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Seòmar agus comataidhean

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 April 2025
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Displaying 1135 contributions

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Health, Social Care and Sport Committee

National Care Service (Scotland) Bill: Stage 2

Meeting date: 24 September 2024

Dr Sandesh Gulhane

In its written comments on the amendments, the Royal College of Occupational Therapists talks about

“multiple pressures facing the bodies providing the services. The NCS must ... turn the tide on these structural and systemic pressures”.

Will you elaborate a little bit on the “multiple pressures” facing the body for occupational therapists?

Health, Social Care and Sport Committee

National Care Service (Scotland) Bill: Stage 2

Meeting date: 24 September 2024

Dr Sandesh Gulhane

We will be coming on to that, and I do not want to steal anyone’s thunder.

Does the proposed NCS address what you have just said?

Health, Social Care and Sport Committee

National Care Service (Scotland) Bill: Stage 2

Meeting date: 24 September 2024

Dr Sandesh Gulhane

Thank you.

Health, Social Care and Sport Committee [Draft]

Gender Identity Services for Children and Young People (Independent Review)

Meeting date: 17 September 2024

Dr Sandesh Gulhane

Changing sex in medical records can potentially be quite dangerous. I will give you an example. The normal range of haemoglobin is different for men and women, so not knowing that somebody has changed gender could perhaps lead to quite significant harm occurring. How can we ensure that that is addressed in a standardised way across the NHS in Scotland?

Health, Social Care and Sport Committee [Draft]

Gender Identity Services for Children and Young People (Independent Review)

Meeting date: 17 September 2024

Dr Sandesh Gulhane

Going forward?

Health, Social Care and Sport Committee [Draft]

Gender Identity Services for Children and Young People (Independent Review)

Meeting date: 17 September 2024

Dr Sandesh Gulhane

The average age of puberty is 11 for girls and around 12 for boys. HIS standard 8 talks about understanding the risks and benefits of treatments and interventions. We are asking children of 10 to understand the risks and benefits of medications that have lifelong implications, that we do not fully understand yet as medical professionals and that we do not have a pathway set up for. How can we bridge that?

Health, Social Care and Sport Committee [Draft]

Gender Identity Services for Children and Young People (Independent Review)

Meeting date: 17 September 2024

Dr Sandesh Gulhane

I will focus my questions mainly on the role of GPs in designing a service model, because I am deeply concerned about how this is going to play out. Designing a service model never really seems to involve GPs—HIS, for example, only took written evidence from them.

First, is the provision of shared care for gender identity healthcare contractual in the GMS contract?

Health, Social Care and Sport Committee [Draft]

Gender Identity Services for Children and Young People (Independent Review)

Meeting date: 17 September 2024

Dr Sandesh Gulhane

Yes—according to the BMA, the GMS contract is clear that this is not part of shared care, and that it is outside the contract for core work that GPs would provide.

Health, Social Care and Sport Committee [Draft]

Gender Identity Services for Children and Young People (Independent Review)

Meeting date: 17 September 2024

Dr Sandesh Gulhane

Does a GP sit on your board to make that agreement?

Health, Social Care and Sport Committee [Draft]

Gender Identity Services for Children and Young People (Independent Review)

Meeting date: 17 September 2024

Dr Sandesh Gulhane

I declare an interest as a practising NHS general practitioner.

Good morning. Given the recommendations to move to a regional model to provide gender services, do GPs, who will input to the service design, sit on your panel? I ask specifically about a GP who is on the panel and in the room at every meeting and not just consulted or asked for input.