Health and care finance

This document contains Orkney Integration Joint Board’s Medium Term Financial Plan for 2025–2028, covering its health and social care services, strategic priorities and financial planning. It outlines funding pressures from rising demand, an ageing population, staff shortages, inflation and prescribing costs. The plan forecasts a three-year funding gap of £10.1m to £12.4m, with the most likely estimate at £11.3m, and sets out recovery, efficiency, service improvement and transformation measures to achieve a balanced budget.

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This document contains the Orkney Integration Joint Board’s Financial Regulations (version 5), which set out how its money and resources must be planned, managed and controlled. It explains the roles of the Board, Chief Officer and Chief Finance Officer, including budgeting, reporting, reserves, auditing, risk management and preventing fraud. It also covers purchasing, payments, payroll, property, income and capital spending, most of which are handled through NHS Orkney and Orkney Islands Council. The regulations will be reviewed every three years, with the next review due in April 2029.

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This document contains the Orkney Integration Joint Board’s policy for managing financial reserves. It explains the legal framework, why reserves are held, how they can be used and the rules for reporting and accounting. It sets a prudent general reserve target of about 2% of net spending, subject to annual review based on financial risks and plans. The policy will be reviewed every three years, with the next review due in April 2029.

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