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Does the new national centre for remote and rural health and care need to have an advocacy role to address some of the challenges that people might have with their healthcare, no matter whether we are talking about adult, child or maternity services? I am interested in how we advocate for patients when they feed in to the system to ensure that the system reacts.

Just to pick up on that suggestion of a whole-system approach, Professor Smith, I was reminded of some of the challenges that we have experienced in our local casework. For example, the bus from Stranraer to Dumfries doesnae have a toilet on it, and people have been feeding back to me that they avoid taking their diuretics on the way to hospital appointments, which they shouldnae be doing. At this point, I remind everybody that I am a registered general nurse in Dumfries and Galloway, which is quite remote and rural in many places.

When you talk about a whole-system approach, it makes me think of that example: we have asked for a toilet, but the bus company or the regional transport partnership are not even on the integration joint board or part of the health and social care partnership. Obviously, part of the system is not connecting if people are having to avoid taking medicine on the bus, just because the journey might be two hours and there is no loo available. That is an example of how part of the system is not working right now.

Good morning to you all. I know how hard Christine Grahame has worked on the bill over the past six years. I have been very interested to follow the process, because I am interested in illegal puppy farming and puppy trafficking and how we can reduce or prevent that. We know that puppies still come in through the port of Cairnryan.

In 2021, regulations established licensing conditions for the sale of puppies under the age of six months. The conditions include requiring the puppy to be seen with its mother, which is an important part of mitigating trafficking. I am interested that the bill has chosen to define a young dog as a dog under the age of 12 months, whereas the SSPCA defines a puppy as a dog under the age of six months. Will you tell us a bit about why the bill defines a young dog as a dog under the age of 12 months for the purpose of the additional requirements in section 3?

I know that I am a substitute on the committee, but I want to go back to the beginning. This is a technical instrument making a technical amendment. In my engagement with Quality Meat Scotland, I have found it to be competent, professional, responsible and diligent in working with businesses and farmers. I would trust Quality Meat Scotland to carry out the correct engagement.

My question goes back to the fact that this is a technical amendment. It allows Quality Meat Scotland to go out and engage if levies are to be increased, which would be done incrementally over an annual engagement basis. Is that correct?

If I bring six puppies over on the ferry to sell them for £2,500 each because they are bonnie wee spaniels, and then somebody says, “Right, I want to move this dog,” and that person keeps the six puppies, the provision would cover moving those dogs on to another person who was going to receive the dogs.

It would help to reduce the unregistered transfer of dogs and, again, it would promote education to whoever is the recipient of the young dog or puppy.

I will not pursue my supplementary question about microchipping, as it relates to the traceability of dogs in relation to livestock worrying. However, as microchipping is not part of the bill at this time, I will not pursue the issue.

Do you think that there is a role for us, as MSPs, with regard to our connectivity on social media? Sometimes social media is not the best platform for communicating things, but social media could be used in a different, more positive way to support good communication. I was recently at an event in Dumfries and Galloway at which Dr Heather Currie spoke to 100 women in the room about the menopause. She is a total champion for destigmatising menopause and communicating an understanding about what it is all about. As MSPs, do we, too, have a role in communication?

I will pick up on ScotGEM. I recently met the chief executive officer of NHS Dumfries and Galloway, Jeff Ace, who said that the retention of ScotGEM graduates in Dumfries and Galloway was excellent.

I have an article here that says that 55 people have completed the first four-year graduate entry to medicine programme, which is unique to Scotland. My colleagues in Ireland, as part of the British-Irish Parliamentary Assembly, are looking to Scotland to learn about ScotGEM so that they can maybe implement it elsewhere.

I am interested in your findings regarding ScotGEM. Is it successful? Has it proved to be supporting rural recruitment for general practice across either side of the central belt?

Good morning, everybody, and good morning to Pam Nicoll online.

I am interested in issues around the impact of the national centre for remote and rural healthcare. I am thinking about actions, the delivery of the strategy and plans. We have had previous papers, including papers from the remote and rural areas resources initiative and the review of the 1912 Dewar commission paper, for example. Professor Jason Leitch has spoken about the Nuka system of care in Alaska, which is about community-owned delivery of healthcare rather than it being done to people. I remind everybody that I am a nurse—I remember Professor Jason Leitch talking to us about rural healthcare in the late 1990s.

I am interested in how NES will ensure that the work of the centre focuses not only on strategy development but on actions, delivery and impact.