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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 November 2025
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Displaying 1251 contributions

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Health, Social Care and Sport Committee

Alcohol (Minimum Pricing) (Scotland) Act 2012 (Post-legislative Scrutiny)

Meeting date: 6 February 2024

Dr Sandesh Gulhane

The evidence shows that dependent drinkers are spending more on their alcohol consumption.

I will come back to Alison Douglas. What has been done to help dependent drinkers, who are spending more money, to come away from alcohol? How have measures such as alcohol brief interventions worked for dependent drinkers who have sought treatment?

Health, Social Care and Sport Committee

Budget Scrutiny 2024-25

Meeting date: 16 January 2024

Dr Sandesh Gulhane

We now regularly have more than 1,000 drug-related deaths each year, and we seem to be going backwards in the care that we give to people with drug dependency. There has been a reduction, in real terms, in the budget. What is your commitment to that figure and to reducing the number of deaths, and how do you expect people to do that with less money?

Health, Social Care and Sport Committee

Budget Scrutiny 2024-25

Meeting date: 16 January 2024

Dr Sandesh Gulhane

What are your top three priorities with the budget that you have set out? What are the three things that you would want and expect at the end of this year and as we go into the next year?

Health, Social Care and Sport Committee

Subordinate Legislation

Meeting date: 16 January 2024

Dr Sandesh Gulhane

They are not regulated currently, so if you are creating legislation, you can put in any name you want.

Health, Social Care and Sport Committee

Subordinate Legislation

Meeting date: 16 January 2024

Dr Sandesh Gulhane

No—and the work that I do with my MDT, including our pharmacists and nurses, is absolutely vital. In fact, my practice nurse handles diabetes better than I do, because it represents is a lot of what she does. However, my argument is that, instead of looking to get doctors into practices, we are seeing expansion of the PA role, and thereby creating that dichotomy.

I have also heard of reports of PAs setting up privately and saying that they can offer all the same services. It is difficult to regulate if we cannot define the supervision level or the scope of practice. They have to be very tight and defined, in the same way as the situation that Emma Harper spoke about when we were talking about what happens in the US.

Health, Social Care and Sport Committee

Subordinate Legislation

Meeting date: 16 January 2024

Dr Sandesh Gulhane

What about my point about the cost of regulating a PA being half that of regulating a doctor?

Health, Social Care and Sport Committee

Subordinate Legislation

Meeting date: 16 January 2024

Dr Sandesh Gulhane

In order to regulate, it is necessary to have very tight definitions of what it is that the profession is doing. There are very tight definitions around nursing and expanded roles and around what doctors do. Given the scope of practice of AAs and PAs, 69 per cent of respondents to a BMA survey said that they were concerned that their role had been expanded more than it should have been. An example that I have heard of is the medical registrar bleep being held by a PA. The holding of that role is one of the most senior positions in a hospital. What is the scope of practice for a PA when it comes to the complaints procedure and the regulation process?

Health, Social Care and Sport Committee

Budget Scrutiny 2024-25

Meeting date: 16 January 2024

Dr Sandesh Gulhane

We have seen a significant reduction in mental health across our country. We have also seen significant increases in waiting times for child and adolescent mental health services; the longest wait in Glasgow was 37 weeks to be seen. The reduction in budget will surely impact and harm mental health.

Health, Social Care and Sport Committee

Subordinate Legislation

Meeting date: 16 January 2024

Dr Sandesh Gulhane

I am not sure whether I need to declare my interest again, but I shall do so. I am a practising NHS GP.

I have met the Association of Anaesthetists, the British Medical Association and the General Medical Council Scotland on multiple occasions to discuss physician associates and anaesthesia associates; I have a number of concerns about their roles. There is a really important point to be made when it comes to regulation: we cannot regulate a body if we do not know what people’s roles are and what the scope of their practice is. “Supervision level” has not been defined. Is supervision on a one-to-one basis, a two-to-one basis or a three-to-one basis? The numbers could go on. In her questioning, Emma Harper spoke of the tightly defined role of an anaesthesia associate in the US.

Let us consider two issues. First, the fit and healthy patients whom Emma Harper spoke about are exactly the type of patients whom our junior doctors are required to deal with during their training. When junior doctors start their training, they cannot start by treating really complicated patients; they need to start by anaesthetising—obviously, with supervision—fit and healthy patients. That is really important. Therefore, there are impediments to training and, potentially, other issues.

I have also heard of—

Health, Social Care and Sport Committee

Budget Scrutiny 2024-25

Meeting date: 16 January 2024

Dr Sandesh Gulhane

Cabinet secretary, we were speaking about the national care service and you said that there is £1 billion in the social care budget. How much of that budget line relates to the NCS and how much relates to adult social care funding?