4
The Chief Finance Officer submitted a report relative to the financial allocation and budgets made available to the IJB for 2019/20 by Renfrewshire Council and NHSGGC and outlining the main financial pressures on health and adult social care services.
The Scottish Government published their draft budget for 2019/20 on 12 December 2018 which was subject to parliamentary approval over the course of January and February 2019. Included within the conditions of the 2019/20 budget was the continued prioritisation of financial support for social care including the use of earmarked funding of £160 million to support social care and mental health investment. This was made up of £120 million from the Health Portfolio to go to local authorities in-year for investment in integration including delivery of the Living Wage and uprating free personal care and school counselling services. In addition, £40 million had been included directly in the local government settlement to support the continued implementation of the Carers (Scotland) Act 2016 and extending free personal care to under 65s. The report set out the implications of the Scottish Government budget announcement and provided members with an overview of the IJB’s anticipated budget allocation for 2019/20.
The Chief Finance Officer intimated that in 2018/19 the adult social care budget was £65,647 million and that this would be £67,723 million in 2019/20 and that the health budget was £192,572 million in 2018/19 and that this would be £196,357 million in 2019/20.
A copy of the letter dated 12 December 2018 from the Director of Health Finance, Corporate Governance and Value, Scottish Government formed Appendix 1 to the report; a copy of the letter dated 12 December 2018 from the Cabinet Secretary for Finance, Economy and Fair Work , Scottish Government formed Appendix 2 to the report; a copy of the letter dated 21 January 2019 from the Cabinet Secretary for Finance, Economy and Fair Work , Scottish Government formed Appendix 3 to the report; and a copy of the letter dated 7 March 2019 from the Local Government and Communities Directorate, Scottish Government formed Appendix 4 to the report.
It was proposed (i) that the delegated adult social care budget for 2019/20 be accepted; (ii) that authority be delegated to the Chief Officer, in consultation with the Chair, to accept the 2019/20 delegated health budget subject to the expected uplift of 2.54% reflecting the Board’s uplift for 2019/20 including any final adjustments in relation to recurring budget adjustments at month 12; (iii) that it be noted that the final budget offer should include a budget for set-aside for 2019/20, that this be the subject of further discussion with NHSGGC and that further information be brought back to the IJB; (vi) that it be noted that the Renfrewshire share of the transfer of budgets in relation to the closure of continuing care beds should be included, that this be the subject of further discussion with NHSGGC and that further information be brought back to the IJB; (v) that the drawdown of reserves in order to fund any shortfall in funding for 2019/20 be approved; (vi) that it be noted that the Strategic Plan could not be approved at this stage; (vii) that the Chief Finance Officer submit a report to the next meeting of the IJB to be held on 28 June 2019 relative to the continuing care bed transfer of funding; and (h) That, in relation to the adult social care allocations to Integration Authorities, it be agreed that if Renfrewshire Council did not utilise the ringfenced 2.2% this financial year it would be carried forward to the next financial year.. This was agreed.
DECIDED:
(a) That the delegated adult social care budget for 2019/20 be accepted;
(b) That authority be delegated to the Chief Officer, in consultation with the Chair of the IJB, to accept the 2019/20 delegated health budget subject to the expected uplift of 2.54% reflecting the Board’s uplift for 2019/20 including any final adjustments in relation to recurring budget adjustments at month 12;
(c) That it be noted that the final budget offer should include a budget for set-aside for 2019/20, that this be the subject of further discussion with NHSGGC and that further information be brought back to the IJB;
(d) That it be noted that the Renfrewshire share of the transfer of budgets in relation to the closure of continuing care beds should be included, that this be the subject of further discussion with NHSGGC and that further information be brought back to the IJB;
(e) That the drawdown of reserves in order to fund any shortfall in funding for 2019/20 be approved;
(f) That it be noted that the Strategic Plan could not be approved at this stage;
(g) That the Chief Finance Officer submit a report to the next meeting of the IJB to be held on 28 June 2019 relative to the continuing care bed transfer of funding; and
(h) That, in relation to the adult social care allocations to Integration Authorities, it be agreed that if Renfrewshire Council did not utilise the ringfenced 2.2% this financial year it would be carried forward to the next financial year.