Government Plan 2020–2023 [P.71/2019]

STATES OF JERSEY

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GOVERNMENT PLAN 2020–2023

Lodged au Greffe on 23rd July 2019 by the Council of Ministers

STATES GREFFE

2019  P.71

PROPOSITION

THE STATES are asked to decide whether they are of opinion

to receive the Government Plan 2020 – 2023 specified in Article 9(1) of the Public Finances (Jersey) Law 2019 ("the Law") and specifically –

1. to approve the estimate of total States income to be paid into the Consolidated Fund in 2020 as set out in Appendix 2 – Summary Table 1 to the Report, which is inclusive of the proposed taxation and impôts duties  changes  outlined  in  the  Government  Plan,  in  line  with Article 9(2)(a) of the Law; and
2. to approve each major project that is to be started or continued in 2020 and the total cost of each such project, in line with Article 9(2)(d), (e) and (f) of the Law and as set out in Appendix 2 - Summary Table 2 to the Report; and
3. to  approve  the  proposed  amount  to  be  appropriated  from  the Consolidated Fund for 2020, for each head of expenditure, being gross expenditure less estimated income (if any), in line with Articles 9(2)(g), 10(1) and 10(2) of the Law and set out in Appendix 2 – Summary Tables 3(i) and (ii) of the Report; and
4. to approve the estimated income, being estimated gross income less expenditure, that each States trading operation will pay into its trading fund in 2020 in line with Article 9(2)(h) of the Law and set out in Appendix 2 – Summary Table 4 to the Report; and
5. to approve the proposed amount to be appropriated from each States trading operation's trading fund for 2020 for each head of expenditure in line with Article 9(2)(i) of the Law and set out in Appendix 2 – Summary Table 5 to the Report; and
6. to approve –

1. the  establishment  of  a  "Climate  Emergency  Fund",  in accordance with the provisions of Article 6 of the Law, as set out at Appendix 3 to the Report; and
2. the  estimated  income  and  expenditure  proposals  for  the Climate Emergency Fund for 2020 as set out in Appendix 2 - Summary Table 6 to the Report; and

7. to approve the amounts to be transferred from one States fund to another for 2020 in line with Article 9(2)(b) as set out in Appendix 2 – Summary Table 7 to the Report; and
8. to approve the estimated income and expenditure of the Social Security, Health Insurance  and Long-Term Care  Funds for 2020 set out in Appendix 2 - Summary Tables 8(i), (ii) and (iii) to the Report, with –

1. the estimated income to be raised from existing social security contributions  defined  in  the  Social  Security  Law  and  the proposed changes to contribution liability; and
2. the estimated expenditure to be paid to support the existing benefits and functions defined in the Social Security Law, the Health Insurance Law and the Long-Term Care Funds and new benefits, if any, to be paid from the Funds; and

9. to approve, in accordance with Article 9(1) of the Law, the Government Plan 2020-2023, as set out at Appendix 4 to the Report.

COUNCIL OF MINISTERS

REPORT

Introduction

In accordance with Articles 9(1) and 15 of the Public Finances (Jersey) Law 2019, the Council of Ministers seeks the approval of the States Assembly to the Government Plan 2020-2023.

Article 9(1) of the Public Finances (Jersey) Law 2019 provides that the Council of Ministers must prepare a Government Plan and lodge it in sufficient time for the States to debate and approve it before the start of the next financial year.

Article 15 of the Public Finances (Jersey) Law 2019 sets out the effect of the approval by the States Assembly of a Government Plan.

The Public Finances (Jersey) Law 2019

The States Assembly adopted the Public Finances (Jersey) Law on 4th June 2019. The Law has been registered in the Royal Court and comes into force on 23rd July, 2019. This Report and Proposition, including the Government Plan 2020-23, is therefore drafted under the terms of the Public Finances (Jersey) Law 2019.

Structure of the Government Plan

Part 3 of the Public Finances (Jersey) Law 2019 sets out the statutory content and scope for the Government Plan and is included at Appendix 1 for ease of reference. This requires certain specific information to be included within the Government Plan and also requires the Council of Ministers to provide any other information that the Council of Ministers believes that the States may reasonably expect to need in order to consider the matters required to be set out in the Government Plan. The Government Plan 2020 – 2023, at Appendix 4, sets out this information.

Draft Legislation containing a Taxation Draft and Social Security amendments

As the Government Plan 2020 –2023 proposes imposing or varying a tax for 2020, in accordance with Articles 11 and 12 of the Public Finances (Jersey) Law 2019, the Minister for Treasury and Resources will lodge draft legislation containing a taxation draft that implements those proposals. This will be lodged in line with the 6 week lodging period as required by States Standing Orders so that it can be debated and approved by the States in the same sitting as the Government Plan.

As the Government Plan 2020-2023 also proposes various changes to Social Security contribution liabilities (including maintaining the States grant to the Social Security Fund at 2019 levels) and introduces a new benefit the Minister for Social Security will lodge draft legislation containing the necessary legislative amendments that implement the changes..

Consequential Updates to the Proposed Government Plan 2020–2023

States Standing Orders require that the Government Plan is lodged for a minimum 12 week lodging period so that Scrutiny, States Members and the public have sufficient time to consider it before debate. In order to assist with this, it is the intention of the

Council of Ministers to put the Government Plan into the public domain for as long as possible before consideration by the States Assembly. Given that long time period, there are  a  number  of  events  that  might  necessitate  the  Council  of  Ministers  lodging amendments to the Government Plan. The June 2019 RPI figures have recently been announced at the same time as the Plan is lodged with other issues which may impact on the Plan including –

• publication of June 2019 average earnings figures (23 August 2019)
• Income Forecasting Group (IFG) update to Spring 2019 IFG Forecast (Mid- September 2019)
• UK Brexit deadline date (31st October, 2019).

Of  particular  concern  this  year  is  the  continued  uncertainty  over  Brexit.   The announcement of the next UK Prime Minister is due at the same time as this Plan is lodged, with the two remaining candidates having made various statements in relation to their Brexit plans. Whichever candidate is chosen, it appears that the chances of a harder form of Brexit have increased over recent weeks.

Consistent with the FPP's advice from March this year, the Government Plan has been prepared on the basis of an orderly Brexit – as the most likely outcome during the period that it was developed. However, the Council of Ministers is alive to the risks of different Brexit outcomes and have been considering the impact that these outcomes might have on the Plan. The fact that the Island's financial services industry thrives whilst outside the EU means that the direct threat to our economy from any Brexit outcome is limited, but indirect threats, such as a marked devaluation of sterling coupled with higher inflation, remain.

As such the Council of Ministers has implemented contingency planning to start to understand the impact on Government income and expenditure from a disorderly Brexit and how the Government Plan might be adapted to those changes. The Council of Ministers will continue to monitor the progress of Brexit over the next few weeks and months and if circumstances change such that the Government Plan needs to be altered, the Council of Ministers will bring forward appropriate amendments in advance of the debate – reflecting the right balance between lodging a four year plan which facilitates a  long  term  approach,  against  the  need  to  be  flexible  in  the  face  of  changing circumstances.

The Council of Ministers will also consider the impact of any unforeseen events arising, together with the views of Scrutiny (and the public) in considering whether to bring forward any amendments to the Government Plan during the lodging period.

In any event, the Council of Ministers would lodge any such amendments as quickly as possible to ensure that Scrutiny and the public have sufficient time to consider these in advance of debate..

The Council of Ministers will continue to develop its Efficiencies Programme over the course of 2019. Final plans, including how efficiencies will be allocated to departments, will be presented to the Council of Ministers in October 2019. These plans will set out how efficiencies will be delivered for 2020 and the remaining period of the Plan. For the time being proposed efficiencies are held centrally and will be allocated to specific departments  once  the  Efficiencies  Programme  is  finalised.  Further  details  on  the

Efficiencies Programme will be provided to States Members ahead of the States debate of the Government Plan.

Amendments to the lodged Government Plan 2020–2023

States Members seeking to amend the Government Plan 2020-2023 are asked to note that the Public Finances (Jersey) Law 2019 provides that –

• An amendment to a lodged Government Plan may, in addition to proposing the amendment to the Plan, propose: the amendment of any enactment that imposes a tax or provides for the administration of a tax (whether or not the Minister has lodged a taxation draft that would amend the enactment); or, the imposition of a new tax.1
• A person, committee or panel who intends to propose an amendment to any element of a lodged Government Plan, must, in preparing the amendment, take into account the impact of the amendment on: the States' finances; the medium-term and long- term sustainability of the States' finances and the outlook for the economy in Jersey; and,  the  sustainable  well-being  of  the  inhabitants  of  Jersey  over  successive generations2.
• The States may not approve a Government Plan that would: show a negative balance in the Consolidated Fund at the end of the first financial year covered by the Plan; authorise the transfer of money between one States fund and another in a manner that is inconsistent with any enactment or with the terms of a States fund.

Effect of Approval of the Government Plan 2020–2023

The Public Finances (Jersey) Law 2019 provides that the effect of the approval by the States Assembly of a Government Plan –

• Is an approval of the appropriations, financing and transfers set out in the Plan for the first financial year it covers, such that in that year –

• an amount of not more than an approved appropriation may be withdrawn from the Consolidated Fund and spent in accordance with the Plan;;
• a  States  body  or  area  of  operation  specified  under  Article  9(8)  may withdraw from the Consolidated Fund an amount, to be spent on the related head of expenditure, of not more than the lesser of –

• the amount of income that is earned by, or is attributable to, the States body or area of operation in that year, and
• the amount, set out in the Plan under Article 9(8) in relation to the head of expenditure, of the estimated income of the States body or area of operation;

1 Article 13(1) PFL19 2 Article 13(2) PFL19

• a States trading operation may withdraw from its fund an amount of not more than the approved appropriation and spend it in accordance with the Plan;
• the Minister may arrange financing in accordance with the Plan; and
• money may be transferred between States funds in accordance with the Plan.

• Is an approval of –

• the designation of a project, set out in the Plan, that is to be designated as a major project;
• the undertaking of the major projects that are set out in, or designated under, the Plan; and
• the proposed total cost, from start to finish, of each of those major projects.

• Authorises the Minister to direct how an approved appropriation for a reserve head of expenditure in the Plan may be spent (including on another head of expenditure) in the first financial year covered by the Plan.
• Is not an approval of any appropriations, financing or transfers for the years following the first financial year covered by the Plan[3].

Following the completion of the States debate of the Government Plan an as approved version of the Government Plan 2020–2023 will be published and will reflect any amendments approved by the States Assembly.

APPENDIX 1

Extract from the Public Finances (Jersey) Law 2019 PART 3

FINANCIAL PLANNING AND AUTHORITY TO SPEND Government plan and taxation drafts

9 Preparation and lodging of government plan  

1. Each financial year, the Council of Ministers must prepare a government plan and lodge it in sufficient time for the States to debate and approve it before the start of the next financial year.
2. The government plan must set out –

1. the estimated income to be paid into the Consolidated Fund in the next financial year;
2. the proposed amount of any transfer of money from one States fund to another during the next financial year;
3. the amount of any other proposed financing to be obtained for the next financial year;
4. each major project, and each project that is to be designated as a major project, that –
   1. is proposed to be started in the next financial year, and
   2. has not previously been set out in an approved government plan;
5. the proposed total cost, from start to finish, of each project referred to in sub-paragraph (d);
6. any amendment to the proposed total cost, from start to finish, of a major project that was set out in or designated under a previously approved government plan;
7. the proposed amount to be appropriated from the Consolidated Fund for the next financial year, per head of expenditure;
8. the estimated income from each States trading operation to be paid into its fund in the next financial year; and
9. the proposed amount to be appropriated from each States trading operation's fund for the next financial year, per head of expenditure.

3. The government plan must also set out, more generally –
   1. the estimated income to be paid into the Consolidated Fund in the 3 financial years following the next financial year;
   2. the estimated amount of any proposed transfer of money from one States fund to another during each of those 3 financial years;
   3. the estimated amount of any other proposed financing to be obtained for each of those 3 financial years;
   4. the total estimated expenditures from the Consolidated Fund for each of those 3 financial years;
   5. the estimated expenditures from the Consolidated Fund for each major project to be carried out in each of those 3 financial years;
   6. the estimated income from each States trading operation to be paid into its fund for each of those 3 financial years; and
   7. the total estimated expenditures from each States trading operation's fund for each of those 3 financial years.
4. The government plan must also include –

1. the estimated amounts that will be in each of the States funds listed in Schedule 5 at the start and at the end of each of the 4 financial years covered by the plan; and
2. any other information that the Council of Ministers believes that the States may reasonably be expected to need in order to consider the matters mentioned in paragraphs (2) and (3) and sub-paragraph (a).

5. The Council of Ministers must not lodge a government plan that shows a negative balance in the Consolidated Fund at the end of any of the financial years covered by the plan.
6. The Council of Ministers must –
   1. in preparing the government plan, take into account the medium-term and long-term sustainability of the States' finances and the outlook for the economy in Jersey; and
   2. set out in the government plan how the proposals in the government plan take those matters into account.
7. The government plan may include a reserve as a head of expenditure.
8. The government plan may, in relation to a head of expenditure, set out an amount of the estimated income to be earned by, or be attributable to, a specified States body or area of operation of a States body in the next financial year.
9. The Council of Ministers must –

1. in preparing the government plan, take into account the sustainable well- being (including the economic, social, environmental and cultural well- being) of the inhabitants of Jersey over successive generations; and
2. set out in the government plan how the proposals in the plan take that sustainable well-being into account.

10 Proposed appropriations for non-Ministerial States bodies

1. A government plan lodged by the Council of Ministers must set out, as the proposed amount referred to in Article 9(2)(g) to be appropriated in relation to the operations of a non-Ministerial States body for the next financial year, the amount that is submitted to the Council of Ministers by –
   1. the chairman of the States' Public Accounts Committee, in the case of the office of the Comptroller and Auditor General;
   2. the chairman of the States' Privileges and Procedures Committee, in the case of the States Greffe; and
   3. the non-Ministerial States body, in the case of any other non-Ministerial States body.
2. The Council of Ministers may include, in the government plan, a statement indicating whether or not the Council supports any of the submitted amounts referred to in paragraph (1).
3. For the avoidance of doubt, the amounts set out in the government plan under this Article may be the subject of an amendment under Article 13.

11 Lodging of taxation draft  

1. If a lodged government plan proposes imposing or varying a tax for the next financial year, the Minister must lodge draft legislation containing a taxation draft that implements the proposal in sufficient time for the taxation draft to be debated and approved by the States before the start of that financial year.
2. Paragraph (1) does not prevent the Minister from lodging other draft legislation containing a taxation draft at any time.
3. If, at any time, the States approve a proposition that suggests that a taxation draft should be lodged and the Minister does not lodge draft legislation containing a taxation draft in sufficient time for it to be debated before the time when it should have effect, the Minister must explain why he or she has not lodged it.
4. Only the Minister may lodge draft legislation that contains a taxation draft.

12 Taxation draft may be given immediate effect  

1. The States may by Act declare that, on the Act being made, a taxation draft in a draft Law has effect as if the draft Law had been passed by the States, confirmed by Her Majesty in Council and registered in the Royal Court.
2. The States may extend the application of the Act to an ancillary provision that is contained in the same draft Law.
3. An Act referred to in paragraph (1) may be made at any time after the taxation draft to which it relates has been lodged.
4. If a taxation draft which has effect under paragraph (1) provides for the renewal of an existing tax, any enactment which was in force in respect of the tax as last imposed has full force and effect with respect to the renewed tax, subject to any taxation draft or ancillary provision which also has effect under paragraph (1).
5. If, after an Act has been made under paragraph (1), a taxation draft or ancillary provision given effect by the Act is amended before it is confirmed by Her Majesty in Council, money that is paid or deducted in respect of it but that would not have been paid or deducted in respect of the version as amended and confirmed must be repaid or made good.
6. If, after an Act has been made under paragraph (1), a taxation draft or ancillary provision given effect by the Act is not adopted by the States or is not confirmed by Her Majesty in Council, any money paid or deducted under it must be repaid or made good.
7. In this Article –

1. an "ancillary provision" is a provision in a draft Law that provides for –
   1. the collection and administration of a tax,
   2. the proper administration of matters connected with the imposition of a tax,
   3. the interpretation, application, effect or commencement of a taxation draft,
   4. consequential amendments, transitional arrangements or savings that are supplemental to a taxation draft being given effect; and
2. a reference to a taxation draft or ancillary provision includes any amendment to a taxation draft or ancillary provision that is adopted by the States before the Act is declared.

13 Amendment to lodged government plan  

1. An amendment to a lodged government plan may, in addition to proposing the amendment to the plan, propose –
   1. the amendment of any enactment that imposes a tax or provides for the administration of a tax (whether or not the Minister has lodged a taxation draft that would amend the enactment); or
   2. the imposition of a new tax.
2. A person, committee or panel who intends to propose an amendment to any element of a lodged government plan referred to in Article 9(2) must, in preparing the amendment, take into account the impact of the amendment on –

1. the States' finances;
2. the medium-term and long-term sustainability of the States' finances and the outlook for the economy in Jersey; and
3. the sustainable well-being of the inhabitants of Jersey over successive generations.

Approval of government plan

14 Limitations on approval  

The States may not approve a government plan that would –

1. show a negative balance in the Consolidated Fund at the end of the first financial year covered by the plan; or
2. authorise the transfer of money between one States fund and another in a manner that is inconsistent with any enactment or with the terms of a States fund.

15 Effect of approval  

1. The approval by the States of a government plan is an approval of the appropriations, financing and transfers set out in the plan for the first financial year it covers, such that in that year –

1. an amount of not more than an approved appropriation may be withdrawn from the Consolidated Fund and spent in accordance with the plan;
2. a States body or area of operation specified under Article 9(8) may withdraw from the Consolidated Fund an amount, to be spent on the related head of expenditure, of not more than the lesser of –
   1. the amount of income that is earned by, or is attributable to, the States body or area of operation in that year, and
   2. the amount, set out in the plan under Article 9(8) in relation to the head of expenditure, of the estimated income of the States body or area of operation;
3. a States trading operation may withdraw from its fund an amount of not more than the approved appropriation and spend it in accordance with the plan;
4. the Minister may arrange financing in accordance with the plan; and
5. money may be transferred between States funds in accordance with the plan.

2. The approval by the States of a government plan is also an approval of –
   1. the designation of a project, set out in the plan, that is to be designated as a major project;
   2. the undertaking of the major projects that are set out in, or designated under, the plan; and
   3. the proposed total cost, from start to finish, of each of those major projects.
3. The approval by the States of a government plan authorises the Minister to direct how an approved appropriation for a reserve head of expenditure in the plan may be spent (including on another head of expenditure) in the first financial year covered by the plan.
4. For the avoidance of doubt, approval by the States of a government plan is not an approval of any appropriations, financing or transfers for the years following the first financial year covered by the plan.

16 Amendment to an approved government plan  

1. The States may amend an approved government plan only on a proposition lodged by the Council of Ministers.
2. A proposition to amend an approved government plan must not result in the plan showing a negative balance in the Consolidated Fund at the end of any financial year covered by the plan.

Supplementary powers

17 Approval still pending at start of financial year  

1. This Article applies if the States have not approved a lodged government plan before the start of the first financial year covered by the plan.
2. For each month of that year during which the government plan remains unapproved, an amount up to the maximum set out in paragraph (4) may be withdrawn from the Consolidated Fund in respect of a proposed head of expenditure set out in the unapproved plan if there is an equivalent head of expenditure set out in the most recently approved government plan.
3. For each month of that year during which the government plan remains unapproved, a States trading operation may withdraw an amount up to the maximum set out in paragraph (4) from its fund in respect of a proposed head of expenditure set out in the unapproved plan if there is an equivalent head of expenditure, under which an amount is appropriated from that fund, set out in the most recently approved government plan.
4. The maximum referred to in paragraphs (2) and (3) is 1/12th of the amount of the appropriation for the equivalent head of expenditure set out in the most recently approved government plan.
5. Articles 18 and 22 apply, with any modifications that the circumstances require, with respect to heads of expenditure in the unapproved government plan.
6. Paragraphs (2) and (3) cease to apply as soon as the States approves the government plan referred to in paragraph (1), and in that case any amounts withdrawn under this Article are treated as being withdrawn under that plan.

18 Power to re-allocate  

1. Despite an approved government plan, the Minister may direct that a specified amount appropriated under the plan for one head of expenditure be allocated to another head of expenditure that is –
   1. set out in the plan; or
   2. a new head of expenditure relating to a major project set out in, or designated by, the plan or a previously approved government plan.
2. The specified amount may be withdrawn from the Consolidated Fund and spent on that other head of expenditure in the same financial year for which the amount was appropriated, as if the amount had been appropriated for that other head of expenditure.
3. For the avoidance of doubt, the total amount appropriated for the original head of expenditure is decreased by the specified amount.
4. The Minister must give the States at least 4 weeks' notice of the day on which the Minister proposes to give a direction under this Article and, if a proposition objecting to the proposed direction is lodged before that day, the Minister must not give the direction unless and until the States reject the proposition or the proposition is withdrawn.
5. If a direction under this Article would affect a head of expenditure that relates to the responsibilities of any Minister, that Minister must be consulted before the direction is made.

19 Power to transfer amounts to following year's reserve  

Despite an approved government plan, the Minister may direct that an unspent amount appropriated for a head of expenditure in one financial year be deemed to be appropriated for a reserve head of expenditure for the following financial year.

20 Power to transfer major project amounts to following year  

Despite an approved government plan, the Minister may direct that an unspent amount appropriated for a head of expenditure for a major project in one financial year is deemed to be appropriated for a head of expenditure for that major project for the following financial year.

21 Power to allocate excess income  

1. This Article applies if –
   1. an approved government plan includes, under Article 9(8), the estimated income that will be earned by, or be attributable to, a States body or by an area of operation of a States body during the first financial year covered by the plan; and
   2. income in excess of that estimate is earned by, or attributable to, the States body or area of operation during that financial year.
2. Despite the approved government plan, the Minister may direct that the excess income referred to in paragraph (1)(b) be allocated to a head of expenditure set out in the plan.
3. The amount subject to the Minister's direction may be withdrawn from the Consolidated Fund and spent on that head of expenditure in the first financial year covered by the approved government plan, as if the amount had been appropriated for that head of expenditure.

22 Limitations on powers – non-Ministerial States bodies and States trading

operations  

1. The Minister may give a direction under any of Articles 18 to 21 with respect to a head of expenditure that relates to the operations of a non-Ministerial States body only with the approval of –
   1. the chairman of the States' Public Accounts Committee, in the case of the Comptroller and Auditor General;
   2. the chairman of the States' Privileges and Procedures Committee, in the case of the States Greffe; or
   3. the accountable officer of the non-Ministerial States body, in any other case.
2. Amounts  appropriated from  a  States  trading  operation's fund may  only  be allocated under Article 18 to –
   1. another head of expenditure, set out in the plan, for which amounts are appropriated from that fund, or
   2. a new head of expenditure relating to a major project, described in Article 18(1)(b), that is being undertaken by the States trading operation.
3. Articles 19 and 21 do not apply with respect to amounts appropriated in relation to a States trading operation from the Consolidated Fund or its fund.

23 Semi-annual updates  

1. The Minister must, in accordance with paragraph (2), prepare and present to the States a written statement setting out –
   1. each function undertaken, within the applicable 6-month period referred to in paragraph (2), under any of Articles 18 to 21, 24 and 26 to 28; and
   2. each direction given, within the applicable 6-month period referred to in paragraph (2), by the Minister under Article 15(3) with respect to the amounts appropriated for a reserve head of expenditure.
2. The Minister must present the statement in respect of the first 6 months of a financial year no later than 31st August of that year, and must present the statement in respect of the second 6 months of the financial year no later than the last day of February of the next year.

Emergency expenditures

24 Authority to withdraw a specified amount  

1. Despite an approved government plan, the Minister may authorise the withdrawal of a specified amount from the Consolidated Fund if he or she is satisfied that –
   1. the circumstances described in paragraph (2) require an immediate expenditure; and
   2. no other amount, or an insufficient amount, may be withdrawn from the Consolidated Fund under the applicable approved government plan.
2. The circumstances referred to in paragraph (1)(a) are –
   1. a state of emergency has been declared under the Emergency Powers and Planning (Jersey) Law 19904; or
   2. the Minister is satisfied that there exists an immediate threat to the health or safety of any of the inhabitants of Jersey, to the stability of the economy in Jersey or to the environment.
3. The Minister must present a notice to the States of a withdrawal under paragraph
   1. as soon as is practicable after it occurs.
4. If the amount specified under paragraph (1) is less than £10 million, the Minister may, despite the approved government plan, direct that the amount be appropriated from the Consolidated Fund.
5. If the amount specified under paragraph (1) is £10 million or more, the applicable approved government plan must be amended accordingly under Article 16.

APPENDIX 2

Summary Table 1 – Estimate of total States income to be paid into the Consolidated Fund for 2020

2019  

2020 Estimate Forecast

(£000) (£000)

Income Tax  

479,000  Personal Income Tax  505,000 110,000  Companies  112,000 (3,000)  Provision for Bad Debt  (3,000) 586,000  Income Tax Total  614,000

Goods & Services Tax (GST)  

78,642  Goods & Services Tax (GST)  80,215 5,801  Import GST  6,704 9,000  ISE Fees  9,000 93,443  GST Total  95,919

Impôt Duties  

6,277  Impôt Duties Spirits  7,155 8,511  Impôt Duties Wine  8,868 822  Impôt Duties Cider  863 6,518  Impôt Duties Beer  6,817 16,878  Impôt Duties Tobacco  17,592 23,602  Impôt Duties Fuel  26,140 200  Impôt Duties Goods (Customs)  200 2,948  Vehicle Emissions Duty (VED)  2,730 65,756  Impôt Duties  70,365

Stamp Duty  

30,420  Stamp Duty  31,351 2,400  Probate  2,400 3,072  Stamp Duty on Share Transfer (LTT)  3,367 35,891  Stamp Duty  37,118

781,090  Central Scenario  817,402 4.7%  Annual growth %  4.6% Increased collections - Domestic

2,000  7,000

Compliance

783,090  General Tax Revenue  824,402

13,460  Island Rate Income from Parishes  13,800 19,370  Other States Income - Dividends  11,200 11,727  Other States Income - Non-Dividends  12,195

Other States Income - return from Andium

29,948  30,900

Homes and Housing Trusts

74,505  Other Government Income  68,095

857,595  Total States Income  892,497

Summary Table 2 – Full cost, or additional cost of those Major Projects to be started or continued in 2020

Summary Table 3(i) Proposed 2020 Revenue Heads of Expenditure

Summary Table 3(ii) Proposed 2020 Capital Heads of Expenditure

Summary Table 4 - Trading Operations – 2020 Estimated Income to be paid into each trading operation's trading fund

Summary Table 5 – 2020 Heads of Expenditure for States trading operations projects

Summary Table 6 – 2020 Estimated Income and Expenditure for the Climate Emergency Fund

*This expenditure is dependent upon the States approval of a Sustainable Transport Strategy as agreed in P.52/2019

Summary Tables 8(i), (ii)and (iii) – 2020 Estimated Income and Estimated Expenditure of the Social Security, Health Insurance and Long-Term Care Funds respectively

Table 8(i)

Table 8(ii)

Table 8(iii)

APPENDIX 3

Climate Emergency Fund – Terms of Reference

The Climate Emergency Fund is established as a "States Fund" in accordance with Article 6 of the Public Finances (Jersey) Law 2019 ("the Law") which enables the States, on a proposition lodged by or with the consent of the Minister for Treasury and Resources, to establish a "States Fund" for specific purposes.

1. The purpose of the Climate Emergency Fund  

1.1.  The purpose of the Climate Emergency Fund ("the Fund") is:

1. to support initiatives that respond to the climate emergency, as declared in P.27/2019, and initiatives that reduce carbon emissions and other pollutants, in line with adopted future plans or strategies for, inter alia, energy use and management, carbon reduction, sustainable transport approved by the States Assembly including as part of an approved Government Plan; and
2. to receive the following funding sources to support initiatives as defined in (a) above –

1. transfers from the Consolidated Fund, and other Funds as necessary;
2. a grant from a head of expenditure approved in a Government Plan;

(ii)  income or charges as agreed in a Government Plan.

2. The powers and limitations of the Fund  

1. The purpose of the Fund can only be varied by the States Assembly on a proposition lodged by, or with the consent of, the Minister for Treasury and Resources.
2. Money held in the Fund will not form part of the Consolidated Fund balance.
3. Only those costs associated with the purpose of the Fund can be met out of the Fund.
4. All expenditure to be incurred from the Fund must be approved as part of a Government Plan or any amendment to such.
5. The Climate Emergency Fund will be maintained until such time as:

1. the States Assembly is of the opinion that there is no longer a Climate Emergency; or
2. alternative arrangements are put in place to fund initiatives that respond to the climate emergency, and initiatives that reduce carbon emissions, in line with adopted future plans or strategies for, inter alia, energy use and management, carbon reduction, sustainable transport, or related issues.

6. Upon the winding up of the Fund, any balance remaining in it shall be transferred to the Consolidated Fund.

7. The operation of the Fund must be in accordance with the Public Finances (Jersey) Law 2019 and the requirements of the Public Finances Manual.

3. Those empowered to carry out actions on behalf of the Fund  

1. The Minister for the Environment has overall policy responsibility within the executive, on behalf of the Council of Ministers, for the Fund; this will include being answerable to the States Assembly and responding to questions relating to the assessment of climate conditions, appropriate strategy and responses, and delivery of associated policies and initiatives through the Fund.
2. The Minister for Treasury and Resources has ministerial responsibility for setting an appropriate investment strategy for the Fund, as required.
3. The Principal Accountable Officer has responsibility under the Public Finances Law (Jersey) 2019 for the appointment of the Accountable Officer(s) for the Fund.
4. An Accountable Officer is accountable for the proper financial management of the Fund, which includes ensuring that payments from the Fund are progressed in line with States' approvals and that the Fund is administered in a prudent and economical manner; responsibility for ensuring that proper control and assurance frameworks exist; and responsibility for ensuring that systems are in place to manage risks related to the Fund.
5. An Accountable Officer for the Fund is answerable to the States' Public Accounts Committee for the performance of their functions.
6. An Accountable Officer can delegate functions to others, but will remain accountable. In order to ensure that good governance and control is achieved, any delegation must be documented in a Scheme of Delegation.
7. The Comptroller and Auditor General has a duty under Article 11 of the Comptroller and Auditor General (Jersey) Law 2014 to provide the States with independent assurance that the public finances of Jersey are being regulated, controlled, supervised and accounted for in accordance with the Law. This duty extends to the Fund.

4. Reporting arrangements

1. Details of the Climate Emergency Fund will be included in the published States of Jersey Annual Financial Statement, and financial updates provided to the States Assembly by the Minister for Treasury and Resources.
2. In addition, monitoring and update reports on the response to the Climate Emergency, including validated carbon emissions data, will be presented to the Council of Ministers and States Assembly by the Minister for the Environment. The frequency and scope of these reports will be set out in adopted future plans or strategies for, inter alia, energy use and management, carbon reduction, sustainable transport, or related issues.

4.3  The Government Plan will include details of the estimated amounts that will be in the Fund at the start and end of each of the years covered by the Plan.

APPENDIX 4

Government Plan 2020–2023

Note: This Appendix containing the full proposed Government Plan 2020–2023 is

printed separately in hard copy, but is added to this document to create a single PDF file for the electronic version.

Proposed Government Plan 2020-23

Government Plan 2020-23 3

Our purpose

Our purpose as the Government of Jersey is to serve and represent the best interests of the Island and its citizens.

In order to do this, we must:

 provide strong, fair and trusted leadership for the Island and its people

 deliver positive, sustainable economic, social and environmental outcomes for Jersey  ensure effective, efficient and sustainable management and use of public funds

 ensure the provision of modern and highly-valued services for the public.

Structure of the Government Plan 2020-23

The Government Plan 2020-23, is structured as follows: PART 1  INTRODUCTION

Background and introductory information about the Government Plan and the process that the Government went through to develop it.

PART 2  GOVERNMENT PRIORITIES

Details of the priority initiatives that the Government is proposing to invest in 2020, and its ambition for 2021-23, to deliver the Common Strategic Policy and deal with the key risks we face.

PART 3  GOVERNMENT FINANCES

The detailed economic, financial and technical information for the 2020 Budget and our long-term public finances.

4 Contents Government Plan 2020-23

Contents

PART 1 INTRODUCTION 13

Headline commitments for 2020 14

1. Introducing the Government Plan 16
2. The strategic framework 18
3. How we will measure progress 20
4. How we manage risk 21

PART 2 GOVERNMENT PRIORITIES 24

Government spending 2020 and priority highlights 26

1. We will put children first 30   What we will do in 2020 34   What we will work towards in 2021-23  39   Funding this priority 40   Measuring the impacts 40
2. We will improve Islanders wellbeing and mental and physical health 43   What we will do in 2020 46   What we will work towards in 2021-23 50   Funding this priority 50   Measuring the impacts 50
3. We will create a sustainable, vibrant economy and  52  skilled local workforce for the future

   What we will do in 2020 57   What we will work towards in 2021-23  65   Funding this priority 66   Measuring the impacts 66

4. We will reduce income inequality and improve the standard of living 69   What we will do in 2020  72   What we will work towards in 2021-23  76   Funding this priority 76   Measuring the impacts 77

Contents Government Plan 2020-23 5

5. We will protect and value our environment  78

   What we will do in 2020  83

   What we will work towards in 2021-23  86

   Funding this priority 87

   Measuring the impacts 88

6. Modernising Government  90

i. A new, long-term strategic framework 93   ii A modern and effective public sector 95

iii. Sustainable, long-term public finances 101

   iv A States Assembly and Council of Ministers  106   that work together

v. An improved electoral system  108   Funding these initiatives 109

7. The Efficiencies Programme 110

PART 3 GOVERNMENT FINANCES 116

Foreword by Minister for Treasury and Resources 118 Finances at a glance 120 Budget measures for 2020 122

1. Summary of finances 124
2. Financial and economic context 127
3. Guiding Principles  132
4. Public sector spending 2020-23  134
5. Capital 2020-23  140
6. General Revenue Income 151
7. Budget proposals 156
8. Government of Jersey Balance Sheet and States fund 168 9.Key fiscal measures for consideration in 2020 184

Appendices 188

Appendix 1: Key to abbreviations 190 Appendix 2: Supplementary tables 192

Our ambition

Last year, the Council of  

Ministers proposed five  

strategic priorities that  

would be a beacon for  

our term of office, which  

were unanimously  

approved by the States  

Assembly. Senator John Le FondrØ

Chief Minister

In this first-ever Government Plan for  identify which actions by the Government Jersey, we are bringing those priorities  can make the most enduring difference to to life, with a range of detailed, costed  Islanders lives and to our unique Island, initiatives that will set us on the path to  to meet those five important pledges. We fulfilling our collective ambition for our  have considered every single potential Island s future.  activity and the contribution that each

will make to meeting our five strategic The Government Plan is quite different  priorities.

to how we have done things before.

For the first time in a very long time, it  We have also sought to take decisions for brings together income and expenditure  the long-term, to do what is right not just decisions, improving how we decide how  for today, but for the future sustainable much we spend and how it is paid for, and  wellbeing of Islanders.

making these decisions more transparent.

To put children first, we will continue

In the Common Strategic Policy, the  to implement the Children Services Government and States Assembly pledged  Improvement Plan so that vulnerable

that: children are protected and supported, and

make demonstrable progress towards

 we will put children first achieving consistently outstanding

 we will improve Islanders wellbeing and  children s social work practice in the

mental and physical health long term. We will embed the changes

 we will create a sustainable, vibrant  recommended by the Independent Jersey economy and skilled local workforce for  Care Inquiry and drive a consistent focus

the future across all Government services that support the strengthening of families and

 we will reduce income inequality and  communities.

improve the standard of living

We will also expand the nursery education  we will protect and value our

offer, better enabling families to provide environment.

children with the best start in their early years (0-5), overhaul education and

The Council of Ministers and I have spent  children s legislation to create a framework many months working in teams with  for sustainable long-term improvement, officials, and together in workshops, to  and start to implement a sustainable

funding settlement for each element  Like the States Assembly, we have

of the education system early years,  acknowledged the climate emergency schools, and post-16 education coupled  and the significant challenge of the

with appropriate investment in education  environmental threats to our Island. So facilities. we will take bold steps to protect and

value our environment, creating a Climate To improve Islanders wellbeing and mental  Emergency Fund, with an initial allocation

and physical health, we will implement a  of £5 million in 2020, to invest in new

new agenda for our model of health care,  initiatives, and accelerate the shift in which puts Islanders at the heart of how  behaviour of Islanders and businesses from services are designed and where they  our current dependency on fossil fuels and are provided, rather than running it for our  non-renewable materials.

organisational convenience. We will care

for our most vulnerable citizens, improve  The Council of Ministers recognises that access to mental health services and invest  while our ambition has no limits, our

in our mental health environment and  organisational and financial capacity to building infrastructure.  deliver everything that we would wish

during our term of office does have

In creating a sustainable, vibrant economy  practical limits. In short, we cannot spend and skilled local workforce for the future,  more than we can afford, and we must

we will deliver our Global Markets  not bite off more than we can chew Strategy to promote Jersey on the world  organisationally, or we would risk failing to stage post-Brexit as a dynamic place to  deliver both our core public services and do business and to trade with. We will  the new initiatives that are at the heart of continue to develop and deliver the Future  our Government s agenda.

Economy Programme, create an economic

framework for Jersey to nurture our  So our Government Plan prioritises those economy, and improve our Island s growth  most important initiatives that will make and productivity and the skills of our local  a real, positive and lasting impact on workforce. We will deliver a new migration  Islanders and on our Island. It ensures policy. We will also recognise our heritage  that we continue to deliver the essential and what makes Jersey special and unique,  day-to-day services and infrastructure on and reverse the real-terms decline in  which Islanders depend. And it invests Jersey s overseas aid contributions. in speeding up the pace of reform for

our public services, so that we get better

A strong economy will underpin our efforts  services at better value for money.

to reduce income inequality and improve

the standard of living of Islanders, because  And as a fiscally-prudent Government, we investment in education and skills, and the  have reviewed our forecast income for availability of good jobs, are the biggest  the next four years, so we can understand contributors to helping people to become  how we can pay for these new initiatives, financially self-sufficient. But we will also  as well as meet the cost of all the everyday continue to encourage and support the  activities of Government that provide provision of good quality and affordable  essential services to Islanders, the cost housing to all, building on the findings of  of ongoing commitments that we have

the Housing Policy Development Board.  inherited, and the cost of new investments

that we need to make in modernising our We will work with others across the Island  public services.

to support people who need extra help,

perhaps due to a disability or loneliness,  Our proposals will also ensure that the two and to encourage diversity in all aspects of  Island funds on which we rely in the event Island life. of an economic downturn and care needs

in old age are sustainable.

In order to ensure that we can withstand  We have also reviewed and challenged potential threats to our Island, including  what we do as a Government, to see what any adverse impacts relating to Brexit, the  we can do better, and at a lower cost. We Government proposes to invest £36 million  are committed to securing £100 million of in the Stabilisation Fund in 2020, and then  efficiencies out of the public service cost £16 million a year for the following three  base over the next four years. This will help years which adds up to £84 million over  to close the £30-40 million budget deficit the four-year period of the Government  that had been forecast from 2020, and

Plan. contribute to funding our new initiatives

and the investment that we need to make We are proposing a 1% increase in  to replenish our Stabilisation Fund.

contributions to the Long-Term Care Fund

as well as an increase in the income cap,  I am pleased to report that while the

to ensure the financial sustainability of our  Council of Ministers is increasing long-term care scheme.  spending in the Government Plan, by

prudent planning, backed by sustainable

In addition, we are proposing increases in  efficiencies, we have been able to keep some contributions made into the Social  our forecast spend after efficiencies below Security Fund to support the provision of  what was originally forecast in Budget parental benefits. These two measures  2019. We are ensuring that what we do can will increase funding into these ringfenced  be paid for, without placing undue burdens funds and will not go into the pot for  on Islanders.

general public spending.

We are therefore targeting increasing  priorities to which the States Assembly duties on alcohol, tobacco and road  has agreed, as well as on its decisions on fuel, which will raise around £6 million in  funding for arts, culture and heritage, to 2020. These increases are to incentivise  protect Jrriais and to confront the climate behaviour change, to address the social  emergency.

and health costs of drinking and smoking,

and the environmental impacts of carbon- This Government is not looking for short- based fuels. We propose to use receipts  term fixes to get us through our term in from the fuel duty increase above inflation  office to the next election: we re taking the to pump-prime the Climate Emergency  important decisions now to plan for and Fund. tackle the future needs of our Island, and

to create a positive long-term legacy for However, we also propose increases  Islanders.

in income tax allowances worth around

£6 million in 2020. Taking all duties  In short, this plan represents the beginning, into account, this means that we will  not the end, of our ambitions for Jersey,

be collecting from taxpayers broadly  and it is a plan that Ministers, the public equivalent amounts that we will be  service and, I hope, the States Assembly returning to them in allowances. and all Islanders will join together in

delivering for our long-term future.

This first Government Plan is a plan for

action and it is a plan for the long term.  Senator John Le FondrØ We are acting to deliver on the strategic  Chief Minister

10 Council of Ministers Government Plan 2020-23

Council of Ministers

Senator  Senator  Senator John Le FondrØ Lyndon Farnham Ian Gorst

Chief Minister Deputy Chief Minister,  Minister for

Minister for Economic  External Relations Development, Tourism,  

Sport and Culture

Deputy   Deputy   Deputy Carolyn Labey Kevin Lewis Judy Martin

Assistant Chief Minister,  Minister for  Minister for Minister for International  Infrastructure Social Security Development

Senator  ConnØtable   Deputy Sam MØzec Len Norman Susie Pinel

Minister for Children   Minister for  Minister for Treasury  and Housing Home Affairs and Resources

Deputy  Senator   Deputy Richard Renouf Tracey Vallois John Young

Minister for Health   Minister for Education Minister for and Social Services the Environment

Assistant Ministers Government Plan 2020-23 11

Assistant Ministers

ConnØtable  ConnØtable   Deputy Richard Buchanan Christopher Taylor Scott Wickenden

Assistant Chief Minister,  Assistant Chief Minister Assistant Chief Minister, Assistant Minister for  Assistant Minister for External Relations Social Security

Deputy   Deputy   Deputy Lindsay Ash Gregory Guida Jeremy Ma on

Assistant Minister  Assistant Minister   Assistant Minister for for Treasury and  for the Environment,   Education, Assistant Resources Assistant Minister   Minister for Health  

for Home Affairs and Social Services, Assistant Minister  

for Social Security

Senator   Deputy   Deputy

Steve Pallett Hugh Raymond Montfort Tadier

Assistant Minister for  Assistant Minister for  Assistant Minister Economic Development,  Health and Social  for Economic

Tourism, Sport and Culture Services, Development, Tourism, Assistant Minister for   Assistant Minister for  Sport and Culture Health and Social   Infrastructure

Services

Headline commitments for 2020

 We will introduce a new entitlement offer for children in care and leaving care  We will continue to implement the Children s Services Improvement Plan

 We will make progress towards outstanding children s social work practice

 We will launch a new Right Help, Right Time prevention and early intervention service

for families

 We will improve Child and Adolescent Mental Health Services

 We will improve standards in nurseries and schools

 We will implement the recommendations of the Jersey Premium review

 We will implement sustainable funding for early years, schools, and post-16 education  We will invest in education facilities

 We will seek indirect incorporation of the UN Convention on the Rights of the Child

 We will introduce a new model for health care for Jersey, focusing on prevention and

community partnership

 We will bring new focus on wellbeing and reducing preventable disease

 We will increase duties on alcohol and tobacco to combat the health and social costs of

drinking and smoking

 We will develop proposals for a new hospital and actively engage with Islanders on it  We will deliver a programme of upgrade work to the existing General Hospital

 We will significantly improve access to mental health services, and bring parity of

esteem to the mental health agenda

 We will invest in our mental health environment and building infrastructure, and

implement new mental health initiatives

 We will expand our 24-hour community nursing and primary care services

 We will examine new models for children s dental services, and for people with diabetes  We will improve primary care access for financially-vulnerable people

 We will implement a digital care programme, and replace outdated systems

 We will invest £84 million over the next four years in replenishing our Stabilisation Fund  We will continue to develop and deliver the long-term Future Economy Programme

 We will develop and resource a new post-16 education strategy

 We will continue to negotiate Jersey s future relationship with the UK and EU

 We will deliver our Global Markets Strategy, to promote Jersey on the world stage

 We will increase Jersey s overseas aid contributions, to help those in greatest need

beyond our borders

 We will ensure that Jersey s arts and culture receive 1% of the Government budget  We will deliver a new Migration Policy

 We will continue to progress a long-term solution for Fort Regent

 We will develop proposals to improve financial independence in old age

 We will increase contributions to the Long-Term Care Fund by 1%, to ensure its financial

sustainability

 We will modernise the Island s personal income tax system

 We will start to implement the agreed recommendations of the Housing Development

Board s review of housing in Jersey

 We will improve support and protection for tenants

 We will deliver the disability strategy and better support disabled adults living at home  We will ensure that both parents are able to receive parental benefits

 We will better support workers with long-term health conditions

 We will act with energy and pace to respond to the climate emergency, and become a

sustainable low-carbon Island

 We will establish a Climate Emergency Fund, with an initial allocation of £5 million

 We will increase fuel duty, to fund a new sustainable transport plan and change

Islanders travel behaviours

 We will seek to change behaviours, to reduce pollution and waste

 We will protect our habitats and species through better legislation and enforcement  We will improve countryside access for Islanders

 We will consult Islanders as we develop the draft Island Plan, and improve our public

infrastructure

 We will continue to deliver and support organisation-wide change

 We will provide improved resources to support non-executive States Members

 We will invest to reform our workforce and modernise how we work

 We will invest in the States of Jersey Police, to increase officer numbers to 215

 We will deliver sustainable efficiencies by 2023 through an Efficiencies Programme  We will invest in the modernisation of the public sector through digital technologies  We will invest in the Government s long-term estate

 We will continue to transform the way in which we manage public finances

 We will help to make improvements in our electoral system.

1. Introducing the Government Plan

This is the first-ever Government Plan  These improvements were recently

for Jersey. It forms an important part  approved by the States Assembly in the

of our new strategic framework for the  new Public Finances (Jersey) Law. The new Island, and brings to life the priorities  law represents a fundamental change to

set out in our Common Strategic Policy.  the way in which our public finances are The Government Plan aims to support  presented and decisions are made.

the sustainable economic, social,

environmental and cultural wellbeing of our  Sustainable wellbeing

Island, which will need to be delivered by

a strong partnership between a modern  The Public Finances (Jersey) Law requires government, responsible businesses and  the Council of Ministers to take into account Islanders. the sustainable wellbeing (including the

economic, social, environmental and

The Government Plan is also quite different  cultural wellbeing) of the inhabitants of

to how we have done things before.  Jersey over successive generations when For the first time in a very long time, it  developing the Government Plan.

brings together income and expenditure

decisions, improving how we make  This is an important development, and we decisions about how much we spend  are proud that the wellbeing of the current and how it is paid for. This is coupled to  and future generations of Islanders is so improved transparency of government  central to our Government purpose. We finances, as the Government Plan improves  have sought to consider the contribution of the financial context for spend, as it links  every commitment in this Government Plan money to priorities to provide a holistic  to sustainable wellbeing, and we are very view of priorities, outcomes and finance. much focusing on the future including, for

example:

It also balances the certainty that we had

with the Medium-Term Financial Plan,    investing in the future, by putting

with the flexibility we need to respond to  significant effort and resources into changing circumstances. It does this by  front-line services, legislation and culture adopting a detailed one-year plan within  change in order to make Jersey a place

a rolling four-year approach, ensuring  that truly puts children first

absolute clarity about income and    developing sustainable long-term expenditure for the 12 months ahead, as  plans to continue improvement in our part of a four-year financial outlook. Every  education system, covering early years, year, there will be an updated Government  schools, post-16 and lifelong learning Plan, looking in detail at the year ahead  provision

within a refreshed four-year financial and    committing to developing a strategy, economic outlook.  and creating a dedicated fund, to tackle

It is vital that we ensure the long-term  the climate emergency, and aiming to sustainability of our Island s finances, and  achieve carbon net neutrality by 2030

this plan demonstrates our commitment to    introducing a new model of health care careful stewardship of our balance sheet,  that supports prevention, helping us all transforming financial management, and  to live healthier, longer lives

making critical decisions now, rather than

later.

 focusing on the challenge of financial  Long-Term Care Fund, so that over the independence in old age, with the aim of  coming decades and as our population ensuring that more people are financially  ages, we can continue to provide financial

comfortable later in life, as more of us  support to those Islanders who are likely to live longer  need care for the rest of their lives. We are determined to do what is right for the long-

 increasing our contributions to Jersey s

term success of Jersey.

overseas aid to help those in greatest

need beyond our borders, investing in  The impact measures listed throughout their futures and in ours as an outward- the plan, alongside the Future Jersey looking and responsible global citizen indicators, further drive focus on

 and, underpinning it all, promoting and  sustainable outcomes for Islanders. We

protecting our economy for the long- will use these, and the findings of the 2018 term, as the key driver of prosperity and  Jersey Better Life Index (Statistics Jersey, our standard of living in Jersey. 2019), to analyse our progress.

Over the next year, we will further embed We are also making the right decisions  the focus on sustainable wellbeing into the

now for the long-term sustainability of  annual Government Plan process, for the our public finances. For example, we are  benefit of future generations of Islanders. combining prudent financial management

with more innovative measures, such as an

Island Infrastructure Fund to attract more

investment into public infrastructure. We

are also increasing contributions to the

How the Government Plan was developed

The Government Plan was developed over four main phases:

How is the Government Plan different from the MTFP?

The Government Plan is very different from  ii.  Improved agility

the Medium-Term Financial Plan, for three

fundamental reasons: The Government Plan allows funding

to be allocated to heads of expenditure

i.  Improved financial management  on a more flexible basis, for example

to reflect strategic priorities that cross The Government Plan integrates  departmental boundaries, rather

finance, policy, planning, performance  than having to reflect departmental and outcomes, helping to ensure that  responsibilities.

taxpayers money is used to deliver the

Common Strategic Policy priorities of  It also allows funding to be allocated the Council of Ministers, and to deliver  to capital and major projects on a outcomes for Islanders.   cash flow basis, while also approving

the total cost of a major project. This The allocation of funds in the  enables the Government to make

Government Plan takes into  better use of available cash. consideration the key risks identified

in our corporate and departmental  iii.  Whole Government view programme and project risk registers,

and reflects the organisation s aim  The Government Plan includes

to prioritise resources and actions to  forecasts for the major States Funds mitigate risks where appropriate. for the duration of the Plan and thereby

affords greater transparency of overall Government finances and consistency with the States Accounts.

For more information see Part 3.1.

2. The strategic framework

These improvements are just the first step    the new corporate performance

in achieving a new, wider and coherent  framework, which reports on progress strategic framework, which will connect the  against key outcomes for Jersey and the Government s ambition, strategies, policies  ambitions and activities set out in the and plans with the Future Jersey vision for  Government Plan.

our Island.

The new strategic framework represents  Many of the activities that we need to

a step-change in approach to short-term,  deliver, in order to progress towards medium-term and long-term planning,  the social, economic and environmental because it brings together: outcomes that Jersey seeks to achieve, will

only bear fruit over a timeline that stretches  the long-term community vision,  long into the future, and well beyond the

expressed by Future Jersey four-year term of a Council of Ministers.

 the medium-term priorities of the  Some of the critical decisions that Ministers Government of Jersey, expressed in  take, such as whether, when and where to

the Common Strategic Policy and the  invest in infrastructure, will benefit Islanders Government Plan over decades and generations, not just years.

 departmental operational business

plans, updated annually

Government Plan 2021-30: Framework

Election Election

2018 2019 2020 2021 2022 2023

2018 2019 2020 2021 2022 2023

As the strategic framework develops,    improved financial and performance we will use it to outline the changes in  monitoring and management

how we do business, improve how the    more robust risk management Government is held to account, enable

Islanders to be assured that taxpayers    using a wider range of evidence and money is wisely spent, and demonstrate  best practice taking account of

that the Government is contributing to the  Islanders feedback and comments; outcomes that Islanders want to see. working more closely with partners and

communities in planning outcomes; and Over the coming years, Islanders will  using the new foresight capability to

therefore see the Government delivering  inform long-term strategic policy and more modern and efficient services  decision making, such as through the through, for example:  Island Plan 2021-30

 embedding the One Government    learning from the development

organisational, digital and modernisation  and delivery of each subsequent changes that are currently underway to  Government Plan.

make a real difference to how Islanders

access services and engage with the

Government

3. How we will measure progress

The Government Plan focuses on  We will use a range of performance improving outcomes for Islanders. A focus  indicators and measures to understand

on outcomes marks an important shift in  both how Jersey is doing and how the

how public services in Jersey are delivered.  Government Plan activities have made Today, all Government departments are  a difference. Departmental operational working together as One Government to  business plans will provide further detail on plan and deliver services against a shared  the services we deliver and the quality of vision and the outcomes defined in them  service delivery.

the Common Strategic Policy and Future

Jersey, Jersey s long-term community  In PART 2 of this plan, we present lists vision.  of key outcome indicators that we will

measure. They are not exclusive and

We will develop and publish a performance  further indicators will be added in the new framework by January 2020. We will  performance framework.

use it to monitor and maintain progress

against the outcomes and service

improvements set out in this plan, making

our performance transparent to all.

Corporate Performance Framework Monitor

Island outcomes (Future Jersey)

Common

Quarterly Strategic Policy

integrated priorities and outcomes

performance report

Organisational corporate health

(efficiency and effectiveness)

Departmental objectives

Service objectives

Individual objectives

The performance framework contains a  Services are aimed at improving outcomes series of performance indicators that will  for the Island and Islanders as set out in measure progress against the various  Jersey s community vision, Future Jersey. levels shown in the diagram. Government  Therefore, progress on key performance departments are accountable for their  indicators against the Island outcomes own service performance and how the  and outcomes as set out in the Common organisation is run.  Strategic Policy are also monitored.

4. How we manage risk

Change is happening at an increasing  As a Government, we not only consider pace and while this brings with it risks,  our own organisational risks, but also those it also offers new opportunities. We will  that pertain to the wider sustainability and proactively manage risks and opportunities  prosperity of the Island and Islanders. We to support delivery of the Government Plan,  do this partly through our Community Risk to improve service delivery, and to achieve  Register, which reflects a range of broader value for money and reduce unwelcome  physical, environmental and global risks surprises. that could impact the community. A longer-

term assessment of the risks relating to

We are continually developing and  the Island Plan is also currently being refining our approach to enterprise risk  developed.

management, in order to provide a more

effective response to risks while also  In developing the Government Plan, we embedding risk management across our  have considered the key corporate risks decision-making processes. that we face. These are listed below, with

some examples of how we have addressed these risks in the Government Plan.

Risk Information and cyber security

Like other governments, the Government of Jersey is under

regular cyber-attack. Despite the investment already made, there

is inevitably a risk that the information security technology suite could be breached, leading to failure of public services, reputational damage and loss of Government and Islanders data.

Mitigation Additional investment in cyber security technology has been

prioritised, in order to continue to supplement current arrangements. This investment is reflected in the Government Plan. The strengthening of controls is further enhanced by the wider resource allocation to modernising information management systems, which have been historically underinvested in. Section 6 Modernising Government provides more details on the initiatives we will undertake.

24 Government Plan 2020-23

PART 2

GOVERNMENT PRIORITIES

Government Plan 2020-23 25

Government spending 2020 and priority highlightsGovernmentspending2020andpriorityhighlights

Total revenues Total efficiencies

£892m £40m

Children Services Improvement Plan

Children's  Right rights Help, Right Time' early

intervention

Economy C£h7i0ldmren

Sustainable

Child and funding for

Adolescent education

Mental Health Services

Improved

standards in

nurseries  New model and schools for health care

Digital care Digital care programmeprogramme

New model

Wfor health care ellbeing Reduce £W2e4llb5eimng preventabledisease

24-hour 24-hour communitycommunity

 nursing and nursing and primary careprimary care

Reduce

Future Economy  preventableMental health New Migration  Programme diseaseservices

Policy  Mental health

services

Post-16 Invest 1% of

education the Government

strategy budget in arts,

culture and

heritage  EEccoonnoommyy

£70m

Increase  Global Markets

Jersey's  Strategy overseas aid

contributions

New trade and export function

Total revenue spending  Total capital spending

£824m £91m

Climate Emergency Fund

Sustainable transport plan

Island Plan

Economy Environme£nt70m

Change pollution and

Improve  waste countryside  behaviours

access

Protect habitats Disability  and species Strategy

Improve financial independence in

old age

New model

Support and  for health care Wellbeing protection for  Inclusivity£245m

tenants

Modernise

personal

Implement income tax

Housing

Development Improved

Board  electoral  £40 million of recommendations  Mental health system sustainable

services efficiencies

Improved

support for

States

Members Digital public services

ModernisingE conomy Governme£n7t 0m

Sustainable

public finances Modern workforce and

organisation

New Infrastructure Fund

Introduction

Last year, in the Common Strategic Policy  PART 2 of the Government Plan sets out 2018-22, the Council of Ministers proposed  in detail how we will progress action on the five strategic priorities that would  each of the five priorities in the Common be a beacon for our term of office. On 4  Strategic Policy and the work highlighted December 2018, the Common Strategic  by the One Year in Office report. Each of Policy was unanimously approved by the  the following sections includes:

States Assembly[3].

 a summary of the key activities that the The Common Strategic Policy also  Government will deliver in 2020 and the committed the Government to working  resources we will use to deliver them across departments and Ministers on    what we will work towards in 2021-23

a range of common themes and to

continuing to pursue several important    which CSP common themes are ongoing initiatives. These cover the day- supported by the activity

to-day work of public services, some    the lead Minister(s) and departments for inherited commitments, foundations for  each activity

modernisation, and some principles for

 examples of the indicators and measures how the Government will conduct itself.

that we will use to understand whether Good progress has already been made  the actions we take are making a

and many activities are already underway  difference.

to deliver the outcomes set out in the

Common Strategic Policy (CSP). Information  In order to avoid repetition, we have

on this can be found in the recent Council  abbreviated the names of the common

of Ministers One Year in Office (June  themes, Ministers and departments.

2019) report[4]. Please see the key in Appendix 1 for these

abbreviations.

We will put children first

by protecting and supporting children, by improving their educational outcomes and by involving and engaging children in decisions that affect their everyday lives

We will improve Islanders' wellbeing and mental and physical health

by supporting Islanders to live healthier, active, longer lives, improving the quality of and access to mental health services, and by putting patients, families and carers at the heart of Jersey's health and care system

We will create a sustainable, vibrant economy and skilled local workforce for the future

by delivering an economic framework to improve productivity, by nurturing and strengthening our financial services industry, by enhancing our international profile and promoting our Island identity, by delivering the best outcomes from Brexit, and by improving skills in the local workforce to reduce Jersey's reliance on inward migration

We will reduce income inequality and improve the standard of living

by improving the quality and affordability of housing, improving social inclusion, and by removing barriers to and at work

We will protect and value our environment

by embracing environmental innovation and ambition, by protecting the natural environment through conservation, protection, sustainable resource use and demand management, and by improving the built environment, to retain the sense of place, culture and distinctive local identity

1. We will put children first

We will put children first

By protecting and supporting children, by improving their educational outcomes and by involving and engaging children in decisions that affect their everyday lives.

Highlights

 We will introduce a new entitlement offer for children in the care of Government and

for those leaving care, so they know what support they can and should expect, and focus on ensuring sufficient high-quality placements for children, as far as possible in Jersey

 We will launch a new Right Help, Right Time integrated prevention and early

intervention service for families

 We will continue to implement the Children s Services Improvement Plan, so that

vulnerable children are protected and supported, and the service makes demonstrable progress towards achieving consistently outstanding children s social work practice

 We will develop better Child and Adolescent Mental Health Services, affording the

service expertise and capacity to complement the wider support given to families where needed, helping to develop their resilience

 We will achieve demonstrably-improved standards in nurseries and schools

 We will implement the recommendations of the review of the Jersey Premium, so that

we spend money where it is needed most, enabling all children and young people to fulfil their potential

 We will establish a sustainable funding settlement for each element of the education

system early years, schools, and post-16 education coupled with appropriate investment in buildings

 We will bring forward primary legislation for indirect incorporation of the United Nations

Convention on the Rights of the Child, which will establish a requirement for the Government to consider and safeguard children s rights in relation to policy, legislation and practice.

Government Plan 2020-23 31

Introduction shape government policy so that all

children, most especially those protected Jersey should become the very best  and cared for by the Government, feel

place for children to grow up, and this  loved and valued. Our aim is for Jersey to ambition will inform everything we do as a  be the best place for children and young Government.  people to grow up, where children can:

All children should have an equal    grow up safely, feeling part of a loving opportunity to be safe, flourish and fulfil  family and a community that cares

their potential: they are our Island s future.

But, at present, children in Jersey do not all    learn and achieve, having the best start enjoy equal life chances and our Children s  in life and going on to fulfil their potential

Services are on a significant improvement    live healthy lives, enjoying the best journey. mental and physical health and

wellbeing possible

We must address the key factors that

can give rise to children s immediate and    be valued and involved in the decisions lifelong experiences of inequality, including  that affect their everyday lives.

the home learning environment, health and

wellbeing, housing, household income, and  Protecting and supporting education.  children

We do not accept these limits on children

and young people s opportunities and we  We are at the beginning of the journey to are committed to a progressive approach  transform Children s Services in Jersey. We to achieving equity and fairness through  have been open about the scale of change inclusion and equal life chances.  needed, and the top priority we give to

this work. It is early days, but the seeds of As a Government, we should establish a  change have been planted.

legislative and policy framework, based on

children s rights, to create the foundation  For example, our new social worker

for a more child-orientated Island. We must  recruitment campaign ( Let s Be Honest ) is also change the culture in the public sector,  focused on bringing much-needed stability to ensure that genuine value is placed on  to the workforce, by securing permanent children s experiences and that we truly  recruits who are attracted to the challenge listen, give feedback and, as appropriate,  of transforming Children s Services. We act upon what they tell us. Our commitment  have also made real progress in moving

is embodied in the Pledge to Children  children in the Government s care out of and Young People that all Ministers have  larger residential homes and into small signed. family units. This will continue. We are

also investing in tackling the scourge of

In this Government Plan, we set out how  domestic abuse, which has such negative we will deliver on this most important of  effects on children. We are extending priorities, and make tangible progress  investment in these initiatives in this plan. towards the vision that was developed

in partnership with children and young  Importantly too, on 1 July 2019, we

people themselves: namely, that all  launched a further redress scheme that children should have an equal opportunity  recognises that, over a period of many

to be safe, flourish and fulfil their potential . years, the government did not act as it

should have done to protect children from Our mission abuse in foster care and in Les Chnes

secure residential unit, as well as in

Our mission is to enable a cultural change  residential care. In creating the scheme, our that creates a child-friendly Island, where  intention is to acknowledge that successive the voice and rights of children routinely

governments failed those children and  outcomes in 2020, implementing: an families. enhanced Jersey Premium approach that

extends to 16-18 year olds; broadening

In 2020, our focus is on ensuring  and deepening the offer for pre-schoolers; that Jersey s Children s Services are  and rolling out an updated Jersey School demonstrably on the path towards  Review Framework. This is a key tool in achieving a good rating in independent  supporting our schools to continuously reviews, with the confidence to aim for  learn, improve and collaborate.

becoming outstanding in the

medium-term.  We will also undertake the detailed

development work necessary to inform

An important aspect of this improvement  some fundamental reforms: reviewing our drive is the focus on ensuring that Child  support to children in the crucial early years and Adolescent Mental Health Services are  of life (0 to 5), and examining the options to fit for the future, while also strengthening  put the future funding and structure of the preventive approaches in schools and  school system on a long-term, sustainable across parish communities to help build  footing that improves access, equity and personal resilience. We will put other key  best return on investment.

building blocks in place, including a new

 Right Help, Right Time early intervention  Involving and engaging children service for families, along with a clear and

generous entitlement offer for children  Underpinning this substantial programme

in the care of the Government and those  of whole system reform, we will not forget young people leaving care. that Government and society in Jersey

have failed to listen adequately to children Improving educational outcomes over many decades, and in the much

more recent past. So, we are committed to We are equally focused on delivering  engaging and involving children and young

outstanding education by 2023. As a  people properly in decisions that affect system overall, Jersey s educational  them. This requires a change in the culture provision does not yet perform to the  in the public sector and for us to work highest international standards, so we  collaboratively with voluntary, community are ambitious for our children and young  and private sector organisations to meet people to secure even better outcomes at  the needs of children and young people. every stage of their education, and will take

appropriate action to help them to achieve  2020 will be the first full year of operation this.  of the role of Children s Commissioner

within a legislative framework, with the new We have a growing number of children in  law formally mandating the post-holder to

compulsory education (a rise of 3.4% since  represent and promote children s rights January 2015), of whom 68% receive free  and identify where more can be done education, and nearly 20% are eligible  across government and society. We look

for Jersey Premium funding (Government  forward to working with the Commissioner, of Jersey Annual Report and Accounts,  the team, and the children and young

2018). We need to enable all children,  people the Commissioner represents. We irrespective of their background and the  will also progress our plans for indirect school they attend, to learn and to succeed  incorporation of the United Nations academically and vocationally, stretching  Convention on the Rights of the Child

the most talented and nurturing all those  plans that we hope will be debated by the who face obstacles, so that every child and  new Youth Parliament too.

young person can fulfil their potential.

There is much to be done, and we are We will continue to enhance our innovative  committed to delivering the sweeping

approach to improving educational  improvements required.

What we will do in 2020

As well as departments delivering day-to-day services, across Government we will continue to deliver the Children s Plan, in particular: driving forward our significant operational improvement programme for Children s Services; continuing to bring the legislative framework for children up to date; and laying the foundations for long-term reforms to pre and post-16 education. Key activities will include:

Protecting and supporting children

Action

Continue to implement the Children s Services Improvement Plan by:  building a more stable and high-performing workforce

 developing a high-quality prevention and early intervention service for families and

children, available at the right time and in the right way

 improving care for children who cannot live with their families

 reducing risk across our services, by enhancing the availability of benchmarking

data and further improving quality assurance systems.

CT3 MCH CYPES JHA SPPP NM

Focus on ensuring sufficient high-quality placements for children, as far as possible in Jersey, and enabling permanent homes to be found as soon as possible including completing the roll-out of a new intensive fostering programme.

CT3 MCH CYPES JHA SPPP NM

Introduce the new entitlement for children in the care of the Government and those leaving care, so they know what support they can and should expect.

CT3 MCH CYPES JHA SPPP NM

Launch the first phase of a new, Right Help, Right Time integrated prevention and early intervention service for families.

CT3 MCH CYPES JHA SPPP NM

Action

Begin the implementation of new care pathways for Child and Adolescent Mental Health Services (CAMHS), improving service quality and timeliness, while also strengthening preventive approaches in schools and across parish communities to

help build personal resilience.

CT3 MCH CYPES JHA SPPP NM

Increase our support for some of our most vulnerable children and young people, through additional posts dedicated to responding to those affected by domestic abuse, alongside maintained investment in multi-agency safeguarding.

CT3 MHA CYPES JHA HCS

Progress policy and legislative change to underpin long-term reform, including:  establishing children in need and the care leaver entitlement in legislation

 introducing proposals to prohibit discrimination in tenancy arrangements against

families with children

 starting detailed planning for the reform of Jersey s youth justice system

 setting out the registration and inspection framework for the Care Commission s

independent regulation of child/young people activity and educational settings.

CT3 MCH CYPES JHA SPPP NM

Improving educational outcomes

Action

Implement the recommendations of the review of the Jersey Premium, so that we spend money where it is needed most, enabling all children and young people to fulfil their potential.

MEDU CYPES SPPP

Action

Roll out an updated Jersey School Review Framework, a key tool in supporting our schools to continuously learn, improve and collaborate.

MEDU CYPES SPPP Continue to develop better-integrated support in the early years (0 to 5), through

the work of the Early Years Policy Development Board, starting with a reformed

nursery education offer.

CT3 MEDU CYPES SPPP

Review the options to put future funding and the structure of the school system on a long-term, sustainable footing, by conducting an independent review and implementing changes as identified.

MEDU CYPES SPPP

Involving and engaging children

Building on recent developments, such as the introduction of schools councils, Jersey schools winning awards for respecting the UN Convention on the Rights of the Child, and support for Jersey Cares to deliver independent advocacy, in 2020 we will:

Action

Implement the Youth Connects Project, establishing a Youth Parliament, enabling young people s voices to be heard in the States Assembly, and encouraging participation in democratic debate.

CT8 MCH STG CYPES

Support and respond to the work of the Children s Commissioner in her first full year of operation.

CT8 MCH SPPP

Action

Bring forward primary legislation for indirect incorporation of the United Nations Convention on the Rights of the Child, which will establish a requirement for

the Government to consider and safeguard children s rights in relation to policy, legislation and practice.

CT2 MCH SPPP

Enhance the availability of advocacy support to key groups, commissioning Jersey Cares to work independently from the Government to support children and young people in the care of the Government or leaving care.

CT8 MCH CYPES

Investment in our infrastructure (capital investment)

Action

Protecting and supporting children through investment in safeguarding and regulation of care, investment in schools, children s residential homes, youth centre/ community hubs, and investment in community site improvements.

MINF CYPES GHE

Improve the educational environment for our children and young people through capital investments in:

 a programme of new third generation sports pitches  new school fields at Grainville and St John

 expansion of Mont l AbbØ vital adaptations to enhance access for people with

disabilities

 feasibility studies for:

 a North of St Helier Youth Centre

 Le Squez youth centre/community hub

 premises for Jersey Instrumental Music Service  Victoria College Preparatory replacement school  Piquet House family court

 reorganisation of St Helier primary schools.

MEDU CYPES GHE

What we will work towards in 2021-23

Building on our work in 2020, during 2021-   We will overhaul education and

23 we will work towards: children s legislation, creating a

framework for sustainable long-term Protecting and supporting  improvement

children   We will support teachers to provide

every child with the opportunity to

 We will develop a stable Children s  achieve their full potential at a high-

Services workforce, and make  performing school, using the school demonstrable progress towards  review framework to support our schools achieving consistently outstanding  to continuously learn, improve and children s social work practice  collaborate

 We will embed the new entitlement for    We will start to implement a sustainable

children in the Government s care and

those young people leaving its care  foufntdheingedsuecttaletimonensyt sfoter mea c he aer ll eym yeeanrts ,

 We will put an Island-wide response in  schools, and post-16 education

place to tackle domestic abuse    We will deliver further capital

 We will embed the changes  investments, following on from scoping

recommended by the Independent  studies for development or maintenance Jersey Care Inquiry of:

 We will drive a consistent focus across    Le Rocquier school and community

all government services that support  sports facilities, school 3G pitch the strengthening of families and  replacements, and school field communities development

 We will introduce the required    Grainville, St John, Mont l AbbØ

legislation, and begin the transition to a  extensions

child-welfare-centred justice system

 extending La Moye school hall and

 We will develop more local community-

two additional classrooms

based hubs, so that more children and

families in need can get the early help    additional music facilities and new

they require playing fields for Jersey College for  We will continue to develop Child and  Girls and Jersey College Prep

Adolescent Mental Health Services    We will increase the emphasis on

(CAMHS), and align that provision  wellbeing in schools, as complementary

to wider services, to strengthen our  to our commitment to children s rights

preventive approach. (see below).

Improving educational  Involving and engaging children outcomes

 We will implant the philosophy and

 We will expand the nursery education  practices required under the UN

offer and provide an improved  Convention on the Rights of the Child wraparound service, better enabling  across Government, and celebrate the families to provide children with the  increasing number of Jersey schools

best start in their early years (0-5)  with awards for respecting these rights

 We will continue to improve standards

in nurseries and schools

 We will continue to work positively with

the Children s Commissioner in the shared ambition to put children first in everything we do.

Our skills strategy and commitments are presented under our priority we will create a sustainable, vibrant economy and a skilled local workforce for the future .

Funding this priority

We will resource these activities through base departmental budgets and/or existing funds, together with additional expenditure in 2020 estimated to be £20.7 million. This additional expenditure will total £94.4 million over the four-year period of the Government Plan, broken down as follows:

 Protecting and supporting children:

additional expenditure in 2020 of £10.9 million

 Improving educational outcomes:

additional expenditure in 2020 of £8.7 million

 Involving and engaging children:

additional expenditure in 2020 of £1.1 million.

For further detail on the above additional expenditure, please see Table 56.

We will be investing in infrastructure

associated with this priority, with capital

expenditure of £5.1 million in 2020 and

totalling £43.5 million over the four-year

period (for further detail, please see Table 14).

Measuring the impacts

We will develop and publish a performance framework by January 2020. We will

use it to monitor and maintain progress against the outcomes and service improvements set out in this plan, making our performance transparent to all.

The following is a selection of outcome indicators that we will use to help us understand whether these activities are having a positive impact:

Government Plan 2020-23 41

42 Government Plan 2020-23

2. We will improve Islanders wellbeing and mental and  physical health

We will improve Islanders' wellbeing and mental and physical health

We will do this by supporting Islanders to live healthier, active, longer lives, improving the quality of and access to mental health services, and by putting patients, families and carers at the heart of Jersey's health and care system.

Highlights

 We will implement a new model of health care for Jersey, which is focused on

prevention and on developing a more flexible and co-ordinated service with community health partners, to provide care for Islanders closer to home

 We will bring a new focus on wellbeing through a Health and Wellbeing Policy

Framework, to integrate health improvement with action on the wider determinants of wellbeing (such as our housing, education and environment)

 We will support the reduction of preventable disease, to reverse the current upward

trend in overweight and obesity rates, to increase healthy eating, to reduce the rates of smoking and harmful alcohol consumption, and to deliver a range of preventative and proactive schemes

 We will develop proposals for a new hospital and actively engage with Islanders, health

specialists and staff at every key step of the process, and in the meantime we will support a programme of upgrade work to the existing General Hospital

 We will significantly improve access to mental health services, bringing parity of esteem

to the mental health agenda, invest in our mental health environment and building infrastructure, implement initiatives for crisis support, a listening lounge , complex trauma, Child and Adolescent Mental Health Services and mental health legislation

 We will expand our 24-hour community nursing and primary care services, develop a

preventative model of dental services for children and new models of care to support people with diabetes

 We will develop a model that improves access to primary care for financially-vulnerable

people

 We will implement a digital care programme, focused on replacing outdated systems

with a new e-prescribing system, for a digital information flow between pharmacies and GPs, a WiFi upgrade for the hospital, process digitisation of pathology and radiology tests, and an improved flow of information between health care organisations.

Introduction

By 2023, our ambition is to create a healthy  23% of Jersey adults who drink alcohol Island with safe, high-quality and affordable  do so at potentially hazardous or harmful care that is accessible when and where our  levels (Alcohol Profile, 2018). Internationally Islanders need it.  in 2018, compared with the OECD, the

overall well-being of Jersey residents

An increased focus on preventing ill-health  ranked 19 out of 39 OECD nations (Better

is vital to ensure that everyone has the  Life Index, 2018).

best life chances, achieving good mental

and physical wellbeing, and enabling them  In order to support Islanders to live

to live well and age well. This will have  healthier, active, longer lives we must: benefits for our health and care system, our

 focus on prevention so that staying in local economy and for our overall quality of

the best of health is the norm

life.

 ensure that good wellbeing and health The conditions in which we are born, grow,  becomes everyone s business and is

live, learn and work are crucial in shaping  at the heart of Government decision

our health outcomes throughout our lives,  making

which means that health must become

everyone s business. We must work    support equal access to good health together across government and within our  for all Islanders at every stage in life, Island community to build the conditions  from childhood through to supporting for improved wellbeing and mental and  independent living and adding life to physical health, and to ensure that this  years into older age

informs our decision-making.    create the conditions that enable

all Islanders to lead active, healthy

This involves taking action across a range

lifestyles to support physical and mental of areas, in order to support Islanders to

wellbeing.

live healthier lives, improving the quality of

and access to mental health services and

putting patients, families and carers at the  Improving the quality of and heart of Jersey s health and care system. access to mental health services

Supporting Islanders to live  Our mental health services and facilities healthier, active, longer lives require improvement. We are committed

to bringing parity of esteem to the mental We recognise that preventative action and  health agenda and we place a priority on leading healthier and active lives, at all  delivering the changes that are so urgently ages and stages, supports good wellbeing  needed.

and mental and physical health. This, in

In 2020 we will:

turn, supports good life chances, living and

ageing well, and has benefits for our health    put in place mental health crisis support and care system, our community and our  teams to help people who are either economy. experiencing a first episode, or a relapse

of mental illness, or showing signs of This is reflected in the health challenges

severe psychological distress

we face now and in the future. For

example, around 9,400 adults in Jersey are    pilot a listening lounge , to provide classified as obese. By 2036, this number  an alternative to the Emergency

is projected to increase to 12,000 (Disease  Department and the Police and Projections Report, 2016-2036). In addition,  Ambulance Service for people seeking

help with issues that impact upon their

mental health and wellbeing, some of  the needs of Islanders. These must be which include common mental health  provided when and where they are needed problems most, and informed by engagement with

patients and their families.

 develop a care pathway for those with

complex, post-traumatic stress disorder;  In order to put patients, families and carers for example, as a result of physical and  at the heart of Jersey s health and care sexual abuse system we must:

 facilitate the transfer of the Child    invest in creating the conditions for an

Development Centre and Child and  integrated and holistic health system Adolescent Mental Health Services

(CAMHS) to the Department for Children,    develop a fully-supported and

Young People, Education and Skills  coordinated service, delivered across (CYPES), in order to progress towards a  care partnerships, which are easy to fully-integrated children s system, with  access yet flexible to local needs

clear and effective pathways that work    embed a culture where:

for children and their families

 put in place measures to support the    we are driven by improving the most Mental Health and Capacity and Self- important health outcomes

Determination Laws.   the contribution of our community

assets to improving health and care is We will also:  recognised and valued

 make safe Orchard House for the    service delivery efficiencies help

delivery of acute care to adults with  support reinvestment in prevention

a mental health need who require

admission   health capital is recognised, where

 prepare Clinique Pinel, by undertaking  a healthy Island leads to a wealthy

building work to join Cedar Ward and  Island .

the current Orchard House, to be able to  In 2020, we will do this by supporting a deliver high-quality safe mental health  programme of upgrade work to the existing care General Hospital, following the political

 prepare Rosewood House to house  decision to cease the Future Hospital Beech Ward from Clinique Pinel, and  project and move forward with the new reduce beds in Maple and Oak wards. Our Hospital project. The brief for the upgrade work and for the new hospital

Putting patients, families and  will be informed by a new Jersey Health

Care Model. This model recognises that a carers at the heart of Jersey s  hospital is only one part of a sustainable

health and care system future health system, alongside a

community care system that is able to meet We recognise the need to support  the demographic and other challenges that Islanders mental and physical health with  our Island faces in the years ahead.

care services that are fit for purpose, based

on clinical priorities, and integrated around

What we will do in 2020

As well as departments delivering day-to-day services, we will:

Support Islanders to live healthier, active, longer lives

Action

Develop a Health and Wellbeing Policy Framework, to connect and coordinate actions across Government and our partners that will support all Islanders to live healthier, fulfilling, longer lives from the Active Jersey schemes and active travel, to accessing arts, culture, heritage and education, to developing early help and preventative health services, and embedding sustainable wellbeing in what we do as the Government of Jersey.

CT6 MHSS HCS SPPP

Support the reduction in preventable disease, through our Reducing Preventable Disease (RPD) portfolio, which aims to reduce the burden of preventable disease and avoidable, early death and reverse the current upward trend in overweight and obesity rates, increase healthy eating, reduce smoking rates and reduce the rates of hazardous and harmful alcohol consumption.

CT6 MHSS HCS

Deliver a range of preventative and proactive schemes focused on inspiring an Active Jersey , including active schools and active travel programmes, and support for people with one or more life-limiting conditions.

CT1 MHSS MEDTSC HCS GHE

Improve the quality of and access to mental health services

Action

Improve access to mental health services and the quality of the care environment, and invest in preventative well-being and recovery-orientated initiatives and services. We will optimise our use of technology and develop our workforce proactively to provide new innovative models of care.

We will start with the following five initiatives:  crisis support

 listening lounge

 complex trauma

 Child and Adolescent Mental Health Services  mental health legislation.

CT8 MHSS HCS

Put patients, families and carers at the health of Jersey s health and care system

Action

Deliver new models of primary care including:

 expanding our 24-hour community nursing and primary care services

 the development of a model of dental services for children with a preventative

focus

 the development of a model to support people with diabetes and their access to

primary care

 the development of a model to support access to primary care for financially-

vulnerable individuals.

MHSS MSS HCS

Action

Deliver the initial stages of the Jersey Care Model including moving towards services:

 where organisational boundaries between hospital, community and primary care

provision no longer affect patients experience of care or their outcomes

 that are characterised by greater diversity and inclusion for users who are

historically less empowered to articulate their health care needs, whether that be because of their mental health, ethnicity, age, gender, disability, cognitive ability or sexual orientation.

CT8 MHSS MSS HCS

Deliver an acute floor in the General Hospital for unscheduled or emergency care,

to increase the number of patients with zero or 24-hour stays, reducing in-patient bed numbers in medical wards, enabling us to refocus the workforce and reduce the demand on critical care beds.

MHSS HCS

Deliver care closer to home, by improving access to services and delivering services in patients homes, or as close to home as possible.

CT3 MHSS MSS HCS

Implement the digital care programme, which will focus on the replacement of outdated legacy systems and improving the flow of information between health care organisations. This will deliver:

 a new e-prescribing system, which will improve patient safety and avoid

readmissions to hospital, with a digital information flow from pharmacy to GP

 WiFi upgrade for the hospital

 digitisation of pathology and radiology test requesting and results

 digital information sharing between primary care and secondary care.

CT7 MHSS HCS

Investment in our infrastructure (capital investment)

Action

Invest in our mental health environment and building infrastructure to:

 make safe Orchard House for the delivery of care to adults with a mental health

need

 prepare Clinique Pinel, by undertaking building work to join Cedar Ward and the

current Orchard House, and so enable high-quality, safe mental health care

 prepare Rosewood House to accommodate Beech Ward from Clinique Pinel and

reduce beds in Maple and Oak wards.

MHSS HCS GHE Support a programme of upgrade work to the existing General Hospital, to provide

hospital-based health care at an acceptable level, while a long-term solution for

developing new hospital facilities is agreed and progressed.

MHSS HCS GHE

Upgrade our existing community services as a prioritised programme of works, which addresses the most urgent requirements first.

MHSS HCS

Provide appropriate accommodation for people within Learning Disability Services, in order that individuals avoid significant risk of harm.

CT8 MHSS HCS GHE

Replace equipment which is at its end of life or requires upgrades, to continue to

ensure safe operation and service delivery.

MHSS HCS

Further investment in sports facilities across the Island, that will complement interim and future uses of Fort Regent.

MEDTSC GHE

What we will work towards in    Improve the quality of and access 2021-23 to mental health services: additional

expenditure in 2020 of £3.9 million

Building on our work in 2020, during 2021-   Put patients, families and carers at 23 we will work towards: the heart of Jersey s health and care

 continuing to refine and develop the  system: additional expenditure in 2020

Jersey Health Care Model of £8.0 million.

 working alongside partners to deliver  For further detail on the above additional

commissioned care based on outcomes expenditure, please see Table 56.

 pathways for long-term conditions,

We will be investing in infrastructure such as Chronic Obstructive Pulmonary

associated with this priority, with capital Disease and heart failure

expenditure of £21.1 million in 2020 and  developing primary care prevention  totalling an estimated £59.3 million over programmes, such as screening and  the four-year period (for further detail, vaccinations please see Table 14).

 offering more choice for patients. Measuring the impact

Funding this priority As part of the Jersey Standard, we will

develop and publish a performance

We will resource these activities through  framework by January 2020. It will collect base departmental budgets and/or existing  information on progress against the

funds, together with additional expenditure  outcomes and service improvements set in 2020 estimated to be £12.7 million. This  out in this plan and assist us and the public additional expenditure will total £99.9  to judge whether we are having a positive million over the four-year period of the  impact.

Government Plan, broken down as follows:

The following is a selection of outcomes

 Support Islanders to live healthier,  indicators that we will measure to assist us

active, longer lives: additional  in understanding whether we are having a expenditure in 2020 of £0.8 million positive impact: