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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 21 December 2024
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Displaying 1019 contributions

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Health, Social Care and Sport Committee

National Performance Framework (Proposed National Outcomes)

Meeting date: 10 September 2024

Dr. Sandesh Gulhane

Going down?

Health, Social Care and Sport Committee

National Performance Framework (Proposed National Outcomes)

Meeting date: 10 September 2024

Dr. Sandesh Gulhane

I am sorry, it is wellbeing. The three new outcomes are wellbeing, economy and fair work, and housing and care.

Health, Social Care and Sport Committee

National Performance Framework (Proposed National Outcomes)

Meeting date: 10 September 2024

Dr. Sandesh Gulhane

The data is analysed by measuring performance against the previous year. We might be doing awfully overall, but a bit better than we were doing last year, and that is reported as being positive or performance being maintained. I would like to delve into that a little bit more.

Let us start with healthy weight. That is an indicator that is reported as being maintained, but if we interrogate that a bit further, we find that 65 to 68 per cent of adults and 36 per cent of children in Scotland are overweight. The World Health Organization reports that 43 per cent of adults worldwide are overweight, so Scotland’s figures are more than 20 per cent more than the worldwide figures. Are you happy with the number of Scots who are overweight that is being reported in the paper as being maintained or positive?

Health, Social Care and Sport Committee

National Performance Framework (Proposed National Outcomes)

Meeting date: 10 September 2024

Dr. Sandesh Gulhane

I am glad that you—

Health, Social Care and Sport Committee

National Performance Framework (Proposed National Outcomes)

Meeting date: 10 September 2024

Dr. Sandesh Gulhane

I declare my interest as a practising NHS GP.

Professor Collins, I am glad that you started speaking about the framework. It says that health risk behaviour is maintained, with 26 per cent of people doing two or more risky things. The framework as a whole shows us where we would like to be and where we should be. However, in 2003, there were 1,277 alcohol-related deaths, the highest number since 2008, and, in the past six months, we have had 600 drug deaths. That represents almost 2,000 bereaved families, and our thoughts are with them. That is the worst rate in the UK. Is there a point to having an aspiration when we are simply not seeing any results?

Health, Social Care and Sport Committee

National Performance Framework (Proposed National Outcomes)

Meeting date: 10 September 2024

Dr. Sandesh Gulhane

Carol Calder, again, the healthy weight indicator is recorded as being maintained, but the figures show that 65 to 68 per cent of adults and 36 per cent of children in Scotland are overweight. That compares poorly with the figures from the WHO that show that, worldwide, 43 per cent of people are overweight. We also know that obesity levels in Scotland are pretty high compared to the UK and across Europe. However, the way that the data is presented—I think that Professor Collins spoke about this earlier—does not seem to reflect how bad the situation is; it just says that the position of the indicator is maintained from last year. Do you think that we need to look at a different way of reporting so that we can start to see not only where we are compared to last year but where we are compared to other places?

Health, Social Care and Sport Committee

National Performance Framework (Proposed National Outcomes)

Meeting date: 10 September 2024

Dr. Sandesh Gulhane

Yes.

Health, Social Care and Sport Committee

National Performance Framework (Proposed National Outcomes)

Meeting date: 10 September 2024

Dr. Sandesh Gulhane

I want to go back to what we spoke about a little earlier, Professor Donaldson, when you said that you are looking at some other indicators that are not so good. I want to look at that in a bit more detail.

If we look at healthy life expectancy—which, again, is recorded as being maintained—we see that Scots can expect to remain healthy only to the age of 60 for men and 61 for women. That is the lowest figure since data was gathered, and I am pretty sure we know that it is worse in more deprived areas. Do we know what the trend is in those more deprived areas and what we can really do about it?

Health, Social Care and Sport Committee

National Performance Framework (Proposed National Outcomes)

Meeting date: 10 September 2024

Dr. Sandesh Gulhane

Professor Collins, I want to go back to what you said about people apologising for being upset by the reality. I was quite upset and shocked to hear that healthy life expectancy in parts of Glasgow is now in the 40s and, indeed, is still falling. What can we do to try to reverse that specific trend in Glasgow, which I should say also has the highest rates of drug deaths?

Health, Social Care and Sport Committee

Social Care (Self-directed Support) (Scotland) Act 2013 (Post-legislative Scrutiny)

Meeting date: 25 June 2024

Dr. Sandesh Gulhane

That is the principle. What are the specific criteria that you have used to judge the success of the 2013 act, a decade into its implementation?