Written answers
Tuesday, 17 September 2019
Department of Health
HSE Expenditure
Barry Cowen (Offaly, Fianna Fail)
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334. To ask the Minister for Health the year to date expenditure in the HSE based on the accrual method of accounting; the budgeted year to date expenditure based on the same method; if an up-to-date table 1 from the briefing paper issued to the Oireachtas Select Committee on Budgetary Oversight on 9 July 2019 will be provided; and if he will make a statement on the matter. [37011/19]
Simon Harris (Wicklow, Fine Gael)
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The HSE’s latest income and expenditure position at 31 July 2019 shows a revenue deficit of €226m which represents 2.5% of the available budget for the same period, a significant improvement on the same period last year. The main drivers of the deficit are acute hospitals, disability services, pensions, State Claims, PCRS and overseas treatments.
July YTD Actual Spend vs YTD Budget
| Division | Annual Budget | YTD Spend | YTD Budget | YTD Variance | YTD Variance |
|---|---|---|---|---|---|
| €m | €m | €m | €m | % | |
| Operation Service Areas | |||||
| Acute Operations | 5,524.7 | 3,238.5 | 3,140.4 | 98.1 | 3.1% |
| Primary Care Division | 1,136.2 | 635.9 | 647.8 | (11.9) | -1.8% |
| Mental Health Division | 972.0 | 555.7 | 561.4 | (5.7) | -1.0% |
| Older Persons Services Division | 876.1 | 521.8 | 510.4 | 11.3 | 2.2% |
| Nursing Home Support Scheme | 976.3 | 566.5 | 561.7 | 4.8 | 0.8% |
| Disability Services | 1,913.8 | 1,143.3 | 1,101.6 | 41.7 | 3.8% |
| Regional | 17.7 | 12.9 | 10.1 | 2.8 | 27.9% |
| Community Services Total | 5,892.2 | 3,435.9 | 3,392.9 | 43.0 | 1.3% |
| Other Operations/Service Areas | 707.5 | 354.6 | 365.3 | (10.6) | -2.9% |
| Total Operation Service Areas | 12,124.4 | 7,029.0 | 6,898.5 | 130.5 | 1.9% |
| Pensions and Demand Led Services | |||||
| Total Pensions | 483.5 | 284.6 | 285.2 | (0.6) | -(0.0) |
| State Claims Agency | 340.0 | 241.0 | 203.2 | 37.8 | 0.0 |
| Primary Care Reimbursement Service | 2,697.8 | 1,642.3 | 1,596.3 | 46.0 | 0.0 |
| Local Demand Led Schemes | 262.4 | 154.2 | 152.6 | 1.6 | 0.0 |
| Treatment Abroad and Cross Border Healthcare | 22.9 | 25.5 | 13.5 | 12.1 | 0.0 |
| Eu Schemes: EHIC | 14.2 | 6.7 | 8.3 | (1.6) | -(0.0) |
| Total Pensions & Demand Led Services | 3,820.8 | 2,354.3 | 2,258.9 | 95.3 | 4.2% |
Any risk of a significant deficit at the end of 2019 is a matter of concern for the Government. However, in general it is important that the service levels set out within the HSE’s National Service Plan are delivered within the allocation notified by the Minister. It is acknowledged that certain issues can arise in-year due to costs associated with decisions outside the HSE – such as increases associated with pay agreements or Labour Court rulings – or policy decisions such as the Governments establishment of an ex-Gratia scheme in respect of Cervical Check.
The Department is working with the HSE to gain further clarity on the projected year end position and working to mitigate any deficit in so far as is possible, in co-operation with the Department of Public Expenditure and Reform.
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