Chapter 4 Health & Social Care
The allocation for the Health and Social Care portfolio budget for 2023-24 represents an increase of over £1 billion, providing funding at a level over and above our commitment to pass on all frontline consequentials. This government remains totally committed to the principles of a health service free at the point of need and supported by public funds.
The funding supports the continued recovery of the NHS and social care from the COVID-19 pandemic, drives investment and enables reform across all its services. It is designed to ensure that care and support is delivered when, how and where people need it.
Key to our programme of investment and reform is the Scottish Government's continued determination to support and develop the people who deliver these services, with an aim of making sure that Scotland continues to be the best place for health and social care workers.
That is why the budget commits over £9 billion for our workforce, a package which underlines our continued investment in people. Our record pay deal offer of £515 million backs the largest workforce in Scotland during the ongoing cost crisis. As outlined in the Programme for Government, we will continue to provide support for the mental health and wellbeing of our highly valued health and social care staff.
Overall, NHS Boards will be supported by over £13 billion, which will allow them to continue to drive forward our five-year Recovery Plan. The reform of key services will continue, backed by over £2 billion investment to establish and improve primary health care services in the community.
We will continue to back the crucial services that General Practices provide, supporting their work with the Primary Care Fund. This will deliver £170 million investment in multi-disciplinary teams and enable the development and expansion of Community Treatment and Care (CTAC) services.
Our support for social care and integration, which receives over £1.7 billion in this budget, will improve services whilst paving the way for the introduction of the National Care Service. We are providing an additional £100 million to support delivery of the £10.90 real living wage for adult social care, building on the increase provided in 2022-23.
Mental health spending has almost doubled in cash terms since 2007. We will invest £290.2 million over the coming year to tackle CAMHS and psychological therapies, waiting times backlogs, and deliver improved community-based mental health and wellbeing support for children, young people and adults.
Our National Mission on drugs is supported this year by increased investment to £160 million, to reduce the avoidable harms associated with drugs and alcohol.
Health and Social Care
|Level 2||Restated 2021-22 Budget||Restated 2022-23 Budget||2023-24 Budget|
|Health and Social Care||17,215.2||18,020.5||19,138.2|
|Food Standards Scotland||19.5||23.0||23.0|
|Total Health and Social Care||17,234.7||18,043.5||19,161.2|
|Total Fiscal Resource||16,332.9||17,106.7||18,176.4|
|of which Operating Costs||85.1||112.1||109.8|
|Financial Transactions (FTs)||–||10.0||5.0|
|UK Funded AME||100.4||100.4||100.4|
|Presentational Adjustments for Scottish Parliament Approval|
|Sportscotland (NDPB non-cash)||(1.1)||(1.1)||(1.1)|
|Social Care (NDPB non-cash)||(0.2)||(0.2)||(0.2)|
|Food Standards Scotland – shown separately||(19.5)||(23.0)||(23.0)|
|Total Health and Social Care||17,234.9||18,040.3||19,157.9|
|Total Limit on Income (accruing resources)||3,000.0|
|Level 3||Restated 2021-22 Budget||Restated 2022-23 Budget||2023-24 Budget|
|NHS Territorial Boards||10,894.4||11,508.6||12,132.0|
|NHS National Boards||1,345.9||1,422.6||1,530.1|
|Health Capital Investment||549.0||574.0||598.0|
|Education and Training||316.8||402.7||407.1|
|General Medical Services||1,116.8||1,162.8||1,205.8|
|General Dental Services||431.0||469.0||476.2|
|Health Improvement and Protection||59.5||85.6||87.1|
|Alcohol and Drugs Policy||84.2||85.4||99.0|
|Mental Health Services||273.9||290.2||290.2|
|Quality and Improvement||38.0||66.3||61.2|
|Digital Health and Care||112.5||112.9||112.9|
|COVID-19 Funding and Other Services||925.5||9.5||252.1|
|National Care Service / Adult Social Care||395.4||1,137.1||1,199.0|
|Revenue Consequences of NPD||98.0||75.0||75.0|
|Active, Healthy Lives||15.4||19.4||16.5|
|NHS Impairments (AME)||100.0||100.0||100.0|
|Total Health and Social Care||17,215.2||18,020.5||19,138.2|
|Total Fiscal Resource||16,313.9||17,084.3||18,153.9|
|UK Funded AME||100.0||100.0||100.0|
|Level 3||2021-22 Budget||2022-23 Budget||2023-24 Budget|
|Total Food Standards Scotland||19.5||23.0||23.0|
|Total Fiscal Resource||19.0||22.5||22.5|
|UK Funded AME||0.4||0.4||0.4|
|Level 4||2021-22 Budget||2022-23 Budget||2023-24 Budget|
|NHS Ayrshire and Arran||774.5||806.8||850.2|
|NHS Dumfries and Galloway||320.6||334.1||352.2|
|NHS Forth Valley||569.4||598.1||631.1|
|NHS Greater Glasgow and Clyde||2,398.1||2,504.0||2,639.4|
|NHS Western Isles||81.1||84.5||89.0|
|National Waiting Times Centre||60.9||68.1||75.8|
|Scottish Ambulance Service||283.7||305.9||334.2|
|The State Hospital||38.1||40.0||42.5|
|NHS Education for Scotland||471.7||492.3||517.6|
|NHS National Services Scotland||341.4||355.3||378.6|
|Healthcare Improvement Scotland||27.5||30.4||33.6|
|Public Health Scotland||48.6||52.1||56.9|
|Improving Outcomes and Reform||241.3||373.0||363.3|
|Total Territorial and National Boards||12,240.4||12,931.2||13,662.1|
Health and Social Care intended contributions to the National Outcomes
Primary National Outcomes
- Children and Young People
- Human Rights
Secondary National Outcomes
- Fair Work and Business
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.
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