Publication - Publication

Spring budget 2018-2019: supporting document

Published: 7 Feb 2019
Directorate:
Financial Strategy Directorate
Part of:
Economy, Money and tax, Scottish Budget
ISBN:
9781787815636

The 2018-2019 spring budget revision to the Budget (Scotland) Act for the year ending 31 March 2019.

117 page PDF

1.1 MB

117 page PDF

1.1 MB

Contents
Spring budget 2018-2019: supporting document
Health and Sport

117 page PDF

1.1 MB

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 13,259.5 341.2 13,600.7
Changes Proposed      
Funding Changes 86.6 -11.9 74.7
Technical Adjustments 82.5 45.9 128.4
Net Whitehall Transfers 101.6 1.0 102.6
Net Transfers within Scottish Block -13.9 2.7 -11.2
Total changes proposed 256.8 37.7 294.5
Proposed Budget following Spring Budget Revision 13,516.3 378.9 13,895.2
  Operating Capital Total
  £m £m £m
Expenditure Limit:      
Health and Sport 13,328.8 313.0 13,641.8
Total Expenditure Limit 13,328.8 313.0 13,641.8
UK Funded AME:      
Health 146.0 0.0 146.0
Total UK Funded AME 146.0 0.0 146.0
Other Expenditure:      
Health 41.5 65.9 107.4
Total Other Expenditure 41.5 65.9 107.4
Total Budget 13,516.3 378.9 13,895.2
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 13,329.3 341.2 13,670.5
ABR changes -69.8 0.0 -69.8
ABR Budget 13,259.5 341.2 13,600.7
Proposed changes 256.8 37.7 294.5
SBR Proposed Budget 13,516.3 378.9 13,895.2
Summary of proposed changes      
Additional UK Government funding for Agenda for Change pay uplift 78.0 0.0 78.0
Additional budget cover for NHS provisions (UK AME) 70.0 0.0 70.0
Additional non-cash budget cover for actions including write downs and accelerated depreciation 63.0 0.0 63.0
Acceleration of funding from 2019-20 Budget for Waiting Times Improvement Plan 40.0 0.0 40.0
Net IFRS adjustments for NHS Scotland Health Boards (ODEL) -21.5 40.9 19.4
Reduction in budget cover for Health Board impairments (UK AME) -30.0 0.0 -30.0
HMT Reserve Transfer - review of discount rate 22.0 0.0 22.0
Direct to indirect capital transfers for health research 22.0 -22.0 0.0
Support for the GP Premises loan scheme 0.0 20.0 20.0
Additional indirect capital for health research 14.3 0.0 14.3
Net capital to indirect capital transfers for NHS Scotland Health Boards 9.9 -9.9 0.0
Transfer to Education and Skills portfolio to fund salary costs of Clincial Academics and Senior Academic GPs -6.7 0.0 -6.7
Additional budget cover for NHS donated assets depreciation (UK AME) 6.0 0.0 6.0
Net adjustment for donated assets additions (ODEL) -5.0 5.0 0.0
Transfer to Finance, Economy and Fair Work portfolio as contribution to eCommerce -2.5 0.0 -2.5
Immigration Health Surcharge adjustment 0.5 0.0 0.5
Transfer to support the establishment of new forensic medical examination and healthcare services for those who have experienced rape and sexual assault 0.0 2.0 2.0
Transfer to Social Security and Older People to facilitate the Best Start Foods scheme -1.4 0.0 -1.4
Transfer to Education and Skills portfolio for costs of additional medical student places -1.2 0.0 -1.2
Miscellaneous minor transfers -0.6 1.7 1.1
  256.8 37.7 294.5
Proposed Budget following Spring Budget Revision Operating Capital Total
  £m £m £m
Gross Expenditure 13,640.6 398.9 14,039.5
Less: Retained Income -124.3 0.0 -124.3
Capital Receipts Applied 0.0 -20.0 -20.0
  13,516.3 378.9 13,895.2
       
Budget Analysis      
NHS Territorial Boards 9,667.2 0.0 9,667.2
NHS Special Boards 1,184.3 0.0 1,184.3
General Medical Services 876.5 0.0 876.5
Pharmaceutical Services Contractors Remuneration 186.1 0.0 186.1
General Dental Services 413.8 0.0 413.8
General Ophthalmic Services 108.9 0.0 108.9
eHealth 92.9 0.0 92.9
Mental Health Services 63.6 0.3 63.9
Outcomes Framework 66.2 0.0 66.2
Workforce and Nursing 123.9 0.0 123.9
Health Improvement & Protection 62.3 0.0 62.3
Care, Support and Rights 106.4 0.0 106.4
Early Years 63.2 0.0 63.2
Performance and Delivery 124.4 0.0 124.4
Quality and Improvement 10.9 0.0 10.9
Miscellaneous Other Services and resource income -85.6 0.0 -85.6
Active Healthy Lives 2.8 0.0 2.8
SportScotland 34.9 0.0 34.9
Revenue Consequences of NPD Schemes 43.9 0.0 43.9
Investment 172.3 302.7 475.0
Financial Transactions 0.0 30.0 30.0
Income 0.0 -20.0 -20.0
Health PPP/PFI NPD (Other) 41.5 65.9 107.4
NHS Impairments (UK AME) 70.0 0.0 70.0
NHS Provisions (UK AME) 70.0 0.0 70.0
NHS Donated Assets Depreciation (UK AME) 6.0 0.0 6.0
Indirect Capital 9.9 0.0 9.9
Net Expenditure 13,516.3 378.9 13,895.2

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