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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 23 July 2025
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Displaying 1225 contributions

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Health, Social Care and Sport Committee

Pre-budget Scrutiny 2024-25

Meeting date: 19 September 2023

Dr Sandesh Gulhane

Thank you.

Philip, you said twice that staffing is our biggest resource and our biggest cost, which is obviously true. I do not know whether you can answer this, or whether Professor Ulph can answer it, but what is our spend on NHS managers?

Health, Social Care and Sport Committee

Pre-budget Scrutiny 2024-25

Meeting date: 19 September 2023

Dr Sandesh Gulhane

This question is for Professor Ulph. You started by saying that there is an opacity around primary care spending. Is data regarding specific Scottish Government commitments in the budget, such as mental health commitments, sufficiently transparent to allows us to monitor it effectively ?

Health, Social Care and Sport Committee

Pre-budget Scrutiny 2024-25

Meeting date: 19 September 2023

Dr Sandesh Gulhane

Thank you.

Health, Social Care and Sport Committee

Pre-budget Scrutiny 2024-25

Meeting date: 19 September 2023

Dr Sandesh Gulhane

Forgive me, I was not talking about benefits.

Health, Social Care and Sport Committee

Pre-budget Scrutiny 2024-25

Meeting date: 19 September 2023

Dr Sandesh Gulhane

Before I ask my question, I declare an interest as a practicing NHS GP.

Professor Ulph, I ask you to clarify briefly what you said to Paul Sweeney about the increase in staff pay. That increase will lead to a cut in other aspects of NHS spend in Scotland.

Health, Social Care and Sport Committee

Pre-budget Scrutiny 2024-25

Meeting date: 19 September 2023

Dr Sandesh Gulhane

From what you said to Paul Sweeney earlier, the increase in staff pay in Scotland is going to lead to a cut in NHS budgets and NHS spend elsewhere. Is that what you said?

Health, Social Care and Sport Committee

Pre-budget Scrutiny 2024-25

Meeting date: 19 September 2023

Dr Sandesh Gulhane

Thank you.

Health, Social Care and Sport Committee

Pre-budget Scrutiny 2024-25

Meeting date: 19 September 2023

Dr Sandesh Gulhane

In response to Tess White, you spoke about preventative medicine and, obviously, as a GP, I will come on to talk about that. We must transform the way in which we think about and deliver healthcare. We cannot keep focusing on health in the way in which we do just now. We cannot treat the NHS as if it were a bike repair shop where people just come in to get repaired. We need to get them better beforehand. Organisations such as the British Society of Lifestyle Medicine are advocating for such a preventative agenda. You mentioned it earlier, but I would like you to expand on what you said and give us some tangible examples of where we could implement preventative spend and the things that we could do within healthcare budgets to achieve that.

Health, Social Care and Sport Committee

Pre-budget Scrutiny 2024-25

Meeting date: 19 September 2023

Dr Sandesh Gulhane

I could not agree more with what you said about GPs. It is so important that, when I am doing my job as a GP, I am sure that I am helping people’s health and not focusing on their social issues, because there are probably other people who are better placed to do that.

You mentioned community link workers. In Glasgow, we are going to see deep cuts made to their numbers. I have received a lot of correspondence from community link workers. I have also spoken to deep-end practices and to GPs—GPs are stopping me in the street to talk about this. The good that community link workers do is huge, and the worry that a lot of them communicate in correspondence is that, if they are cut, they will have to go from working in one practice to working in three practices. They will have maybe a day a week in each practice, which will significantly hinder the work that they will be able to do for the community. What value should we place on community link workers, especially in our most deprived areas?

Health, Social Care and Sport Committee

Pre-budget Scrutiny 2024-25

Meeting date: 19 September 2023

Dr Sandesh Gulhane

I am aware that other people want to come in. This is my last question—I am sorry, but I am sticking with Philip Whyte.

About 80 to 90 per cent of all patient contacts happen in primary care; that is where people access healthcare. You are right that we are not quite there when it comes to resourcing, which is dominated by secondary care. We saw a £65 million cut in the primary care budget last year. With that happening, how are we expecting our GPs to provide a service that enables the preventative agenda? How can we give our GPs the time to ask about things such as alcohol or cigarettes or other questions, as opposed to only the thing that brings the patient through the door? Do you have any ways in which we could do that?