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WQ.450/2023
WRITTEN QUESTION TO THE MINISTER FOR HEALTH AND SOCIAL SERVICES BY DEPUTY A. HOWELL OF ST. JOHN, ST. LAWRENCE AND TRINITY
QUESTION SUBMITTED ON MONDAY 13th NOVEMBER 2023
ANSWER TO BE TABLED ON MONDAY 20th NOVEMBER 2023
Question
“Further to the response to Written Question 404/2023, will the Minister provide an updated version of Table 1: Costs and Headcount, to include the anticipated 2024 costs and additional 25 full-time equivalent (FTE) posts, as included in the draft Government Plan 2024-2027?”
Answer
There is no underlying growth in public health FTE proposed for 2024. In the department there are 51.5 FTE. 9.5 FTE posts also fall under Public Health to cover the major incidents (which are not included in the table nor were they included in the previous answer) which brings the total to 61 as identified in the Government Plan.
The 2024 Government Plan business case proposed replacing funds that were previously made available to fund Public Health. Previously, Public Health was funded via the Jersey Care Model (JCM), Building a Safer Society (BASS) and COVID-19 pandemic funding.
As detailed in the 2024 Government Plan, the total Public Health proposed budget is £7,374,000 for 2024, this comprises:
1) £3,768,000 existing as previously funded (details of these costs are provided in updated table 2 for 2024):
• £1,026,000 core public health budget.
• £1,380,000 reducing preventable diseases budget.
• £1,056,000 for childhood immunisations (previously in HCS).
• £306,000 for health promotion (previously in HCS).
2) £2,273,000 as replacement expenditure (GP24-004 see Table 1 for details on how this is allocated), which covers functions previously funded by the JCM and the BASS budgets alongside some COVID monies, to ensure the capacity for population health improvement programmes and a Health Protection Function for our community (as recommended from various reviews, see Written Question 404/2023)
3) £899,000 (GP24-005) is to support the major incidents recovery programme. The programme is administered by Public Health, but the funding will be used by a range of public bodies to establish a Major Incident Support Team (MIST) and to deliver psychological support, health checks and long-term health and wellbeing monitoring in response to the ongoing health and wellbeing needs of Islanders impacted by major incidents.
4) £434,000 (£400,000 for GP24-007 and £34,000 service transfer) for elements of vaccination infrastructure costs, such as IT.
Costs 2019-2023, Budget 2024 & FTE
|
|
Actual costs |
Budget |
||||
|
Strategic Public |
|
|
|
|
2023: Jan- |
|
|
Health |
2019 |
2020 |
2021 |
2022 |
Sept |
2024 |
|
Pay |
570,000 |
405,000 |
635,000 |
1,192,000 |
1,390,000 |
|
|
Non-Pay |
60,000 |
40,000 |
220,000 |
537,000 |
317,000 |
|
|
JCM and BASS funds |
0 |
0 |
-93,000 |
-835,000 |
-688,000 |
0 |
|
Total Spend 19- 23/Budget 24 |
630,000 |
445,000 |
762,000 |
894,000 |
1,019,000 |
2,979,000 |
|
Total FTE |
7 |
3 (4) * |
8 |
21 |
21** |
32 |
|
Reducing Preventable Diseases Inc- Food & Nutrition |
Actual costs |
Budget |
|||||
|
|
|
|
|
2023: Jan- |
|
||
|
Strategy |
2019- Pilot |
2020- Pilot |
2021-Pilot |
2022 |
Sept |
2024 |
|
|
Pay |
22,000 |
2,200 |
0 |
200,000 |
178,000 |
|
|
|
Non-Pay |
160,000 |
40,000 |
54,000 |
600,000 |
302,000 |
|
|
|
Total Spend |
182,000 |
42,200 |
54,000 |
800,000 |
480,000 ^ |
1,700,000 |
|
|
Total FTE |
|
|
|
4 |
4 |
11 |
|
|
|
Actual costs |
Budget |
||||
|
|
|
|
|
2023: Jan- |
|
|
|
Child Health Team |
2019- HCS |
2020- HCS |
2021-HCS |
2022-HCS |
Sept-PH |
2024 |
|
Pay |
185,000 |
175,000 |
126,000 |
227,000 |
134,000 |
|
|
Non-Pay |
760,000 |
706,000 |
656,000 |
833,000 |
627,000 |
|
|
Total Spend |
945,000 |
881,000 |
782,000 |
1,060,000 |
761,000 |
1,056,000 |
|
Total FTE |
5 |
3 |
4 |
4 |
5 |
5 |
|
|
Actual costs |
Budget |
||||
|
|
|
|
|
2023: Jan- |
|
|
|
Health Promotion |
2019- HCS |
2020- HCS |
2021-HCS |
2022-PH |
Sept-PH |
2024 |
|
Pay |
0 |
0 |
0 |
176,000 |
163,000 |
|
|
Non-Pay |
0 |
0 |
0 |
24,000 |
7,000 |
|
|
Total |
0 |
0 |
0 |
200,000 |
170,000 |
306,000 |
|
Total FTE |
0 |
0 |
0 |
3.5 |
3.5 |
3.5 |
Notes
*4 of the 7 Public Health Staff from the 2019 establishment were seconded to deliver the covid pandemic emergency response.
** This FTE figure did not include those funded through temporary pandemic funding. The ‘additional’ 11 roles shown in 2024 are existing posts funded through Covid-19 that are delivering a comprehensive and responsive health protection and health improvement function as recommended by various reviews. ^ Many of the costs are expected to be receipted in Q4 2023.