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Scottish Budget Spending Review 2007

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CHAPTER 21: HEALTH AND WELLBEING

Table 21.01 Spending Plans 2008-11

2007-08
Budget
£m

2008-09
Draft Budget
£m

2009-10
Plans
£m

2010-11
Plans
£m

Health

10,214.9

10,649.2

11,061.1

11,521.6

Housing and Regeneration

480.6

475.3

568.1

572.5

Wellbeing

36.7

38.3

39.8

41.4

Sport

34.3

47.4

53.9

54.9

Food Standards Agency

10.4

10.6

11.0

11.4

Total

10,776.9

11,220.8

11,733.9

12,201.8

Table 21.02 Detailed Spending Plans 2008-11

2007-08
Budget
£m

2008-09
Draft Budget
£m

2009-10
Plans
£m

2010-11
Plans
£m

NHS and Special Health Boards

7,846.0

8,096.3

8,355.2

8,623.0

Capital Investment

528.1

557.6

640.4

608.4

Education and Training

Workforce

21.0

34.4

36.9

39.3

Nursing

147.1

150.6

154.7

158.8

Primary and Community Care Services

General Medical Services 1

671.3

671.3

671.3

671.3

Pharmaceutical Services Contractors' Remuneration 1

146.7

146.7

146.7

146.7

General Dental Services 1

354.3

354.3

354.3

354.3

General Ophthalmic Services 1

55.5

55.5

55.5

55.5

eHealth

100.3

77.5

92.5

140.0

Scottish Commission for the Regulation of Care

16.3

16.7

17.2

17.6

Improving Health and Better Public Health

Health Improvement and Health Inequalities

27.9

43.6

48.5

52.8

Hepatitis C Action Plan Implementation

-

6.0

18.2

21.1

Pandemic Flu Preparedness

-

9.0

6.0

16.0

Cervical Cancer Vaccination

-

18.0

18.5

27.5

Health Screening

0.9

17.2

15.1

11.7

Tobacco Control

11.3

13.8

13.8

13.8

Alcohol Misuse

12.3

32.4

42.4

47.4

Health Protection 2

25.9

38.8

39.6

37.4

Mental Wellbeing

6.3

6.3

6.3

6.3

Healthy Start 3

11.4

11.4

11.4

11.4

Mental Health Legislation and Services

21.1

21.1

21.1

21.1

Specialist Children's Services

-

2.0

10.0

20.0

General Services

Research

62.6

65.9

67.8

71.3

Distinction Awards

23.9

26.0

28.0

30.0

Access Support for the NHS4

65.0

155.0

155.0

155.0

Improvement and Support of the NHS5

23.6

22.1

21.5

20.3

Clean Hospitals/ MRSA Screening Programme

5.0

12.0

21.0

21.0

Miscellaneous Other Services

152.2

132.7

200.5

259.2

Income

Revenue

-109.0

-112.6

-116.2

-119.9

Capital

-12.1

-32.4

-92.1

-16.7

Total

10,214.9

10,649.2

11,061.1

11,521.6

Notes:
1. Individual allocations for 2008-09 to 2010-11 for demand-led services are still to be decided and are subject to pay negotiations with the professional groups concerned.
2. Previously known as Public Health and Workplace Health.
3. Previously known as Welfare Foods.
4. Previously known as the Waiting Times Coordination Unit.
5. Previously known as Centre for Change and Innovation.

What the budget does

The budget supports services and initiatives designed to help people in Scotland to live longer and healthier lives with reduced inequalities; and to provide more sustainable, high quality and continually improving healthcare services close to home. These are explained in more detail in chapters 5 and 11.

Budget changes

Because reductions in alcohol and tobacco abuse lead to healthier lifestyles, particularly amongst people with the poorest health, they are key spending priorities for the Scottish Government. Spending priority is also being given to measures that support everyone in Scotland to achieve better health. Additional resources are targeted on further improvements in quality and speed of access to healthcare services.

We will support health improvement and reducing health inequalities by focusing resources as follows:

  • reducing the harm done by misuse of alcohol (£20.1m/£30.1m/£35.1m);
  • introducing immunisation to reduce the risk of cervical cancer (£18.0m/£18.5m/£27.5m);
  • adding to the existing national screening programmes to help detect potentially serious illness early (£16.3m/£14.2m/£10.8m);
  • reducing smoking (£3.0m/£3.0m/£3.0m);
  • actions to help people, particularly children, tackle obesity in support of our diet and physical activity programmes (£11.5m/£11.5m/£11.5m); and
  • actions to strengthen primary care services in the most deprived areas of Scotland, identifying people at particular risk of preventable, serious ill health (£12.5m/£12.5m/£12.5m).

To ensure that people receive high-quality services when they need them, budget changes include:

  • funding to ensure that by the end of 2011 nobody will wait longer than 18 weeks from GP referral to treatment for routine conditions (£90.0m/£90.0m/£90.0m);
  • •a new screening programme to detect MRSA in hospital patients at admission, and continuation of work to prevent the spread of infection, reduce serious illness, and release hospital resources for use by other patients (£12.0m/£21.0m/£21.0m);
  • phasing out prescriptions charges for those who still pay them (£20.0m/£32.0m/£45.0m); and
  • free eye tests for everyone (£27.0m/£29.0/£31.0m).

We are also prioritising treatment and care for patient groups with particular needs:

  • specialist children's services (£2.0m/£10.0m/£20.0m); and
  • improvement of wheelchair and seating services (£4.0m/£6.0m/£6.0m).

Gross capital investment in health over the Spending Review period will amount to £557.6m/£640.4m/£608.4m. This will fund major new developments including:

  • the new children's hospital and the development of the new Southern Hospital in Glasgow;
  • improvements at existing hospitals across Scotland including Aberdeen Royal Infirmary, Borders General Hospital, Raigmore Hospital in Inverness and Dumfries and Galloway Royal Infirmary;
  • improvements in mental health services including the redevelopment of the State Hospital at Carstairs and reprovision of services currently provided at the Royal Edinburgh Hospital, as well as the development of new acute and community based services in Dumfries and Galloway;
  • replacement of medical equipment;
  • pandemic flu vaccine stockpile;
  • the eHealth programme, which will improve patient safety and clinical outcomes, ensuring that systems are designed to reflect the needs of patients, clinicians, managers and other users;
  • primary care and dental services; and
  • improved energy efficiency and a reduction in emissions across the NHS Scotland estate.

HOUSING AND REGENERATION

Table 21.03 Detailed Spending Plans 2008-11

2007-08
Budget
£m

2008-09
Draft Budget
£m

2009-10
Plans
£m

2010-11
Plans
£m

Affordable Housing Investment Programme 1

387.2

373.9

446.7

472.1

Modernising Private Sector Housing

10.2

10.2

15.2

15.2

Housing Markets and Supply Policy/Research and Analytical Services

2.8

2.8

2.8

2.8

Running Costs (Communities Scotland and Post Abolition Arrangements) 2

25.1

25.1

25.1

25.1

Tackling and Preventing Homelessness

0.6

0.6

0.6

0.6

Central Heating Initiative/Warm Deal

45.9

45.9

45.9

45.9

Housing Voluntary Sector Grant Scheme

2.4

2.4

2.4

2.4

Wider Role

12.0

12.0

12.0

12.0

Community Engagement

3.4

3.4

3.4

3.4

Regeneration Programmes

18.0

26.0

41.0

20.0

Capital Charges

3.0

3.0

3.0

3.0

Less Income

-30.0

-30.0

-30.0

-30.0

Total

480.6

475.3

568.1

572.5

Notes:
1. The 2007-08 budget is in addition to funding trasferred to local government.
2. Ministers announced on 31 October 2007 the abolition of Communities Scotland. Decisions on the allocation of these resources between funding for ongoing regulatory support and the Scottish Government's running costs will be made in due course.

What the budget does

The housing and regeneration programmes contribute to our Purpose and Strategic Objectives by increasing the supply of good quality, sustainable housing and regenerating Scotland's communities.

A wide-ranging consultation on the future of housing in Scotland has been launched. This will consider how (together with local government, developers and builders) to free-up the supply of housing to buy and to rent, in order to create sustainable, mixed communities and provide a fair deal for first-time buyers, tenants and taxpayers. We will work together with local government to improve the condition of private sector housing; and with local government and third sector partners to prevent and tackle homelessness and to provide housing support services to vulnerable people to enable them to continue to live independently in their own homes. On regeneration, we are supporting large-scale projects to achieve the comprehensive regeneration of targeted areas through a range of initiatives to improve their physical, economic, environmental and social circumstances. We will work with local government and Community Planning Partnerships to provide targeted regeneration action to tackle poverty in the most disadvantaged communities.

Budget changes

The budget will help to deliver our objectives to:

  • increase the supply of good quality, sustainable housing (£430.0m/£507.8m/£533.2m); and
  • support key strategic regeneration initiatives, particularly pathfinder Urban Regeneration Companies (£19.0m/£34.0m/£13.0m).

WELLBEING

Table 21.04 Detailed Spending Plans 2008-11

2007-08
Budget
£m

2008-09
Draft Budget
£m

2009-10
Plans
£m

2010-11
Plans
£m

Promoting Social Inclusion

22.3

19.5

19.0

20.0

Promoting Equality

14.4

18.8

20.8

21.4

Total

36.7

38.3

39.8

41.4

What the budget does

The social inclusion budget supports wellbeing through cross-cutting work to tackle poverty and disadvantage in Scotland. It is used to lever activity in policies across government, for example employability. It also supports action on financial inclusion, the rollout of activity established through the Working for Families programme, interventions to help people with multiple and complex needs, and a range of smaller scale pilot activity to help lift people out of poverty and maintain them free from poverty, as well as providing support for national statistical surveys; national research; and key stakeholder organisations.

The equality budget is used to promote equality of opportunity and fair treatment for the wellbeing of people in Scotland. It funds activities which challenge discrimination, prejudice and disadvantage and helps develop the capacity of people who experience barriers because of their race, gender, disability, faith or sexual orientation. It supports and levers activity in other policy areas across government to mainstream equality into the delivery of their outcomes. The budget provides services support for women and children affected by domestic abuse and those affected by the broader issues of violence against women. It enables demonstration work to be undertaken and equality data and research to be developed.

Budget changes

The reduction in the Promoting Social Inclusion budget reflects the fact that much of this budget has been redirected into a new fund to be deployed by Community Planning Partnerships, to tackle poverty and deprivation (resources are included in the local government settlement).

SPORT

Table 21.05 Detailed Spending Plans 2008-11

2007-08
Budget
£m

2008-09
Draft Budget
£m

2009-10
Plans
£m

2010-11
Plans
£m

Sportscotland

34.3

43.3

47.3

43.3

Glasgow 2014: Delivery of Commonwealth Games Resource

-

3.5

3.8

3.6

Capital

_-

0.6

2.8

8.0

Total

34.3

47.4

53.9

54.9

What the budget does and budget changes

The budget will support delivery of our priority goals for sport in Scotland: increasing participation, improving sporting performance and creating a legacy through major events such as the Olympic and Paralympic Games and Commonwealth Games. Funding for sport in Scotland will be £47.4m/£53.9m/£54.9m.

The Scottish Government is working in partnership with Glasgow City Council and the Commonwealth Games Council for Scotland to turn the 2014 Games into a success for Scotland. The Bid decision was taken on 9 November in Sri Lanka. Funding for successful delivery of the Commonwealth Games up to 2010-11 is £4.1m/£6.6m/£11.6m.

FOOD STANDARDS AGENCY

Table 21.06 Detailed Spending Plans 2008-11

2007-08
Budget
£m

2008-09
Draft Budget
£m

2009-10
Plans
£m

2010-11
Plans
£m

Food Safety

6.8

7.0

7.4

7.8

Eating for Health

2.0

2.0

2.0

2.0

Choice (making it easier for consumers to make

informed choices)

1.6

1.6

1.6

1.6

Total

10.4

10.6

11.0

11.4

What the budget does

The Food Standards Agency Scotland is integral to supporting the agreed Food and Health priorities of the Scottish Government and there is a strong partnership working across this shared agenda.

The Food Standards Agency's aim is to improve diet and nutrition, and to help shift the balance from knowledge to lifestyle change. In particular, the Agency in Scotland will continue to provide essential support to the delivery of improved nutritional standards of food across the public sector and to achieving clear, consumer-focused labelling to help people to make healthy choices when purchasing food.

The Food Standards Agency safeguards consumers' interests in food matters based on sound evidence and proportionality of action, with consumer safety as its overriding priority. It works closely with the government and stakeholder interests to ensure that particular Scottish circumstances are fully considered in development of policies and actions.