The Official Report is a written record of public meetings of the Parliament and committees.
All Official Reports of meetings in the Debating Chamber of the Scottish Parliament.
All Official Reports of public meetings of committees.
Displaying 1466 contributions
Health, Social Care and Sport Committee
Meeting date: 7 May 2024
Dr Sandesh Gulhane
I will come back to schools. I do not particularly want to start banning things, but let us look at a meal deal from a supermarket. You get a sandwich, a drink and something else for a set price. I do not know many people who would choose a single banana over that massive chocolate bar. If we just look at value, a single banana in Aldi is 16 pence but the chocolate bar is £1-something, so people will go for the thing with value. Should we not be encouraging the supermarket to give that single piece of fruit, which has a very low value to the supermarket, free with that meal deal, regardless of what else someone is choosing? Maybe the person would choose to eat the fruit instead of the chocolate and save that for later and maybe not even eat it.
Health, Social Care and Sport Committee
Meeting date: 7 May 2024
Dr Sandesh Gulhane
On that point, the supermarket knows everything about me through all my cards. I do not know, but they might even track the way that I walk through the supermarket. What we do know is that the most valuable spaces are the shelves that are at eye level, the end-of-aisle shelves and what you see when you walk in. Again, if you look at a Lidl or Aldi, it is fruit that you come to first, which is not always the case. In a lot of other supermarkets, you come first to that high-sugar content. Should we be looking at legislation or other ways of making sure that healthy foods are in the premium places rather than unhealthy foods, which I think is the case right now?
Health, Social Care and Sport Committee
Meeting date: 7 May 2024
Dr Sandesh Gulhane
Certainly, a lot of people who speak to me say that Irn Bru has been ruined by reformulation. [Laughter.]
This is a big topic and it is not fair to give you just one question on it, but I want to ask you about school meals. We need to see big healthy choices for school meals, and they should be encouraged over other types of food. Do you feel that the best place to start is with very young children in nurseries, where teachers possibly have the time to introduce different flavours and tastes to children who might never have experienced that type of food? Teachers could help them to make those choices as they go through the school environment, so that the children actively make the choices.
Criminal Justice Committee, Health, Social Care and Sport Committee, and Social Justice and Social Security Committee (Joint Meeting)
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)
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?
Criminal Justice Committee, Health, Social Care and Sport Committee, and Social Justice and Social Security Committee (Joint Meeting)
Meeting date: 1 May 2024
Dr Sandesh Gulhane
Should we not be funding rehab more?
Criminal Justice Committee, Health, Social Care and Sport Committee, and Social Justice and Social Security Committee (Joint Meeting)
Meeting date: 1 May 2024
Dr Sandesh Gulhane
So, rehab is damaging—
Criminal Justice Committee, Health, Social Care and Sport Committee, and Social Justice and Social Security Committee (Joint Meeting)
Meeting date: 1 May 2024
Dr Sandesh Gulhane
This will be my last question, convener. We all talk about drug deaths, but illicit drug consumption has significant health harms; even if you were to take a drug just once, you could have experience of a significant health harm. So far, all of our questions to the panel have focused on everything else apart from rehab, which is why I am focusing on that now. What people have told me about it is clear. Dr Fletcher, do you think that we should be spending more money on rehab, given the amount of cuts that are coming from the Glasgow HSCP and given that half of ADPs have reported insufficient funds for residential rehab?
Criminal Justice Committee, Health, Social Care and Sport Committee, and Social Justice and Social Security Committee (Joint Meeting)
Meeting date: 1 May 2024
Dr Sandesh Gulhane
Can you and your department audit exactly where the funding that you are putting in place is being spent? I raise the issue because Glasgow’s HSCP is going to have significant cuts in rehab and services for children living with drug users.
Criminal Justice Committee, Health, Social Care and Sport Committee, and Social Justice and Social Security Committee (Joint Meeting)
Meeting date: 1 May 2024
Dr Sandesh Gulhane
My question was, are you able to audit to see exactly where that money is being spent and how the ADPs have increased their spend to the tune of what you are giving them?