee

Alternative Pathways to Primary Care

Meeting date: 15 March 2022

Emma Harper

Yes—my question is directly for Clare Morrison. There is a system called ALISS—a local information system for Scotland—which is used to signpost people to local services. Do pharmacists use it?

Health, Social Care and Sport Committee

Alternative Pathways to Primary Care

Meeting date: 15 March 2022

Emma Harper

I have a wee supplementary question on general practice. The Scottish Government has established the Scottish graduate entry medicine programme, which is a four-year training programme to support general practices in rural areas. Are you aware of, or do you have experience of, ScotGEM?

Health, Social Care and Sport Committee

Alternative Pathways to Primary Care

Meeting date: 15 March 2022

Emma Harper

We know that social prescribing—singing in a choir for pulmonary rehabilitation, walking football and so on—works and makes people feel good. However, are we measuring the benefits accurately enough? Is there a risk that social prescribing will be seen as a replacement for what is perceived as more appropriate care?

Health, Social Care and Sport Committee

Alternative Pathways to Primary Care

Meeting date: 8 March 2022

Emma Harper

In relation to its report on social prescribing, which I have in front of me, Support in Mind Scotland says:

“25 to 50% of GP appointments focus on non-medical issues, such as social isolation, financial struggles and bereavement.”

I am aware of RCGP training for signposting, but does that training also cover signposting for social isolation and financial struggles? That question is for Dr Yadav or Dr Williams.

Health, Social Care and Sport Committee

Alternative Pathways to Primary Care

Meeting date: 8 March 2022

Emma Harper

Thanks, convener. There was a bit of a mix of views. Some people had an absolutely excellent experience of accessing alternative pathways and for others it was the complete opposite. A lot of the challenges were about communication, how signposting is delivered and what pathways or social prescribing options are out there.

All those people defined what social prescribing meant, but it was very new to them and when they called the GP practice the receptionist could be the absolute barrier to any progress. Those were a couple of the issues that came up.

People also asked why they could not make online appointments and why they could not just get text messages to remind them when there was an appointment. They raised the issue of joined-up computer information data systems, as well.

Some of the points are the same as those that we heard in the social prescribing session that we had in the previous parliamentary session, so it will be interesting to hear everybody else’s thoughts this morning.

Health, Social Care and Sport Committee

Alternative Pathways to Primary Care

Meeting date: 8 March 2022

Emma Harper

Good morning, panel. Some of the information that I was looking for has been covered by Dr Chris Williams, who talked about the benefits of ALISS.

Our briefing papers say that Healthcare Improvement Scotland’s “Care Navigation in General Practice: 10-Step Guide” recommends that individual practices collate and maintain their own lists of local service providers. GPs know their own locations, but is it realistic to expect them to collate and maintain their own databases, when programmes such as ALISS are out there? There are also regional programmes. For example, in Dumfries and Galloway, DG Locator is accessible and has an app. How do you feel about Healthcare Improvement Scotland’s recommendation that GPs keep their own database of places for social prescribing?

Health, Social Care and Sport Committee

Alternative Pathways to Primary Care

Meeting date: 8 March 2022

Emma Harper

The inquiry is about alternative pathways to primary care. In the previous parliamentary session, the Health and Sport Committee held an inquiry about social prescribing for physical activity and sport. I am not saying that everybody needs to take up cycling and running, but we know that access to the outdoors can be beneficial, that men’s sheds can support people and that joining walking groups can be helpful. I am interested to hear from the witnesses about their experience of patients’ general attitudes towards social prescribing.

Health, Social Care and Sport Committee

Alternative Pathways to Primary Care

Meeting date: 8 March 2022

Emma Harper

Yes.

Health, Social Care and Sport Committee

Alternative Pathways to Primary Care

Meeting date: 8 March 2022

Emma Harper

I have a quick question. Hannah Tweed mentioned ALISS, the local information system for Scotland, which is funded by the Scottish Government and delivered by the Health and Social Care Alliance. I would be interested to hear the panel’s thoughts and perceptions of how it is working, because it is a digital and online service that directs people to the social prescribing that is out there.

Health, Social Care and Sport Committee

Alternative Pathways to Primary Care

Meeting date: 8 March 2022

Emma Harper

I have had a look on ALISS myself, and I cannae find any mention of men’s sheds in Dumfries and Galloway. I know that we have them from Stranraer to Lockerbie, so there is an issue about the system being at its most up to date and accurate.

What steps can be taken to support general practices in providing effective signposting? That might involve care navigators or other methods, but what is the best way of communicating to people what is out there?