FOI/202400436726 · FOI · unclear
Breakdown of Health and Social care savings: FOI release
Information requested
Please could I submit a further freedom of information request. Please provide a breakdown of the following savings lines provided at Annex A. Please provide a short description of a sentence or two explaining how these savings are being delivered and what schemes are affected.
Other Board Services and Miscellaneous Income Capacity and Recruitment Strategy Complex care Mental health services Other below £2m under “Quality and Improvement” Social care support and NCS delivery Board resilience
Response
Please find a breakdown of the requested categories below:
Other Board Services and Miscellaneous Income
Directorate Division Fiscal Statement Level 3 Budget Name Title of Spend £ Population Health Public Health Capabilities COVID-19 funding and other services Flu Vaccine Covid Vaccine Flu Vaccine Covid Vaccine 8,200,000 Population Health PH Resilience & Protection COVID-19 funding and other services Test and Protect COVID Covid testing 3,300,000 Health & Social Care Finance NHS Integration & Social Care COVID-19 funding and other services PPE PPE 8,000,000 19,500,000
Following the pandemic, the Scottish Government has returned to JCVI-advised flu cohorts. This means flu groups previously added to the programme during the pandemic for winter 2024-25 have been removed, notably those aged 50-64. Savings (totalling £8.2 million against vaccination spending) reflect reduced delivery costs and the purchase of fewer vaccines. Scottish Government policy remains to offer vaccination to all those recommended as eligible by the JCVI.
Following finalisation of 2023-24 costs, savings have also been made through operational efficiencies and revised assumptions on stock requiring to be purchased within the financial year. This has reduced anticipated PPE and test and protect funding requirements for 2024 25 – totalling £8 million and £3.3 million respectively.
Complex Care
Directorate Division Fiscal Statement Level 3 Budget Name Title of Spend £ Mental Health Mental Health Mental Health Services Autism & Neurodivergence Different Minds Marketing 20,000 Mental Health Mental Health Mental Health Services Autism & Neurodivergence Resilience Programme 20,000 Mental Health Mental Health Mental Health Services Learning Disability Changing places toilets 3,250,000 Mental Health Mental Health Mental Health Services Trauma and ACEs Core NTTP Budget 60,000 3,350,000
As the table shows, the majority of the reduction relates to reprofiling the commencement of the Changing Places Toilet fund. Funding for future years will be considered as part of the annual Scottish Government budget process, with preparatory work on the fund continuing. Other smaller savings have been released based on a review of planned spend in 2024-25.
Capacity & Recruitment Strategy
Directorate Division Fiscal Statement Level 3 Budget Name Title of Spend £ Health Workforce Planning & Development Education and Training Capacity & Recruitment Strategy Publication of the Nurse and Midwifery Taskforce report and the associated Listening Project report 100,000 Health Workforce Planning & Development Education and Training Capacity & Recruitment Strategy Medical Associate Professions Evaluation 100,000 Health Workforce Planning & Development Education and Training Capacity and Recruitment Strategy Capacity and Recruitment Strategy 2,925,000 3,125,000
Savings against the Capacity and Recruitment budget line are based on reviewing spend on targeted recruitment campaigns being undertaken in this financial year and a reduction in the activity supporting workforce diversification.
Mental health services
Directorate Division Fiscal Statement Level 3 Budget Name Title of Spend £ Mental Health Mental Health Mental Health Services Mental Health Outcomes Framework Mental Health Outcomes Framework 14,000,000 Mental Health Mental Health Mental Health Services Mental Health Care, Quality, Standards Improving and protecting the Mental Health of People in Prisons 60,000 Mental Health Mental Health Mental Health Services Mental Health Care, Quality, Standards Psychotropic Drug Directory - NES 3,559 Mental Health Mental Health Mental Health Services Mental Health Care, Quality, Standards Quality Standards - safety and wellbeing inspections of mental health services 205,953 14,269,512
Reductions have been achieved through programmes being adapted, or which have come to an end. An example of this adaption is the £120 million Mental Health Enhanced Outcomes Framework which brings together a number of previous Mental Health funding streams, to now offer a single, flexible funding stream for NHS Boards and IJBs. This streamlining allows flexibility in how Boards and IJBs configure and organise mental health services, in order to deliver better outcomes to meet the needs of their local populations.
Other below £2m under “Quality and Improvement
Directorate Division Fiscal Statement Level 3 Budget Name Title of Spend £ Chief Operating Officer Quality Quality and Improvement Chronic P Chronic Pain Facility 169,924 Chief Operating Officer Quality Quality and Improvement Cochlear I Cochlear implants 762,000 Chief Operating Officer Quality Quality and Improvement Diabetes Scottish Diabetes Framework 128,000 Chief Operating Officer Quality Quality and Improvement LT Conditions Long Term Conditions 28,000 Chief Operating Officer Quality Quality and Improvement Neuro Neurological Framework 243,000 Chief Operating Officer Quality Quality and Improvement Neurological Framework Neurological Framework 70,000 Chief Operating Officer Quality Quality and Improvement Openness & Learning Unit Openness and Learning Unit 68,800 Chief Operating Officer Quality Quality and Improvement Palliative Palliative Care 616,000 Chief Operating Officer Quality Quality and Improvement Quality Quality and Safety 26,971 Chief Operating Officer Quality Quality and Improvement Trans Change Transformational Change Fund 2,214,000 4,326,695
Savings from the transformational change fund were generated from a review of the timelines associated with the national Digital Platform genomics pilot and planned implementation of the diagnostics transformationplan.
The palliative saving relates to a reprofiling of spend and bringing some work in house, with regards the analysis of palliative care strategy consultation responses; data collection and future care planning work. The remaining smaller value savings have been made through revised assumptions on the expected activity to be delivered in 2024-25 across the various budget lines.
Social care support and NCS delivery
Directorate Division Fiscal Statement Level 3 Budget Name Title of Spend £ Social Care & NCS ASC & Fair Work National Care Service / Adult Social Care Social Care Investment Other 500,000 Social Care & NCS NCS Development & Delivery National Care Service / Adult Social Care Programme Staffing and Non staffing costs 2,300,000 Social Care & NCS SC Immediate Response &Improvement National Care Service / Adult Social Care Social Care Investment MDT 5,215,000 Social Care & NCS ASC support for local transformation National Care Service / Adult Social Care Carers Act (243306) Carers Policy 263,340 Social Care & NCS NCS Development & Delivery National Care Service / Adult Social Care NCS Loc (243307) NCS Local 100,000 Social Care & NCS NCS Development & Delivery National Care Service / Adult Social Care NCS Nat NCS National 652,000 9,030,340
In year savings against the National Care Service budget line were identified through a restructure of the staffing compliment, filling only priority vacancies, as well as close management of non staff related spend, whilst ensuring delivery of key milestones.
Within social care, Multi-Disciplinary team funding has been maintained in line with the winter planning policy commitment, with a saving anticipated against staff costs in 2024-25.
Board Resilience
Directorate Division Fiscal Statement Level 3 Budget Name Title of Spend £ Chief Operating Officer EPRR Other Health Resilience Health Resilience 1,000,000 Chief Operating Officer EPRR Other Health Resilience CBRN Stockpile Procurement 544,000 Chief Operating Officer EPRR Other Health Resilience Antiviral Purchase 275,094 Chief Operating Officer EPRR Other Health Resilience NPFS Dormancy Fee 110,000 Chief Operating Officer EPRR Other Health Resilience SAS: SORT: Decon 288,000 Chief Operating Officer EPRR Other Health Resilience NSS: Pharmaceutical Procurement 183,000 Chief Operating Officer EPRR Other Health Resilience Vaccine Contract (APA) 4,462,464 6,862,558
The £6.9 million forecast savings relate to release of historical budget to support board pressures and reduction in spend on National Pharmaceutical Countermeasures and Consumables.
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