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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

National Care Service (Scotland) Bill: Stage 1

Meeting date: 5 December 2022

Dr. Sandesh Gulhane

I do. I thank Hannah Tweed for that detail.

My last question is for Don Williamson. I want to touch on the issue of black, Asian and minority ethnic carers, which is obviously a topic that I find to be particularly important. We need to do more on that issue.

Only 3 per cent of unpaid carers are able to access paid breaks. Why is that? What are the main barriers to carers’ accessing those breaks?

Health, Social Care and Sport Committee

National Care Service (Scotland) Bill: Stage1

Meeting date: 29 November 2022

Dr. Sandesh Gulhane

I will turn to Peter McCormick. Randolph Hill is concerned about the NCS creating unnecessary bureaucracy. How do you think we can keep that to a minimum?

Health, Social Care and Sport Committee

National Care Service (Scotland) Bill: Stage1

Meeting date: 29 November 2022

Dr. Sandesh Gulhane

Rachel Cackett, when I looked at your submission, something stuck out for me. You said:

“in its current form the Bill is a curious mix of specificity in relation to the powers it gives to ministers and permissiveness in relation to the interpretation of the delivery of key principles”.

For clarification, are you saying that the bill gives too many powers to ministers? Would you like to see autonomy retained at local level?

Health, Social Care and Sport Committee

National Care Service (Scotland) Bill: Stage1

Meeting date: 29 November 2022

Dr. Sandesh Gulhane

I do not mean to keep picking on you, Rachel, but I want to come back on something that you said. James Dornan talked about this when he asked you about patchy delivery. You have said previously that the status quo is not good enough, and you have talked about that in response to me. With the local governance arrangements that we have now and the way in which ministers are in charge of health and social care, could we not do a lot of things right now without having a national care service bill?

Health, Social Care and Sport Committee

National Care Service (Scotland) Bill: Stage1

Meeting date: 29 November 2022

Dr. Sandesh Gulhane

A lot of the organisations that are involved with the NCS seem to have overlapping responsibilities. Are each agency’s roles and responsibilities sufficiently outlined in the bill?

Health, Social Care and Sport Committee

National Care Service (Scotland) Bill: Stage1

Meeting date: 29 November 2022

Dr. Sandesh Gulhane

That is very kind. Thank you.

I want to ask about the transparency of co-design. Once people have fed in—as we think they will do—it will be about how things are decided and how people will come to decisions when there are conflicting views. Who will make those decisions? What transparency is there? What do you understand will happen?

Health, Social Care and Sport Committee

National Care Service (Scotland) Bill: Stage 1

Meeting date: 22 November 2022

Dr. Sandesh Gulhane

Would the Henry VIII powers basically give ministers the option of doing anything that they wanted?

Health, Social Care and Sport Committee

National Care Service (Scotland) Bill: Stage 1

Meeting date: 22 November 2022

Dr. Sandesh Gulhane

I am an NHS general practitioner and I cannot access the NHS hospital data system. When I was doing adult psychiatry, I could not access the IT system for the children’s service, which was in the other building.

We have significant issues with accessing information within the NHS. We have been working on that for a very long time and have spent an awful lot of money but we do not even have access to each other’s information. That is a patient safety issue on many occasions.

Although I absolutely accept that it is important that we have shared patient data, if we have not got that right in the NHS for a long time, what confidence do the witnesses have that we will get anything that enables us to talk to each other within the next decade? It has not happened in healthcare.

Health, Social Care and Sport Committee

National Care Service (Scotland) Bill: Stage 1

Meeting date: 22 November 2022

Dr. Sandesh Gulhane

Convener, it is important that we understand the context, which is that we have been working on that issue in healthcare for a long time. We want to introduce something new with the national care service—shared data—which is basically what we wanted to do in the NHS, but given that that has not happened, what confidence do the witnesses have that it will happen in the national care service?

Health, Social Care and Sport Committee

National Care Service (Scotland) Bill: Stage 1

Meeting date: 22 November 2022

Dr. Sandesh Gulhane

My question is directed to Kenneth Meechan. SOLAR has expressed concerns about the impact of the proposed measures on the rights of data subjects. Could you expand a bit on what you said in your submission about that?