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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 15 January 2026
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Displaying 1352 contributions

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Health, Social Care and Sport Committee

Alternative Pathways to Primary Care

Meeting date: 15 March 2022

Dr Sandesh Gulhane

I will pick up on that. I recently visited a citizens advice bureau in Glasgow and was told that it is embedding its services in GP practices. It has found that its engagement and the work that it does are better when a healthcare professional tells a patient that they have to see the citizens advice bureau than it is when citizens turn up to its office to ask for help. If we were to extend putting CABs in GP practices, especially ones such as Dr Marshall’s, would that free up time not just for GPs but for allied health professionals, because the social aspect would be being provided by a specialist service?

Health, Social Care and Sport Committee

Alternative Pathways to Primary Care

Meeting date: 15 March 2022

Dr Sandesh Gulhane

It is Sue Webber who has the follow-up question, convener, which I will—

Health, Social Care and Sport Committee

Alternative Pathways to Primary Care

Meeting date: 15 March 2022

Dr Sandesh Gulhane

It is for Clare Morrison.

Health, Social Care and Sport Committee

Alternative Pathways to Primary Care

Meeting date: 15 March 2022

Dr Sandesh Gulhane

I will talk a bit about innovative practice, which we have heard a bit about, especially in rural areas. I know of amazing work that is being done in NHS Grampian, and I would like Julie Mosgrove to tell us a little more about that and about barriers to rolling that out across Scotland. Does anyone else have examples of innovative work in rural areas that makes life better for our patients?

Health, Social Care and Sport Committee

Alternative Pathways to Primary Care

Meeting date: 15 March 2022

Dr Sandesh Gulhane

Always, convener.

This question, which is for Clare Morrison to start with, is about MDTs and the data that drives decisions. Now that all members of allied healthcare professions are to be fully included in the workforce plan, what would need to happen for you to get the appropriate data that you need? Obviously, as far as training and financial support are concerned, a lot of these groups are businesses, but you will need access to patient data to be able to perform those functions.

Health, Social Care and Sport Committee

Alternative Pathways to Primary Care

Meeting date: 15 March 2022

Dr Sandesh Gulhane

It is important to hear from everyone, but I will start with Jess Sussmann.

10:45  

Health, Social Care and Sport Committee

Alternative Pathways to Primary Care

Meeting date: 8 March 2022

Dr Sandesh Gulhane

I have to say that my practice nurses are better than me when it comes to chronic disease management. They are very skilled members of staff.

Dr Williams and Dr Yadav both spoke about a staffing crisis in GPs. Approximately 800 new GPs are coming online by 2027, but the worry is that they will be wiped out through retirements or changing working practices. To ensure that patients have access to the people they need to see, what can we do, along with increasing practice nurses, to improve recruitment and retention of not only GPs but all staff?

Health, Social Care and Sport Committee

Alternative Pathways to Primary Care

Meeting date: 8 March 2022

Dr Sandesh Gulhane

For anyone who did not watch the first evidence session, I declare an interest as a practising GP.

My question on our first theme is about the new GP contract that came in in 2018. The idea of the new contract was to widen services and allow people to get more without necessarily seeing their GP, and the GP was very much supposed to be the expert general practitioner. However, what we have found with the contract is that there seems to be huge variability across the country. My question is especially for Dr Yadav, as he is from a more rural community. Has the contract impeded your ability to work and access for patients?

Health, Social Care and Sport Committee

Alternative Pathways to Primary Care

Meeting date: 8 March 2022

Dr Sandesh Gulhane

It is important that I say that I am a practising working GP and was doing GP work on Monday. It is interesting to hear about receptionists, because without our receptionists there would be zero access to us. It is distressing to hear about the abuse that our receptionists get when they tell me what some people have said to them. I know that it comes from frustration, but there is a level of abuse that is unacceptable; it seems that the line is often crossed.

I want to go back to a point that Margaret McKay made. In April 2018, the new GP contract came into effect. Among other things, it aimed to reflect the role of GPs and to reduce their workload in order to allow them to concentrate on things that only GPs can do, so that they can be the expert medical generalist. Has that shift been communicated to patients? What more can do we do to get it across to patients?

Health, Social Care and Sport Committee

Tackling Alcohol Harms

Meeting date: 1 March 2022

Dr Sandesh Gulhane

Absolutely. My question is really about the fact that the most deprived parts of Scotland have alcohol-related death rates that are eight times the rates in other areas. Are we doing enough targeted support in those areas? I would like to hear from Lucie Giles on that.