Gloucestershire Capital Plan for Integrated Care System 2022/23
Gloucestershire's Integrated Care System for 2022/23 has a set budget limit for capital spending by the Department of Health and Social Care and the NHS. The plan includes key areas of expenditure such as medical equipment replacements, digital asset development, new hospital projects, and upgrades to facilities. Funding is allocated strategically to improve healthcare services across Gloucestershire.
Download Presentation
Please find below an Image/Link to download the presentation.
The content on the website is provided AS IS for your information and personal use only. It may not be sold, licensed, or shared on other websites without obtaining consent from the author. Download presentation by click this link. If you encounter any issues during the download, it is possible that the publisher has removed the file from their server.
E N D
Presentation Transcript
Capital Plan Gloucestershire ICS 2022/23 Parliament and Treasury set the Department of Health and Social Care (DHSC) a limit for how much capital it can spend. Capital spending covers long-term spend such as new buildings, equipment and technology. It doesn t include spending such as staff costs or medicines (which is classed as revenue). This budget limit, called the capital departmental expenditure limit (CDEL), covers all capital spending by the Department and the NHS. The Department and the NHS are legally obliged not to spend above this limit. A major part of the NHS capital is allocated to Integrated Care Systems and Systems prioritise this capital to develop a System plan with the majority going towards NHS Foundation Trusts and a small amount for General Practice requirements (covering information technology and minor improvement grants. Planning takes into account the need to upgrade estates, replace medical equipment and information technology equipment plus the strategic objectives for the System. Integrated Care Boards were created on the 1stJuly 2023, the information presented on the following slides therefore separates out the periods into months 1-3 and months 4-12. The Gloucestershire System has received capital funding relating to its core functions plus some additional, targeted funding for areas such as digitisation, new theatres. Key schemes are shown on the following slides for 2022/23. The slides show the total for Gloucestershire and then individual slides for the Gloucestershire Trusts (Gloucestershire Health & Care NHSFT and Gloucestershire Hospitals NHSFT). The last slide includes some definitions. The core capital funding for Gloucestershire was determined through a process of organisational prioritisation and then System review of the proposed programme to assess against priorities and known risks for the System 1
Capital Plan Gloucestershire ICS 2022/23 Narrative on the main categories of expenditure Total Plan Expenditure Budget Months 1-12 Months 1-3 Months 4-12 000 000 000 Key medical equipment replacements, backlog maintenance and estates works and upkeep of the Digital assets and continued development of the digital strategy. Forest of Dean new hospital GP information technology hardware and minor improvements grants. Operational Capital 42,630 4,358 38,272 Operational Capital 1,106 0 1,106 Total Operational Capital 43,736 4,358 39,378 GHFT - Contracts with right of use assets for premises, diagnostic equipment. GHC - Leases on building (Stroud hub), cars/vans and Coleford HC GHFT- Continued delivery of SSD project to improve ED and Acute medical care facilities at GRH and improving surgery facilities and creating a DSU and two additional theatres at CGH. Impact of IFRS 16 25,076 0 25,076 Upgrades and National Hospital Programmes 21,280 5,605 15,675 National Programmes (diagnostics, Front line digitisation, Mental Health, TIF) Other (technical accounting) Total system CDEL GHFT - 2 tranches of frontline digitisation, beginning of a 5th orthopaedic theatre, creation of discharge lounge at GRH and a new ward at CGH, beginning of the CDC -GHC expenditure on cyber security, mental health wards and Digitisation 3,399 202 3,197 318 79 239 93,808 10,244 83,564 2
Organisational breakdowns - Gloucestershire Health and Care NHS Foundation Trust - GHC RTQ Total Plan Expenditure Budget Months 1-12 Months 1-3 Months 4-12 000 000 000 GHC Operational Capital 17,616 1,947 15,669 Total Operational Capital 17,616 1,947 15,669 GHC Impact of IFRS 16 leases 9,721 0 9,721 GHC Upgrades and National Programmes 0 0 0 GHC National Programmes (diagnostics, Front line digitisation, Mental Health, TIF) 49 0 49 GHC Other (technical accounting) 0 0 0 Total System CDEL 27,386 1,947 25,439 Operational Capital: Forest of Dean new hospital, IT infrastructure, estates maintenance and medical equipment IFRS16 - Leases on building (Stroud hub), vehicles and Coleford Health Centre National Programmes: expenditure on cyber security, mental health wards and Digitisation 3
Organisational breakdowns - Gloucestershire Hospitals NHS Foundation Trust - GHFT RTE Total Plan Expenditure Budget Months 1-12 Months 1-3 Months 4-12 000 000 000 GHFT Operational Capital 25,014 2,411 22,603 Total Operational Capital 25,014 2,411 22,603 GHFT Impact of IFRS 16 leases 15,355 0 15,355 GHFT Upgrades and National Hospital Programme 21,280 5,605 15,675 GHFT National Programmes 3,350 202 3,148 GHFT Other (technical accounting) 318 79 239 Total System CDEL 65,316 8,297 57,019 Operational Capital: key medical equipment replacements, backlog maintenance and estates works and upkeep of the digital assets and continued implementation of the digital strategy. IFRS16: Contracts with right of use assets for premises and diagnostic equipment. Upgrades and national hospital programme: Continued delivery of project to improve the emergency department and acute medical care facilities at Gloucestershire Royal Hospital and improving surgery facilities through creating a day surgery unit and two additional theatres at Cheltenham General Hospital. National Programmes - Frontline digitisation, spend to start building a 5th orthopaedic theatre, creation of a discharge lounge at GRH and a new ward at CGH, 4
Glossary GHFT - Gloucestershire Hospitals NHS Foundation Trust GRH Gloucester Royal Hospital CGH Cheltenham General Hospital GHC - Gloucestershire Health and Care NHS Foundation Trust CDEL - covers all capital spending by the department and the NHS IFRS International Financial Reporting Standards IFRS16 - IFRS 16 introduces a single lessee accounting model and requires a lessee to recognise assets and liabilities for all leases with a term of more than 12 months, unless the underlying asset is of low value. A lessee is required to recognise a right-of-use asset representing its right to use the underlying leased asset and a lease liability representing its obligation to make lease payments. This means that the majority of leases will now be recognised on the balance sheet and entering into new leases requires additional capital National Programmes: includes diagnostics, front line digitisation, Mental Health, Targeted investment funds (TIF) which is focussed on improving planned care 5
