Exercise Referral Scheme

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A decision made 16 November 2009 regarding: Exercise Referral Scheme - 2009 Funding.

Decision Reference: MD-HSS-2009-0056
Decision Summary Title :	Exercise Referral Scheme		Date of Decision Summary:	2 November 2009
Decision Summary Author:	Director of Finance, Health and Social Services		Decision Summary: Public or Exempt? (State clauses from Code of Practice booklet)	Public
Type of Report: Oral or Written?	Written		Person Giving Oral Report:	N/A
Written Report Title :	Transfer of Exercise Referral Funds from H&SS to ESC (Non Recurrently for 2009)		Date of Written Report:	20 October 2009
Written Report Author:	Management Accountant, Health and Social Services		Written Report : Public or Exempt? (State clauses from Code of Practice booklet)	Public
Subject: Exercise Referral Scheme- 2009 Funding.
Decision(s): The Minister agreed to the transfer of the 2009 funding for the Exercise Referral Scheme from Health and Social Services to Education, Sport and Culture.
Reason(s) for Decision: Exercise Referral Practitioners are now permanent employees of ESC. Therefore the existing contract funding for the staff costs held by H&SS should be transferred to ESC.
Resource Implications: This decision is to transfer £77,250 from H&SS to ESC for 2009 only. All future costs and income of the scheme will be accounted for by ESC and H&SS will no longer require any financial resource to support the scheme. Recurrent funding has been adjusted in the approved 2010 Business Plan opening cash limits of both departments. The appropriate manpower headcount has also been transferred to ESC.
Action required: Instruct the Treasurer of the States to action this transfer as a non contentious transfer between departments.
Signature:		Position: Minister for Health and Social Services
Date Signed:		Date of Decision (If different from Date Signed):

Exercise Referral Scheme - 2009 Funding

Health and Social Services Department

Transfer of Exercise Referral Funds from H&SS to ESC

(Non Recurrently for 2009)

20th October 2009

Background

The exercise referral scheme in Jersey plays a key role in ensuring that all islanders who have a chronic condition, regardless of their economic and socio-demographic situation, have equitable access to a physical activity programme which will facilitate the self management of their condition. This will mean using a referral programme that supports them to make a behaviour change in their lifestyle or referral though a clinical pathway.

The Exercise Referral Scheme represents successful partnership working in several ways. Since its inception in 1995, the programme has been managed and funded conjointly by Health and Social Services and Education, Sport and Culture. Both departments are committed to the continuing provision which forms a core part of both departments’ agenda on getting people active.

The ongoing development of the programme would be supported by the existing joint management team of both the Senior Exercise Referral Practitioner their line manger and in addition the Head of Health Improvement and the Health Promotion Officer - Physical Activity

The practitioners are currently employed on service level contracts and are not entitled to the benefits received by permanent States of Jersey employees. The management team are required to comply with the Employment Law (2003) and have to offer permanent civil service contracts to all of the employees of the scheme from January 2009. The management team are fully supportive of these changes as it will offer sustainability to the programme and will ensure fair employment and recruitment to future posts in accordance with States of Jersey Human Resources policy.

The most immediate outcome of adhering to the employment law is increased salary costs for the exercise referral practitioners. The scheme has a shortfall based on the difference in staff costs that needs to be met in order to keep the programme running in 2009, this has been funded by Health & Social Services.

Financial Implications

The previous employment contracts were funded by Health & Social Services and part recharged to Education, Sport & Culture until April 2009 when the Exercise Referral Practitioners were issued contracts of employment within Education, Sport & Culture. Employment costs were then incurred by Education Sport & Culture and this report proposes to transfer the remaining £77,250 funding from H&SS to ESC for the remaining months of 2009.

The recurrent effects are dealt with in the 2010 Business Plan.

Sufficient funding for the costs incurred by Health & Social Services between January and April 2009 has been retained as below.

Description	£	£

2009 Net Revenue Budget		83,940

Income From 1st Assessment	(4,110)
Income from Staff Recharges	(47,450)
Contract Staff Costs	57,210
Miscellaneous Non-Staff Costs	1,040
Net Expenditure		6,690

‘Surplus’ to be transferred to ES&C		77,250