Publication - Corporate report
Spring Budget Revision 2024-25: supporting document
Supporting document to the Budget (Scotland) Act 2024 Amendment Regulations 2025. Provides details of Level 2 and 3 budgets.
Health and Social Care
Schedule 2.1 Total Changes for the Spring Budget Revision
| Proposed Changes | Operating | Capital | Total |
|---|---|---|---|
| £m | £m | £m | |
| Total Budget in the Autumn Budget Revision | 19,317.487 | 389.555 | 19,707.042 |
| Changes Proposed | |||
| Funding Changes | 620.000 | 68.500 | 688.500 |
| Technical Adjustments | 184.581 | 54.045 | 238.626 |
| Net Whitehall Transfers | (1.566) | 0.000 | (1.566) |
| Net Transfers within Scottish Block | (44.480) | (2.062) | (46.542) |
| Total changes proposed | 758.535 | 120.483 | 879.018 |
| Proposed Budget following Spring Budget Revision | 20,076.022 | 510.038 | 20,586.060 |
| Proposed Changes | Operating | Capital | Total |
|---|---|---|---|
| £m | £m | £m | |
| Expenditure Limit: | |||
| Health and Social Care | 19,807.454 | 473.080 | 20,280.534 |
| Total Expenditure Limit | 19,807.454 | 473.080 | 20,280.534 |
| UK Funded AME: | |||
| Health | 194.795 | 3.225 | 198.020 |
| Total UK Funded AME | 194.795 | 3.225 | 198.020 |
| Other Expenditure: | |||
| Health | 74.173 | 33.733 | 107.906 |
| Total Other Expenditure | 74.173 | 33.733 | 107.906 |
| Total Budget | 20,076.422 | 510.038 | 20,586.460 |
| Total Limit on Income (accruing resources) | 3,002.000 |
Schedule 3.1 Health and Social Care Details of Proposed Budget
| Proposed Changes | Operating | Capital | Total |
|---|---|---|---|
| £m | £m | £m | |
| Original Budget | 18729.01 | 829.555 | 19558.565 |
| ABR Changes | 588.477 | (440.000) | 148.477 |
| ABR Budget | 19,317.49 | 389.555 | 19707.042 |
| SBR Proposed Changes | 758.935 | 120.483 | 879.418 |
| SBR Proposed Budget | 20,076.422 | 510.038 | 20,586.460 |
| Summary of proposed changes | |||
| Additional funding for Health and Social Care services | 620.000 | 67.000 | 687.000 |
| Additional FT funding for Loans to GP practices and repayment of loans made to sports organisations | 0.000 | 1.500 | 1.500 |
| Whitehall transfer - Return of overpayment from UK Health Security Agency in 2023-24 and 2024-25 | (5.746) | 0.000 | (5.746) |
| Whitehall transfer - Voluntary Scheme for Branded Medicines Pricing and Access funding from Department of Health and Social Care | 3.230 | 0.000 | 3.230 |
| Whitehall transfer - Scottish Infected Blood Support Scheme interim payments funding from Department of Health and Social Care | 0.933 | 0.000 | 0.933 |
| Whitehall transfer (AME element) - Scottish Infected Blood Support Scheme interim payments funding from Department of Health and Social Care | 112.400 | 0.000 | 112.400 |
| Transfer to Scottish Funding Council to fund additional medical school student places | (15.600) | 0.000 | (15.600) |
| Transfer to Scottish Funding Council to fund salary costs of Clinical Academics and Senior Academic GPs | (8.930) | 0.000 | (8.930) |
| Transfer to Scottish Funding Council to fund the teaching grant for nursing and midwifery students | (6.973) | 0.000 | (6.973) |
| Transfer to Justice portfolio for the Scottish Ambulance Service's share of the Emergency Services Mobile Communication Programme | (2.285) | (2.062) | (4.347) |
| Transfer to Education portfolio to support social work education | (3.700) | 0.000 | (3.700) |
| Transfer to Education portfolio for SAAS to fund additional medical student places | (2.548) | 0.000 | (2.548) |
| Transfer to Deputy First Minister & Finance portfolio for Scottish Futures Trust infrastructure programme | (1.771) | 0.000 | (1.771) |
| Transfer to Scottish Funding Council to fund the teaching grant for paramedicine students | (1.106) | 0.000 | (1.106) |
| ODEL adjustments for PFI leases and donated assets | 62.173 | 24.733 | 86.906 |
| Reduction in NHS impairment requirements (UK AME) | (62.272) | 0.000 | (62.272) |
| Technical Adjustment – IFRS 16 Leases | 4.315 | 29.312 | 33.627 |
| Additional budget cover for NHS provisions (UK AME) | 31.607 | 0.000 | 31.607 |
| Additional NHS Boards depreciation requirement | 25.366 | 0.000 | 25.366 |
| Additional budget cover for NHS donated asset depreciation (UK AME) | 5.682 | 0.000 | 5.682 |
| NHS Pension Liability (UK AME) | 5.310 | 0.000 | 5.310 |
| Miscellaneous minor transfers | (1.150) | 0.000 | (1.150) |
| 758.935 | 120.483 | 879.418 |
| Proposed Changes | Operating | Capital | Total |
|---|---|---|---|
| £m | £m | £m | |
| Gross Expenditure | 20,076.422 | 510.038 | 20,586.460 |
| Less: Retained Income | 0 | 0 | 0 |
| Capital Receipts Applied | 0 | 0 | 0 |
| 20,076.422 | 510.038 | 20,586.460 | |
| Budget Analysis | |||
| Active Healthy Lives | 12.632 | 0.000 | 12.632 |
| Alcohol and Drugs Policy | 78.368 | 0.000 | 78.368 |
| Capital Income | 0.000 | (20.000) | (20.000) |
| Community Eyecare | 134.085 | 0.000 | 134.085 |
| COVID-19 Funding and Other Services | 512.139 | 0.000 | 512.139 |
| Digital Health and Care | 117.621 | 0.000 | 117.621 |
| Early Years | 45.831 | 0.000 | 45.831 |
| Education and Training | 306.272 | 0.000 | 306.272 |
| Financial Transactions | 0.000 | 1.500 | 1.500 |
| General Dental Services | 474.879 | 0.000 | 474.879 |
| General Medical Services | 1,326.635 | 0.000 | 1,326.635 |
| Health Improvement & Protection | 250.113 | 0.000 | 250.113 |
| Investment | 442.230 | 491.580 | 933.810 |
| Mental Health Services | 261.263 | 0.000 | 261.263 |
| National Care Service / Adult Social Care | 196.241 | 0.000 | 196.241 |
| NHS Capital Grants (AME) | 112.400 | 0.000 | 112.400 |
| NHS National Boards | 1709.510 | 0.000 | 1709.510 |
| NHS Territorial Boards | 13,604.889 | 0.000 | 13,604.889 |
| Outcomes Framework | 0.000 | 0.000 | 0.000 |
| Pharmaceutical Services Contractors Remuneration | 256.603 | 0.000 | 256.603 |
| Quality and Improvement | 43.665 | 0.000 | 43.665 |
| Revenue Consequences of NPD Schemes | 0.000 | 0.000 | 0.000 |
| SportScotland | 34.478 | 0.000 | 34.478 |
| Health PPP/PFI NPD (Other) | 74.173 | 33.733 | 107.906 |
| NHS Donated Assets (UK AME) | 5.682 | 0.000 | 5.682 |
| NHS Pension Liability (AME) | 5.310 | 0.000 | 5.310 |
| NHS Provisions (AME) | 31.607 | 0.000 | 31.607 |
| NHS Impairments (UK AME) | 37.728 | 0.000 | 37.728 |
| NHS IFRS 16 (AME) | 2.068 | 3.225 | 5.293 |
| Net Expenditure | 20,1076.422 | 510.038 | 20,586.460 |
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