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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

Healthcare in Remote and Rural Areas

Meeting date: 5 December 2023

Dr Sandesh Gulhane

That was my last question. For the record, I have worked in Ayr and recently did some shifts in Fife. I have also worked in the central belt. When I can work with allied health professionals—it does not matter who they are—it is amazing; my life is so much easier. In contrast, when I go to shifts where there are no AHPs, such as the one that I did in Fife, my shifts are so much harder. It is a difficult thing.

Health, Social Care and Sport Committee

Healthcare in Remote and Rural Areas

Meeting date: 28 November 2023

Dr Sandesh Gulhane

You have made an interesting point, Dr Makin. I have been told of rural patients who decided not to get their children’s measles vaccinations because it meant a three-hour round trip and, quite frankly, they did not see anyone, so they just said, “What’s the point?” It terrifies me that we are not getting measles vaccinations done.

Another aspect of primary care that I have been looking at is the percentage change in income allocation under the new contract. In general, if you are in the urban belt, you have seen an increase in the amount of money that you get, while in more rural areas, that increase does not seem to have happened. It almost seems as though we are trying to promote general practice and primary care in urban settings. Admittedly, 80 per cent of the population live there, but a substantial proportion of people—20 per cent—live in rural areas. What do you propose that we do for primary care to make things better for people who live in rural areas? That question is open to anyone who would like to answer.

Health, Social Care and Sport Committee

Healthcare in Remote and Rural Areas

Meeting date: 28 November 2023

Dr Sandesh Gulhane

Good morning, panel. I declare an interest as a practising NHS GP.

I will start by asking about primary care, which is obviously a focus of mine. Dr MacGilleEathain mentioned the GP contract that was introduced by the Scottish Government. What did it do to rural primary care? Did it have a positive or negative effect?

Health, Social Care and Sport Committee

Healthcare in Remote and Rural Areas

Meeting date: 28 November 2023

Dr Sandesh Gulhane

Dr Makin, I see that you want to come in, too.

Health, Social Care and Sport Committee

Healthcare in Remote and Rural Areas

Meeting date: 28 November 2023

Dr Sandesh Gulhane

It seems that not very much money is being offered to GPs for that, which makes it difficult for them to do.

You mentioned Highland, Dr Makin, and I would just note that there has been a big report on bullying at NHS Highland. I am not going to talk about the Western Isles, Professor Smith, as I have not heard anything from there, but I have certainly heard about NHS Highland. How can we get better integrated rural healthcare, given the endemic culture that the report found in that health board?

In your answer to my question about primary care, you talked about those who are on the ground getting things done. I assume that the approach will be similar in secondary care, but how will we move forward in that respect, given the issues that have been highlighted?

Health, Social Care and Sport Committee

Healthcare in Remote and Rural Areas

Meeting date: 28 November 2023

Dr Sandesh Gulhane

I am sorry—go on. I thought that you had finished.

Health, Social Care and Sport Committee

Healthcare in Remote and Rural Areas

Meeting date: 28 November 2023

Dr Sandesh Gulhane

Thank you very much. I have a final question, if I may. I want to touch on the thrombectomy services that you mentioned. We are still struggling to get thrombectomy services in Glasgow, which is a very urban area. I also want to go back to the issues that we are having with maternity services in Caithness being downgraded and not being upgraded again, which you spoke of right at the beginning. I would like to hear from you, Dr Makin, if I may. You said that you are not a woman giving birth—that is true—but you must have spoken to patients who are worried about that. What pressures does the situation put on people in the area? What solutions could be put in place to help?

Health, Social Care and Sport Committee

Women’s Health Champion

Meeting date: 21 November 2023

Dr Sandesh Gulhane

I just want to take this opportunity to say how important it is for people to take up their screening offers. It really does save lives and makes a big difference.

In the past few years, maternity services in Caithness and Wishaw have been downgraded, while Dr Gray’s in Elgin is still waiting for its consultant-led maternity services to be restored. Are you concerned about the management of maternity services in Scotland? Do you think that they would not have been downgraded and had those problems if it was a men-only issue?

Health, Social Care and Sport Committee

Women’s Health Champion

Meeting date: 21 November 2023

Dr Sandesh Gulhane

Are you concerned about—

Health, Social Care and Sport Committee

Women’s Health Champion

Meeting date: 21 November 2023

Dr Sandesh Gulhane

I declare my interest as a practising NHS GP.

Professor Glasier, it is great to see you. Women’s health is something that we need to talk about more. We need to ensure that more than 50 per cent of our population has equality. With that in mind, why is it that we do not seem to have women’s health and equality running through our NHS in the way that we would hope it should?