Our Resources

The financial outlook for the next three years is very challenging. The Integration Joint Board will have an outline budget of £58million for 2017/18, which will still require us to make significant efficiency savings. We are looking to find savings of 4% per year for three years – or about £7.5m.

In accordance with the Western Isles Integration Scheme, the IJB is required to approve a balanced budget on the basis of funding delegated by NHS Western Isles and Comhairle nan Eilean Siar (CnES). This has been a challenging process with both of the IJB’s parent bodies experiencing significant financial pressure. The IJB budget for 2017/18 is composed as follows: 

 

£m

Health Board (Community)

33,414

Local Authority

19,257

Health Board (Hospital Set-aside budget)

5,495

Total

58,166

Expenditure on People with Dementia

Dementia care is often wrapped up in wider service provision, so it is not always possible to identify the exact cost per capita. We estimate that approximately 3-5% of the IJB budget is spent on dementia specific services.

Resources in Support of the Strategy

The strategy will be delivered within the overall envelope of resource available to the IJB. There are specific commitments made in respect of non-delegated NHS services, which likewise will be managed within existing budgets. Much of the strategy is practice related, and will not necessarily entail a direct cost. Where training needs emerge, these costs will be managed within individual departmental spending limits. 

The wider service reforms outlined in the strategy may come with a cost and these will be worked-up in more detail ahead of their implementation. Some specific pieces of redesign work are in the process of being costed and resources have been identified in support of this: for example, £20,000 per year is supporting new diagnostic pathways within primary care; and £250,000 per year has been put against the potential double-running costs of moving away from a hospital based mental health service, which includes a dementia ward. Where actions within the strategy cannot be taken forward for financial reasons, these will be reported to the IJB.