2014/15 FINANCIAL OUTLOOK AND CHALLENGES. Overview. Financial Context Summary of 2014/15 position: Key pressures/service developments Savings opportunities 2015/16 and future outlook Implications for 2014/15 and Choices. Scale of Financial Challenge in 2014/15.
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Additional funding of £420m needed to meet all identified costs of meeting existing policies and expectations
Savings of £170m have been identified by DHSSPS
DHSSPS budget due to increase by £90m
A funding gap of £160m still needs to be resolved
challenges experienced in 2013/14
The HSC is carrying deficits of £115m into 2014/15
Pay & non-pay inflation
MH and LD Resettlement
Specialist Hospital Services
Family Health Services
Transforming Your Care
Public Health Agency
Revenue Costs of Capital
ED Capacity Planning
Family and Child Care
The 2011 Census, indicates that 20% of the resident population were aged 60+.
By 2021 it is projected that this will increase to 23.2% and by 2051 almost one third (32.6%) of the population will be aged 60+.
Between 2011 and 2051, the proportion of the population aged 85+ is expected to increase from 1.7% to 6.7% .
Unplanned Admissions to HSC Hospitals in Northern Ireland with a Long Term Condition for those aged 65 and Over by HSC Trust, 2010/11
By 2020: Number of adults with LTC will increase 40% in RoI, 30% in Northern Ireland
80% of GP consultations & 60% of hospital bed days relate to LTC and complications.*
* Source: Making Chronic Conditions Count IPHI
Shifting 5% of hospital expenditure with reinvestment in primary, community
and social care services
Improving integration of care through the development of integrated care partnerships – reducing need for unnecessary hospital visits
Maximising the potential of technology
Building a model of care which is focused on
the individual rather than the institutions
Increase even further the extent of savings required across the HSC
Constraining pay for HSC staff
Reducing the range and/or standard of services offered
Impose additional charges or co-payments for services
Provide additional recurrent resources to DHSSPS