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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 23 December 2024
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Displaying 1019 contributions

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Health, Social Care and Sport Committee

Budget Scrutiny 2024-25

Meeting date: 16 January 2024

Dr. Sandesh Gulhane

Cabinet secretary, we were speaking about the national care service and you said that there is £1 billion in the social care budget. How much of that budget line relates to the NCS and how much relates to adult social care funding?

Health, Social Care and Sport Committee

Subordinate Legislation

Meeting date: 16 January 2024

Dr. Sandesh Gulhane

Can we talk about money? The cost of regulating a PA will be half the cost of regulating a doctor, and the Government is putting in money to subsidise the regulation process. Is that fair?

Health, Social Care and Sport Committee

Budget Scrutiny 2024-25

Meeting date: 16 January 2024

Dr. Sandesh Gulhane

We have seen a significant reduction in mental health across our country. We have also seen significant increases in waiting times for child and adolescent mental health services; the longest wait in Glasgow was 37 weeks to be seen. The reduction in budget will surely impact and harm mental health.

Health, Social Care and Sport Committee

Budget Scrutiny 2024-25

Meeting date: 16 January 2024

Dr. Sandesh Gulhane

In stating your top three priorities, you spoke about NHS recovery, which you mentioned in your opening statement as well. You feel that you have put a budget for that in place. Therefore, at next year’s budget time, should we expect to see significant reductions in improvement in accident and emergency waiting times and significant improvements in waiting times for procedures?

Health, Social Care and Sport Committee

Subordinate Legislation

Meeting date: 16 January 2024

Dr. Sandesh Gulhane

I will take an intervention once I have made these points.

I have also heard of anaesthesia associates anaesthetising children. I am also concerned about how anaesthesia consultants know how to supervise and what their level of cover is when something goes wrong. They have never been trained in supervising anaesthesia associates.

Health, Social Care and Sport Committee

Subordinate Legislation

Meeting date: 16 January 2024

Dr. Sandesh Gulhane

No—my argument is about the role of regulation. Of course, regulation is important and it must occur, but we cannot regulate what we cannot define. Scope of practice is a very important part of that regulation, as is supervision level. With regard to scope of practice, we know that there has been an expansion in what our PAs and AAs have been asked to do. I know of general practices that run almost entirely on the work of allied health professionals, which saves the practice money, but potentially provides a two-tier system and service to patients in remote and rural areas, where they will not, in the main, see doctors. With the expansion of that PA role also—

Health, Social Care and Sport Committee

Budget Scrutiny 2024-25

Meeting date: 16 January 2024

Dr. Sandesh Gulhane

I declare an interest as a practising NHS general practitioner. Good morning, cabinet secretary, and thank you for coming today.

Health, Social Care and Sport Committee

Budget Scrutiny 2024-25

Meeting date: 16 January 2024

Dr. Sandesh Gulhane

From your opening statement and from what we have heard and seen you say previously, do you feel that you have adequately resourced the Scottish NHS?

Health, Social Care and Sport Committee

Budget Scrutiny 2024-25

Meeting date: 16 January 2024

Dr. Sandesh Gulhane

In laying out those three priorities and in your opening statement, you spoke about mental health. Is it not true to say, though, that there is a 1.6 per cent real-terms reduction in your budget for mental health services?

Health, Social Care and Sport Committee

Subordinate Legislation

Meeting date: 16 January 2024

Dr. Sandesh Gulhane

The BMA is telling us that patients and their families are unaware, many times, whether or not they have been assessed by a doctor. Following on from the convener’s last question, would it not add to that confusion to have the GMC regulate somebody else, seeing as it regulates doctors?