Health and Social Services Department
Ministerial Decision Report
revenue to capital transfers
- Purpose of Report
The purpose of this report is to request the Minister to approve the following year end Revenue to Capital transfers so that the budget can be re-allocated to the appropriate Head of Expenditure in accordance with the Jersey Financial Reporting Manual.
- Funding for Service Improvement
On 8th June 2012, the Treasury and Resources Minister made a formal decision MD-TR-2012-0044 in which he approved the allocation of additional funding of £1,758,000 to HSSD, in 2012, for service improvements and addressing development of Intermediate Care. This represented an increase in cash limit. As part of implementing service improvements (in line with White Paper initiatives), the following capital investments were included:
Children’s respite (£100,000)
Within the White Paper one of the Priority Service Changes is Services for Children, and in particular Early Intervention. Children’s Respite is included as one of the services:
“Respite services for children are under significant pressure. From 2012 there will be an increase in budget, in choice and in availability of respite for children, including those with special needs, and their families. This will increase further into 2013 and beyond.”
As part of this investment the planned redevelopment and refurbishment of Oakwell House, a home that provides children’s respite, is scheduled for 2013.
Purchase of Roseneath (£40,43650,000)
Following the closure of Roseneath in December 2011, there has been on going dialogue to secure the long term use of this facility, to remain in use for providing services to people who are homeless in Jersey. An agreement was reached between the States of Jersey (Jersey Property Holdings) and the Nemo Trust (who ran the original services at Roseneath) over the acquisition of the property. An amount equal to £40,436 50,000 is to be transferred to the HSSD Minor Capital Head of Expenditure Jersey Property Holdings to cover both the purchase price and acquisition costs of this facility. The resulting Fixed Asset for the Roseneath centre will subsequently be transferred to the Treasury and Resources Department (Jersey Property Holdings).
System to support the development of budgeting, information sharing and providing an outcome focused approach to delivering services to community based clients (£95,000)
Community and Social Services requires an IT system that will support the redesign of services outlined in the White Paper, in particular Enhanced and Integrated Older Adults Services:
“Many more patients and service users will have the choice of being cared for in their own homes, thereby reducing the need for admission to an (often high cost) care home and providing longer independent life.”
Community and Social services plans to implement additional functionality to existing software to:
• provide a core documentation system for multi-agency work across health and social care
• accurately estimate the resources required to meet social care needs for individual service users.
• enable registration, referral, assessment, care planning and activity recording for individual service users.
• provide individual and aggregated outcome analysis, benchmarking and routine management and clinical reporting
System to provide a comprehensive stock control, asset management and maintenance scheduling system to support the development of the Occupational Therapy reablement service (£40,000)
The investment in a Reablement Team is included in the White Paper as part of the development of Older Adults Services.
“In the early days following discharge from hospital, an individual will receive intensive input from support staff. They would be encouraged to care for themselves, thereby increasing independence and increasing the likelihood of being able to continue living in community rather than long term care.”
The implementation of this system will provide a comprehensive stock control, asset management and maintenance scheduling system to support the projected increased demand of an Occupational Therapy service, in the provision of loaned disability equipment for clients in their own homes.
In order to comply with accounting standards and budgeting procedures, these amounts totalling £128755,000436 need to be transferred to capital budgets.
- Order Communications Project (£
270181,202,000)
In 2011 HSSD implemented a new patient administration system, TrakCare and electronic patient records in the Maternity and Emergency departments. The Order Communications project builds on the success of these implementations and integrates the pathology and radiology results systems.
Order Communications allows clinicians to request pathology tests (blood tests, urine tests etc) and radiology tests electronically. The results can then be viewed and acknowledged electronically in TrakCare, further building up the 'one' view of the electronic patient record.
The project will also support White Paper initiatives, by providing the potential for electronic requesting and delivery of test results to GPs.
The reallocation between the revenue budget for the Order Comms Project (£270181,202,000) and the Capital Head of Expenditure for this project is necessary to allow the Health and Social Services department to follow the requirements of the States of Jersey Capital Accounting Manual.
- Bowel Cancer Screening Programme (£90,000)
The National Screening Committee has approved a one-off Flexible Sigmoidoscopy (Flexi-sig) at the age of 55 as a cost-effective bowel cancer screening intervention which is expected to reduce bowel cancer deaths by 40% over 10 years. Removal of adenomas (polyps) found during the procedure provides long term protection against bowel cancer. To commence this programme an investment in endoscopes is needed and a transfer of revenue budget to capital is therefore required.
The reallocation between the revenue budget for the Bowel Cancer Screening programme (£90,000) and the Capital Head of Expenditure for this project is necessary to allow the Health and Social Services department to follow the requirements of the States of Jersey Capital Accounting Manual.
- Recommendation
It is recommended that the Minister approves the transfers totalling £595446,638,000 from the Department’s revenue head of expenditure to the Department’s minor capital head of expenditure.
It is recommended that the Minister approves the transfer of the Fixed Asset for the Roseneath centre to the Treasury and Resources Department (Jersey Property Holdings).transfer of £450,000436 from the Department’s revenue budget to Treasury and Resources (Jersey Property Holdings) capital budget to allocate funding for the purchase of the Roseneath centre.
- Reason for Decision
The reallocation of revenue budget between the Revenue Head of Expenditure and the Capital Head of Expenditure is necessary to allow the Health and Social Services department to follow the requirements of the States of Jersey Financial Reporting Manual and Capital Accounting Manual.
Article 2(6) of the Public Finances (Transitional Arrangements) (Jersey) Order 2011 states that all or any part of the amount appropriated by a head of expenditure may, with the approval of the Minister for Treasury and Resources, be used for the purposes of another head of expenditure.
Article 15(1)(a) of the Public Finances (Jersey) Law 2005 states that all or any part of the amount appropriated by a head of expenditure may, with the approval of the Minister for Treasury and Resources, be used for the purposes of another head of expenditure.
Section 5.1 of Financial Direction 3.6 also states that Departments wanting to transfer funds between heads of expenditure must obtain the approval of their minister or of their accounting officer where a scheme of delegation exists.
- Resource Implications
Health & Social Services Department’s revenue cash limit will reduce by £635446,638,436 £645,000 and the capital head of expenditure in Health & Social Services Department will increase by £595446,638,000.
The revenue cash limit of the Treasury and Resources Department (Jersey Property Holdings) will increase by £40,436 £50,000
30th November 2012
gov.je