Budget transfer from Health and Social Services to Social Security: Increase in contribution to Long Term Care Fund

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A decision made 18 November 2016:

Decision reference: MD-S-2016-0080
Decision Summary Title:	Transfer of budget from H&SS to SSD to increase the contribution to the Long Term Care Fund for Older Adult Nursing Domiciliary Care Clients		Date of Decision Summary:	16 November 2016
Decision Summary Author:	Finance Manager Social Security		Decision Summary:	Public
Type of Report: Oral or Written?	Written		Person Giving Oral Report:	N/A
Written Report Title:	Transfer of budget from H&SS to SSD a contribution to the Long Term Care Fund for Older Adult Nursing Domiciliary Care Clients		Date of Written Report:	16 November 2016
Written Report	Finance Manager Social Security		Written Report	Public
Subject: Recurring budget transfer from H&SS to SSD to increase the contribution to the Long Term Care Fund for older adult nursing domiciliary care clients
Decision(s): The Minister accepted the transfer of £33,751 in 2016, £152,960 in 2017, £153,878 in 2018 and £154,801 in 2019 from H&SS to Social Security to increase the contribution to the Long Term Care Fund in respect of older adult nursing domiciliary care clients.
Reason(s) for Decision: Article 18(1)(c) of the Public Finances (Jersey) 2005 Law 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. Delegation 1.2 delegates authority for non-contentious transfers between heads of expenditure of up to £1,000,000 to the Treasurer of the States.
Resource Implications: The Health and Social Services Department revenue head of expenditure will decrease by £33,751 in 2016, £152,960 in 2017, £153,878 in 2018 and £154,801 in 2019 and the Social Security Department revenue head of expenditure will increase by £33,751 in 2016, £152,960 in 2017, £153,878 in 2018 and £154,801 in 2019. This decision does not result in any overall increase or decrease in the net expenditure of the States, as approved in the MTFP2. The transfer between Health and Social Services Department and Social Security Department revenue heads of expenditure will be reflected in the next MTFP 2020-2023.
Action required: Following approval by the Treasurer of the States, the Social Security Department Finance Manager to process the budget transfer from the Health and Social Services Department revenue head of expenditure to the Social Security revenue head of expenditure.
Signature:		Position: Minister
Date Signed:		Date of Decision:

Budget transfer from Health and Social Services to Social Security: Increase in contribution to Long Term Care Fund

Social Security Department

Ministerial Decision Report

Transfer of budget from the Health and Social Services Department to the Social Security Department to increase the contribution to the Long Term Care Fund for Older Adult Nursing Domiciliary Care Clients

Purpose of Report

To enable the Minister to approve a budget transfer from the revenue head of expenditure of the Health and Social Services Department to the revenue head of expenditure of the Social Security Department.

Background

There are currently six clients with Long Term Care (LTC) needs whose nursing domiciliary care is funded by Health and Social Services.

This commenced some years prior to the introduction of LTC using funding for nursing beds to support people in their own home. When LTC was introduced in July 2014, it was agreed that these clients were not transferred across due to the volume of work. It is now appropriate that these clients move into the Long Term Care scheme and as such, the agreement with the Health and Social Services Department is that budget is transferred to Social Security to increase the contribution to the LTC Fund.

The calculations for the Social Security Department contribution into the Long-Term Care Fund as per P.140/2013 Long-Term Care (States Contribution) (Jersey) Regulations 2014 was originally agreed in MD-S-2015-0049. The same increase has been included in the figures below for 2017 to 2019.

Recommendation

The Minister is recommended to accept the transfer of £33,751 in 2016, £152,960 in 2017, £153,878 in 2018 and £154,801 in 2019 from Health and Social Services to Social Security.

This represents the revenue expenditure allocated in the above respective years for older adult nursing domiciliary care clients who have now transitioned into the Long Term Care Scheme. The 2016 amount is for 6 months’ expenditure for one client who transitioned into the scheme on 1st July 2016, and 2 months’ expenditure for five clients who transitioned into the scheme on 1st November 2016.

Reason for Decision

Article 18(1)(c) of the Public Finances (Jersey) 2005 Law 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. Delegation 1.2 delegates authority for non-contentious transfers between heads of expenditure of up to £1,000,000 to the Treasurer of the States.

Resource Implications

The Health and Social Services Department revenue head of expenditure will decrease by £33,751 in 2016, £152,960 in 2017, £153,878 in 2018 and £154,801 in 2019 and the Social Security Department revenue head of expenditure will increase by £33,751 in 2016, £152,960 in 2017, £153,878 in 2018 and £154,801 in 2019. This decision does not result in any overall increase or decrease in the net expenditure of the States, as approved in the MTFP2.

The transfer between Health and Social Services Department and Social Security Department revenue heads of expenditure will be reflected in the next MTFP 2020-2023.

Report author : Finance Manager Social Security	Document date: 15 November 2016
Quality Assurance / Review : Finance Director Social Security	File name and path: L:\3 Political and Executive\B Soc Sec Ministers\B304 Ministerial Decisions\2016\
MD sponsor : Finance Director Social Security