Government Plan 2022-2025 Scrutiny Review (Health and Social Security Scrutiny Panel) (S.R.19/2021): Joint Response of the Minister for Health and Social Services and the Minister for Social Security

Findings

Comments

1

No review of the Social Security Fund, or  social  security  schemes,  has  been undertaken in 2021. This had been a commitment  from  the  previous Government Plan. An actuarial review of  the  Social  Security  Fund  will  be undertaken in 2022.

It  was  agreed  during  2021  that  the States Grant would be reinstated at its formula value from 2024. Together with increases in investment value, this ensures that the Social Security Fund has a healthy long-term position.

An actuarial review of the Fund will take place in 2022.

2

It  has  been  proposed  that  the  States Grant from the Consolidated Fund is not paid to the Social Security Fund in 2022 and 2023. It is proposed that the Social  Security  (Reserve)  Fund  will transfer  £81,255  million  in  2022  to support ongoing payment of pensions and benefits.

Noted

3

If the Government Plan is adopted as proposed, and the draft Regulations are subsequently  approved  by  the  States Assembly,  the  estimated  balance  of

Note that Page 171 of the Government Plan identifies that the balance across both funds will be £2.497 billion at the end of 2025.

Findings

Comments

both the Social Security Fund and the Social Security (Reserve) Fund at the end of 2024 would total £2.497 million.

4

Based on the latest fund valuations and changes to the States Grant, an actuarial estimate  has  shown  that  the  Social Security  (Reserve)  would  have  the equivalent  of  4  years'  worth  of expenditure  in  50  years'  time. Estimates  have  been  based  on population  assumptions  and  it  is anticipated that future decisions about Jersey's  population  will  affect  the balance of the fund.

See KF 1.

5

The value of the Health Insurance Fund is  estimated  to  reduce  to  £47.590 million  by  the  end  of  2025.  This represents  approximately  one  years' worth of expenditure.

Noted

6

In  2020,  Ministers  committed  to undertake  the  review  of  sustainable funding  for  the  Jersey  Care  Model before  the  next  Government  Plan debate  in  2022.  This  has  not  been undertaken.

Due to competing demands on limited resources, it was not possible to make significant progress on this project in 2021. This project has been prioritised for  2022  and  resources  and  funding have been ring fenced for this work.

7

Estimates of the Long-Term Care fund balances  have  improved  since  the previous  Government  Plan.  This  is because  income  receipts  have  been higher than expected.

Noted

8

The  Minister  for  Health  and  Social Services has been asked to make a total of £6.25 million of efficiencies in 2022.

Noted

9

The  Minister  for  Social  Security  has been asked to make a total of £575,000 worth of efficiency savings in 2022.

Noted

10

All  aspects  of  the  Preventable Diseases' project budget – which is split between HCS, CYPES and SPPP - are underspent  in  2021.  Activity  was expected to increase towards the end of the year and into 2022.

The  HCS  underspend  relates predominantly to delays in recruitment. Outstanding  posts  are  scheduled  to commence  in  early  2022.  Non-staff costs associated with the posts will also increase as we progress through 2022.

Findings

Comments

11

There  have  been  delays  to  the establishment of the Jersey Care Model (JCM)  Independent  Oversight  Board, however, appointments are expected to complete in November 2021 with the first meeting anticipated in December 2021.

The  Chair  of  the  Independent Oversight Board has been appointed. The interviews for the member posts will be scheduled for February 2022. The first board meeting is expected in March 2022.

12

The budget for Mental Health Services programmes under GP20-CSP2-2-02 in 2022 is £4.1 million. This budget was allocated to the programme in 2019,

pre the Covid-19 pandemic.

Accepted and correct for 2022

13

Clarification  is  required  from  the Department about the inclusion of the Mental Health Legislation' budget in the  breakdown  of  spend  for  GP20- CSP2-2-02.

Mental  health  funding  recurrently  is circa  £4M  annually,  which  includes Mental Health Legislation.

14

The  Mental  Health  Legislation'  has forecast  an  underspend  of approximately £52,000 in 2021.

Correct at the point in year reported. Actual annual underspend was £84k. This primarily relates to slippage non- recurrently  for  the  recruitment  to  a Capacity & Liberty Assessor/Trainer.

15

The  programmes  for  Digital  Health and Care Strategy', the Digital Care Strategy  (Major  Project)'  and  the Jersey Care Model – Digital Systems' are  being  operationally  managed together by Modernisation and Digital but are separated for the purposes of funding in the Government Plan. The overlap and combined management of these programmes makes it difficult to analyse progress against the separately funded projects.

The costs of the health-related digital projects  funded  from  the  HIF  are accounted for separately. The transfer of monies out of the HIF is only made when  the  planned  work  has  been completed.

16

The  funding  under  Health  P82 reinstate  2019  new  and  recurring'  is used  for  support  services  that  are already in place, but which are not built into  base  budgets.  This  funding  has been  used  for  keyworker accommodation,  mental  health  nurse

Agreed  along  with  other  initiatives where  required  and  inflationary increases recurrently.

Findings

Comments

training, and establishing pathways for diabetes care and end-of life care.

17

Further  clarity  is  required  on  the changes to the funding and impact on the  transformation  projects  for  the Maintaining  Health  and  Community Care standards' programme.

As per analysis GP2022

18

The  funding  requested  for  the Regulation of Care' project in 2022- 2025 is intended to fund a shortfall from the  non-receipt  of  income  that  was budgeted  to  be  received  through  the regulation of care legislation in 2018. It is a continuation of what was approved in last year's Government Plan.

Noted

19

An  efficiency  saving  of  £60,000  has been identified from the Compensation for  Mesothelioma'  scheme  due  to  a current  low  demand  for  the  scheme, however, assurance has been given that there is sufficient funding to support this  benefit,  should  claimants  come forward in 2022.

Noted

20

Work on the Financial Independence in Old Age' project will resume in 2021 and the outcome of the scoping work would be published by the end of the year.

The  Social  Security  Minister  agreed with the HSS Panel at the end of last year  that  the  independent  global pensions experts D3P will finish and publish their report in January 2022, and that officers will brief the Scrutiny Panel on the report.

21

The Community Costs Bonus (formerly the  Food  Costs  Bonus)  has  been budgeted as £340,000 per year in the Proposed Government Plan 2022-2025, this has been confirmed as an error, as the  budget  anticipated  for  2022  in P95/2020 was £361,000.

Noted

22

Customer  and  Local  Services  has confirmed that the forecast spend for the Community Costs Bonus in 2022 is £308,000,  which  is  lower  than  the budgeted £340,000.

Noted

Findings

Comments

23

There were 1,190 total claims of the Single  Parent  Component  benefit  in 2021.

Noted

24

The  value  of  the  Single  Parent Component would not increase in 2022 and would remain at £40.39 per week.

Noted

25

The Care Needs at Home' project has been  delayed.  This  is  due  to  the pandemic and the complex needs of the individuals involved in the scheme.

Noted

26

The Disability Social Inclusion Project is  making  progress,  and  a  Disability Strategy  survey  was  undertaken  in August 2021.

Noted

27

The  budget  for  Covid-19  Income Support  Costs  for  2022  is  £672,000 (reduced  from  £5,249  million  in  the previous Government Plan). There is no specific  provision  in  the  Covid-19 Reserve  for  Income  Support  costs, should this be required.

Noted

28

Health  Services  Improvements  is  the capital  programme  of  upgrade  works that are necessary to keep the current hospital  operating  in  a  compliant manner that ensures patient safety and protects  service  delivery  until  a  new hospital  is  delivered.  Previous Government  Plans  have  allocated  £5 million  per  year  to  the  rolling programme of works, however, in this proposed  Government  Plan  the  2024 budget has been reduced to £2 million, in  anticipation  that  the  Our  Hospital Project is on track.

If the Our Hospital Project remains on programme, the budget can be reduced due to the existing site having only 12 months operational life remaining. The reduction in budget came from central cost efficiencies to meet budget setting. If delay in the OHP exceeds 12 months, additional monies will be required.

29

£1.5 million of the £2 million budget for the Learning Difficulties' project was forecast to be spent in 2021, and there would be a request for £500,000 to be transferred to 2022.

Remaining £500k is to complete the detailed  design  of  a  replacement Aviemore House facility and convert Klondyke,  a  bespoke  facility  for learning disabilities service. The 2022 budget is for the construction of the new Aviemore'.

Findings

Comments

30

The project for JCM – digital systems' is  being  managed  centrally  by Modernisation  and  Digital  and, operationally, it is being managed with the Digital Care Strategy' and Digital Health and Care Strategy' projects.

The 2022 Digital Health portfolio of projects consists of two Programmes that  are  identified  separately  in  the Government  Plan.   The  first  is  the "Digital  Care  Strategy",  which includes projects primarily focused on services  within  the  hospital,  such  as Electronic Patient Records which is the replacement of the TrakCare system, and  implementation  of  a  Vendor Neutral Archive to support the storage and sharing of medical images. The second  is  the "Jersey  Care  Model  – Digital  Systems"  which  includes projects  outside  of  the  hospital including the Jersey Care Record and Teleguidance.

31

Work to progress the JCM – Digital Systems' project has been delayed in 2021, due to prioritisation of resources for other projects in the digital health team.

Reprioritisation  of  the  Jersey  Care Model  –  Digital  Systems  project  in 2021 was agreed with HCS and as part of a cross-government request to defer some  projects  /  costs  from  2021  to 2022.

32

The Digital Care Strategy was delayed in 2020 and 2021 due to Covid and other workstream priorities. Of the £3.4 million budget in 2021, £988,092 has been  spent.  A  request  has  been submitted  to  move  the  underspent budget to 2022.

The  States  Assembly  approved P.102/2021 in December 2021.

This  creates  legislation  to  allow  the Social  Security  Minister  to  make  a transfer of up to £13 million in 2022 and separately to make transfers during 2022 in respect of monies previously agreed to be transferred in 2021.

At the end of 2021, Ministers agreed to finalise  the  costings  for  the  2021 projects for the whole of 2021 and to make a transfer to this exact figure in early 2022. This process is underway and will also meet the requirements of Amend 15 of the Government Plan, as lodged by the Panel:

"The Minister for Health and Social Services will annually publish a report, which will also be presented in advance to  the  Health  and  Social  Security Scrutiny  Panel,  to  detail  the

Findings

Comments

information provided to the Minister for Social Security relating to the costs incurred on the Jersey Care Model that require  a  transfer  of  funds  from  the HIF;

The Minister for Social Security will publish a report, within 2 weeks of any transfer,  to  detail  how  any  funds transferred  out  of  the  HIF  for  the purposes  of  the  JCM  or  its  related digital  strategies  costs  have  been verified;"

HCS – The majority of the spend at this stage of the Digital Care Strategy is in the Electronic Patient Records project. This  was  in  the  selection  and procurement  stage  in  2021  so  the implementation  costs  that  were originally  forecast  in  2019  were  not incurred.   The  supplier  of  the  new system has been onboarded and we are now  working  towards  contractual payment milestones in 2022. We are waiting  confirmation  of  the  carry forward  request  for  unspent  2021 budget.

33

The  mid-year  review  has  stated  that there  has  been  progress  on  the InPatient / Support Services' project, however,  the  update  provided  to  the Panel conversely advises that there has been no spend or commitment in 2021.

Due  to  the  pandemic  impacting  on improvement work to inpatient areas, a transfer  request  has  been  lodged  to move the required funding into 2022. The Estates teams are working on a hospital-wide improvement plan which would  see  this  bid  utilised  in-year. Awaiting  confirmation  from  finance that  the  transfer  of  funds  has  been approved.

34

The  replacement  to  the  Benefits  and Payments system is being funded by the Social  Security  Fund.  The  proposed budget for 2024 has been reduced by £1 million.

Noted

35

£646,000 per annum will be used to fund  2  additional  consultant  posts in Obstetric and Gynaecological Services. This will provide consultant cover on

£646,000 per annum will support the delivery  of  consultant-led  care following a medical model review. The funding includes provision for 2 new

Findings

Comments

the labour ward 24/7 and will ensure that  the  best  practice  guidance  in relation to safety is met.

consultant  posts,  and  additional programmed  activities  for  existing consultants, in addition to an increase in medical secretaries to support this establishment.  The  medical complement as a result will include in totality  7  consultant  obstetrician gynaecologists  and  6  middle-grade doctors.

This will provide consultant cover on the labour ward 24/7 and will ensure that  the  best  practice  guidance  in relation to safety is met.

36

£2 million has been spent on the Covid- 19 vaccine booster programme in 2021. This has been funded by an underspend of  the  £5.4  million  budget  that  was approved  last  year  for  the  Covid-19 vaccine programme in 2021.

On 17 November 2021 a forecast of project  finances  concluded  that  a supplementary  business  case  for boosters  is  not  required  and  the Government  plan  budget  of  £5.4 million was sufficient to fund primary doses  and  boosters  during  the  year. This decision was approved by Head of Finance Business Partnering HCS.

37

In  2022,  £4.1  million  funding  is ringfenced  for  the  Covid-19 vaccination programme and a further £2.585 million has been provided for in the General Reserve.

The business case of £6.688 million for COVID  vaccination  in  2022  was submitted  and  approved  in  the Government Plan passed by the States Assembly in December 2021. Due to numerous assumptions in the business case, it was agreed with Treasury to divide  the  application  into  certain' costs  (£4.1  million)  and  potential' costs (£2.585 million).

38

Screening  programmes  have  been impacted by the pandemic and there is now a backlog of patients on waiting lists.  No  backlog  is  reported  for Cervical screening, but there is concern that  insufficient  people  have  come forward.  There  is  a  delay  for  bowel screening,  patients  who  should  have been seen in 2020 would be screened by November 2021 and then the 2021 and

Minister for Social Security: Cervical screening is provided through GPs and HCS. A publicity campaign has run in January 2022.

Minister  for  Health  and  Social Services:  Diabetic  retinal  screening and cervical screening are both up to date. Currently, there is a large health promotion  campaign  running  to increase  the  uptake  of  cervical screening.  We  are  working  with

Findings

Comments

2022  cohorts  would  be  seen  during 2022. Breast screening was reported to be one year behind schedule.

Diabetes Jersey to decrease the DNA rate within  diabetic  retinal  screening programme.

Breast  screening  remains  12  months behind  schedule,  but  new  timetables and additional clinics are being planned to increase clinical capacity.

Faecal Immunochemical Testing (FIT) for  bowel  screening  started  in November 2021 and tests are sent out daily.  Modernisation  &  Digital  has started a significant project to automate the FIT testing process which, when operational, will allow more patients to be screened with less risk.

39

The Island has a 45-day pandemic stock of  Personal  Protective  Equipment (PPE).  The  Government  will  not continue  to  provide  PPE  to  all healthcare  venues  in  the  long-term, however,  notice  has  been  given  to providers that this will change.

Correct.  The  45-day  stock  is  under review to ensure it is effective for the needs of 2022 and beyond. Withdrawal of  free  provision  of  PPE  to  non- Government  of  Jersey  organisations will begin in Q2 2022. The use and size of pandemic stocks will be reviewed quarterly  to  ensure  appropriate contingency and cost effectiveness.

40

The Island's PPE stocks are split across 3 storage sites, and use 8,000 sq. ft of storage space. There is a further 8,000 sq. ft used to store equipment from the decommissioned Nightingale Hospital.

Correct. This will reduce as the 45-day stock is reviewed and unusable items and equipment are disposed of. Work is ongoing  to  reduce  the  quantity  of Nightingale  equipment  to  an appropriate level so that storage costs can be rationalised in line with current and future demand.

41

A  Political  Oversight  Group  for  the Health and Social Recovery Fund was established in September 2021.

Correct

42

The initial projects of the Health and Social Recovery Fund will include a Long  Covid  response,  Early  Years project, and funding for Children and Young People's Education and Health. There  are  further  projects  in  the pipeline,  including  for  Children's Dental Health.

A Long Covid clinic was established in December 2021. HCS has contracted a suitably qualified GP to support this work.

A  planned  and  co-ordinated programme that will support children and  families  in  the  early  years  will address:

Findings

Comments

• The  impact  of  Covid  on children's  lost  learning  and development

• Parents'  anxiety  and  social isolation

• Support  for  the  workforce through joint initiatives

This brings together core services for families in an accessible and integrated

way.

Recruitment is underway to appoint a Best  Start  co-ordinator,  purchase  an app called 50 things to do before you are 5' and the implementation of the CPD  programme  is  underway  with Highlands  College  and  other stakeholders.

The Oral Health Strategy is nearing its final  draft.  Included  are recommendations  to  improve children's  oral  care  provision  and reduce inequalities in accessing dental care.

43

The Children's Health Recovery Plan will  provide  investment  to  establish services including: a Home Treatment and  Liaison  Team,  Perinatal  mental health,  Neurodevelopmental  service, Child to Adult Mental Health transition pathway,  and  specialist  medical capacity.  Funding  is  proposed  in  the sum of £2 million in 2022 and increases to £3.8 million for the remaining years of the Government Plan.

Governance arrangements are currently being agreed to ensure fluidity between the CYPES CAMHS business case and the associated changes required under the HCS Children's Health Recovery Plan.  Year  1  of  this  plan  2022  will result in a new perinatal mental health team, signed off arrangements for the neurodevelopmental service and some increased therapy capacity, increased medical support and a new model of crisis/outreach care.

44

£500,000  has  been  set  aside  as provisional  funding  for  the  Covid-19 Helpline in 2022.

Correct

45

A  provisional  £20  million  has  been provided for in respect of the Covid-19 Test  and  Trace  Programme  and Technology in 2022.

Correct

46

The Proposed Government Plan 2022- 2025  details  a  broadly  consistent expenditure  on  replacement  assets

A review will be conducted into the lifespan of current capital assets across HCS  to  balance  the  end  of

Findings

Comments

across  the  4-year  term  of  the  plan, however, the information provided by the  Department  (of  the  value  of equipment  requiring  replacement) details a higher funding requirement in 2024 than is currently provided for.

life/replacement  windows  where possible.  This  work  will  be  done  in conjunction  with  the  equipment purchase planning for the Our Hospital Project,  with  cross-over  efficiencies capitalised on wherever possible.

47

The  Crematorium  facility  in  Jersey requires  replacement,  irrespective  of the  new  hospital  at  Overdale.  An estimate of £5 million across 2024 – 2025 has been budgeted to review and relocate this service for the Island.

MH&SS.  Initial  scoping  work  has commenced with GoJ procurement for a possible design and build option for what is a specialist technical build. A new site will need to be identified for a new Crematorium, but it is not planned to  build  on  or  move  the  existing facility,  including  the  Rose  Garden which will be maintained.

Recommendations

To

Accept/ Reject

Comments

Target date of action/ completion

1

The  Minister  for  Social Security  must  keep  the Health  and  Social Security  Panel  informed of  the  progress  of  the actuarial  review  of  the Social Security Funds in 2022.

MSS

Accept

The  Panel  will  be  kept  informed  of progress

Q4 2022

2

The  Minister  for  Social Security should publish a report, within 2 weeks of any transfer, to detail how any funds transferred out of  the  Health  Insurance Fund for the purposes of the Jersey Care Model or its  related  digital strategies costs have been verified.

MSS

Accept

The Minister will publish a report in line with  Amendment  15  to  the  GP  as approved  by  the  States  Assembly  in December  2021,  which  included  the following commitment:

"The Minister for Social Security will publish a report, within 2 weeks of any transfer,  to  detail  how  any  funds transferred  out  of  the  HIF  for  the purposes of the JCM or its related digital strategies costs have been verified"

Q1 2022

3

The Minister for Health and  Social  Services should annually publish a

MH SS

Accept

An  annual  report  will  be  provided annually. The first report was presented

Q1 each year

Recommendations

To

Accept/ Reject

Comments

Target date of action/ completion

report, which will also be presented  in  advance  to the  Health  and  Social Security  Scrutiny  Panel, to detail the information provided to the Minister for  Social  Security relating  to  the  costs incurred  on  the  Jersey Care Model that require a transfer of funds from the Health Insurance Fund.

to the Minister for Social Security in Q1 2022.

2022- 2025

4

The  Minister  for  Social Security should prioritise an actuarial review of the Health Insurance Fund in 2022. This should include specific  analysis  of  the use  of  the  HIF  for  the purposes  of  the  Jersey Care  Model  and  its related digital strategies, consideration  of  the impact of all withdrawals on the fund since 2020, and consider the future of the  HIF,  should withdrawals take place as per  envisaged  by P.130/2020.

MSS

Accept

The Minister will undertake an actuarial review of the HIF in 2022. This will include  the  impact  of  all  planned withdrawals from the Fund and consider the  future  of  the  HIF  over  a  25-year period.

It is beyond the scope of an actuarial review  to  consider  the  way  in  which funds  transferred  to  support  the development  of  the  JCM  are  utilised within the JCM programme

Q4 2022

5

As  part  of  the  wider review  of  sustainable healthcare  funding  the Council  of  Ministers should  specifically consider  repaying  the HIF  (from  the Consolidated  Fund)  for funding  withdrawn  for the establishment of the Jersey Care Model and its related digital strategies if no sustainable healthcare

CO M

Accept

In December 2021, the States Assembly agreed amendment 15 of the GP which states:

"As  part  of  the  wider  review  of sustainable  healthcare  funding  to  be undertaken  in  2022,  there  will  be  a specific  consideration  to  repaying  the HIF (from the Consolidated Fund) for funding withdrawn for the establishment of the Jersey Care Model and its related digital  strategies  if  no  sustainable healthcare  funding  is  operational  by 2025."

Q1 2025

Recommendations

To

Accept/ Reject

Comments

Target date of action/ completion

funding is operational by 2025.

The Council of Ministers will  honour this commitment.

6

The Minister for Health and  Social  Services should  ensure  that  a detailed breakdown of the funding  for  Digital Health and Care Strategy' for  2022  is  provided  to the  Health  and  Social Services Scrutiny Panel.

MH SS

Accept

The portfolio of projects for 2022 is due to be agreed with HCS by the end of January 2022.

Q1 2022

7

The Minister for Health and  Social  Services should provide the Panel with further details about the impact of a proposed reduction  in  funding  to Health  Service Improvements'  in  2024, including  the  mitigating measures that will be put in place to ensure patient and  staff  safety  is maintained  despite  the reduction in budget.

MH SS

Accept

The MHSS will provide further details on the impact of a proposed reduction in funding  to  Health  Service Improvements'  in  2024,  including  the mitigating measures that will be put in place to ensure patient and staff safety is maintained  despite  the  reduction  in budget.

Q4 2023

8

The Minister for Health and Social Services must provide  the  Panel  with the  outcome  of  the feasibility work in respect of  the  Learning Difficulties  project,  as soon  as  it  is  complete, and  detailed  plans  for alternative accommodation.

MH SS

Accept

The MHSS will provide the Panel with the outcome of the feasibility work in respect  of  the  Learning  Difficulties project, as soon as it is complete, and detailed  plans  for  alternative accommodation.

Q4 2022

9

As  per  the  Panel's amendment to P.90/2021 (Amd  15),  the  digital health  team  within Modernisation  and Digital should establish a protected,  separately

MH SS

Accept

M&D  has  put  in  place  a  separately resourced team to focus on the Digital Health portfolio across both Government Plan projects. A Portfolio Board has been established and regular reporting is being  put  in  place  to  both  the independent JCS Programme Board and

Q1 2022

Recommendations

To

Accept/ Reject

Comments

Target date of action/ completion

resourced sub-team (that includes a Manager grade role), to focus solely on the delivery of the Jersey Care  Model  digital systems, and the Digital Care  Strategy.  Regular updates  on  these workstreams  should  be reported  on  to  the independent  JCM Programme board and the Health  and  Social Security Scrutiny Panel.

the Health and Social Security Scrutiny Panel. M&D will work with HCS to understand the timing of these bodies and agree the schedule of the reports.

10

The Minister for Health and Social Services must provide the Panel with an update on the status of the In-Patient  /  Support Services Refurbishments'  project, including  clarity  on whether  the  budget  of £1.044 million from 2021 will  be  transferred  to 2022 and / or 2023.

MH SS

Accept

An update on the status of the In-Patient /  Support  Services  Refurbishments' project, including clarity on whether the budget of £1.044 million from 2021 will be transferred to 2022 and / or 2023 will be provided.

Budget transfer has been requested.

Q4 2022

11

The Minister for Health and Social Services must update the Panel on the Maternity  Workforce Strategy  when  this  is available in 2022.

MH SS

Accept

The  workforce  strategy  is  in  progress and on target for completion for April 2022.

Q2 2022

12

The Minister for Health and Social Services must keep the Panel informed of  any  significant changes to the Covid-19 vaccination  programme, particularly  any developments  that  will have a significant impact on, or add pressure to, the project's budget.

MH SS

Accept

Weekly  financial  forecast  from  the programme  will  continue  to  be distributed. COVID Vaccination Team join  monthly  reconciliation  meetings with their Finance Business Partner.

Q1 2022

Recommendations

To

Accept/ Reject

Comments

Target date of action/ completion

13

The  Panel  requests regular  updates  on  the Covid-19 Health Service Recovery'  project, particularly  in  line  of waiting list updates, work with  GPs  and  staff  / overtime updates.

MH SS

Accept

Updates  are  provided  through  weekly PTL reports and care group performance reviews held on a monthly basis. As a standing  agenda  item,  updates  on  the Covid recovery schemes will be reported on a monthly basis at the HCS Operating Committee meeting.

Q4 2022

14

There should be regular reporting on each project within  the  Health  and Social Recovery Fund, to each  of  the  relevant scrutiny  panels  during 2022 and 2023.

CM

Accept

Progress reporting for Health and Social Recovery programmes will be through existing Department and CPMO process. The  Political  Oversight  Group  will review progress, successes and, where necessary, review and support solutions to  any  challenges.  However, coordination of Scrutiny briefings will be through the POG and the lead officer in SPPP will liaise with scrutiny officers.

15

The Minister for Health and Social Services must provide  the  Panel  with further  detail  about  the proposed budget for the capital  expenditure  on replacement assets.

MH SS

Accept

Further detail will be provided.

Q4 2022