Detailed breakdown of the funds allocated to each area of Health and Social Services

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WRITTEN QUESTION TO THE MINISTER FOR HEALTH AND SOCIAL SERVICES BY DEPUTY T.A. VALLOIS OF ST. SAVIOUR

ANSWER TO BE TABLED ON TUESDAY 20th OCTOBER 2009

Question

Could the Minister provide a detailed breakdown of the funds allocated to each area of Health and Social Services for the year 2009 and advise the current position of each of these areas in respect of :-

1. th e am ountthearea is underfunded.
2. th e a m ountofManpower actually required to undertake jobs in the departments (meaning the amount ofpeople needed to provide a standard level of service which does not impinge on employees' lives and wellbeing).
3. th e am ountofManpower currently available indepartments.

Answer

The funds allocated to each area of Health and Social Services are shown in Appendix I.

It is difficult to respond in detail to the question without a comprehensive analysis of existing services and cost pressures. For this reason, the Minister welcomes the proposed Comprehensive Spending Review (CSR) which should serve to answer section (a) and also section (b) in part. In relation to section (c) the manpower allocation is shown in Appendix II.

Whilst the proposed CSR may identify areas requiring investment across the service, it is already evident that nursing requires urgent investment. This has been identified through the Nurse Staffing Review, undertaken over a 2 year period and covering 35 in-patient areas.

It is anticipated that there will be a phased programme of investment over the next 3 years. The total cost of this will be £3.2m and £1.8m has been identified for phase one of the programme which will begin in January 2010. Further work needs to be undertaken in some specialised areas and similar pieces of work are planned to enable a full understating of staffing requirements for other professional groups.

As of the beginning of October 2009, there were approximately 120 FTE vacant posts from a total workforce of 2437.

Appendix I

Net Expenditure - Service Analysis

2008 2009 2009 2009 Estimate Gross Income Net Revenue Revenue Expenditure

Expenditure

£ £ £ £

Public Health Services

893,700 Public Health Medicine 694,727 (3,041) 691,686 1,020,900 Clinical Public Health Services 969,208 (97,102) 872,106 1,206,000 Health Protection 1,323,951 (179,526) 1,144,424 1,194,300 Health Improvement 1,191,682 (22,531) 1,169,152 Medical Services

6,868,100 Medical Specialties 9,719,233 (690,100) 9,029,132 2,716,900 Paediatrics 3,642,458 (174,840) 3,467,619 1,594,300 Renal Services 1,602,975 (77,708) 1,525,267 1,511,600 Outpatient Services 1,672,143 (72,085) 1,600,058 7,188,500 Medical Ward s 7,996,081 (815,119) 7,180,962 3,319,100 Accident and Emergency 3,481,720 (459,916) 3,021,804 4,085,600 Assessment and Rehabilitation 3,424,824 (195,747) 3,229,077

for Older People

11,885,200 Continuing Care for Older People 16,749,242 (3,951,044) 12,798,198 7,926,100 Pathology 8,759,560 (355,070) 8,404,490 1,940,200 Pharmacy 2,173,654 (167,028) 2,006,625 4,041,200 Therapy Services 4,498,411 (86,590) 4,411,821

Surgical Services

14,597,800 Surgical Specialties 17,279,325 (299,072) 16,980,253 5,454,900 Obstetrics and Gynaecology 6,780,240 (337,648) 6,442,592 7,592,900 Theatres 8,783,491 (1,653,745) 7,129,746 10,821,800 Surgical Ward s 10,114,519 (1,234,443) 8,880,075 432,700 Private Patients Ward s 2,500,843 (2,007,178) 493,665 3,334,600 Physiotherapy 3,548,368 (164,241) 3,384,127

Radiology and Diagnostic

3,247,000 Imaging 4,612,624 (1,574,183) 3,038,441

Mental Health Services

1,330,300 Alcohol and Drugs Service 1,593,209 (392,651) 1,200,558 9,106,700 Adult Mental Health Service 10,587,788 (365,209) 10,222,579

Child and Adolescent Mental

927,400 Health Services 956,095 (13,922) 942,173 6,417,700 Elderly Mental Illness Services 7,163,354 (1,144,183) 6,019,172

Social Services

8,454,300 Children's Services 9,111,636 (213,682) 8,897,954 3,943,600 Adult Social Services 4,108,009 (83,077) 4,024,932 9,649,000 Special Needs Services 10,360,679 (291,145) 10,069,534

Ambulance Services

4,451,900 Ambulance 4,635,940 (52,316) 4,583,624 747,200 Patient Transport 749,939 (11,885) 738,053

£147,901,500 Net Revenue Expenditure £170,785,928 (£17,186,028) £153,599,900 Appendix II

Health and Social Services

Service Analysis - Fte

FTE count by Service Analysis category

Public Health Services

Public Health Medicine 4.00 Clinical Public Health Services 9.08 Health Protection 20.23 Health Improvement 12.33 45.64

Medical Services

Medical Specialties 50.79 Paediatrics 29.44 Renal Services 16.42 Outpatient Services 28.12 Medical Ward s 97.26 Accident and Emergency 39.96 Assessment and Rehabilitation for Older People 28.46 Continuing Care for Older People 71.06 Pathology 70.30 Pharmacy 30.40 Therapy Services 60.48 522.69

Surgical Services

Surgical Specialties 106.24 Obstetrics and Gynaecology 72.92 Theatres 113.70 Surgical Ward s 118.29 Private Patients Ward s 33.60 Physiotherapy 45.39 Radiology and Diagnostic Imaging 48.52 538.66

Mental Health Services

Alcohol and Drugs Service 13.50 Adult Mental Health Service 107.96 Child and Adolescent Mental Health Services 9.87 Elderly Mental Illness Services 117.85 249.18

Social Services

Children's Services 133.07 Adult Social Services 23.48 Special Needs Services 169.71 326.26

Ambulance Services

Ambulance 35.00 Patient Transport 12.05 47.05

Corporate Departments, Management and Support Posts Across H&SS 771.02 Total 2,500.50

Note - Corporate Departments, Management and Support Posts across H&SS includes Estates, Engineering, Maintenance and Hotel and Catering Services, etc., across all areas.