Publication - Corporate report
Spring Budget Revision 2022 to 2023: supporting document
Supporting document to the Budget (Scotland) Act 2022 Amendment (No. 2) Regulations 2023. Provides details of Level 2 and 3 budgets.
Health and Social Care
| Operating | Capital | Total | |
|---|---|---|---|
| £m | £m | £m | |
| Total Budget in the Autumm Budget Revision | 17,419.117 | 656.063 | 18,075.180 |
| Changes Proposed | |||
| Funding Changes | 427.430 | -5.000 | 422.430 |
| Technical Adjustments | 360.434 | -97.161 | 263.273 |
| Net Whitehall Transfers | 29.108 | 4.500 | 33.608 |
| Net Transfers within Scottish Block | -905.757 | 7.068 | -898.689 |
| Total changes proposed | -88.785 | -90.593 | -179.378 |
| Proposed Budget following Spring Budget Revision | 17,330.332 | 565.470 | 17,895.802 |
| Operating | Capital | Total | |
| £m | £m | £m | |
| Expenditure Limit: | |||
| Health and Social Care | 16,984.778 | 561.658 | 17,546.436 |
| Total Expenditure Limit | 16,984.778 | 561.658 | 17,546.436 |
| UK Funded AME: | |||
| Health | 285.426 | 0.298 | 285.724 |
| Total UK Funded AME | 285.426 | 0.298 | 285.724 |
| Other Expenditure: | |||
| Health | 59.830 | 3.812 | 63.642 |
| Total Other Expenditure | 59.830 | 3.812 | 63.642 |
| Total Budget | 17,330.034 | 565.768 | 17,895.802 |
| Total Limit on Income (accruing resources) | 3,000.000 | ||
| Proposed Changes | Operating | Capital | Total |
|---|---|---|---|
| £m | £m | £m | |
| Original Budget | 17,466.849 | 573.000 | 18,039.849 |
| ABR Changes | -47.732 | 83.063 | 35.331 |
| ABR Budget | 17,419.117 | 656.063 | 18,075.180 |
| Proposed Changes | -89.083 | -90.295 | -179.378 |
| SBR Proposed Budget | 17,330.034 | 565.768 | 17,895.802 |
| Summary of proposed changes | |||
| Additional funding support for Health and Social Care services - HMT capital | 292.200 | 0.000 | 292.200 |
| Additional funding support for Health and Social Care services - resource | 135.000 | 0.000 | 135.000 |
| Reduction in funding required for loans to GP practices | 0.000 | -5.000 | -5.000 |
| Scottish Infected Blood Support Scheme interim payments | 58.900 | 0.000 | 58.900 |
| Contribution to UK Government for covid test and protect activity | -40.947 | 0.000 | -40.947 |
| Additional funding for the deployment of antivirals in primary care | 10.207 | 0.000 | 10.207 |
| Additional funding for NHS to develop technologies to reduce drug overdoses | 0.000 | 4.500 | 4.500 |
| Transfer to Local Government to support integration authorities | -257.200 | 0.000 | -257.200 |
| Transfer to Local Government to ensure adult social care workers are paid at least the Real Living Wage | -233.500 | 0.000 | -233.500 |
| Transfer to Local Government to increase the capacity of care at home provision | -124.000 | 0.000 | -124.000 |
| Transfer to Local Government to support delivery of the Mental Health Transition and Recovery Plan | -120.000 | 0.000 | -120.000 |
| Transfer to Local Government to support the implementation of the Carers Act | -60.500 | 0.000 | -60.500 |
| Transfer to Local Government for free personal and nursing care for care home residents | -27.300 | 0.000 | -27.300 |
| Transfer to Local Government to increase social work capacity in adult services | -22.000 | 0.000 | -22.000 |
| Transfer to Local Government for standing up interim care provision | -20.000 | 0.000 | -20.000 |
| Transfer to Scottish Funding Council to fund salary costs of Clinical Academics and Senior Academic GPs | -7.645 | 0.000 | -7.645 |
| Transfer to Scottish Funding Council to fund nursing and midwifery pre-registration places | -7.557 | 0.000 | -7.557 |
| Transfer from Transport Scotland for fleet decarbonisation | 0.000 | 7.068 | 7.068 |
| Transfer to Local Government to support school counselling services | -4.000 | 0.000 | -4.000 |
| Transfer to Local Government to increase mental health officer capacity | -3.710 | 0.000 | -3.710 |
| Transfer to Local Government for delivery of Self-Directed Support | -3.520 | 0.000 | -3.520 |
| Transfer to Scottish Funding Council for counsellors in further and higher education | -4.010 | 0.000 | -4.010 |
| Transfer to Local Government to support implementation of trauma informed practice | -1.600 | 0.000 | -1.600 |
| Transfer to SAAS for additional medical student places | -1.361 | 0.000 | -1.361 |
| Transfer to Local Government for enforcement of legislation around tobacco and nicotine vapour products | -1.340 | 0.000 | -1.340 |
| Transfer to marketing for public awareness campaigns about the Covid-19 pandemic | -1.200 | 0.000 | -1.200 |
| Transfer to Sport Scotland for UCI 2023 Cycling World Championships | 1.000 | 0.000 | 1.000 |
| Transfer to Disclosure Scotland for protection of vulnerable groups | -1.000 | 0.000 | -1.000 |
| Additional budget cover for NHS provisions (UK AME) | 233.000 | 0.000 | 233.000 |
| Reduction in NHS impairment requirements | -56.000 | 0.000 | -56.000 |
| Additional budget cover for NHS donated asset depreciation (UK AME) | 5.000 | 0.000 | 5.000 |
| Additional NHS Boards depreciation requirement | 54.000 | 0.000 | 54.000 |
| ODEL adjustments for PFI leases and donated assets | 47.830 | -5.188 | 42.642 |
| Technical Adjustment – IFRS 16 Leases | -4.950 | -10.297 | -15.247 |
| Capital expenditure reclassification | 81.676 | -81.676 | 0.000 |
| Miscellaneous minor transfers | -4.556 | 0.298 | -4.258 |
| -89.083 | -90.295 | -179.378 | |
| Proposed Budget following Spring Budget Revision | Operating | Capital | Total |
| £m | £m | £m | |
| Gross Expenditure | 19,956.615 | 585.768 | 20,542.383 |
| Less: Retained Income | -2,626.581 | 0.000 | -2,626.581 |
| Capital Receipts Applied | 0.000 | -20.000 | -20.000 |
| 17,330.034 | 565.768 | 17,895.802 | |
| Budget Analysis | |||
| Active Healthy Lives | 14.442 | 0.000 | 14.442 |
| Alcohol and Drugs Policy | 84.869 | 0.000 | 84.869 |
| Capital Income | 0.000 | -20.000 | -20.000 |
| Care, Support and Rights | 263.334 | 0.000 | 263.334 |
| Early Years | 53.345 | 0.000 | 53.345 |
| eHealth | 100.409 | 0.000 | 100.409 |
| General Dental Services | 469.422 | 0.000 | 469.422 |
| General Medical Services | 1,080.915 | 0.000 | 1,080.915 |
| General Ophthalmic Services | 119.071 | 0.000 | 119.071 |
| Financial Transactions | 0.000 | 5.000 | 5.000 |
| Health Improvement & Protection | 129.834 | 0.000 | 129.834 |
| Investment | 361.327 | 503.892 | 865.219 |
| Mental Health Services | 238.086 | 0.000 | 238.086 |
| Miscellaneous Other Services and Resource Income | 253.821 | 0.000 | 253.821 |
| NHS National Boards | 1,422.600 | 0.000 | 1,422.600 |
| NHS Territorial Boards | 11,641.881 | 72.766 | 11,714.647 |
| NHS Indirect Capital | 12.549 | 0.000 | 12.549 |
| Outcomes Framework | 74.073 | 0.000 | 74.073 |
| Pharmaceutical Services Contractors Remuneration | 229.833 | 0.000 | 229.833 |
| Quality and Improvement | 48.277 | 0.000 | 48.277 |
| Revenue Consequences of NPD Schemes | 73.229 | 0.000 | 73.229 |
| SportScotland | 33.550 | 0.000 | 33.550 |
| Workforce and Nursing | 279.911 | 0.000 | 279.911 |
| Health PPP/PFI NPD (Other) | 59.830 | 3.812 | 63.642 |
| NHS Provisions (UK AME) | 233.000 | 0.000 | 233.000 |
| NHS Impairments (UK AME) | 44.000 | 0.000 | 44.000 |
| NHS Depreciation of Donated Assets (UK AME) | 5.000 | 0.000 | 5.000 |
| NHS IFRS 16 (AME) | 3.426 | 0.298 | 3.724 |
| Net Expenditure | 17,330.034 | 565.768 | 17,895.802 |
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