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 1019 contributions
Health, Social Care and Sport Committee
Meeting date: 12 November 2024
Dr. Sandesh Gulhane
Thank you.
Health, Social Care and Sport Committee
Meeting date: 12 November 2024
Dr. Sandesh Gulhane
[Interruption.] I apologise to Dr Neal, but we are really tight for time, so I will ask a question directly and perhaps you can roll the answer that you were going to give into that.
From what we have already heard, it seems that, if the bill goes through, the will of the Parliament is very much to have a tight definition. Given that, would it be appropriate for the courts to override the will of the Parliament in that way? Lynda Towers talked about a sunset clause earlier, but would a five-year sunset clause allow the Parliament to look at slippage, at changes and at court cases and ask whether that is what it wanted, or whether things have changed? Is that why we need a sunset clause?
Health, Social Care and Sport Committee
Meeting date: 12 November 2024
Dr. Sandesh Gulhane
Yes.
Health, Social Care and Sport Committee
Meeting date: 12 November 2024
Dr. Sandesh Gulhane
I declare an interest as a practising national health service general practitioner and as the chair of the medical advisory group that advised on the bill.
I am interested in what is being said about capacity. As a doctor, I judge capacity all the time. That can involve anything from giving a drug that could potentially kill somebody to a decision on the need for surgery. In the case of surgery, we have to assess whether someone can consent to the piece of work being done. Is it appropriate that a doctor’s ability to make those judgments in all other circumstances is also used in the bill?
Health, Social Care and Sport Committee
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
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
Meeting date: 12 November 2024
Dr. Sandesh Gulhane
Yes.
Health, Social Care and Sport Committee
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
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
Meeting date: 12 November 2024
Dr. Sandesh Gulhane
Yes.