The Official Report is a written record of public meetings of the Parliament and committees.
All Official Reports of meetings in the Debating Chamber of the Scottish Parliament.
All Official Reports of public meetings of committees.
Displaying 1466 contributions
Health, Social Care and Sport Committee
Meeting date: 28 October 2025
Dr Sandesh Gulhane
When do we expect to see the needs-based approach?
Health, Social Care and Sport Committee
Meeting date: 30 September 2025
Dr Sandesh Gulhane
Sorry, I was waiting to be unmuted. I declare an interest as a practising NHS general practitioner.
Dani Cosgrove, I want to come back to something that you were talking about when it comes to disruption in schools. I have a big concern about the presumption of mainstreaming. There is a lack of support teachers for pupils with ADHD and other diagnoses—those who are deaf, for example—who have additional support needs. Even with a diagnosis, do we see a big difference when it comes to schooling?
Health, Social Care and Sport Committee [Draft]
Meeting date: 9 September 2025
Dr Sandesh Gulhane
I make a declaration of interest as a practising NHS general practitioner.
One of the most important parts of the PBMA approach would be to know exactly how money is spent and where it goes. Is that correct?
Health, Social Care and Sport Committee [Draft]
Meeting date: 9 September 2025
Dr Sandesh Gulhane
How you spend your money is one aspect. My other question is about outcomes. When you make a strategic decision, do you need to know clearly and up front what you hope will be the outcome of that investment and how that outcome will be measured?
Health, Social Care and Sport Committee [Draft]
Meeting date: 9 September 2025
Dr Sandesh Gulhane
I will take long Covid as an example. An announcement was made that £10 million was to be spent over three years. A series of freedom of information requests was made about how that money was spent. You could see where the money was allocated to a health board, but it was impossible to find out where it was spending that money.
Even if we did not embed the PBMA approach, would knowing how the money was being spent lead to a significant improvement in our ability to plan and strategise?
Health, Social Care and Sport Committee [Draft]
Meeting date: 9 September 2025
Dr Sandesh Gulhane
Just because something is difficult does not mean that it should not be done, in my opinion. Any business would know exactly, to the penny, where its money goes.
Health, Social Care and Sport Committee [Draft]
Meeting date: 9 September 2025
Dr Sandesh Gulhane
I have not been published as much as the two of you—I have only a BSc—but I was taught that you should measure your outcomes before you start to look at the results from your analysis. You need to know what it is that you are looking for. You do not throw a ring over data once you have achieved it.
When we talk about a top-down approach, we can think about alcohol spend. In relation to how minimum unit pricing was introduced, it was not abundantly clear to me what the outcome data was prior to looking at the results and deciding what we had found for the money that we had spent. That was given as an example of a PBMA approach. What do you think about that? How would you have gone about that policy from a PBMA point of view?
Health, Social Care and Sport Committee [Draft]
Meeting date: 9 September 2025
Dr Sandesh Gulhane
Thank you very much.
Health, Social Care and Sport Committee [Draft]
Meeting date: 9 September 2025
Dr Sandesh Gulhane
I will be very brief. Dr Ruta, you spoke about doctors needing to be responsible for the way that money is spent and the budgeting, and about the fact that they do not listen to managers. I would argue that that position is a bit too much, and that doctors should not listen to managers. However, how can you make doctors responsible for budgets?
10:15Health, Social Care and Sport Committee
Meeting date: 2 September 2025
Dr Sandesh Gulhane
I am really glad that you said that.