Capital Investment Network Scottish Government Health Update Alan Morrison Health Finance and Infrastructure 2 May 2017

Capital 2016-17 A breakeven position has been delivered. 2017-18 While the overall forecast has improved, there remains an over-commitment. Planning for 2018-19 and beyond hampered by no confirmed budget beyond this year.

Capital Investment Group Activity Business Cases Considered since the last CIN NHS Dumfries and Galloway – Cresswell - OBC Addendum NHS Forth Valley – Doune Health Centre - OBC NHS Grampian - Laboratories Managed Services– IA NHS Greater Glasgow and Clyde - Mental Health (DBFM)– IA NHS Greater Glasgow and Clyde – Rowanbank - IA NHS Highland – Skye/Lochalsh/West Ross - IA NHS Lanarkshire - Monklands Replacement / Refurbishment Project - IA NHS Lothian – Redesign Eye Services inc Reprovision of PAEP - IA The State Hospital - Perimeter Security System – IA

General Issues Regional Planning All business cases will need to consider the regional impact of the delivery of services. Process is still be developed, but it is likely that we would look for sign off from the Regional Implementation Lead. Community Right to Buy The Royal Hospital for Sick Children is subject to a Community Right to Buy bid. Legislation recently updated to extend the right to buy to urban areas. Not the first, but the biggest and most complicated to date. Main risk to NHS Lothian’s position is the impact of delay. State of The Estate Report 2016 Publication date waiting to be confirmed, but now likely in July. Broad consistency in the overall message.

General Issues GP Premises Short Life Working Group has presented the report to the Cabinet Secretary. Implementation Group now working on implementing the recommendations. Edinburgh Schools On 9 February 2017, an independent report commissioned by the City of Edinburgh Council, was published into the closure of 17 schools. On the same day SFT wrote to public bodies alerting them to the report and the main conclusions of the report. NHS Boards continue to manage this issue and if any issues are identified then appropriate remedial works and management of the position is progressed. The relevant health facilities are all operational and timely survey work must be balanced against any disruption to essential service provision.