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 981 contributions
Health, Social Care and Sport Committee
Meeting date: 9 November 2021
Dr. Sandesh Gulhane
When I was doing my GP shift yesterday, I had a conversation about DNACPR, whci stands for “do not attempt cardiopulmonary resuscitation”. That is not one conversation; it is the start of a conversation that has to be gone back to on multiple occasions.
I visited the Prince and Princess of Wales Hospice, which is providing amazing care. It even has beds for young adults. Because that is an independent hospice, a patient who wants respite but whose funding is being controlled by the council is not able to access care at that hospice. They can only go to a hospice that is part of a big chain and they cannot access the amazing care that that hospice provides.
Would you be able to look at that, to stop that from happening and to allow even people whose councils control their respite funding to be able to choose where they go for respite care?
Health, Social Care and Sport Committee
Meeting date: 9 November 2021
Dr. Sandesh Gulhane
My question is for Dr Thomson and Dr Buist. As we know, 85 per cent of all patient contact happens in primary care, and given that demand, there will be patients who will quite clearly be desperate to go to A and E instead. However, they might then be redirected from A and E back to their GPs. Is there a set of patients who are simply being passed between primary care and A and E, and if so, what can we do to stop that happening?
Health, Social Care and Sport Committee
Meeting date: 9 November 2021
Dr. Sandesh Gulhane
Convener, I should just place on the record that, earlier, I was listening to the meeting online, so I was able to hear the minister.
Health, Social Care and Sport Committee
Meeting date: 2 November 2021
Dr. Sandesh Gulhane
Thank you. Will you also be writing to and contacting everyone who had mesh implants in Scotland to highlight the scheme and say, “If you received your mesh here and are eligible because you’ve had private surgery to remove it, we will reimburse you.”? I did not see that as something that you are doing to promote the scheme.
Health, Social Care and Sport Committee
Meeting date: 2 November 2021
Dr. Sandesh Gulhane
I should first of all put it on the record that Dr Jamieson was the clinical supervisor for my own work.
I have a question for Dr Lamont about costs. I know that we are talking about reimbursement here, but what do you think the indicative costs will be for women going to the NHS, Spire Healthcare in Bristol or the United States?
Health, Social Care and Sport Committee
Meeting date: 2 November 2021
Dr. Sandesh Gulhane
Thank you for your response to the convener’s questions, but I would say that it is not an either/or issue. It would be nice if we could add to the list those women who had their mesh implanted here but who had to pay privately for the surgery to get it removed after they had moved away from Scotland. After all, it was the NHS in Scotland that implanted the mesh in the first place, and those women should be reimbursed for any out-of-pocket expenses. I understand from Greig Chalmers that you have not as yet been contacted by anyone in that respect, but even if reimbursement in those circumstances could help just one woman, it would be good for us to do it.
Health, Social Care and Sport Committee
Meeting date: 28 September 2021
Dr. Sandesh Gulhane
Would there be a difference between those who are directly employed and those who are—
Health, Social Care and Sport Committee
Meeting date: 28 September 2021
Dr. Sandesh Gulhane
I want to ask about the way that the money is used. My understanding is that a board gets its money through its funding, which is then divided into allocations. I always hear clinicians saying that they are not able to use that money, so who is the determiner of how that money is spent? Is it clinicians, or is it managers? Who do you feel it should be?
Health, Social Care and Sport Committee
Meeting date: 28 September 2021
Dr. Sandesh Gulhane
Can we start with David, please?
12:15Health, Social Care and Sport Committee
Meeting date: 28 September 2021
Dr. Sandesh Gulhane
This is directed to Derek Feeley. In your summary, recommendation 17 says:
“Integration Joint Boards should manage GPs’ contractual arrangements, whether independent contractors or directly employed”.
Under that model—in the ideal vision that you have set out—would you want the general practitioner workforce to be directly employed or independent contractors ?