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WQ.59/2019
WRITTEN QUESTION TO THE MINISTER FOR HEALTH AND SOCIAL SERVICES BY DEPUTY M.R. HIGGINS OF ST. HELIER
ANSWER TO BE TABLED ON TUESDAY 29th JANUARY 2019
Question
Will the Minister undertake a Pareto analysis' of the work of both the Health and Community Services parts of his department in order that members may understand –
- whether 20% of items (other than staffing) cost his department 80% of its non-staff budget and if so, what those items are; and
- whether his department spends 80% of its time addressing 20% of the matters which it works on and if so, what those matters are?
Answer
- Departmental expenditure can be aggregated at a number of levels. The table below shows a fairly high- level aggregation of non-pay expenditure and provides an interpretation of the "expenditure category". We have excluded "professional fees" as although these are technically "non-pay", they are spend on people rather than "things".
%
Expenditure Category % cumulative Comments
Purchase of Care 27% 27% On- and off-island mental health and social care packages; contracts for service with NGOs
Drugs 16% 43% Drugs prescribed by hospital and MH doctors and other registered professionals
Specialist off-island medical care purchased under contract eg
Health Care SLA 12% 55% Southampton, Oxford Radcliffe
Insurance 3% 58% Insurance premia
Health Care Non SLA 2% 60% Specialist off-island medical care purchased as required
Computer S/W Maint 2% 61% Software maintenance contracts
Healthcare equipment maintenance contracts eg operating theatres, HC Equip Mnt Con Comp 2% 63% X-ray machines
Rents 2% 65% Rents
Laboratory Supplies 2% 66% Laboratory supplies and consumables eg chemical reagents
Electricity 1% 68% Electricity
Dietary/Dietary Wastage 1% 69% Dietary supplies and other products
Other Medical
1% 70% Medical consumables eg sterile gloves, dressings, venous lines etc Consumables
Provisions - mainly for patients but also for sale to staff in the Provisions 1% 72%
restaurant
Charter flights to transfer very sick patients to UK specialist hospitals - Charter Flights Patients 1% 73%
includes medical team
Purchase of items of medical equipment costing less than £10,000 per Equipment Purchase 1% 74%
item
Professional development, mainly to maintain the registration of health Conference & Course Fees 1% 75%
and social care staff
Heating Oil 1% 76% Heating oil
Surgical Supplies 1% 77% Surgical consumables eg single use instruments, mesh for hernia repairs
etc
Laboratory Services 1% 78% Specialist laboratory services purchased from UK eg cervical cytology
Equipment maintenance costs not covered by contracts eg parts and Equipment Maintenance 1% 78%
spares
Payments to GHE (Fleet Management) for vehicles including
Vehicle Hire & Lease 1% 79%
ambulances
Air Fare Patients 1% 79% Cost of air fares for patients referred to the UK Hip Prostheses 1% 80% Purchase of hip prostheses
- The department does not analyse time spent in the way requested. The only functional analysis that relates work/time to cost is through PLICS (Person Level Information and Costing System). An analysis for 2016 has been completed and details for 2017 are expected shortly.