The current system of social care in Scotland is "unsustainable", according to a financial watchdog.

The Accounts Commission said an additional £667m, external would be needed by 2020 to maintain current levels of service, and called for a "frank and wide-ranging" debate on the issue.

It said an ageing population, budget cuts and legislative changes were putting pressure on the system.

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Scotland's 32 councils currently spend about £3.1bn on social care.

That money was used to provide support to more than 300,000 people in 2014/15 - about 70% of whom were aged over 65.

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Ms Dugdale says today's Account Commission report shows cuts to councils of 11%.

The Scottish Labour leader says older people are paying the price.

They are not getting help with washing or meals, she says.

Ms Dugdale says the SNP are planning more cuts to councils, which she says will be cuts to care.

The first minister says the government is looking to find better ways to deliver services, including integration health and social care.

Ms Sturgeon says the government will work with councils to address the challenge of an ageing population.

Ms Sturgeon praises the work of  Alzheimer Scotland.

Ms Dugdale says between 2010 and 2015 the Tories cut Scotland's block grant by 5%

She asks if this parliament should act as a block to Tory cuts.

The first minister says the country should first unite to stop austerity happening.

Ms Sturgeon says there is a likelihood of further cuts from Westminster.

Scottish Labour leader Kezia Dugdale ask when the first minister will next meet Alzheimer Scotland.

Ms Davidson says the public must have faith in the punishment for a crime.

She says CPOs are not working fine if they are being applied to serious crimes such as rape.

The Scottish Conservative leader calls for a new review of CPOs.

The first minister says she shares the concerns many would have about this morning's newspaper report.

Ms Sturgeon says there was an independent evaluation in 2015 that showed CPOs are viewed with confidence by most sheriffs.

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More than 1.8 million hours of unpaid work was imposed on offenders in Scotland last year as punishment for their offences, figures, externalpublished in March showed.  

Of the 20,400 social work orders started in 2013-14, 78% contained an element of unpaid work.

The Scottish government said the successful completion rate for social work orders had risen in each of the last five years.

The figure rose from 59% in 2008-09 to 71% in 2013-14.

The work included the construction of cycle paths, removal of graffiti and the refurbishment of community centres, public parks and sports facilities.

Ms Davidson says these are sensitive issues.

The Scottish Conservative leader says concerns with Community Payback Orders (CPOs) are made frequently.

She asks what the first minister is doing about these concerns.

Ms Sturgeon says Ruth Davidson is right to raise this issue.

She says individuals on CPOs face robust risk assessments and individuals released from a custodial sentence of six months or less go on to be reconvicted twice as often as those on CPOs.

The first minister says CPOs cause less reoffending than prisons.

The Scottish Conservative leader says 7% of those convicted of rape do not receive a custodial sentence.

Ms Davidson says Rape Crisis Scotland said it is difficult to see when a Community Payback Order should ever be used for the rape of a young child.

Ms Sturgeon praises Rape Crisis Scotland and says rape is a heinous crime.

The first minister says she does not decide on the individual sentences, as that is for the courts.

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Ms Davidson asks if rape should ever lead to a community sentence.

The first minister agrees that rape should be dealt with the "utmost seriousness and severity".

Ms Sturgeon says sentencing is for the court.

She says community pay back orders are available to the courts.

Scottish Conservative leader Ruth Davidson asks what engagements the first minister has planned for the rest of the day.

Labour MSP James Kelly raises a point of order about the delay to general questions.

Mr Kelly asks if there is any provision to allow for ten minutes later to ask the general questions.

Presiding Officer Ken Macintosh will look into that.

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In June the lack of GPs in Scotland was described as 'extremely concerning'.

A survey found 28.5% of Scottish practices had at least one GP vacancy as of 1 June, up 2.5% in three months.

The BMA said vacancies were putting more strain on remaining GPs who have to cover staffing gaps as well as facing increased service demands.

Health Secretary Shona Robison said the Scottish government was already taking steps to improve GP recruitment.

Dr Alan McDevitt, chairman of the BMA Scottish GP Committee, said: "The fact that over 28% of GP practices in Scotland had a vacant position in this snapshot survey is extremely concerning.

Ms Robison details the measures being taken to address the shortage of GPs, including increasing GP recruitment.

Lib Dem MSP Tavish Scott asks the Scottish government what impact changes to the structure of NHS boards will have on the recruitment of GPs.  

Labour MSP ColIn Smith says the government should take into account of the real cost of implementing the policy.

Health Secretary Shona Robison says £125m has been made available to implement the policy.