1. Capital Investment Network Scottish Government Update
Alan Morrison
Health Finance and Infrastructure
4 October 2016

2. Infrastructure Investment Plan
Published on 16 December 2015
Sets out a refreshed programme of long-term investment in Scotland
Infrastructure investment is central to the Scottish Government’s economic strategy and our vision for a prosperous, fair and well-connected Scotland
The 2015 plan sets out:
why we need to invest;
how we will invest; and
what strategic, large scale investments we intend to take forward within each sector over the next 20 years.

3. Infrastructure Investment Plan
Prioritise infrastructure investment based on our guiding principles of:
delivering sustainable economic growth through increasing competitiveness and tackling inequality;
managing the transition to a more resource efficient, lower carbon economy;
supporting delivery of efficient and high quality public services; and
supporting employment and opportunity across Scotland.

4. Infrastructure Investment Plan
Plan aims to meet these challenges across a diverse range of programmes and by delivering key commitments:
Transforming early learning and childcare – expansion to 1140 hours per year;
Enhancing housing supply in Scotland – 50,000 homes;
Creating a new, overarching energy strategy for Scotland, as well as recognising it as a national infrastructure priority;
Continue with expansion of broadband;
Investment in healthcare infrastructure, including the establishment of several new diagnostic and treatment centres; and
Investment to improve transport infrastructure including measures to improve journey times and connections, reduce emissions and improve the quality and accessibility of public transport.

5. Infrastructure Investment Plan
Available Scottish Government Capital (DEL) Budget:
£2,949 million
£3,080 million
£3,244 million
In cash terms by 2020 the budget will be lower by £91 million than it was in (£3,335 million), which equates to a 15.7% reduction in real terms.

6. Infrastructure Investment Plan
Projected Project Pipeline
Estimated Capital Investment
Timetable
£million
National infrastructure priority on energy efficiency
6,000
Mid 2030s
Scottish Water Investment Programme
3,600
Up to 2021
Affordable housing
3,000
2021
A9 / A96 Dual carriageway
1,500
Forth Replacement Crossing
1,325
2017
Glasgow Terminal Stations
1,300
Beyond 2019
Scotland’s Schools for the Future
1,130
2020
Glasgow and Clyde Valley City Deal
A90 Aberdeen Peripheral Route
745
End 2017
Edinburgh – Glasgow Rail Improvements
742
March 2019
M8 M73 M74 Motorway Improvements
439
Superfast Broadband
410 To
Ferry and Harbour Projects
400
To 2022
Unscheduled and Diagnostic Care Centres
200
TBC
NHS Grampian - Baird and Anchor
145

7. NHS Boards - Aspirational Plans
Hospital Replacement Programme / Major Projects
NHS Ayrshire and Arran – Crosshouse Hospital
NHS Borders – Borders General Hospital
NHS Highland - Raigmore Hospital
NHS Lanarkshire – Monklands Hospital
NHS Lothian – Edinburgh Cancer Centre
NHS Tayside – Ninewells Hospital

8. NHS Boards - Aspirational Plans
Board Specific Projects Highlighted as Strategic Priorities include (not an exhaustive list)
NHS Borders – eHealth
NHS Dumfries and Galloway – Cresswell Maternity Unit (£18 million)
NHS Fife – Primary Care Centres (£10 million)
NHS Grampian – Primary Care Centres
NHS Greater Glasgow and Clyde – developing plans to support their clinical strategy
NHS Lothian – Oncology, Telephone Replacement (£26 million)
NHS Shetland – Acute Ward Redesign (£6 million)
NHS Tayside – Ninewells Electrical Infrastructure, Children Theatres (~£30 million)
State Hospital – Perimeter Fence Replacement (£5 million)
NSS – Logistics Warehouse
Ambulance Service – Defibrillators / Site Improvements (£24 million)

9. NHS Boards - Aspirational Plans
Other Areas of Expenditure
Medical Equipment
eHealth / Information Technology
Backlog Maintenance
Shared Services

10. Capital Review – Short Life Working Group
Chaired by Alan Gray, Director of Finance NHS Grampian
The members of the group shall be a small representative group of Directors of Finance, Health Finance and Health Facilities Scotland.
Purpose
To develop a high level risk assessment of the asset base using the data in the latest state of the estate report and other sources where appropriate.
To consider options to fund an asset management programme for NHS Scotland and how such funding could be prioritised. This will include considering how best to utilise appropriate capital planning tools.
To provide advice to HFS on the guidance to be issued to Boards for the next update of the Asset Management Strategy to ensure that this captures a complete assessment of the asset base
Once complete a wider prioritisation group will be set up to consider how we rank these various investment options.