Tag: budget challenges

NHS Lothian: Veterans First Point service to be closed down

NHS Lothian has taken the difficult decision to withdraw joint funding from a service that provides support to veterans in Lothian, following a stark financial review.

The health board has told Veterans First Point Lothian staff and patients that it can no longer provide its share – £214,778 – of the total budget required, to maintain the service amid the significant financial challenge facing health boards.

Veterans First Point Lothian was jointly funded by Scottish Government and NHS Lothian as a “one-stop shop” offering support, advice and mental health care for veterans. It is a multi-award-winning service that has provided support to over 2500 different veterans throughout the last 15 years.

By April 2025, the service will cease to exist in its current form and a significant redesign and move of premises is planned by March 2025.

It comes as NHS Lothian is forced to review all services and departments in a bid to make efficiency savings of seven per cent following the budget allocation made earlier this year.

Further reductions in part of the mental health budget of 4.6 per cent means that the health board can no longer continue to find its share of this service.

Tracey McKigen, Director of Royal Edinburgh Hospital and Associated Services, NHS Lothian, said: “This has been a really difficult decision and we apologise to all of our patients and staff who are affected. We would like to thank the team for their dedication and commitment to supporting our veterans over the years.

“This is no reflection on the quality of the Veterans First Point Lothian service, but it does serve as a stark reminder of the extremely difficult choices that we are facing every day as we balance the need to provide safe and effective healthcare while meeting the severe financial challenges facing health board and other public sector organisations.”

Scottish Government will allocate its 40 per cent share of the funding and NHS Lothian is currently reviewing the future service provision possible within the remaining budget.

However it does mean that Veterans First Point Lothian will no longer be able to accept new referrals or commence any new episodes of treatment. Veterans, who are impacted by the change, are urged to contact the team to discuss alternative support.

If veterans feel they need help or support and are not already part of Veterans First Point Lothian, they should contact their GP during the day, and at evenings and weekends they should contact NHS 24 on 111.

Education: COSLA seeks urgent talks with Scottish Government following emergency meeting

A COSLA Spokesperson said: “Following an emergency meeting of Leaders today (Friday) Council Leaders have agreed that COSLA approach the Scottish Government seeking urgent further discussions around their expectations for education. There was agreement that Scottish Government expectations cannot be met unless additional necessary resources are provided.

“Council Leaders re-emphasised their great disappointment with the approach taken by Scottish Government on this matter which is neither in the spirit of partnership working nor recognises councils’ legitimate authority to make decisions on the services they deliver on behalf of their local communities.”

“A mandate has been provided to open discussions to consider how the government’s priorities might be delivered, including considerations on the flexibilities and the overall quantum of funding in the Local Government settlement and establish a shared understanding of the best path forward, to achieve our shared objective of closing the attainment gap and maintaining other vital local services.”

“Leaders remain committed to improving attainment and closing the poverty related attainment gap and achieving the best outcomes possible for all young people. Local Government has made good progress in the last few years and have seen the biggest ever decrease in the gap. 

Leaders acknowledge this is down to the partnership working between local and central government pulling together for a shared outcome, which always provides the best opportunity to achieve our ambitions in difficult circumstances.”

The Salaries Committee of the EIS has highlighted that the First Minister has it within her power to bring an end to the current dispute over teacher pay.

This follows a question at First Minister’s Questions in Parliament, where the First Minister said that she “very much hoped” that a resolution to the pay dispute could be reached “soon”.

Commenting following a meeting of the EIS Salaries Committee on Thursday afternoon, where the ongoing dispute over pay dominated the agenda, EIS Salaries Convener Des Morris said, “While the EIS Salaries Committee very much shares the First Minister’s ‘hope’ that a resolution to the pay dispute can be reached ‘soon’, we would also point out that the ability to settle the dispute is very much within the First Minister’s power.

“The only thing that will settle this dispute is an improved offer to Scotland’s teachers, one that is both fair and affordable to them, which will involve additional new money from the Scottish Government.

“This is what was done to settle disputes with other local government workers. It is the First Minister who has ultimate control over the purse strings so, if she wishes this dispute to be settled soon, the First Minister should authorise the Cabinet Secretary and her officials to release the comparatively modest additional funding needed to end this dispute.”

Mr Morris continued, “The truth is, that little or no progress has been made towards an agreement for several months. There are currently no further pay negotiations scheduled within the Scottish Negotiating Committee for Teachers (SNCT).

“Negotiating meetings through the SNCT have become profoundly frustrating affairs, as Scottish Government negotiators are coming into talks with their hands effectively tied and with no additional money to offer. We have been extremely clear that the current 5% offer on the table – which was itself simply a repackaging of a previously rejected 5% offer – will not be accepted by Scotland’s teachers.

“We have now rejected sub-inflationary 5% offers twice, and underlined this rejection through three days of strike action by most EIS members, so only a fresh offer which is good enough to put to our members for consideration can hope to halt strike action in our schools.”

Mr Morris added, “As ever, the EIS remains ready and willing to re-enter discussions with the Scottish Government and Scottish local authorities to discuss a new pay offer for teachers.

“We are not, however, willing to continue discussing the same offer that has now been rejected by teachers twice. The Scottish Government and COSLA must come up with an improved offer to allow pay discussions to progress towards an agreement that genuinely reflects both the soaring cost of living and the value of Scotland’s teachers.”

Institute for Fiscal Studies: Scottish Government faces major medium- and long-term budget challenges

New analysis by IFS researchers shows the stark funding challenges facing the Scottish Government, and the public services it is responsible for, over the next five years and beyond.

In the next two financial years, the budget for day-to-day non-benefit spending looks very tight:

  • After taking account of in-year funding top-ups this financial year, which under current plans will not be available in 2023–24, funding will fall by 1.6% in real terms in 2023–24 compared with this year. Even after adjusting for major one-off costs this year, such as council tax rebates, the reduction will still be 0.8%.
  • Official projections imply that funding will fall by a further 1.6% in real terms in 2024–25, and then grow only modestly over the next three years. This means that funding is set to be almost 2% lower in 2027–28 than in 2022–23.

Such cuts would imply difficult trade-offs for the Scottish Government. Increasing spending on health to meet rising costs and demand, and boosting spending on net zero policies could require cuts of around 13% to other public service spending between 2023 and 2027.

These are among the key findings of two pre-released chapters from the inaugural IFS Scottish Budget Report, focusing on the Scottish Government’s funding outlook and devolved income tax revenue performance. Other key findings include:

Medium-term outlook

  • The baseline projections above rely on Scottish Fiscal Commission (SFC) forecasts of a significant improvement in income tax revenues. This largely reflects faster expected growth in Scotland’s underlying income tax base relative to the rest of the UK, rather than the effects of tax rises announced in the Scottish Budget last month. If this faster growth doesn’t materialise, then the Scottish Government’s choices would be harder still, with funding for non-benefits spending in 2027–28 still 5% below 2022–23 levels.
  • The faster growth in Scotland’s tax base forecast for the next few years follows a period during which the tax base has grown more slowly than in the rest of the UK. Because of this, SFC forecasts imply that even by 2026–27, almost one-third of the yield from Scotland’s higher income tax rates will be offset by slower tax base growth since the devolution of income tax in 2016–17. This would still be a substantial improvement from this financial year though, for which the SFC estimates that revenues from Scotland’s income tax policy changes since devolution will be more than fully offset by slower underlying growth in the tax base.

Long-term outlook

  • While the Barnett formula used by the UK government to allocate funding is often thought to benefit Scotland, in the long term it is likely to lead to relatively smaller increases in funding for Scotland than for England. The speed of this ‘Barnett squeeze’ depends on the rate of growth in spending in England (both real-terms growth and that which merely offsets inflation), and the rate of population growth in Scotland relative to England.
  • Using long-term projections for inflation and GDP growth from the Office for Budget Responsibility, assuming public spending is held constant as a share of GDP, and taking into account population projections from the Office for National Statistics, we project Scottish Government funding per person would increase by an average of 1.2% per year in real terms over the 30 years between 2027–28 and 2057–58. This compares to an average of 1.4% in England over the same period. Under this scenario, spending per person in Scotland would fall from 124% of English levels in 2027–28, to 121% in 2032–33, and to 115% in 2057–58.
  • Faster real-terms spending growth in England to meet the rising costs of health and social care (which are expected to grow faster than GDP) would result in bigger absolute increases in funding for the Scottish Government, making it easier for it to meet these costs in Scotland. However, it would increase the Barnett squeeze on funding levels relative to England – making it harder for the Scottish Government to maintain enhanced levels of service provision over and above those in England.

Bee Boileau, a research economist at the IFS and an author of the report said: “Additional funding from the UK government and a forecast boost to devolved tax revenues mean the outlook for funding has improved a little since last May’s Resource Spending Review.

“But the picture is far from rosy. Official projections imply that funding for non-benefit spending is set to fall over the next two years and then grow only slowly over the following three years. Indeed, it would still be close to 2% below 2022–23 levels in 2027–28. And that assumes a significant improvement in the performance of Scotland’s devolved income tax revenues – without that, this funding would be close to 5% lower than this year in 2027–28.

If either of these scenarios were borne out, the Scottish Government would likely need to make significant cuts to a range of public services. Further big increases in devolved tax rates would be one way to avoid such cuts.

“The Scottish Government will instead be hoping for additional funding from the UK government – which may not be in vain as the UK government would also need to make cuts to many services if it sticks to the plans for spending it has pencilled in.’

David Phillips, an associate director at the IFS, and another author of the report said: ‘The Scottish Government’s long-term funding outlook beyond 2027–28 will also be determined, to a large extent, by UK government spending decisions via the Barnett formula.

“This formula is often seen to benefit the Scottish Government, by providing it with a much higher level of funding per person than is available for comparable services in England.

But this is a misunderstanding of the nature of the formula and its purpose. Because it provides the Scottish Government with a population-based share of funding changes planned for England, and Scotland starts with a higher-than-population share of funding, it delivers a smaller percentage increase in funding for Scotland than England.

This so-called Barnett squeeze will make it more difficult for the Scottish Government to meet rising costs and the demands on public services associated with an ageing population, and to maintain enhanced service provision relative to England, such as free personal care and free university education, in the longer term.”

The-overall-funding-outlook-The-Institute-for-Fiscal-StudiesDownload