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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 16 July 2025
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Displaying 1225 contributions

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Health, Social Care and Sport Committee

Gender Identity Services for Children and Young People

Meeting date: 7 May 2024

Dr Sandesh Gulhane

Dr Cass, I know that adult services were outside the scope of your review, but you mentioned them in your report. At paragraph 19.31, you stated:

“There was an expectation that patients would be started on masculinising/feminising hormones by their second appointment, which was a cause of concern given the complexity of presentations.”

Did your research show anything similar for children’s services?

Health, Social Care and Sport Committee

Food Standards Scotland

Meeting date: 7 May 2024

Dr Sandesh Gulhane

I declare an interest, in that I am a practising NHS GP. I am a bit disappointed to hear that the issue of a reduction in red meat is due to the climate report, not simply to a discussion about healthy eating. I was glad that Dr Purdon eventually spoke about the risk of colorectal cancer. Ultimately, we need to eat a wide and varied diet, with a rainbow plate; one portion of red meat a week; far more fish; and far more vegetables.

I am also glad that Dr Purdon mentioned the food environment, because that is what I want to speak about. I have heard that all branches of Greggs are approximately 200m from a school. Is that accurate?

Criminal Justice Committee, Health, Social Care and Sport Committee, and Social Justice and Social Security Committee (Joint Meeting)

Drug Deaths and Drug Harm

Meeting date: 1 May 2024

Dr Sandesh Gulhane

More money going into the third sector would be a good way of doing that.

Criminal Justice Committee, Health, Social Care and Sport Committee, and Social Justice and Social Security Committee (Joint Meeting)

Drug Deaths and Drug Harm

Meeting date: 1 May 2024

Dr Sandesh Gulhane

That is something that I would firmly support.

I turn to you, Dr Fletcher. With that stark outlook, how will we improve rehabilitation services?

Criminal Justice Committee, Health, Social Care and Sport Committee, and Social Justice and Social Security Committee (Joint Meeting)

Drug Deaths and Drug Harm

Meeting date: 1 May 2024

Dr Sandesh Gulhane

Absolutely. Choice is important for those who seek help and it is important that they get the help that they ask for.

Like you, I have visited and spoken to people at Rainbow house in Glasgow, which offers peer support in a residential rehab setting. It is an innovative rehab programme, and it was one of the first to be set up. It involves peer support, but it goes out into the community. The peer-support volunteers at Rainbow house cannot speak highly enough of what they can do to help others. However, both of the establishments that we have mentioned are extremely concerned about their funding. Do we have enough money going into rehab?

Criminal Justice Committee, Health, Social Care and Sport Committee, and Social Justice and Social Security Committee (Joint Meeting)

Drug Deaths and Drug Harm

Meeting date: 1 May 2024

Dr Sandesh Gulhane

I declare an interest as a practising NHS GP.

Minister, I am so glad to hear that you support recovery and, eventually, rehab for those who want it and are asking for it. Do you agree with Justina Murray from the previous panel, who said that rehab is actually damaging the implementation of reducing drug harm?

Criminal Justice Committee, Health, Social Care and Sport Committee, and Social Justice and Social Security Committee (Joint Meeting)

Drug Deaths and Drug Harm

Meeting date: 1 May 2024

Dr Sandesh Gulhane

Do you agree with Justina Murray from the previous panel, who said that rehab is actually damaging the implementation of reducing drug harm?

Criminal Justice Committee, Health, Social Care and Sport Committee, and Social Justice and Social Security Committee (Joint Meeting)

Drug Deaths and Drug Harm

Meeting date: 1 May 2024

Dr Sandesh Gulhane

Sorry, Justina. I will put the question to you. Two thirds of ADPs report insufficient funds to implement the MAT standards and half report insufficient funds for residential rehab. Glasgow’s health and social care partnership has made significant cuts in rehab and in services for children who live with drug users. That is stark and very worrying.

Criminal Justice Committee, Health, Social Care and Sport Committee, and Social Justice and Social Security Committee (Joint Meeting)

Drug Deaths and Drug Harm

Meeting date: 1 May 2024

Dr Sandesh Gulhane

I declare an interest as a practising NHS general practitioner.

Dr Fletcher, at the start of the meeting, I think that you said that funding was not an issue.

Criminal Justice Committee, Health, Social Care and Sport Committee, and Social Justice and Social Security Committee (Joint Meeting)

Drug Deaths and Drug Harm

Meeting date: 1 May 2024

Dr Sandesh Gulhane

You are of course right, with the new GP contract rewarding those in better-off areas, with more money going there.

I want to focus on rehab. I visited Rainbow house in Glasgow, which is a residential rehab programme that offers peer support through volunteers. I spoke to three of the peer-support volunteers. It was a fantastic experience. The volunteers were very clear on what they wanted me to raise and discuss: it was to ensure that people who ask for help get it in the way that they ask for it and in a timely manner. They said that peer support is the best way of getting through to people.

I have another example from when I visited an innovative, award-winning Glasgow rehab facility. The person who works there as the only real employee is a former user who now does community outreach. He has seen a huge drop in the number of people using drugs. His funding has been cut, however. Those at Rainbow house are worried about their funding, too. How can we get people to stop consuming drugs if we are not funding rehab?