Publication - Advice and guidance
Spring budget 2017-2018: supporting document
Revisions to the level 2 and 3 budgets detailed in the supporting document of the Budget Act 2017 as amended by the Autumn Budget Revision 2017-2018.
Health and Sport
Schedule 2.1 Total Changes for the Spring Budget Revision
| Operating | Capital | Total | |
|---|---|---|---|
| £m | £m | £m | |
| Total Budget in the Autumn Budget Revision | 12,790.8 | 437.1 | 13,227.9 |
| Changes Proposed | |||
| Funding Changes | 131.7 | 2.5 | 134.2 |
| Technical Adjustments | 209.4 | -7.9 | 201.5 |
| Net Whitehall Transfers | 2.9 | 0.0 | 2.9 |
| Net Transfers within Scottish Block | -6.9 | -0.4 | -7.3 |
| Total changes proposed | 337.1 | -5.8 | 331.3 |
| Proposed Budget following Spring Budget Revision | 13,127.9 | 431.3 | 13,559.2 |
| Operating | Capital | Total | |
|---|---|---|---|
| £m | £m | £m | |
| DEL: | |||
| Health and Sport | 12,939.6 | 311.9 | 13,251.5 |
| Total DEL | 12,939.6 | 311.9 | 13,251.5 |
| AME: | |||
| Health | 156.0 | 0.0 | 156.0 |
| Total AME | 156.0 | 0.0 | 156.0 |
| Other Expenditure Outside DEL: | |||
| Health -Revenue financed infrastructure | 32.3 | 119.4 | 151.7 |
| Total Other Expenditure Outside DEL | 32.3 | 119.4 | 151.7 |
| Total Budget | 13,127.9 | 431.3 | 13,559.2 |
| Total Limit on Income (accruing resources) | 2,050.0 | ||
Schedule 3.1 Health and Sport
Details of Proposed Budget
| Proposed Changes | Operating | Capital | Total |
|---|---|---|---|
| £m | £m | £m | |
| Original Budget | 12,868.4 | 437.1 | 13,305.5 |
| ABR changes | -77.6 | 0.0 | -77.6 |
| ABR Budget | 12,790.8 | 437.1 | 13,227.9 |
| Proposed changes | 337.1 | -5.8 | 331.3 |
| SBR Proposed Budget | 13,127.9 | 431.3 | 13,559.2 |
| Summary of proposed changes | |||
| Spring budget consequentials | 99.1 | 0.0 | 99.1 |
| HMT Reserve Transfer - review of discount rate | 20.0 | 0.0 | 20.0 |
| Additional budget cover for NHS provisions ( AME) | 70.0 | 0.0 | 70.0 |
| Additional non-cash budget cover for actions including write downs and accelerated depreciation | 70.0 | 0.0 | 70.0 |
| Direct to indirect capital transfers for health research | 51.0 | -51.0 | 0.0 |
| Net IFRS adjustments for NHS Scotland Health Boards ( ODEL) | 8.7 | 46.8 | 55.5 |
| Reduction in budget cover for Health Board impairments ( AME) | -20.0 | 0.0 | -20.0 |
| Transfer of administration budget to cover staff costs | 16.9 | 0.0 | 16.9 |
| Net capital to indirect capital transfers for NHS Scotland Health Boards | 17.3 | -17.3 | 0.0 |
| Net adjustment for donated assets additions ( ODEL) | -13.6 | 13.6 | 0.0 |
| Autumn budget consequentials | 8.4 | 0.0 | 8.4 |
| Additional budget cover for NHS donated assets depreciation ( AME) | 6.0 | 0.0 | 6.0 |
| Investment to support the procurement of Baby Boxes | 5.8 | 0.0 | 5.8 |
| Transfer to Finance and the Constitution as contribution to eCommerce | -2.5 | 0.0 | -2.5 |
| Transfer to fund NHS Board payments of hub sub debt and support the recently released GP Premises National Code of Practice | 0.0 | 2.5 | 2.5 |
| Immigration Health Surcharge adjustment | -2.6 | 0.0 | -2.6 |
| Balance of transfer to the Education and Skills portfolio for nursing and midwifery education | -2.4 | 0.0 | -2.4 |
| Additional funding for Sportscotland to work with Scottish sporting governing bodies to improve access to sporting opportunities | 2.0 | 0.0 | 2.0 |
| Additional funding to support third sector organisations and other initiatives | 2.0 | 0.0 | 2.0 |
| Whitehall transfer to support Fit for Work Scotland Service via NHS Boards | 2.0 | 0.0 | 2.0 |
| Miscellaneous minor transfers | -1.0 | -0.4 | -1.4 |
| 337.1 | -5.8 | 331.3 | |
| Proposed Budget following Spring Budget Revision | Operating | Capital | Total |
|---|---|---|---|
| £m | £m | £m | |
| Gross Expenditure | 13,252.2 | 451.3 | 13,703.5 |
| Less: Retained Income | -124.3 | 0.0 | -124.3 |
| Capital Receipts Applied | 0.0 | -20.0 | -20.0 |
| 13,127.9 | 431.3 | 13,559.2 | |
| Budget Analysis | |||
| NHS National Boards | 1,168.6 | 0.0 | 1,168.6 |
| NHS Territorial Boards | 9,354.6 | 0.0 | 9,354.6 |
| Health PPP/ PFI NPD ( ODEL) | 32.3 | 119.4 | 151.7 |
| Workforce and Nursing | 106.9 | 0.0 | 106.9 |
| General Medical Services | 834.0 | 0.0 | 834.0 |
| Pharmaceutical Services Contractors Remuneration | 184.8 | 0.0 | 184.8 |
| General Dental Services | 408.0 | 0.0 | 408.0 |
| General Ophthalmic Services | 103.5 | 0.0 | 103.5 |
| Health Improvement & Protection | 47.0 | 0.0 | 47.0 |
| Sport & Legacy | 38.1 | 0.0 | 38.1 |
| Physical Activity | 5.3 | 0.0 | 5.3 |
| Transformational Change Fund | 24.5 | 0.0 | 24.5 |
| Investment | 81.0 | 329.4 | 410.4 |
| Care, Support and Rights | 101.2 | 0.0 | 101.2 |
| Early Years | 44.7 | 0.0 | 44.7 |
| Performance and Delivery | 154.4 | 0.0 | 154.4 |
| Mental Health Services | 44.4 | 0.0 | 44.4 |
| Quality and Governance | 18.4 | 0.0 | 18.4 |
| Outcomes Framework | 137.1 | 0.0 | 137.1 |
| Miscellaneous Other Services and resource income | 36.8 | 0.0 | 36.8 |
| Health Financial Transactions | 0.0 | 2.5 | 2.5 |
| Revenue Consequences of NPD Schemes | 29.0 | 0.0 | 29.0 |
| NHS Impairments ( AME) | 80.0 | 0.0 | 80.0 |
| NH Provisions ( AME) | 70.0 | 0.0 | 70.0 |
| NHS Donated Assets Depreciation ( AME) | 6.0 | 0.0 | 6.0 |
| Indirect Capital | 17.3 | 0.0 | 17.3 |
| Capital Receipts | 0.0 | -20.0 | -20.0 |
| Net Expenditure | 13,127.9 | 431.3 | 13,559.2 |