NHS Highland funding and budgets
The Scottish Government budget announcement in December 2023 presents challenges across the public sector.
The pressures of inflation, increasing need for services, pay, and other factors such as energy costs, are not matched by the funding provided.
Our planned forecast deficit for 2024-25 is £112.5 million: approximately 14% of our core allocation. Any deficit must be filled by brokerage (borrowing) from Scottish Government. Brokerage must be repaid, and has been capped at £28.4m for the year, leaving a £84.091m (circa 10%) reduction in spend needed. We need to take urgent action to meet this gap.
NHS Highland has provided Scottish Government with a financial plan that highlights the actions that would need to be taken to deliver this £84.091m through a combination of cost improvements and reductions.
We are developing our workstreams as part of our 3% efficiency improvements, which are a part of our ongoing cost improvement plans delivered year on year, under the headings of:
- whole system workstreams
- operational workstreams
- corporate workstreams
- digital workstreams
We will share more about these as they develop.
The remainder of the reductions will be made through a mixture of actions that will support the longer term sustainability of our services and the potential for service reductions which will require difficult decisions by both the Health Board and Scottish Government.
Service redesign
-
NHS Highland funding and budgets
The Scottish Government budget announcement in December 2023 presents challenges across the public sector.
-
Badenoch and Strathspey health and social care redesign
Service change in Badenoch and Strathspey.
-
Caithness health and social care redesign
Latest news on service change in Caithness, the Caithness Local Care Model, the business case, and design and build i...
-
Lochaber health and social care redesign
Lochaber service change, including the project for replacing Belford Hospital.
-
Maternity and neonatal service redesign
NHS Highland and NHS Grampian have joined forces to improve the provision of maternity care and better serve the need...
-
Skye, Lochalsh and Wester Ross health and social care redesign
Skye, Lochalsh and Wester Ross service change.
-
Sutherland health and social care redesign
Service change in Sutherland.
-
Previous projects
Past service redesign projects.