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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. Session 6: 13 May 2021 to 8 April 2026
  7. Current session: 14 May 2026 to 8 November 2026
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Displaying 372 contributions

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Health, Care and Sport Committee

Key Issues in the Social Care Sector

Meeting date: 9 September 2026

Helen McDade

That is great.

Jack Middleton will move us on to another topic. We have 10 minutes left.

Health, Care and Sport Committee

Key Issues in the Health Sector

Meeting date: 2 September 2026

Helen McDade

Joe Long, do you have a follow-up question on workforce planning?

Health, Care and Sport Committee

Key Issues in the Health Sector

Meeting date: 2 September 2026

Helen McDade

Ms Waite, do you want to say something about workforce planning from your perspective?

Health, Care and Sport Committee

Key Issues in the Health Sector

Meeting date: 2 September 2026

Helen McDade

For information, what percentage of dental practices are now owned by what I would call conglomerates? We have seen that development with pharmacies and vet practices, for example, and it is now happening with dental practices. What percentage of Scottish dental practices are in that position?

Health, Care and Sport Committee

Key Issues in the Health Sector

Meeting date: 2 September 2026

Helen McDade

We can perhaps come back to that with the minister.

Health, Care and Sport Committee

Key Issues in the Health Sector

Meeting date: 2 September 2026

Helen McDade

That was very useful. Perhaps we should be talking to the educational establishments about how they are addressing the changing demographics and the increase in certain groups.

Health, Care and Sport Committee

Key Issues in the Health Sector

Meeting date: 2 September 2026

Helen McDade

Thank you. We have had a good round of questions on workforce planning, but I see that Jack Middleton wants to come in.

Health, Care and Sport Committee

Key Issues in the Health Sector

Meeting date: 2 September 2026

Helen McDade

As a follow-up to that, and bearing in mind that you speak for the other organisations in the Allied Health Professions Federation Scotland, would you say that that point applies to a number of those other organisations as well? For instance, if people could self-refer to physiotherapists, that would take pressure off GPs and might mean that they do not have to go near a doctor. Obviously, there are other professions in your organisation for which that would be possible.

Health, Care and Sport Committee

Key Issues in the Health Sector

Meeting date: 2 September 2026

Helen McDade

I have heard it said that the GP model is outdated and that we are perhaps talking about multidisciplinary self-referring, to some extent: for example, a hub, such that people do not need to go through a GP if they think that they need to be referred. I met a cardiologist who works privately in Northern Ireland, and who took self-referrals, and they said that nobody had come in front of them who did not require to see a cardiologist; by the time they got there, that was what was needed. Often people think, “I really need to see a rheumatologist,” or whatever it might be, but it can be very difficult to get there; even if the GP is willing to refer them, they might not have the test for it.

I will ask two questions.

First, we have talked about maybe getting physios in there and so on, but is there a case for being more radical and thinking more about self-referral? As we are throwing the NHS up in the air, is that something that we might want to do?

Secondly, I am interested in why there seems to be a lot of resistance to assistant physician associates and anaesthesia associates. Will you comment on those concerns, because some of us have probably seen those associates and found them fine?

Health, Care and Sport Committee

Key Issues in the Health Sector

Meeting date: 2 September 2026

Helen McDade

Thank you, Stuart. Do you want to add anything, Jane?