Scottish Budget 2022 to 2023
The Scottish Budget sets out the Scottish Government’s proposed spending and tax plans for 2022 to 2023, as presented to the Scottish Parliament.
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Chapter 4 Health & Social Care Portfolio
Portfolio Responsibilities
The Health and Social Care portfolio is responsible for improving the health and wellbeing of the population, ensuring that care and support is delivered when, how and where people need it.
The 2022-23 budget delivers record funding of £18 billion for the portfolio, which will be used to support the remobilisation of services, as well as delivery of priorities relating to prevention and early intervention. Key to this is rethinking how services are delivered; harnessing innovation, bolstering capacity and putting people and place at the forefront of reforms to ensure sustainable recovery and equitable access to services.
The public health measures required to respond to the threat and uncertainty of COVID-19 remain a key consideration in our planning, and we await the outcome of further detail that was promised in the UK Spending Review to support our plans. Underlining our commitment to front-line services, we will nonetheless provide initial additional funding of £559 million for NHS Boards, and funding of £232 million for addressing waiting times and supporting our National Treatment Centres. We continue to be hugely indebted to our front-line staff and unpaid carers, who provide vital care day in and day out, under the toughest of circumstances. Their selfless efforts to care for others have been invaluable in our response to the pandemic so far, and our spending plans for 2022-23 continue to provide support for the mental health and wellbeing of our health and social care staff, and unpaid carers, as set out in the Programme for Government.
To ensure that care is delivered where and when it is needed, our increased investment in primary care and in social care and integration are significant steps towards the Programme for Government commitments. The investment of over £1.6 billion in social care and integration lays the groundwork for our National Care Service and includes a transfer for 2022-23 of £846.6 million to local government.
We will continue our vital work to reduce health inequalities, including £61 million to address the national tragedy of drugs deaths. It is vital that we work towards a fairer, healthier Scotland for all and recognising the crucial role of mental health and wellbeing services, the Scottish Government will make direct investment of £290 million in mental health, including £120 million for our Mental Health Recovery and Renewal Fund.
Health and Social Care
| Level 2 | 2020-21 Budget £m |
Restated 2021-22 Budget £m |
2022-23 Budget £m |
|---|---|---|---|
| Health and Social Care | 15,327.9 | 17,214.8 | 18,020.1 |
| Food Standards Scotland | 16.0 | 19.5 | 23.0 |
| Total Health and Social Care | 15,343.9 | 17,234.3 | 18,043.1 |
| of which: | |||
| Total Fiscal Resource | 14,532.3 | 16,332.4 | 17,106.2 |
| of which Operating Costs* | 64.2 | 84.7 | 111.8 |
| Non-cash | 273.2 | 272.5 | 272.5 |
| Capital | 428.0 | 529.0 | 554.0 |
| Financial Transactions (FTs) | 10.0 | – | 10.0 |
| UK Funded AME | 100.4 | 100.4 | 100.4 |
| 2020-21 Budget £m |
Restated 2021-22 Budget £m |
2022-23 Budget £m |
|
|---|---|---|---|
| Sportscotland (NDPB non-cash) | (1.2) | (1.1) | (1.1) |
| Social Care (NDPB non-cash) | (0.1) | (0.2) | (0.2) |
| Food Standards Scotland - shown separately | (16.0) | (19.5) | (23.0) |
| PPP/PFI Adjustments | 21.0 | 21.0 | 21.0 |
| Total Health and Social Care | 15,347.6 | 17,234.5 | 18,039.8 |
| Total Limit on Income (accruing resources) | 3,000.0 |
| Level 3 | 2020-21 Budget £m |
Restated 2021-22 Budget £m |
2022-23 Budget £m |
|---|---|---|---|
| NHS Territorial Boards | 10,704.0 | 10,894.4 | 11,508.6 |
| NHS National Boards | 1,312.1 | 1,345.9 | 1,422.6 |
| Health Capital Investment | 448.0 | 549.0 | 574.0 |
| COVID-19 Funding | – | 960.0 | – |
| Workforce and Nursing | 262.1 | 316.8 | 402.7 |
| General Medical Services | 1,035.8 | 1,116.8 | 1,162.8 |
| Pharmaceutical Services | 198.0 | 206.1 | 216.2 |
| General Dental Services | 428.6 | 431.0 | 469.0 |
| General Ophthalmic Services | 109.5 | 111.7 | 125.5 |
| Outcomes Framework | 71.9 | 74.1 | 74.1 |
| Health Improvement and Protection | 51.6 | 59.4 | 85.6 |
| Alcohol and Drugs Policy | 34.2 | 84.2 | 85.4 |
| Mental Health Services | 117.1 | 273.9 | 290.2 |
| Quality and Improvement | 20.1 | 37.6 | 65.9 |
| Digital Health and Care | 112.1 | 112.5 | 112.9 |
| Early Years | 53.4 | 53.4 | 58.9 |
| Miscellaneous Other Services | (164.1) | (34.5) | 9.5 |
| Social Care Investment | 332.4 | 395.4 | 1,137.1 |
| Revenue Consequences of NPD | 65.0 | 98.0 | 75.0 |
| Sportscotland | 32.7 | 33.7 | 34.7 |
| Active, Healthy Lives | 13.4 | 15.4 | 19.4 |
| NHS Impairments (AME) | 100.0 | 100.0 | 100.0 |
| Financial Transactions | 10.0 | – | 10.0 |
| Capital Receipts | (20.0) | (20.0) | (20.0) |
| Total Health and Social Care | 15,327.9 | 17,214.8 | 18,020.1 |
| of which: | |||
| Fiscal Resource | 14,516.9 | 16,313.5 | 17,083.8 |
| Non-cash | 273.0 | 272.3 | 272.3 |
| Capital | 428.0 | 529.0 | 554.0 |
| FTs | 10.0 | – | 10.0 |
| UK Funded AME | 100.0 | 100.0 | 100.0 |
| Level 3 | 2020-21 Budget £m |
2021-22 Budget £m |
2022-23 Budget £m |
|---|---|---|---|
| Administration | 16.0 | 19.5 | 23.0 |
| Capital Expenditure | – | – | – |
| Total Food Standards Scotland | 16.0 | 19.5 | 23.0 |
| of which: | |||
| Fiscal Resource | 15.4 | 18.9 | 22.4 |
| Non-cash | 0.2 | 0.2 | 0.2 |
| Capital | – | – | – |
| FTs | – | – | – |
| UK Funded AME | 0.4 | 0.4 | 0.4 |
| Level 4 | 2020-21 Budget £m |
2021-22 Budget £m |
2022-23 Budget £m |
|---|---|---|---|
| Improving Outcomes and Reform | 228.6 | 241.3 | 373.0 |
| Territorial Boards | |||
| NHS Ayrshire and Arran | 762.4 | 774.5 | 806.8 |
| NHS Borders | 219.8 | 222.7 | 234.8 |
| NHS Dumfries and Galloway | 316.1 | 320.6 | 334.1 |
| NHS Fife | 701.5 | 712.6 | 749.4 |
| NHS Forth Valley | 558.7 | 569.4 | 598.1 |
| NHS Grampian | 1,013.5 | 1,027.9 | 1,072.2 |
| NHS Greater Glasgow and Clyde | 2,364.7 | 2,398.1 | 2,504.0 |
| NHS Highland | 666.0 | 691.9 | 725.6 |
| NHS Lanarkshire | 1,268.1 | 1,286.1 | 1,346.8 |
| NHS Lothian | 1,540.1 | 1,569.5 | 1,639.3 |
| NHS Orkney | 52.6 | 54.8 | 57.1 |
| NHS Shetland | 53.9 | 54.6 | 57.0 |
| NHS Tayside | 808.5 | 819.9 | 856.5 |
| NHS Western Isles | 80.0 | 81.1 | 84.5 |
| Total | 10,405.9 | 10,583.7 | 11,066.1 |
| National Boards | |||
| National Waiting Times Centre | 60.0 | 60.9 | 68.1 |
| Scottish Ambulance Service | 278.4 | 283.7 | 305.9 |
| The State Hospital | 37.6 | 38.1 | 40.0 |
| NHS 24 | 72.7 | 73.8 | 78.4 |
| NHS Education for Scotland | 461.5 | 471.7 | 492.3 |
| NHS National Services Scotland | 327.7 | 341.4 | 355.3 |
| Healthcare Improvement Scotland | 26.3 | 27.5 | 30.4 |
| Public Health Scotland | 47.9 | 48.6 | 52.1 |
| Total | 1,312.1 | 1,345.9 | 1,422.6 |
| Other Income | 69.5 | 69.5 | 69.5 |
| Total Territorial and National Boards | 12,016.1 | 12,240.4 | 12,931.2 |
Health and Social Care intended contributions to the National Outcomes
Primary National Outcomes
- Health
- Children and Young People
- Human Rights
Secondary National Outcomes
- Poverty
- Communities
- Education
- Economy
- Fair Work and Business
- Environment
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 Equality and Fairer Scotland Budget Statement.
Contact
Email: ScottishBudget@gov.scot
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