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FINANCIAL ISSUES
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Andy Kerr, Minister for Health and Community Care made the
decision in May 2005 to dissolve NHS Argyll and Clyde Health
Board following the Auditor General's report and issues relating
to the geography and structure of the board area. He also
announced a period of public consultation, and a series of
16 independently-chaired public meetings were held to discuss
options and share views on redrawing local NHS boundaries.
The question of finances has been raised as an issue of concern
at the public meetings, and in particular the need for a clear
indication of what the budget share for NHS Greater Glasgow
and NHS Highland would be under the three suggested options.
The Scottish Executive gave a commitment to circulate indicative
figures as soon as possible.
Estimated figures for the three options are now available.
The figures in Option1 have been calculated using the same
process currently used in the allocation of health boards'
unified budgets which is consistent with Arbuthnott principles.
It proved difficult to adopt the same method when estimating
the figures for Options 2 and 3, as expenditure figures were
not available separately for the populations covered by these
options. The best available alternative population split was
therefore used.
General Medical Services funding is not included in these
estimates because it is calculated in a different way and
is not affected by boundary changes.
The actual allocations that the enlarged health boards will
receive in 2006 -07 will vary from the estimates because the
budget available to NHS Scotland will be larger, and further
work to refine the estimates will be completed when the Minister
has chosen and announced the selected option.
The estimated figures in the tables below have been rounded
to approximately the nearest 1%.
Table 1: Financial allocations to enlarged Boards under
options 1, 2 and 3 (rounded)
| |
2005-06 allocation (£000)
|
Option 1
|
Option 2
|
Option 3
|
| Argyll & Clyde |
515,000
|
-
|
-
|
-
|
| Greater Glasgow |
1,140,000
|
1,545,000
|
1,575,000
|
1,625,000
|
| Highland |
270,000
|
380,000
|
350,000
|
300,000
|
| Scotland |
6,010,502
|
6,010,502
|
6,010,502
|
6,010,502
|
Table 2: Financial allocations per head to enlarged Boards
under options 1, 2 and 3 (rounded)
| |
2005-06 allocation per head (£)
|
Option 1
|
Option 2
|
Option 3
|
| Argyll & Clyde |
1230
|
-
|
-
|
-
|
| Greater Glasgow |
1310
|
1290
|
1290
|
1290
|
| Highland |
1300
|
1270
|
1290
|
1300
|
| Scotland |
1188
|
1188
|
1188
|
1188
|
|
