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Proposed Government Plan 2022-2025 (P.90/2021); fifteenth amendment - comments

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STATES OF JERSEY

PROPOSED GOVERNMENT PLAN 2022- 2025: FIFTEENTH AMENDMENT (P.90/2021 AMD.(15)) – COMMENTS

HEALTH INSURANCE FUND FUNDING

Presented to the States on 10th December 2021 by the Council of Ministers

STATES GREFFE

2021  P.90 Amd.(15) Com.

COMMENTS The Council of Ministers supports this amendment.

A review of Tranche 1 of the Jersey Care Model (JCM) will be published by March 2022, as per a previous commitment of the Minister.

A sub-team is already in process to be established within the Modernisation and Digital Department to focus on the delivery of the JCM digital systems and the Digital Care Strategy with regular updates to the JCM Programme Board and the Independent Oversight Board.

The Minister for Health and Social Services has previously agreed to publish an annual report setting out the details of the use of the funding transfers from the Health Insurance Fund (HIF).

The Minister for Social Security has previously agreed to publish a report confirming the verification of those costs.

The Minister for Social Security has previously agreed to  commission an actuarial review of the HIF as at 31/12/2021 which will include full details of the impact of previous and planned withdrawals from the Fund.

The Minister for Health and Social Services will include a plan within his wider review to consider the option of making transfers into the HIF to replace the amounts withdrawn to support the JCM and associated digital strategy, in the event that a sustainable healthcare funding stream is not in place by 2025.

Actuarial review of the HIF as at 31/12/2021

This review will be carried out in 2022 and will include financial projections for the HIF from 2021 to 2041.

It will:

- consider the financial position of the HIF taking into account changes in legislation and experience since the previous review.

- project possible future levels of expenditure from the HIF and the contribution rates required to finance this expenditure.

- project the balance in the HIF, which is available to meet its expenditure.

Financial Implications

The amendment does not impact on expenditure or borrowing from the Consolidated Fund.

Statement under Standing Order 37A [Presentation of comment relating to a proposition]:

These comments were submitted to the States Greffe after the noon deadline as set out in Standing Order 37A due to the requirement to undertake final due diligence and review processes.

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P.90/2021 Amd.(15) Com.

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