it also raised concerns about the higher use of these codes in some specialities such as orthopaedics and ophthalmology and instances of inappropriate use both the initial report by the auditor general for scotland a and a followup report from later that year auditor general for scotland b do importantly note that the use of unavailability codes began to reduce in late a trend which continued into and much of this work is the quality and efficiency support team quest and is described further in section