Publication - Corporate report
Spring budget revision 2021 to 2022: supporting document
Supporting document to the Budget (Scotland) Act 2021 Amendment Regulations 2022. Provides details of Level 2 and 3 budgets.
Health and Social Care
| Operating | Capital | Total | |
|---|---|---|---|
| £m | £m | £m | |
| Total Budget in the Autumn Budget Revision | 17,182.606 | 538.090 | 17,720.696 |
| Changes Proposed | |||
| Funding Changes | 629.619 | 52.165 | 681.784 |
| Technical Adjustments | 232.309 | -91.321 | 140.988 |
| Net Whitehall Transfers | 67.701 | 0.000 | 67.701 |
| Net Transfers within Scottish Block | -214.960 | 2.144 | -212.816 |
| Total changes proposed | 714.669 | -37.012 | 677.657 |
| Proposed Budget following Spring Budget Revision | 17,897.275 | 501.078 | 18,398.353 |
| Operating | Capital | Total | |
|---|---|---|---|
| £m | £m | £m | |
| Expenditure Limit: | |||
| Health and Social Care | 17,651.061 | 492.078 | 18,143.139 |
| Total Expenditure Limit | 17,651.061 | 492.078 | 18,143.139 |
| UK Funded AME: | |||
| Health | 195.000 | 0.000 | 195.000 |
| Total UK Funded AME | 195.000 | 0.000 | 195.000 |
| Other Expenditure: | |||
| Health | 51.214 | 9.000 | 60.214 |
| Total Other Expenditure | 51.214 | 9.000 | 60.214 |
| Total Budget | 17,897.275 | 501.078 | 18,398.353 |
| Total Limit on Income (accruing resources) | 3,000.000 | ||
| Proposed Changes | Operating | Capital | Total |
|---|---|---|---|
| £m | £m | £m | |
| Original Budget | 16,709.530 | 538.000 | 17,247.530 |
| ABR changes | 473.076 | 0.090 | 473.166 |
| ABR Budget | 17,182.606 | 538.090 | 17,720.696 |
| Proposed changes | 714.669 | -37.012 | 677.657 |
| SBR Proposed Budget | 17,897.275 | 501.078 | 18,398.353 |
| Summary of proposed changes | |||
| Additional Covid funding for Health | 728.500 | 48.330 | 776.830 |
| Scotland's share of Immigration Health Surcharge income collected by Home Office | 62.372 | 0.000 | 62.372 |
| Funding for the costs of COP26 | 4.606 | 0.000 | 4.606 |
| Additional funding for loans to GP practices | 0.000 | 3.835 | 3.835 |
| Transfer from Transport Scotland for fleet decarbonisation | 0.000 | 2.144 | 2.144 |
| Additional Corporate Running Costs allocation | 1.119 | 0.000 | 1.119 |
| Transfer to Sport Scotland for UCI 2023 Cycling World Championships | 1.000 | 0.000 | 1.000 |
| Transfer to Local Government to increase capacity of care at home provision, stand up interim care provision and increase the hourly rate of pay for adult social care staff as part of Adult Social Care Winter Plan | -142.280 | 0.000 | -142.280 |
| Support for public health compliance via business restrictions and self-isolation | -100.000 | 0.000 | -100.000 |
| Transfer to marketing for public awareness campaigns about the Covid-19 pandemic | -14.978 | 0.000 | -14.978 |
| Transfer to Scottish Funding Council to fund nursing and midwifery pre-registration places | -13.047 | 0.000 | -13.047 |
| Transfer to Social Security Scotland to fund Best Start Food Grants | -12.000 | 0.000 | -12.000 |
| Transfer to Local Government to fund Local Self-Isolation Assistance Service | -9.100 | 0.000 | -9.100 |
| Transfer to Scottish Funding Council to fund the salaries of clinical academics and Senior Academic GPs | -7.316 | 0.000 | -7.316 |
| Transfer to Local Government to increase mental health officers capacity | -2.780 | 0.000 | -2.780 |
| Transfer to Food Standards Scotland for EU Exit costs | -1.950 | 0.000 | -1.950 |
| Transfer to Local Government to support implementation of trauma informed practice | -1.600 | 0.000 | -1.600 |
| Transfer to Local Government for enforcement of legislation around tobacco and nicotine vapour products | -1.340 | 0.000 | -1.340 |
| Transfer to Scottish Environment Protection Agency to fund SARS-CoV2 wastewater monitoring programme | -1.036 | 0.000 | -1.036 |
| Additional budget cover for NHS provisions (UK AME) | 95.000 | 0.000 | 95.000 |
| ODEL adjustments for PFI leases and donated assets | 39.214 | 0.000 | 39.214 |
| Additional NHS Boards depreciation requirement | 12.500 | 0.000 | 12.500 |
| Capital expenditure reclassification | 91.321 | -91.321 | 0.000 |
| Revised Sport Scotland working capital requirement | -4.450 | 0.000 | -4.450 |
| Revised Care Inspectorate working capital requirement | -1.334 | 0.000 | -1.334 |
| Miscellaneous minor transfers | -7.752 | 0.000 | -7.752 |
| 714.669 | -37.012 | 677.657 | |
| Proposed Budget following Spring Budget Revision | Operating | Capital | Total |
|---|---|---|---|
| £m | £m | £m | |
| Gross Expenditure | 20,474.111 | 521.078 | 20,995.189 |
| Less: Retained Income | -2,576.836 | 0.000 | -2,576.836 |
| Capital Receipts Applied | 0.000 | -20.000 | -20.000 |
| 17,897.275 | 501.078 | 18,398.353 | |
| Budget Analysis | |||
| NHS Territorial Boards | 10,901.836 | 0.000 | 10,901.836 |
| NHS National Boards | 1,351.000 | 0.000 | 1,351.000 |
| General Medical Services | 1,139.858 | 0.000 | 1,139.858 |
| Pharmaceutical Services Contractors Remuneration | 218.070 | 0.000 | 218.070 |
| General Dental Services | 456.238 | 0.000 | 456.238 |
| General Ophthalmic Services | 115.695 | 0.000 | 115.695 |
| Additional Social Care Support | 0.000 | 0.000 | 0.000 |
| Mental Health Services | 252.295 | 0.000 | 252.295 |
| Outcomes Framework | 74.073 | 0.000 | 74.073 |
| Workforce and Nursing | 259.181 | 0.000 | 259.181 |
| Health Improvement & Protection | 355.754 | 0.000 | 355.754 |
| Care, Support and Rights | 127.996 | 0.000 | 127.996 |
| eHealth | 112.804 | 0.000 | 112.804 |
| Early Years | 52.261 | 0.000 | 52.261 |
| Quality and Improvement | 84.549 | 0.000 | 84.549 |
| Miscellaneous Other Services and Resource Income | 1,865.385 | 0.000 | 1,865.385 |
| Active Healthy Lives | 16.310 | 0.000 | 16.310 |
| SportScotland | 24.650 | 0.000 | 24.650 |
| Alcohol and Drugs Policy | 83.785 | 0.000 | 83.785 |
| Revenue Consequences of NPD Schemes | 68.000 | 0.000 | 68.000 |
| Investment | 70.000 | 508.243 | 578.243 |
| Financial Transactions | 0.000 | 3.835 | 3.835 |
| Capital Income | 0.000 | -20.000 | -20.000 |
| NHS Indirect Capital | 21.321 | 0.000 | 21.321 |
| Health PPP/PFI NPD (Other) | 51.214 | 9.000 | 60.214 |
| NHS Impairments (UK AME) | 53.000 | 0.000 | 53.000 |
| NHS Provisions (UK AME) | 137.000 | 0.000 | 137.000 |
| NHS Depreciation of Donated Assets (UK AME) | 5.000 | 0.000 | 5.000 |
| Net Expenditure | 17,897.275 | 501.078 | 18,398.353 |
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