Publication - Corporate report

Scottish Budget 2021-22

Published: 28 Jan 2021

The Scottish Budget sets out the Scottish Government’s proposed spending and tax plans for 2021 to 2022, as presented to the Scottish Parliament.

189 page PDF

2.0 MB

189 page PDF

2.0 MB

Contents
Scottish Budget 2021-22
Chapter 4 Health and Sport

189 page PDF

2.0 MB

Chapter 4 Health and Sport

Portfolio Responsibilities

The Health and Sport portfolio is responsible for promoting and improving lifelong health and wellbeing. In responding to the unprecedented challenges facing our health and care system - those that existed before the pandemic and the pandemic itself - the portfolio is responsible for supporting remobilisation and long-term reform of services in order to embed a world-class public health system that delivers the right care, in the right place, at the right time to improve population health and address inequalities.

In 2021-22, investment in the Health and Sport Portfolio will increase to over £16 billion, with a further £869 million of funding to address pressures related to COVID-19. In the immediate term, this will ensure that there is appropriate funding for our public health infrastructure, including in relation to our testing and vaccinations programmes. While our national health service remains on an emergency footing - and we continue to owe a huge debt of gratitude to our NHS and social care staff - we will work with our health boards over the course of the next year and beyond to remobilise and reform services.

As has been seen throughout the pandemic, Primary Care is central to our health and care services, and we will further increase our Primary Care Fund from £195 million to £250 million in 2021-22. This includes support for delivery of the new GP contract and for wider Primary Care reform. Direct investment in mental health services will increase to £139 million, taking overall spending in mental health to over £1.1 billion. Recognising the continued importance of the care sector, a total of £883 million will be passed from the Portfolio in 2021-22 to support social care and integration.

Our additional £50 million in 2021-22 to support our national mission to reduce drug deaths is just one example of supporting those most at risk, as we seek to save and improve lives by reducing harm and promoting recovery. We will continue to provide investment for direct interventions to address health inequalities, exacerbated by COVID-19, to create a Scotland where we can all live longer, healthier lives.

Spending Plans

Table 4.01: Spending Plans (Level 2)
Level 2 2019-20 Budget 2020-21 Budget 2021-22 Budget
£m £m £m
Health and Sport 14,311.1 15,327.9 17,016.8
Food Standards Scotland 16.0 16.0 19.5
Total Health and Sport 14,327.1 15,343.9 17,036.3
of which:
Total Fiscal Resource 13,607.4 14,532.3 16,134.4
of which Operating Costs* 53.9 64.7 84.7
Non-cash 273.3 273.2 272.5
Capital 336.0 428.0 529.0
Financial Transactions (FTs) 10.0 10.0 -
UK Funded AME 100.4 100.4 100.4
Presentational Adjustments for Scottish Parliament Approval
2019-20 Budget 2020-21 Budget 2021-22 Budget
£m £m £m
Sportscotland (NDPB Non Cash) (1.1) (1.2) (1.1)
Care, Support and Rights (NDPB Non cash) (0.1) (0.1) (0.2)
Food Standards Scotland - shown separately (16.0) (16.0) (19.5)
PPP/PFI Adjustments 138.0 21.0 21.0
Total Limit on Income (accruing resources) 14,447.9 15,347.6 17,036.5
Total Limit on Income (accruing resources) 2,050.1
Table 4.02: Health and Sport Spending Plans (Level 3)
Level 3 2019-20 Budget 2020-21 Budget 2021-22 Budget
£m £m £m
NHS Territorial Boards 10,070.1 10,704.0 10,894.4
NHS National Boards 1,225.6 1,312.1 1,345.9
Health Capital Investment 356.0 448.0 549.0
COVID Funding - - 869.0
Workforce and Nursing 216.2 262.1 317.8
General Medical Services 931.2 1,035.8 1,116.8
Pharmaceutical Services 191.9 198.0 206.1
General Dental Services 416.6 428.6 431.0
General Ophthalmic Services 108.4 109.5 111.7
Outcomes Framework 75.7 71.9 74.1
Health Improvement and Protection 46.8 51.6 59.4
Alcohol and Drugs Policy 21.5 34.2 84.2
Mental Health Services 85.5 117.1 139.2
Additional Social Care Support 120.0 220.0 292.6
Quality and Improvement 18.7 20.1 32.0
Digital Health and Care 88.9 112.1 112.5
Early Years 52.7 53.4 62.5
Miscellaneous Other Services (12.0) (164.1) (29.8)
Care, Support and Rights 111.3 112.4 121.3
Revenue consequences of NPD 50.0 65.0 98.0
Sportscotland 32.6 32.7 33.7
Active Healthy Lives 13.4 13.4 15.4
NHS Impairments (AME) 100.0 100.0 100.0
FTs 10.0 10.0 -
Capital Receipts (20.0) (20.0) (20.0)
Total Health 14,311.1 15,327.9 17,016.8
of which:
Fiscal Resource 13,592.0 14,516.9 16,115.5
Non-cash 273.1 273.0 272.3
Capital 336.0 428.0 529.0
FTs 10.0 10.0 -
UK Funded AME 100.0 100.0 100.0
Table 4.03 Territorial and National Boards Spending Plans (Level 4)
Level 4 2019-20 Budget 2020-21 Budget 2021-22 Budget
£m £m £m
Improving Outcomes and Reform 189.2 228.6 241.3
Territorial Boards
NHS Ayrshire and Arran 720.0 762.4 774.5
NHS Borders 207.7 219.8 222.7
NHS Dumfries and Galloway 299.1 316.1 320.6
NHS Fife 661.4 701.5 712.6
NHS Forth Valley 527.0 558.7 569.4
NHS Grampian 957.9 1,013.5 1,027.9
NHS Greater Glasgow and Clyde 2,231.2 2,364.7 2,398.1
NHS Highland 627.5 666.0 691.9
NHS Lanarkshire 1,199.3 1,268.1 1,286.1
NHS Lothian 1,441.5 1,540.1 1,569.5
NHS Orkney 49.6 52.6 54.8
NHS Shetland 50.6 53.9 54.6
NHS Tayside 762.9 808.5 819.9
NHS Western Isles 75.7 80.0 81.1
Total 9,811.4 10,405.9 10,583.7
National Boards
National Waiting Times Centre 54.2 60.0 60.9
Scottish Ambulance Service 259.9 278.4 283.7
The State Hospital 35.3 37.6 38.1
NHS 24 68.6 72.7 73.8
NHS Education for Scotland 425.9 461.5 471.7
NHS National Services Scotland 338.5 327.7 341.4
Healthcare Improvement Scotland 24.9 26.3 27.5
Public Health Scotland - 47.9 48.6
NHS Health Scotland 18.3 - -
Total 1,225.6 1,312.1 1,345.9
Other Income 69.5 69.5 69.5
Total Territorial and National Boards 11,295.7 12,016.1 12,240.4
Table 4.04: Food Standards Scotland Spending (Level 3)
Level 3 2019-20 Budget 2020-21 Budget 2021-22 Budget
£m £m £m
Administration 16.0 16.0 19.5
Capital Expenditure - - -
Total Food Standards Scotland 16.0 16.0 19.5
of which:
Fiscal Resource 15.4 15.4 18.9
Non-cash 0.2 0.2 0.2
Capital - - -
FTs - - -
UK Funded AME 0.4 0.4 0.4

Health and Sport contributions to the National Outcomes

Primary National Outcomes

  • Health
  • Human Rights
  • Children and Young People

Secondary National Outcomes

  • Communities
  • Economy
  • Poverty
  • Fair Work & Business
  • Education

For further information on the purpose of the portfolio budget, and contributions to national outcomes (including impacts of spend on equality of outcome) please refer to the relevant portfolio annex in the published Equalities and Fairer Scotland Budget Statement.


Contact

Email: Finance.Co-ordination@gov.scot