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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 22 April 2025
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Displaying 671 contributions

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Health, Social Care and Sport Committee

Healthcare in Remote and Rural Areas

Meeting date: 5 December 2023

Gillian Mackay

A couple of you said that, quite often, workers are lone workers. They are often out in the community or working in quite small general practices, and they might be th\e only representative of their profession in a multidisciplinary team. Are we properly supporting those individuals at the moment?

Derek Laidler, I will come to you first, because you shook your head. If we are not supporting those individuals at the moment, what needs to be put in place to support them and help them to develop the skills that there are in other health boards in which some of the training, learning and support pathways are taken for granted?

Health, Social Care and Sport Committee

Healthcare in Remote and Rural Areas

Meeting date: 28 November 2023

Gillian Mackay

Good morning. What impact is the ageing population currently having on healthcare services in remote and rural areas? As the ageing population increases, how is it likely to continue to affect services? I ask Dr Makin first.

Health, Social Care and Sport Committee

Healthcare in Remote and Rural Areas

Meeting date: 28 November 2023

Gillian Mackay

That is great. Thank you. I think Dr MacGilleEathain wants to come in.

Health, Social Care and Sport Committee

Healthcare in Remote and Rural Areas

Meeting date: 28 November 2023

Gillian Mackay

That is really useful. Thank you. If any of those pieces of work that you referenced could be sent to the committee, we would be really grateful.

Health, Social Care and Sport Committee

Healthcare in Remote and Rural Areas

Meeting date: 28 November 2023

Gillian Mackay

Do any of the other panel members want to come in on that, before I move on?

Health, Social Care and Sport Committee

Healthcare in Remote and Rural Areas

Meeting date: 28 November 2023

Gillian Mackay

Thank you.

In designing services, what do we need to do now in order to address the ageing population, and what barriers are there currently to designing services that would meet the needs of older people in remote and rural areas? I ask Dr Makin first.

Health, Social Care and Sport Committee

Women’s Health Champion

Meeting date: 21 November 2023

Gillian Mackay

Professor Glasier, I was struck by your earlier comment about intersectionality versus the siloed way in which the NHS often works. I know that your priorities fall naturally into three large chunks, but how do you see them working across each other? Earlier, you highlighted the example of women with PCOS being at higher risk of heart disease; they are also at higher risk of diabetes and such conditions. Quite often, once you are diagnosed, you are given tablets that have wonderful side effects and are then left without any other form of follow-up. Are you and the team actively looking at such crossovers, and what progress is being made on some of those areas?

Health, Social Care and Sport Committee

Healthcare in Remote and Rural Areas

Meeting date: 21 November 2023

Gillian Mackay

That is great. Pathways are sometimes opaque, to say the least, even when you live in the central belt and go to a major hospital for out-patient treatment. When there are extra complexities of distance, as there are with some of the smaller hospitals, things are even more challenging to navigate.

What work is going on to ensure that the populations that we are talking about have transparent pathways that suit their needs, and to ensure that ageing populations know where, when and how far they have to go for their treatment?

Health, Social Care and Sport Committee

Healthcare in Remote and Rural Areas

Meeting date: 21 November 2023

Gillian Mackay

Finally, we know that feedback from patients is essential to on-going service delivery and evolution, but in some communities the doctors and nurses on whom people are giving feedback are their neighbours, and are much more closely related to the community than they might be in more populous areas. Is there active work being done on seeking views from people, so that their feedback on changes can be taken into account? People might be apprehensive because of that close relationship.

Health, Social Care and Sport Committee

Women’s Health Champion

Meeting date: 21 November 2023

Gillian Mackay

That is great. Thanks, convener.