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I am tempted to go into a shopping list of things that I would like Audit Scotland to look at, but I will resist.

Given the pressures that exist in emergency medicine, which this committee hears quite a lot about, and, more broadly, in respect of A and E attendance and the Scottish Ambulance Service, will a particular focus be placed on emergency medicine?

The committee is holding an inquiry on pathways into care, and we are looking at GP and pharmacy services and the different levels of service that can be offered. Is there any work forthcoming from Audit Scotland that might help to supplement and support our work?

Key to many of our questions this morning is the issue of scrutiny and the on-going assessment of the work that has been done in order to deliver change. What future work on health and social care is Audit Scotland currently planning to undertake?

Good morning. I am interested in how social care and the national care service sit alongside each other. In January, you produced a report in which you highlighted the scale of the challenge in social care, which sits alongside the pressures that exist in the NHS. We know that delayed discharge and blockages further up, at the other end of the scale, are often caused by a lack of availability of care packages.

In your January report on social care, you said that the Government needed to move faster to take action to alleviate some of the issues than the five-year timescale that is envisaged for a national care service to be set up. Are there things that can be done now to alleviate the issues that are being experienced in the NHS and to provide social care more quickly? Do those include improving pay and conditions of staff, further recruitment of new care staff and looking at care packages across the country?

I thank the cabinet secretary for that commitment.

We have also had discussions—I have been slightly banging on about this—about the need to provide digital spaces in locations in our communities. An obvious example that comes to mind is libraries. I have spoken before about how we can use libraries—and improve and protect their services—so that people can access digital services where they need to. That does not necessarily have to be in the main, public part of the library; there are definitely spaces elsewhere where people can be supported to do that in communities.

In a lot of communities, particularly in rural locations, the GP surgery is one of the few amenities, so it becomes the hub and focus. A challenge or a barrier can be that people might not want to go online alone at home. How do we ensure that an increasing number of facilities are available to people in community settings where they can access information and advice, or indeed get a consultation, online?

My question follows on from some of those that have been asked already and is about the data that is available. Figures from Public Health Scotland show that the number of whole-time equivalent GPs has gone down: we are at the lowest level since 2013. Although the head count is going up, the whole-time equivalent number is a better yardstick in helping us to understand the picture of services across the country.

We have not had any figures on whole-time equivalent GPs since 2019. I do not know whether the cabinet secretary has any information about that; if so, the committee would be keen to see it and to know where we are with whole-time equivalent GPs. Can you commit to providing that information?

Receptionists are not the only staff in GP practices. We have heard about signposting and gatekeeping and all sorts of things, and we had some good evidence from Dr Graeme Marshall, who talked about reception teams training with clinical staff and the more administrative staff. Do you see any opportunity to standardise some of that training?

Because of the nature of GP practices, this would be hard, but perhaps we could look at the pay and conditions of those on the more administrative side and how we might enhance their roles. After all, we know that they are doing more than just answering the phone and talking to patients.

We have heard evidence from patient groups, particularly the Riverside patient participation group, which I think is from Musselburgh, about digital exclusion and health needs. Those two things coincide. We understand that approximately 10 per cent of the population do not have access to new technology or the skills that are required to use it, and that those people are the most likely to have the greatest health needs—there is a clear correlation. I am keen to get a sense from the cabinet secretary of how those patients’ routes into primary care can be protected and enhanced, given the challenges.

To follow on from that point, I understand that the regulations cover hospitals, particularly—

Thank you for the statement, cabinet secretary. As you outlined, the legislation attracts a degree of support. My question relates to the responsibility for enforcement. The big challenge with many such interventions is that if they are not enforced, people will often become frustrated. I note from the meeting papers that the duty to enforce will fall on local authorities and their environmental health officers. What does that mean in terms of financial implications for local authorities? I refer to my entry in the register of members’ interests as an out-going local authority councillor.

We know that, throughout the pandemic, there was extra pressure on environmental health teams due to enforcement of coronavirus regulations, and we know that that came with a cost. I notice from the paragraph in the report on financial effects that there will not be additional funding, because it is expected that additional costs will be covered from existing budgets. However, I am sure that the cabinet secretary will agree that local councils are stretched, and that there are huge challenges with the finance that is available. What scope is there to review the workload as the legislation is implemented and to consider what extra resources might be required?