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WQ.212/2022
WRITTEN QUESTION TO THE MINISTER FOR SOCIAL SECURITY BY DEPUTY G.P. SOUTHERN OF ST. HELIER CENTRAL QUESTION SUBMITTED ON MONDAY 10th OCTOBER 2022 ANSWER TO BE TABLED ON MONDAY 17th OCTOBER 2022
Question
Further to Table 43 and the information on page 78 of the Government Plan regarding the Health Insurance Fund, will the Minister –
- provide an explanation of the “transfers in 2021 and 2022” to which reference is made, and of the transfer of £22 million for investment in “health care redesign and digitisation”; and
- further explain what the review of the Jersey Care Model will entail, including whether and how it will consider sustainable funding and the role of the Health Insurance Fund, and stating whether such a review will maintain the principle that the Fund is hypothecated for the dedicated funding of primary care?
Answer
Part (a)
The transfers referred to are:
• 2021 transfer: £6.3m transferred in 2021 from the Health Insurance Fund (HIF) to the consolidated fund for the costs incurred in delivering the Jersey Care Model, the JCM Digital systems work (also referred to as Jersey Care Model (Capital) in the Government Plan) and the Digital Care Strategy. This accords with MD-SOSEC-2022-224 (Health Insurance Fund transfer for Jersey Care Model and Health Digitisation costs for 2021)
• 2022 transfer: a transfer to be made at the end of 2022 from the HIF to the consolidated fund. The transfer will cover the costs incurred in delivering the Jersey Care Model, the JCM Digital systems work and the Digital Care Strategy in 2022. Current expenditure is well within the provided budget agreed by the States Assembly. The final year end transfer amount will be set out in the 2022 Jersey Care Model Progress Report to be provided to the Assembly in February 2023.
• £22 million: an anticipated transfer of up to £22 million from the HIF to the consolidated fund in 2023 and 2024 for costs incurred in delivering the Jersey Care Model, the JCM Digital systems work and the Digital Care Strategy in 2023 and 2024.
|
£’000 |
2023 |
2024 |
|
Transfer to consolidated fund – Jersey Care Model (Revenue) |
(6,100) |
(4,100) |
|
Transfer to consolidated fund – Jersey Care Model (Capital) |
(1,050) |
(400) |
|
Transfer to consolidated fund – Digital Care Strategy (Capital) |
(5,300) |
(5,305) |
Extract from Table 43 of the 2023 Government Plan
Part (b)
The review of the Jersey Care Model is being undertaken by the Minister for Health and Social Services who has described the purpose as being a review of activity to date, including progress and spend, against the original JCM objectives.
As set out in the response to WQ.174/2022, the Minister for Health and Social Services is undertaking a wider health economic review to inform options for sustainable health and care funding and financing in the future. This will include consideration of the role of the Health Insurance Fund. Until the work is completed it would be pre-emptive to commit to the continuation of the Health Insurance Fund, or to commit to the Health Insurance Fund as being dedicated to the funding of primary care in the future.
These are decisions to be made by the Assembly on completion of the funding work being undertaken by the Minister.