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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 13 July 2025
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Displaying 846 contributions

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Health, Social Care and Sport Committee

Alternative Pathways to Primary Care

Meeting date: 15 March 2022

Stephanie Callaghan

Is there any sign of those issues abating? Are there any plans to rectify the situation, as far as you are aware?

Health, Social Care and Sport Committee

Alternative Pathways to Primary Care

Meeting date: 15 March 2022

Stephanie Callaghan

They trust that person, and they feel that they can rely on them.

How realistic is it for that to happen? Is that understood, and is that part of the system? We talk about the no wrong door policy, but there is also a push to get patients to go in the right direction, either on their own or through a link worker.

Health, Social Care and Sport Committee

Alternative Pathways to Primary Care

Meeting date: 15 March 2022

Stephanie Callaghan

The Healthcare Improvement Scotland practice administrative staff collaborative has seemed to improve triage and referral to the appropriate professionals. Could that be rolled out more widely?

Health, Social Care and Sport Committee

Alternative Pathways to Primary Care

Meeting date: 15 March 2022

Stephanie Callaghan

Patients often see the GP receptionist as being a kind of gatekeeper who can, on occasion, be determined to keep them out. How can we improve the perception of GP receptionists and support staff in the practices? Is Health Improvement Scotland’s practice administrative staff collaborative a route towards that, or is there something else that could change?

Health, Social Care and Sport Committee

Alternative Pathways to Primary Care

Meeting date: 15 March 2022

Stephanie Callaghan

I have a quick follow-up question for Julie Mosgrove, who spoke about diabetes being spotted really early and about referring people to their GPs. Does she refer people directly to other primary care pathways or to specialists? Is that appropriate? I am trying to figure out how this fits together. Do people always have to go back to a GP or can onward referrals be made that skip that step if it is unnecessary?

Health, Social Care and Sport Committee

Alternative Pathways to Primary Care

Meeting date: 15 March 2022

Stephanie Callaghan

No. It is for whoever feels that it is most appropriate for them to answer.

Health, Social Care and Sport Committee

Alternative Pathways to Primary Care

Meeting date: 15 March 2022

Stephanie Callaghan

Thank you—[Inaudible.] That is great. It is helpful to know that those referral pathways work in primary care services and beyond.

Health, Social Care and Sport Committee

Alternative Pathways to Primary Care

Meeting date: 15 March 2022

Stephanie Callaghan

I want to dig a wee bit more into the issues that Paul O’Kane has raised. The big picture really matters. The GP relationship is established over many years, and it is important to many patients. GPs know their patients and their circumstances, and that relationship allows GPs to have the sensitive discussions that patients might otherwise be unwilling to have.

We have talked about the fact that there should be no wrong door. This might be a question for Clare Morrison and Jess Sussmann initially. Is it realistic for a variety of organisations to have someone who is the key person—the trusted person—to the individual patient, who offers continuity and helps the patient to get access to all the primary care services?

Health, Social Care and Sport Committee

Alternative Pathways to Primary Care

Meeting date: 15 March 2022

Stephanie Callaghan

I am not undermining the GP’s place at all, but we tend to find that individuals will have a particular person whom they connect with, especially as they get older. That will be their go-to person for advice, who could say to them, “You really need to see your GP about that,” or “It would be a really good idea to go to your pharmacist.”

We have talked about link workers. We do not have them everywhere just now, and that is perhaps part of the issue. Realistically, patients will probably choose their own key person or go-to person.

Education, Children and Young People Committee

Coronavirus (Recovery and Reform) (Scotland) Bill: Stage 1

Meeting date: 9 March 2022

Stephanie Callaghan

I have a wee question that came from the Children and Young People’s Commissioner Scotland and a member of the Scottish Youth Parliament about involving young people. How can we ensure that involvement is not just having an individual young person sitting at the table who gets to put their voice across a couple of times, but means really involving young people and enabling them to influence the decisions that are being made? How does that play into the legislation?

I am also interested in representation for young people with additional support needs who might not find it as easy to express their views. We have looked at the childcare hubs that were set up, which were not about education but were for looking after the children of key workers. Those hubs later incorporated some young people with additional support needs, too. How do we ensure that we are looking out for those young people and prioritising and protecting their needs?