Seòmar agus comataidhean

Good morning, cabinet secretary. A couple of different points have come to mind while I have been listening to all the questions and responses. I am interested in issues around digital technology and innovation, and in how remote and rural areas can or cannot benefit from that.

During Covid, we saw that the use of NHS Near Me and the attend anywhere service was beneficial. How can we harness what we have learned so far from the use of digital technology in order to support remote and rural healthcare?

Good morning to you—and I see that we also have online engagement this morning.

I declare an interest: I am a registered nurse, and I am the co-convener of the cross-party group on lung health in the Parliament.

I am interested in the data. If you are suggesting that vaping is how people quit smoking, I would comment that I know people who have been vaping for 10 years. Is there a tail-off in some of your data? My understanding is that vaping is not good for the lungs. It causes asthma and chronic obstructive pulmonary disease. Nicotine is addictive—it is bad for you and it can cause hardening of the arteries. There are some issues around blood pressure increase and so on. I would be interested to hear about data on how long people vape for once they stop smoking cigarettes.

Good morning to you both—actually, it is almost good afternoon. Earlier you probably heard me asking John Dunne about the exclusion of the submissions of 307 respondents to the UK-wide consultation. I am interested in your thoughts on the rationale behind those exclusions. You probably heard me asking about conflicts of interests, for instance.

Can I ask another wee quick question? John Dunne said that he supports the introduction of a licensing scheme, but that will not go ahead under the bill. What is the problem with having such a scheme?

The notes in front of me say that

“The UK-wide consultation on the legislation excluded 307 respondents”.

What are your thoughts on that? A conflict of interests is what comes to my mind, but what are your thoughts about the exclusion of 307 respondents?

We hear feedback about young people vaping before they ever have a cigarette. For young people it is not about quitting smoking. We are seeing pink, blue and green Puff Candy, candyfloss flavour and all that. That seems to be direct targeting of young people so that they start taking nicotine into their lungs.

With digital connectivity, the resilience of the network, cyberresilience and cybersecurity come to mind. There have been recent issues with NHS Dumfries and Galloway experiencing a cyberattack. Is that more of a challenge in remote and rural areas, or is that the same no matter which health board we are thinking about?

You have mentioned travel and transport. The Highlands and Islands have a travel scheme whereby patients get travel and accommodation provided for free in order to access healthcare. In other remote places such as Dumfries and Galloway, patients are means tested for travel reimbursement purposes. Is there a plan to review the Highlands and Islands travel scheme to see whether there is potential to apply it to other remote and rural areas where patients are being means tested, as I have described?

I will speak to amendment 88, in my name. I have a particular interest in the parts of the bill that relate to continuing professional development. I was a clinical nurse educator in my previous role with NHS Dumfries and Galloway, and I was embedded in CPD for 30 years as a registered nurse. During those 30 years, I witnessed and experienced the value of on-going education and CPD.

The Barony campus of Scotland’s Rural College in Dumfries and Galloway, which I have visited on a number of occasions to meet and hear from the exceptional expert team that provides education for our current and future farmers, is crucial for agricultural education.

I lodged amendment 88 to make it clear in the bill that continuing professional development activities need to be made available in “a range of formats”. It needs to be clear that there is no requirement for farmers, crofters, land managers and other agricultural producers to attend off-farm or away from their business to achieve their CPD.

With CPD, a person who is working in agricultural production could obtain knowledge or improve their knowledge about the best techniques, innovations and skills in a range of ways that meet their individual needs. That could mean peer support and completing online learning, which is similar to how healthcare staff achieve much of their required continuing professional development. NFU Scotland has highlighted that CPD could be obtained by engaging with professional organisations such as the Soil Association.

I am aware that there are other amendments on CPD, and I will listen carefully as everyone speaks. I will end there, and I will now hear from colleagues and the cabinet secretary.

Will the cabinet secretary take an intervention?