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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 7 November 2025
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Displaying 1267 contributions

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Health, Social Care and Sport Committee

NHS Scotland (Performance and Recovery)

Meeting date: 27 June 2023

Dr Sandesh Gulhane

Like Emma Harper, I should have said this at the start: I am a practising NHS general practitioner.

Cabinet secretary, we have a worldwide issue when it comes to medicine. We have shortages of all kinds of medicines; at the moment, the biggest shortage that I face in my practice is of dihydrocodeine and paracetamol together. What are we doing to create a smoother path for medicines, especially when it comes to the way that we prescribe and what happens in pharmacies if there is a shortage?

Health, Social Care and Sport Committee

Scrutiny of NHS Boards (NHS 24 and the Scottish Ambulance Service)

Meeting date: 20 June 2023

Dr Sandesh Gulhane

What if an advanced paramedic came to you and said, “Look, I don’t like this 30/30/30. I want to be out there more. I want to be seeing patients more.”? Is there flexibility for them?

Health, Social Care and Sport Committee

Scrutiny of NHS Boards (NHS 24 and the Scottish Ambulance Service)

Meeting date: 20 June 2023

Dr Sandesh Gulhane

I declare an interest as a practising NHS GP. I am interested in and want you to expand further on the electric ambulance, which is exciting. Will you tell us a little bit more about that and what its range is?

Health, Social Care and Sport Committee

Scrutiny of NHS Boards (NHS 24 and the Scottish Ambulance Service)

Meeting date: 20 June 2023

Dr Sandesh Gulhane

You spoke earlier about the difference between patients being categorised highly and their being upgraded. The concern is that someone might have waited so long that their condition has deteriorated, thus requiring the upgrade. Do you recognise that, even though someone might have waited in the yellow category, once they have become red category, it is then a red category waiting time, so it is not a separate thing?

Health, Social Care and Sport Committee

Scrutiny of NHS Boards (NHS 24 and the Scottish Ambulance Service)

Meeting date: 20 June 2023

Dr Sandesh Gulhane

Finally, when you do your exit interviews, especially for advanced paramedics who are leaving the service, what reasons do people give for leaving the service?

Health, Social Care and Sport Committee

Scrutiny of NHS Boards (NHS 24 and the Scottish Ambulance Service)

Meeting date: 20 June 2023

Dr Sandesh Gulhane

I will start by declaring my interest as a practising NHS general practitioner. More specifically, I have worked, and probably will work again, in a GP out-of-hours service.

I thank Jim Miller for coming and for the manner in which he has given us the data, which is much better than the manner in which a lot of other boards have given us information. My question is about the almost £800,000 underspend. You said that that underspend is due to your vacancies. Which group has been particularly impacted by that underspend?

Health, Social Care and Sport Committee

Scrutiny of NHS Boards (NHS 24 and the Scottish Ambulance Service)

Meeting date: 20 June 2023

Dr Sandesh Gulhane

Absolutely—there are different options.

An issue that I have as a GP is around the fair reflection that I provide when I ask for an ambulance. I might feel that a patient can manage a four-hour ambulance wait, but I—and a lot of us—invariably consider that that means an eight-hour ambulance wait, so I might upgrade it to two hours or one hour. If I do not, the patient will not get in. How can you reassure healthcare professionals who call you to say, “We need an ambulance for this patient, and this is the realistic timescale” that you can meet the timescale that they—the GP or other healthcare professional—have given you?

Health, Social Care and Sport Committee

Scrutiny of NHS Boards (NHS 24 and the Scottish Ambulance Service)

Meeting date: 20 June 2023

Dr Sandesh Gulhane

So, the figure is roughly that.

Health, Social Care and Sport Committee

Scrutiny of NHS Boards (NHS 24 and the Scottish Ambulance Service)

Meeting date: 20 June 2023

Dr Sandesh Gulhane

If some paramedics enjoy the triaging and some paramedics do not enjoy it, surely it would make sense to allow them to do the bits that they really enjoy.

Health, Social Care and Sport Committee

Scrutiny of NHS Boards (NHS 24 and the Scottish Ambulance Service)

Meeting date: 20 June 2023

Dr Sandesh Gulhane

Absolutely. If you have that—