Date lodged: 14 December 2017
To ask the Scottish Government what its position is on whether the NRAC formula is working, in light of NHS Grampian’s poor performance in meeting key healthcare delivery targets.
Answered by: Shona Robison 9 January 2018
The NRAC formula reflects the most objective measure of funding equity we have developed. The formula is kept under continuous review by experts to ensure it remains a robust and equitable method of allocating health service funding.
NHS Grampian was 3.7% behind its target funding allocation when the NRAC formula was introduced in 2009-10. The Scottish Government has invested significantly in supporting the Boards that are behind parity and, since 2015-16, NHS Grampian has received additional funding of £47 million for the specific purpose of accelerating NRAC parity, and will receive a further £5 million in 2018-19 to support a further move towards parity.
As with all NHS Boards, we are continuing to work with NHS Grampian to ensure public money is being used effectively to deliver better services, better care and better value. NHS Grampian has received a £4.9 million share of the £50 million made available in May 2017 to improve waiting times performance for all parts of the patient journey. This is supported by the Access Collaborative which brings together clinicians, staff and patients to help reduce planned waiting times by improving communications between community and hospital staff to identify the right treatments, and streamline patient care.
Grampian will also receive a share of the £8.4 million announced on 11 December. This additional investment will enhance resilience ahead of the busy Christmas and New Year period.
We expect all Health Boards, including NHS Grampian, to meet and maintain national performance targets and standards from the resources provided.