Chamber and committees

NHS Greater Glasgow and Clyde's Local Delivery Plan for 2015-16 contains savings of £60 million within draft/final versions of the financial plan. The draft financial plan was received on 13 February 2015.

I refer the member to the answer to question S4W-30056 on 4 March 2016. All answers to written parliamentary questions are available on the Parliament’s website, the search facility for which can be found at:

http://www.scottish.parliament.uk/Apps2/Business/PQA/Default.aspx.

We expect to sign-off local delivery plans (LDPs) in June 2016 and NHS boards will publish their final LDPs immediately after sign-off. As in previous years NHS boards will be taking their draft LDPs through appropriate local boards and committees.

The timetable for their production has been set to take account of integration of health and social care going live in 2016. There is a legal duty for health and social care partnerships to produce a strategic plan and a duty for the delegating parties to be fully involved throughout that process. Health and social care partnerships are formally established from 1 April 2016 and it is important that they are involved in the preparation of local delivery plans (LDPs). The timetable for the development of the 2016-17 LDPs has been set to support and manage orderly planning and budgeting through alignment and collaboration.

Overall, these changes to the planning landscape mean that boards are due to submit draft LDPs in March 2016 with finalised LDPs to be submitted by the end of May 2016. Our published guidance said that NHS boards should submit a draft LDP by 4 March 2016, we have extended that slightly to enable further work on the draft plans to take place. Draft plans will still be submitted in March 2016 before the start of the financial year and these will be reviewed as part of our planning and performance cycle.

Scottish Government officials are discussing planning for 2016-17 with NHS boards as part of the annual planning and performance cycle.

NHS Greater Glasgow and Clyde routinely provide copies of their board papers, which for the meeting of 16 February 2016 were received on 9 February 2016. These savings are retained locally for reinvestment in frontline services and are in addition to a baseline funding uplift of £103.7 million (5.2%) for 2016-17.

For the current year 2015-16, NHS Greater Glasgow and Clyde are forecasting that they will deliver £59.6 million of efficiency savings.

The quoted statement was made in a meeting with the Scottish Partnership Forum to get their views and input to developing the National Clinical Strategy. As indicated in the paragraph from which this sentence has been lifted, the discussion highlighted evidence that for some types of treatment, better clinical outcomes can be obtained from specialist teams co-located with other necessary services and specialists.

The National Clinical Strategy sets out the supporting evidence for complex specialist services planning and delivery on a population basis. This would mean that, for some services, specialist units might be located within one hospital in a region, but importantly all hospitals would work as a network across the whole region or indeed the whole of Scotland, dependent on the complexity of specialist services to be provided. An example is the introduction of robot assisted surgery for prostate cancer.

This will ensure we continue to deliver world-class services for the people of Scotland.

As has been the case in previous years, all NHS boards will require to achieve efficiency savings in 2016-17. The preparation for this is at the early stages of development, with formal submissions expected as part of the local delivery planning process in advance of 1 April 2016. All NHS boards are expected to ensure that resources are spent in a way that improves the health and wellbeing of the community and delivers best value for taxpayers. It is important to note that efficiency savings are a key component of financial plans, contributing to the overall performance of NHS boards. Boards consider a range of efficiency measures with a view to identifying those that will impact positively on patient care by reducing unwarranted variation in service provision, removing waste and eliminating harm. Efficiency savings are retained locally by territorial boards for reinvestment in frontline services. The combination of increases in funding and local retention of savings, ensure priorities are safeguarded.

Last year (2014-15) NHS boards delivered over £285 million of efficiency savings, equivalent to 3.1% of baseline funding. For 2015-16, NHS boards are forecasting that over £293 million of efficiency savings will be delivered, equivalent to 3.0% of baseline funding.

The number of school leavers not in education (higher education or further education), employment or training are shown in the following table:

1. Includes school leavers on activity agreements or in voluntary work. These are considered positive destinations in the Summary Statistics for Attainment, Leaver Destinations and Healthy Living publication. The figures presented also include school leavers where their destination was recorded as ‘unknown’.

2. The methodology and data available for 2011-12, 2012-13 and 2013-14 changed meaning caution should be exercised when making comparisons over time.

Source: The data included in the table comes from Skills Development Scotland’s (SDS) follow up of school leaver destinations. Information on the destination of leavers from publicly funded schools was provided to the Scottish Government by SDS. SDS collected information on the destination of each young person they had identified as being a school leaver during September 2014 (initial destination) and March 2015 (follow-up destination). The follow up destinations data provided in this table presents information on the outcomes of young people approximately nine months after leaving school.

While these figures outline the number of school leavers who are not in education, employment or training, the main headline measure used by the Scottish Government is the percentage of school leavers in a positive follow up destination. This considers voluntary work and activity agreements to be positive destinations, alongside higher education, further education, employment and training. The figure for 2013-14 school leavers not in a positive destination on this basis is 4,142 (including unknowns).

The percentage of school leavers in positive destinations at the time of the follow-up was 84.0% in 2007-08 and 91.7% for 2013-14 school leavers.

Details of hospital catchment areas are not held centrally. Specific information may be available from NHS Greater Glasgow and Clyde who are responsible for the planning and provision of local services.