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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 8 February 2026
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Displaying 1368 contributions

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Health, Social Care and Sport Committee [Draft]

Assisted Dying for Terminally Ill Adults (Scotland) Bill: Stage 2

Meeting date: 11 November 2025

Dr Sandesh Gulhane

Would there be a cost to the individual for creating an advance care directive?

Health, Social Care and Sport Committee [Draft]

Assisted Dying for Terminally Ill Adults (Scotland) Bill: Stage 2

Meeting date: 11 November 2025

Dr Sandesh Gulhane

On a technical point, the GMC holds separate lists for registered general practitioners, consultants and so on. Are you proposing that the GMC would create lists for people who are opting in to be the registered medical practitioners specifically, rather than making proposals in relation to care responsibilities or anything else? Are you talking about something that specific?

Health, Social Care and Sport Committee [Draft]

Assisted Dying for Terminally Ill Adults (Scotland) Bill: Stage 2

Meeting date: 11 November 2025

Dr Sandesh Gulhane

I, too, want to focus on the notes aspect. I have a couple of questions. First, are you saying that only the notes of the first person who has made their assessment should not be made available to the second person, as opposed to all the notes?

Secondly, people have a right to a second opinion in healthcare in general, following things such as complaints. When I am speaking to the patient, having the other person’s notes in front of me gives me a bit of context.

Moreover, if the patient says something completely different from what has been written by somebody else previously, that is an alarm bell for me. It makes me think, “Hang on a second—something is not quite right.” Given my position when working as a doctor, I would hope that I am able to act independently when I am asked to act independently and that I would not be unduly put into a position by somebody else. Having those notes really helps.

Health, Social Care and Sport Committee [Draft]

Assisted Dying for Terminally Ill Adults (Scotland) Bill: Stage 2

Meeting date: 11 November 2025

Dr Sandesh Gulhane

I just want to say to the member that I do not feel that his statement about hospices is quite correct. Hospices are not places where people go simply to die and to spend the last few days of their life. Hospices are not full of death; they are full of joy and hope, and they give people the comfort that they need. People go to a hospice for a while before they die. I think that Mr Balfour’s contention was not quite correct.

Health, Social Care and Sport Committee [Draft]

Assisted Dying for Terminally Ill Adults (Scotland) Bill: Stage 2

Meeting date: 11 November 2025

Dr Sandesh Gulhane

I just want to clarify that the law does not give ministers, either at Westminster or here, powers over postgraduate training. That is deferred to the GMC and its regulations on training. As Daniel Johnson has said, it is very important that training and other guidance be discussed with registered bodies, including the GMC. We should ensure that there is uniformity to postgraduate training and education, and we should give experts the ability to develop the training.

Health, Social Care and Sport Committee [Draft]

Assisted Dying for Terminally Ill Adults (Scotland) Bill: Stage 2

Meeting date: 11 November 2025

Dr Sandesh Gulhane

In Edinburgh, as in Glasgow, which I represent, we are lucky to have more than one hospice. We do not have enough beds, but we are very lucky to have choice. When someone is in a rural setting and has no choice about where they go, opting out will exclude them from being able to access hospice care. We should not put up any barriers to anyone who wants to access hospice care. Everyone who is dying should receive palliative care.

Health, Social Care and Sport Committee [Draft]

Assisted Dying for Terminally Ill Adults (Scotland) Bill: Stage 2

Meeting date: 11 November 2025

Dr Sandesh Gulhane

Thank you. There are people who would want to access assisted dying but who would not want to go through with it straight away after being deemed to be eligible. They would like to have it as an option that they could take a bit later—for example, if they are unable to breathe properly and that is one of the reasons why they want to access it. Under your amendment, would those people be told, “You are not in that position right now, so you cannot access assisted dying and have it as one of the things that you could do”?

Health, Social Care and Sport Committee [Draft]

Assisted Dying for Terminally Ill Adults (Scotland) Bill: Stage 2

Meeting date: 11 November 2025

Dr Sandesh Gulhane

I declare my interest as a practising general practitioner in the national health service.

It will be for the medical profession to deal with implementing the bill and actually doing the work, which is the same as with many other aspects of medical training. As a GP, I have a professional responsibility to keep myself up to date; medicine changes every 10 years, and everything that doctors learn at medical school becomes almost useless after they qualify. Given that, would it be better to allow the professionals to decide what training they need as part of a process that must evolve, because things change, rather than having MSPs making absolute decisions that they are not qualified to make?

Health, Social Care and Sport Committee [Draft]

Assisted Dying for Terminally Ill Adults (Scotland) Bill: Stage 2

Meeting date: 11 November 2025

Dr Sandesh Gulhane

I want everyone to live their best life. I want people with disabilities to live their best life. Your amendments seek to get people with disabilities in front of social workers, but would this be the right point to do that? Should we not be getting people with disabilities to social workers a lot earlier than in the final moments of their life? That would help everyone and not just those who are right at the end.

Health, Social Care and Sport Committee [Draft]

Assisted Dying for Terminally Ill Adults (Scotland) Bill: Stage 2

Meeting date: 11 November 2025

Dr Sandesh Gulhane

First, I agree that nothing is risk free and that everything has risks or side effects. In amendment 158, you expressly state:

“including any potential risks of pain.”

I wonder whether you would be amenable to working with Mr McArthur to change that, so that it says that full informed consent is required in the same way as I would be expected to get full informed consent if I were to give somebody antibiotics.

13:00