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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 4 May 2021
  6. Current session: 13 May 2021 to 9 November 2025
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Displaying 1267 contributions

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Health, Social Care and Sport Committee

Assisted Dying for Terminally Ill Adults (Scotland) Bill: Stage 1

Meeting date: 12 November 2024

Dr Sandesh Gulhane

As GPs, we spend a lot of time with our patients and we see what the family dynamic is. How can we assess coercion and ensure that there is no coercion, either positively or negatively, outside of that structure?

Health, Social Care and Sport Committee

Subordinate Legislation

Meeting date: 12 November 2024

Dr Sandesh Gulhane

I declare my interest as a practising NHS GP and, obviously, as a contributor to the NHS pension scheme.

I have a number of questions that I would like to put on the record and to which I would like answers from ministers, where appropriate. I would like to know what the anticipated financial impact of the amendments are on NHS staff pensions and, more importantly, on the overall sustainability of the pension schemes. What is the long-term strategy for ensuring the financial sustainability of NHS pension schemes in Scotland, given the rise in contribution rates? How do the amendments align with broader public sector pension reforms in Scotland and how do they compare to similar changes across the rest of the UK? To what extent would the changes to pension contributions and retirement flexibilities influence NHS staff recruitment and retention in Scotland? Can we explain the rationale behind the introduction of the final pay controls and what impact they will have on pensions for NHS staff who are near retirement age?

My final comment is that, with the changes that we see here, people who use the NHS pension scheme are totally and utterly unable to easily see their pension and to understand what is happening and what tax implications their pensions might have. That is important, because we are at a time when our NHS is on its knees and we need to make it easier for staff to do more work. However, what can happen is that staff who do more work will be landed retrospectively with a huge tax bill because of pension contributions, which means that they have, in effect, paid to go to work and to help us in our NHS. There are simple changes that can be made to stop that happening, and I urge the Scottish Government to look at those, both to make that easier and to allow people to see their pensions, as I have been contacted by a number of constituents who are unable to do so.

Health, Social Care and Sport Committee

Assisted Dying for Terminally Ill Adults (Scotland) Bill: Stage 1

Meeting date: 12 November 2024

Dr Sandesh Gulhane

This is a genuinely fascinating session.

I would like to speak more about the role of the courts. Dr Earle, I will start with you. I will specifically address the slippery slope argument that we began discussing earlier. I want to take that to its extreme and to hear your opinion on it. Suppose that I have diabetes, that I decide to go down the assisted dying route and that I can argue in court that I am being discriminated against as I am not allowed to do so for that condition. Obviously, that is an extreme. Do you foresee a way in which we could slowly move from the position of having fairly tightly worded reasons for being able to access assisted dying to the inclusion of conditions such as diabetes, on a rights basis?

Health, Social Care and Sport Committee

Assisted Dying for Terminally Ill Adults (Scotland) Bill: Stage 1

Meeting date: 12 November 2024

Dr Sandesh Gulhane

I refer members to my entry in the register of members’ interests, which states that I am a practising NHS GP. I also chair the medical advisory group on the bill.

I thank the witnesses for coming and for their evidence. I was struck by a couple of things that have been said so far. We heard from the previous panel about the potential for doctor shopping until people find somebody who will, as Colin McKay said, sign off on anything. Might a register, as you have suggested, stop that occurring?

Health, Social Care and Sport Committee

Assisted Dying for Terminally Ill Adults (Scotland) Bill: Stage 1

Meeting date: 12 November 2024

Dr Sandesh Gulhane

Yes.

Health, Social Care and Sport Committee

Assisted Dying for Terminally Ill Adults (Scotland) Bill: Stage 1

Meeting date: 12 November 2024

Dr Sandesh Gulhane

We talked earlier about how, when you are diagnosed with a terminal illness, you will naturally have—or you should have—a depressive reaction of some description. Other mental health issues might play into that, and you mentioned social issues such as alcohol that could play a role. You have mentioned internal coercion, but should we also consider such other matters with regard to coercion?

Health, Social Care and Sport Committee

Assisted Dying for Terminally Ill Adults (Scotland) Bill: Stage 1

Meeting date: 12 November 2024

Dr Sandesh Gulhane

Lastly, we have talked about a panel, registers and lots of different ways of assessing. A lot of that is really just for cases of doubt, as Professor Potts has already mentioned. We have to be clear that most cases will be pretty straightforward, so this is for those special cases. Do you think that, for the assessors to use such a pathway, some form of credentialling, which would obviously involve extra training, would be important?

Health, Social Care and Sport Committee

Subordinate Legislation

Meeting date: 12 November 2024

Dr Sandesh Gulhane

Yes.

Health, Social Care and Sport Committee

Assisted Dying for Terminally Ill Adults (Scotland) Bill: Stage 1

Meeting date: 12 November 2024

Dr Sandesh Gulhane

Dr Neal, I see that you are nodding, and I acknowledge what you said earlier. Is there a way to stop the courts from moving the definition on without a parliamentary change to primary legislation? Is there a way to keep the definition tight?

Health, Social Care and Sport Committee

Assisted Dying for Terminally Ill Adults (Scotland) Bill: Stage 1

Meeting date: 5 November 2024

Dr Sandesh Gulhane

What is the minimum age for eligibility?