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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 17 June 2025
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Displaying 3234 contributions

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Health, Social Care and Sport Committee

Alternative Pathways to Primary Care

Meeting date: 29 March 2022

Gillian Martin

Sandesh Gulhane, who joins us online, has a question on data.

10:45  

Health, Social Care and Sport Committee

Alternative Pathways to Primary Care

Meeting date: 29 March 2022

Gillian Martin

I call Sue Webber, who has questions on social prescribing.

Health, Social Care and Sport Committee

Alternative Pathways to Primary Care

Meeting date: 29 March 2022

Gillian Martin

Sue Webber has a supplementary question.

Health, Social Care and Sport Committee

Subordinate Legislation

Meeting date: 29 March 2022

Gillian Martin

As there are no more questions from colleagues, we will move on to agenda item 4, which is the formal debate on the made affirmative instrument on which we have just taken evidence.

I remind the committee that, during the formal debate, members should not put questions to the cabinet secretary and officials may not speak. I invite the cabinet secretary to move motion S6M-03434 and to speak to the motion, if he wants to do so.

Health, Social Care and Sport Committee

Alternative Pathways to Primary Care

Meeting date: 29 March 2022

Gillian Martin

The pharmacy first and minor ailments services have been more successful than other routes. Are there any specific areas where a little more work needs to be done to give patients confidence? In particular, I am thinking about those patients who say, “I need to see my GP”, and feel that they are being fobbed off when another route is suggested to them. That is a key point in the cultural mindset.

Health, Social Care and Sport Committee

Alternative Pathways to Primary Care

Meeting date: 29 March 2022

Gillian Martin

I have one final question before I bring in Carol Mochan. You mentioned a better experience for GPs. Given that GP workload is extremely pressurised, do you think that when the model starts to kick in and there is public acceptance of the fact that there are several different ways to access care, it might make GP practice more attractive to medical graduates because they will be dealing with acute cases, which will really put their training into action, as opposed to the nurse practitioner side of things?

Health, Social Care and Sport Committee

Alternative Pathways to Primary Care

Meeting date: 29 March 2022

Gillian Martin

Thank you, cabinet secretary.

As you mentioned, it has been a number of years since 2018, when the Scottish Government started the reforms relating to pathways and multidisciplinary teams. Previously, there was a traditional model in which the GP was the first, and often the only, port of call for people to access healthcare. Obviously, the plan is to widen that out.

One reason why we decided to do our inquiry was that, from speaking to stakeholders, we got a sense that public awareness of the issue is not quite where it could be. Certainly, we had a lot of responses to that effect in our survey of patients across Scotland and in discussions with patient groups. The model that the Government wants to promote is not quite landing in every area of Scotland. What are your thoughts on how the Government can take forward the approach and create a culture change? How can you give assurance to patients that an alternative pathway is not a wrong pathway, that they do not have to see their GP for everything, and that in fact it might be better to access an alternative pathway?

Health, Social Care and Sport Committee

Alternative Pathways to Primary Care

Meeting date: 29 March 2022

Gillian Martin

We move on to the theme of inequalities, which has, as we expected, come up throughout this session and in all the previous sessions in this inquiry. Questions will be led by Gillian Mackay.

Health, Social Care and Sport Committee

Subordinate Legislation

Meeting date: 29 March 2022

Gillian Martin

That concludes consideration of the instrument. I thank the cabinet secretary and his officials for attending today’s meeting. At our next meeting, on 19 April, the committee will take evidence from the Auditor General for Scotland on Audit Scotland’s “NHS in Scotland 2021” report.

That concludes the public part of our meeting today. Thank you all.

11:36 Meeting continued in private until 11:58.  

Health, Social Care and Sport Committee

Subordinate Legislation

Meeting date: 29 March 2022

Gillian Martin

Agenda item 3 is consideration of an affirmative instrument. We will take evidence from the Cabinet Secretary for Health and Social Care, Humza Yousaf, and Scottish Government officials Claire McGill, solicitor, and Jules Goodlet-Rowley, head of the healthy living unit, who are joining us online. Once all the committee’s questions have been answered, we will have a formal debate on the motion.

I believe that you have an opening statement, cabinet secretary.