Emergency Budget Review reprioritising £65m from primary care spending: FOI release

Information request and response under the Freedom of Information (Scotland) Act 2002.

Information requested

In the Emergency Budget Review, the Scottish Government states it is reprioritising £65m from primary care spending, specifically: This has been achieved by a reduction in the planned growth rate for the Primary Care Improvement Fund, including a one-off utilisation of reserve funding held by integration authorities. In addition, it includes re-phasing of some elements of the planned enhancements to community optometry and audiology services.

  1. How much money, broken down by integration authority, has been utilised from the reserve funding described?
  2. What elements of the planned enhancements to community optometry and audiology services have been rephased, and exactly how much has been saved through this rephasing, broken down by each element.
  3. How much has been reduced in the planned growth rate of the Primary Care Improvement Fund, and how much has been saved by doing so?


Reserves held by Integration Authorities, comprising Primary Care Improvement Fund (PCIF) funding from previous years, have been utilised in funding this year's PCIF allocation, resulting in a one-off benefit. The distribution of these reserves is set out below:

NHS Board Name IA Name In-year reserve adjustment £’000
Ayrshire & Arran East Ayrshire 573
  North Ayrshire 554
  South Ayrshire 573
Borders Scottish Borders 1,444
Dumfries & Galloway Dumfries and Galloway 1,227
Fife Fife 1,382
Forth Valley Clackmannanshire and Stirling 22
  Falkirk 954
Grampian Aberdeen City 26
  Aberdeenshire 1,037
  Moray 0
Greater Glasgow & Clyde East Dunbartonshire 213
  East Renfrewshire 666
  Glasgow City 0
  Inverclyde 0
  Renfrewshire 0
  West Dunbartonshire 529
Highland Argyll and Bute 277
  Highland 0
Lanarkshire Lanarkshire combined 4,005
Lothian East Lothian 278
  Edinburgh 1,203
  Midlothian 402
  West Lothian 638
Orkney Orkney Islands 0
Shetland Shetland Islands 230
Tayside Angus 0
  undee City 274
  Perth and Kinross 0
Western Isles Western Isles 157
Total   17,364

In response to your question 1b), the table below sets out how savings have been applied to the community optometry and audiology budgets in 2022-23.

Programme Budget 2022-23 Published Budget £m Applied Saving £m 2022-23 Revised Budget £m
Community Eyecare – Reform and Delivery 7.5 4.9 2.6
Audiology Service 2.2 1.9 0.3
Total 9.7 6.8 2.9

Both programmes of work are new for this financial year, having been announced in the 2021 Programme for Government, however the in-year revised budgets allow for legal and contractual commitments associated with these new programmes to continue.

  • For optometry, delivery schedules for the community low-vision service and expanding General Ophthalmic Services to enhance support for Independent Prescriber optometrists managing anterior eye conditions have been rephased and extended, with the focus instead on preparatory work with NES and NSS business partners. However, work to establish a community glaucoma service is well under way, with initial roll-out planned in some areas of NHS Greater Glasgow and Clyde in 2022-23, moving to national roll-out in future years.
  • For audiology, residual 2022-23 investment is being used to fund preparatory work associated with new models of delivery.

In response to your question 1c), based on revised outturn estimates for Primary Care Improvement Fund 2021-22, the planned growth has decreased by £20m, resulting in an expected £20m saving from the Primary Care Improvement Fund in 2022-23.

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Please quote the FOI reference
Central Enquiry Unit
Email: ceu@gov.scot
Phone: 0300 244 4000

The Scottish Government
St Andrews House
Regent Road

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