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 (2013 a), and a follow-up report from later that year (Auditor General for Scotland, 2013b), do importantly note that the use of unavailability codes began to reduce in late 2011, a trend which continued into 2012 and 2013. Much of this work is the Quality and Efficiency Support Team (QuEST) and is described further in Section 2.9.