Item 6 - Financial Monitoring Report
North Lanarkshire Council · 19 April 2023
Back to IJB Performance, Finance and Audit Committee — 19 April 2023 and its agenda
Text extracted from the council's PDF. Layout and reading order may differ from the original.
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1 REPORT Item No: 6 1. PURPOSE OF REPORT 1.1 This paper is coming to the Performance, Finance and Audit (PFA) Committee: For approval For endorsement For noting 1.2 This report provides a summary of the financial position of the North Lanarkshire Health and Social Care Partnership (HSCP) for the period from 1 April 2022 to 3 February 2023. 2. ROUTE TO THE PERFORMANCE, FINANCE AND AUDIT COMMITTEE 2.1 This paper has been: Prepared By: Chief Financial Officer Reviewed By: Chief Officer 3. RECOMMENDATIONS 3.1 The PFA Committee is asked to agree the following recommendations: (1) Note the contents of the report; and (2) Note the financial position is a year-to-date underspend of £15.332m. 4. VARIATIONS TO DIRECTIONS 5. BACKGROUND 5.1 This report is based on the financial monitoring reports received from the Director of Finance of NHS Lanarkshire (NHSL) and the Head of Financial Solutions of North Lanarkshire Council (NLC). The position detailed in these reports is therefore based on the information contained in each partner’s respective financial systems and includes accruals and adjustments in-line with their financial policies. 6. CONCLUSIONS 6.1 As detailed in the following table, the IJB year to date position is an underspend of £15.332m and the projected outturn for 2022/23 is an underspend of £17.264m, assuming the current trajectory of spend continues throughout this financial year. Service Year to Date Position £m Projected Year End Outturn £m Health Care Services 7.846 8.416 Social Care Services 7.486 8.848 SUBJECT: Financial Monitoring Report 2022/2023 TO: Performance, Finance and Audit Committee Lead Officer for Report: Ross McGuffie, Chief Officer NHSCP Author(s) of Report Amanda Kilburn, Chief Financial Officer DATE: 19th April 2023 Yes No N/A
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2 Total North Lanarkshire HSCP 15.332 17.264 6.2 Subject to IJB approval, this estimated underspend will be allocated to manage, on a non-recurring basis, ring-fenced commitments, additional future business plans and any funding gap which may be highlighted in the North Lanarkshire IJB Medium Term Financial Plan 2023-2026. 6.3 The following provides a high-level summary of the key pressures and the main reasons why the IJB is currently projecting an underspend against its budget this year: Employee Costs net underspend of £12.323m: as previously highlighted there are ongoing challenges in terms of recruitment and retention issues across all service areas. For a wide range of posts recruitment has been unsuccessful due to the availability of the skills mix required or the competition being offered by other private and public sectors. These are issues that are being faced by IJBs across Scotland. Home Support net overspend of £0.541m: within Home Support Services, employee costs have increased as the service continues to support delayed discharges and demand however, this additional cost is being funded from the current number of vacant posts throughout other parts of the partnership. Payments to Other Bodies net underspend of £2.840m: the underspend is primarily due to the staff shortages and vacancies within the Care at Home sector who provide services to individuals via the self-directed support commissioning framework. There is also an underspend in package costs due to slippage in Self-Directed Support (SDS) start dates. It is anticipated these are in-year underspends only and the full budget will be required in future years. Independent Care Homes net overspend of £0.788m: there are currently 1,461 care packages within this service however when the budget was set for this financial year, it was based on 1,361 care packages. This has resulted in the service experiencing a pressure on the current allocated budget. Admin Costs net underspend of £1.884m: within the carers funding there is currently an unallocated budget of £1.8m. The anticipated underspend is reflective of the part-year implementation of contracts and additional funding from the Scottish Government for carers pressures in 2022/2023. As these pressures become evident within social care budgets, the funding will be moved to the relevant care package. Prescribing net overspend of £0.500m: activity and cost per item within prescribing is 2.69% higher compared to the same period last year. Due to the uncertainty around costs and prescribing activity and the three-month time lag in receiving the data, the volatility experienced within prescribing is likely to continue for the foreseeable future. 6.4 Throughout the financial year, adjustments are made to the original budget due to additional funding allocations and budget transfers. Appendix 4 provides a reconciliation of the main budget adjustments applied this financial year. The table
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3 below shows the current year to date allocations received from Scottish Government: Scottish Government Allocations 2022/23 £m Outcomes Framework – Effective Prevention (Bloodborne Virus) 0.569 Outcomes Framework – Effective Prevention (Hep C) 1.111 Outcomes Framework – Rotavirus, Seasonal Flu and Childhood Flu 0.731 Outcomes Framework - Shingles 0.362 Mental Health Outcomes Framework 1.046 Mental Health Innovation Fund 0.487 Capacity Building for Psychological Therapies & CAMHS 0.845 Distress Brief Intervention 0.869 Hospital at Home 0.250 Multi-Disciplinary Teams 2.676 Family Nurse Practitioner Funding 1.215 District Nursing 0.608 Long Covid Support Funding 0.320 Learning Disability Health Checks 0.123 Alcohol and Drug Partnership – Tranche 1 2.179 Delivery of Veteran Specific Mental Health Support 0.126 Child Death Review 0.024 ICU Baseline Bed Capacity Uplift 0.044 TOTAL 13.585 7. RESERVES 7.1 It is important for the long-term financial stability and the sustainability of the IJB that sufficient funds are held in reserve to manage unanticipated pressures from year to year. The requirement for financial reserves is acknowledged in statue and is part of a range of measures in place to ensure that s106 public bodies do not over-commit themselves financially. 7.2 The current IJB reserves position for 2022/23 is a revised balance of £69.237m and is summarised in the table below. A detailed analysis of these reserves is at Appendix 5: 7.3 The IJB Reserves Strategy 2022/2023 has been updated to include the revised structure of the reserves which will continue to enable the IJB to meet its agreed strategic objectives, and Scottish Government policy requirements. Opening Balance After Review Proposed Transfers To / From Reserves Drawdown from Reserves Revised Balance As At 31 March 2023 £m £m £m £m NHSL Ring-Fenced Reserves 49.903 (24.116) (14.353) 11.434 NHSL & NLC Earmarked Reserves 31.661 17.186 (6.494) 42.353 NHSL & NLC Risk-Based Reserves 13.478 (2.130) (0.796) 10.552 NHSL Contingency Reserves 4.167 1.032 (0.301) 4.898 NHSL & NLC Closed Reserves 20.244 (15.916) (4.327) - 119.453 (23.944) (26.271) 69.237 LEAD SUMMARY Total
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4 8. CURRENT VACANCY POSITION 8.1 As highlighted throughout this report, employee costs are projecting a significant underspend within all services. Recruitment continues to be progressed for vacant posts in all areas. 8.2 The table below shows the current full time equivalent (FTE) vacancy numbers within each service against the budgeted establishment: 8.3 To help cover the current vacant posts, agency staff, bankaide, overtime and excess part time hours are used, the cost of which is included within the financial position reported. A detailed analysis of these costs is at Appendix 6. 9. DELEGATED SERVICES 9.1 The following table shows the costs of other North Lanarkshire Council services delegated to the IJB. The IJB remain accountable for these services, however, they continue to be delivered by North Lanarkshire Council. North Lanarkshire HSCP monitors the delivery of these services on behalf of the IJB. 9.2 The projected outturn position to 31 March 2023 is a breakeven position for both services. Service Annual Budget £m Projection to Year End £m Variance £m Establishment Actual FTE FTE FTE % North West Locality 384.98 344.99 39.99 10.4% North East Locality 323.53 296.98 26.55 8.2% Adult Services 273.94 247.79 26.15 9.5% Children Services 566.39 477.44 88.95 15.7% Mental Health 1,142.60 1,094.16 48.44 4.2% Social Care Services 834.20 660.40 173.80 20.8% Home Support 1,000.07 991.89 8.18 0.8% Other 179.99 255.45 -75.46 -41.9% TOTAL 4,705.70 4,369.10 336.60 7.2% Service Vacancies Overtime Excess Part Time Bankaide Agency £m £m £m £m North West Locality 0.118 0.033 0.437 0.051 North East Locality 0.072 0.041 0.199 - Adult Services 0.048 0.066 0.153 0.073 Children Services 0.148 0.085 0.304 0.017 Mental Health & Learning Disabilities 0.403 0.072 1.840 2.576 Social Care Services 0.879 - - 0.099 Home Support 3.529 - - - Other 0.025 0.015 0.019 - TOTAL 5.223 0.312 2.952 2.816 SERVICE Year to Date Cost
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5 Housing 1.870 1.870 - Breakeven Transport 0.551 0.551 - Breakeven Total 2.421 2.421 - Breakeven 10. IMPLICATIONS 10.1 NATIONAL OUTCOMES The effective management of financial resources contributes to the achievement of the national outcomes. 10.2 ASSOCIATED MEASURE(S) Each partner is required to remain within their approved budgetary provision. The IJB Medium Term Financial Plan 2023 -2026 is currently being completed. 10.3 FINANCIAL This paper has been reviewed by Finance: Yes No N/A 10.4 RISK ASSESSMENT/RISK MANAGEMENT The strategic financial risks detailed in the IJB Risk Register have also been updated and are included in a separate report to the IJB. 10.5 PEOPLE None 10.6 STAKEHOLDER ENGAGEMENT The Director of Finance of NHSL and the Head of Financial Solutions of NLC both continue to be consulted on the financial position of the North Lanarkshire IJB. 10.7 INEQUALITIES & FAIRER SCOTLAND DUTY Equality and Diversity Impact Assessment Completed & Fairer Scotland Impact Assessment Form Completed: Yes No N/A 10.8 CARBON MANAGEMENT IMPLICATIONS Yes No N/A 11. BACKGROUND PAPERS None. 12. APPENDICES North Lanarkshire Health and Social Care Partnership Budget Appendix 1 Hosted Services Led by North Lanarkshire Appendix 2 Hosted Services Led by South Lanarkshire Appendix 3 North Lanarkshire IJB Budget Reconciliation 2022/2023 Appendix 4 North Lanarkshire IJB Reserves Appendix 5 Analysis of Additional Employee Costs Appendix 6
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6 Chief Finance Officer Members seeking further information about any aspect of this report, please contact Amanda Kilburn on telephone number 07816 126362.
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7 North Lanarkshire Health and Social Care Partnership Budget Appendix 1 Expenditure Annual Year To Date Variance Budget Budget Actual Total 2022/2023 January 2023 January 2023 January 2023 £m £m £m £m Health Care Services Locality and Other Services 52.336 41.134 38.644 2.489 Addiction Services 6.112 3.424 2.767 0.657 Medical and Nursing Directorate 5.419 4.492 3.822 0.670 Prescribing 69.582 57.985 58.485 (0.500) Out of Area Services 4.571 3.809 4.634 (0.825) Area Wide Services 11.221 8.568 8.316 0.253 Hosted Services 161.848 131.745 126.642 5.103 Family Health Services 114.043 95.812 95.812 0.000 Set-Aside Budget 66.858 55.715 55.715 0.000 Covid-19 4.578 4.578 4.578 0.000 Total Expenditure - NHSL 496.568 407.262 399.415 7.846 Social Care Services Social Care Services Gross Expenditure 241.758 187.698 180.617 7.081 Social Care Services Gross Income (Including Covid-19 Income) (2.896) (0.619) (1.025) 0.406 Social Care Services Net Expenditure 238.862 187.078 179.592 7.486 Housing Revenue Account Expenditure 1.870 1.667 1.667 0.000 Transport Services Expenditure 0.551 0.169 0.169 0.000 Social Care, Housing and Transport Services Net Expenditure 241.283 188.915 181.428 7.486 Total Expenditure - NHSL and NLC 737.851 596.176 580.844 15.333 Funded By: Annual Budget 2022/2023 £m NHS Lanarkshire Funding (475.156) Social Care Funding (22.964) Resource Transfer (23.421) Commissioned Services (6.718) Scottish Government Funding - Covid-19 and Remobilisation (4.578) Transfer from Reserves (Approved) (16.834) Total Funding - NHSL (549.671) NLC Funding - Social Care Services (185.759) NLC Funding - Housing Services (1.870) NLC Funding - Transport Services (0.551) Transfer from Reserves (Approved) 0.000 Total Funding - NLC (188.180) Total Funding - NHSL and NLC (737.851) 2022/2023 Year To Date
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8 Hosted Services Appendix 2 January 2023 January 2023 January 2023 January 2023 January 2023 January 2023 January 2023 January 2023 January 2023 Budget Actual Variance Budget Actual Variance Budget Actual Variance 2022/2023 2022/2023 2022/2023 2022/2023 2022/2023 2022/2023 2022/2023 2022/2023 2022/2023 £m £m £m £m £m £m £m £m £m £m £m £m Sexual Health Services 3.043 2.548 2.420 0.128 1.552 1.300 1.172 0.128 1.491 1.249 1.249 0.000 Continence Services 2.364 1.971 1.973 (0.002) 1.206 1.005 1.007 (0.002) 1.159 0.966 0.966 0.000 Immunisation Services 1.902 1.586 2.015 (0.429) 0.970 0.809 1.237 (0.429) 0.932 0.777 0.777 0.000 Speech and Language Therapy Services 6.148 5.132 4.449 0.682 3.136 2.617 1.935 0.682 3.013 2.514 2.514 0.000 Children and Adolescents Mental Health Services 12.513 9.632 8.494 1.138 6.381 4.912 3.775 1.138 6.131 4.720 4.720 0.000 Childrens Services 12.067 10.063 9.744 0.319 6.154 5.132 4.813 0.319 5.913 4.931 4.931 0.000 Integrated Equipment and Adaptations Store 0.567 0.473 0.575 (0.102) 0.289 0.241 0.343 (0.102) 0.278 0.232 0.232 0.000 Dietetics Services 3.873 3.234 2.958 0.276 1.975 1.649 1.374 0.276 1.898 1.584 1.584 0.000 Podiatry Services 4.380 3.652 3.516 0.136 2.234 1.862 1.727 0.136 2.146 1.789 1.789 0.000 Prisoner Healthcare Services 1.714 1.429 1.379 0.050 0.874 0.729 0.679 0.050 0.840 0.700 0.700 0.000 Blood Borne Viruses Services 1.529 1.274 1.228 0.046 0.780 0.650 0.604 0.046 0.749 0.624 0.624 0.000 Hospital at Home 2.511 1.989 1.689 0.300 1.281 1.014 0.715 0.300 1.231 0.975 0.975 0.000 Mental Health and Learning Disability Services 76.747 63.320 60.759 2.562 39.141 32.293 29.732 2.562 37.606 31.027 31.027 0.000 TOTAL 129.359 106.303 101.200 5.103 65.973 54.214 49.111 5.103 63.386 52.088 52.088 0.000 Led by the North Partnership South Lanarkshire IJB - 49% Share Year to Date Annual Budget 2022/2023 Annual Budget 2022/2023 Year to Date North Lanarkshire IJB - 51% ShareYear to DateAnnual Budget 2022/2023 Hosted Services Appendix 3 January 2023 January 2023 January 2023 January 2023 January 2023 January 2023 January 2023 January 2023 January 2023 Budget Actual Variance Budget Actual Variance Budget Actual Variance 2022/2023 2022/2023 2022/2023 2022/2023 2022/2023 2022/2023 2022/2023 2022/2023 2022/2023 £m £m £m £m £m £m £m £m £m £m £m £m Community Dental Services 7.517 6.228 5.588 0.640 3.834 3.176 3.176 0.000 3.683 3.052 2.412 0.640 Brain Injury Unit 2.367 1.733 1.475 0.258 1.207 0.884 0.884 0.000 1.160 0.849 0.591 0.258 Out of Hours Services 8.941 7.399 7.392 0.007 4.560 3.773 3.773 0.000 4.381 3.626 3.618 0.007 Palliative Care Services 7.249 6.060 5.887 0.173 3.697 3.091 3.091 0.000 3.552 2.969 2.797 0.173 Physiotherapy Services 10.266 8.572 8.183 0.390 5.236 4.372 4.372 0.000 5.030 4.201 3.811 0.390 Primary Care Services 0.811 0.673 0.625 0.048 0.413 0.343 0.343 0.000 0.397 0.330 0.282 0.048 Occupational Therapy Services 8.046 6.732 6.178 0.554 4.103 3.433 3.433 0.000 3.943 3.299 2.744 0.554 Diabetic Services 4.964 4.336 4.259 0.078 2.531 2.211 2.211 0.000 2.432 2.125 2.047 0.078 Telehealth 0.671 0.507 0.246 0.261 0.342 0.259 0.259 0.000 0.329 0.248 (0.012) 0.261 Sub Total 50.832 42.242 39.832 2.410 25.924 21.543 21.543 0.000 24.908 20.698 18.289 2.410 Ring Fenced Funding Primary Care Improvement Fund 12.874 7.646 7.646 (0.000) 6.566 3.899 3.899 0.000 6.308 3.746 3.746 (0.000) Primary Care Transformation Fund 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 Sub Total 12.874 7.646 7.646 (0.000) 6.566 3.899 3.899 0.000 6.308 3.746 3.746 (0.000) TOTAL 63.705 49.887 47.478 2.410 32.490 25.443 25.443 0.000 31.216 24.445 22.035 2.410 Annual Budget 2022/2023 Year to Date South Lanarkshire IJB - 49% Share Led by the South Partnership Annual Budget 2022/2023 Year to Date Annual Budget 2022/2023 Year to Date North Lanarkshire IJB - 51% Share
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9 North Lanarkshire IJB Budget Reconciliation 2022/2023 Appendix 4 2022/23 NHSL Financial Allocation to North Lanarkshire HSCP £m 2022/23 NLC Financial Allocation to North Lanarkshire HSCP £m 2022/22 North Lanarkshire HSCP Financial Allocation 506.931 2022/22 North Lanarkshire HSCP Financial Allocation 132.575 Add: Set-Aside Budget 66.858 NLC Funding - Housing Services 1.870 Less: Budget Adjustments NLC Funding - Transport Services 0.551 Social Care Fund -22.964 Add: Budget Adjustments Resource Transfer -23.421 Social Care Fund 22.964 Commissioned Services -6.799 Resource Transfer 23.421 NHSL Financial Allocation at 31 May 2022 520.605 Commissioned Services 6.799 NLC Financial Allocation at 16 September 2022 188.180 Draw Down from Reserves 1.949 Increase to Employers NI 1.262 NES Trainee 1.021 Other Budget Adjustments 0.425 NHSL Financial Allocation at 30 June 2022 525.262 Draw Down from Reserves 0.460 Junior Medical Income -0.040 Other Budget Adjustments 0.023 NHSL Financial Allocation at 31 July 2022 525.705 Draw Down from Reserves 0.453 Child Death Review Funding 22-23 0.024 Increase to Hosted Services Led by South 1.146 Other Budget Adjustments 0.220 NHSL Financial Allocation at 31 August 2022 527.548 Draw Down from Reserves 1.740 Junior Doctor Income 2.274 Adustment to Commissioned Services 0.082 Increase to Hosted Services Led by South 0.433 Other Budget Adjustments 0.002 NHSL Financial Allocation at 30 September 2022 532.079 Draw Down from Reserves 1.039 Scottish Government Funding Health Care Support Workers 1.743 Scottish Government Funding for Band 2-4 (North Allocation) 0.933 Increase to Hosted Services Led by South 0.634 Other Budget Adjustments 0.160 NHSL Financial Allocation at 30 October 2022 536.588 Draw Down from Reserves 1.275 Medical Pay Award 4.5% 0.979 Junior Medical 0.132 Increase to Hosted Services Led by South 2.450 Other Budget Adjustments 0.022 NHSL Financial Allocation at 30 November 2022 541.446 Adjustment to Reserves -2.321 Junior Medical & Trainee Income 0.073 Learning Disabilities Health Checks 0.123 Increase to Hosted Services Led by South 4.085 Other Budget Adjustments 0.015 NHSL Financial Allocation at 31 December 2022 543.421 Draw Down from Reserves 2.169 Increase to Area Wide Services 0.122 Mental Health Funding 2.571 AFC Pay Award 0.660 Increase to Hosted Services Led by South 0.651 Other Budget Adjustments 0.077 NHSL Financial Allocation at 31 January 2023 549.671 Budget Adjustments Posted in Month 10 Budget Adjustments Posted in Month 9 Budget Adjustments Posted in Month 8 Budget Adjustments Posted in Month 6 Budget Adjustments Posted in Month 3 Budget Adjustments Posted in Month 4 Budget Adjustments Posted in Month 5 Budget Adjustments Posted in Month 7
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10 North Lanarkshire IJB APPENDIX 5 Movement on Reserves Audit Trail NHSL & NCL Opening Balance As At 1 April 2022 Proposed Transfers To / From Reserves Drawdown from Reserves Revised Balance As At 31 March 2023 £m £m £m £m NHSL Ring-Fenced Reserves 49.903 (24.116) (14.353) 11.434 NHSL & NLC Earmarked Reserves 31.661 17.186 (6.494) 42.353 NHSL & NLC Risk-Based Reserves 13.478 (2.130) (0.796) 10.552 NHSL Contingency Reserves 4.167 1.032 (0.301) 4.898 NHSL & NLC Closed Reserves 20.244 (15.916) (4.327) (0.000) 119.453 (23.944) (26.271) 69.237 LEAD SUMMARY Total Opening Balance As At 1 April 2022 Transfers To / From Reserves Drawdown from Reserves Revised Balance As At 31 March 2023 £m £m £m £m NLC Long Covid Contingency 3.000 0.000 (0.727) 2.273 NHSL Prescribing Fund 4.361 0.000 0.000 4.361 NLC Social Care Demand 6.117 (2.130) (0.069) 3.918 13.478 (2.130) (0.796) 10.552 Opening Balance As At 1 April 2022 Transfers To / From Reserves Drawdown from Reserves Revised Balance As At 31 March 2023 £m £m £m £m NHSL Contingency Balance Held By NHSL 4.167 1.032 (0.301) 4.898 4.167 1.032 (0.301) 4.898 20.244 (15.916) (4.327) (0.000) LEAD CONTINGENCY FUND RESERVES TOTAL RISK-BASED RESERVES LEAD RISK-BASED RESERVES TOTAL CONTINGENCY FUND RESERVES TOTAL CLOSED RESERVES Opening Balance As At 1 April 2022 Transfers To / From Reserves Drawdown from Reserves Revised Balance As At 31 March 2023 £m £m £m £m NHSL Alcohol and Drug Partnership Funding 3.154 0.000 (2.800) 0.354 NHSL Alcohol and Drug Partnership - Local Implementation Plan 0.167 0.000 0.000 0.167 NHSL Alcohol and Drug Partnership - Long Acting Buprenorphine 0.255 0.000 0.000 0.255 NHSL Blood-Borne Viruses Services 0.146 0.000 0.000 0.146 NHSL Children and Adolescent Mental Health Services 5.333 0.000 (3.082) 2.251 NHSL Community Living Change Fund 1.298 0.000 0.000 1.298 NHSL Covid-19 Funding 29.742 (24.116) (2.957) 2.669 NHSL Covid-19 Funding - Unscheduled Care 1.944 0.000 (1.620) 0.324 NHSL Mental Health and Learning Disability Services - Action 15 3.019 0.000 (3.016) 0.003 NHSL Mental Health and Learning Disability Services - Veteran's First Point 0.026 0.000 0.000 0.026 NHSL Mental Health - Diagnostic Support Service Dementia Post 0.429 0.000 0.000 0.429 NHSL Mental Health Improvement Fund - Psychology 0.553 0.000 (0.448) 0.105 NHSL Mental Health Psychology Services Capacity Building 0.117 0.000 0.000 0.117 NHSL Mental Health Psychology Services - Recovery and Renewal Phase 1 & 2 0.614 0.000 (0.430) 0.184 NHSL Mental Health Recovery Renewal - Facilities Projects 1.840 0.000 0.000 1.840 NHSL Mental Health Wellbeing in Primary Care Services 0.148 0.000 0.000 0.148 NHSL Shielding - Social Care Support Fund 0.038 0.000 0.000 0.038 NHSL Staff Wellbeing 0.254 0.000 0.000 0.254 NHSL Test and Protect Funding 0.520 0.000 0.000 0.520 NHSL Third Sector Initiatives To Improve Health 0.306 0.000 0.000 0.306 49.903 (24.116) (14.353) 11.434TOTAL RING-FENCED RESERVES LEAD RING-FENCED RESERVES
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11 Appendix 5 (Cont.) Opening Balance As At 1 April 2022 Transfers To / From Reserves Drawdown from Reserves Revised Balance As At 31 March 2023 £m £m £m £m NHSL Adult Social Care Winter Preparedness Fund 1.941 0.000 (0.001) 1.940 NLC Adaptations Fund 0.289 0.000 (0.200) 0.089 NLC Adult Protection (share with C&F and NHSL) 0.050 0.000 (0.017) 0.033 NLC Advocacy Services 0.123 0.061 (0.045) 0.139 NHSL Area Wide Services - Health Promotion - North Lanarkshire Leisure agreement 0.123 0.000 0.000 0.123 NHSL Area Wide Services - NES Training 0.132 0.000 0.000 0.132 NHSL Area Wide Services - Pre School Vision Screening 0.075 0.000 0.000 0.075 NHSL Area Wide Services - Primary Care Corporate (iHUB Project - NES funding) 0.034 0.000 0.000 0.034 NHSL Area Wide Services - Refugees and Displaced Persons 0.400 0.000 (0.132) 0.268 NLC Assistive Technology Contract x 12 months (ATC) 0.000 0.090 (0.062) 0.028 NHSL Breast Feeding Team (2 year funding) 0.000 0.828 0.000 0.828 NHSL Business Case - Health Care Support Workers, Multi-Disciplinary Teams 1.794 0.000 (1.213) 0.581 NLC Business Case - Non-Recurring NLC Costs 5.380 0.537 (1.941) 3.976 NHSL Care Homes Allocation 0.318 0.000 0.000 0.318 NLC Carers Act 2018 - Support 0.852 0.000 0.000 0.852 NHSL Champions Board Funding 0.172 0.000 0.000 0.172 NHSL Children and Adolescent Mental Health Services - Udston Top Up Funding 0.346 0.000 0.000 0.346 NHSL Childrens Services - Paediatric Band 7, Band 6 x 4.12 WTE, Band 2 x 9.59 WTE 0.645 0.000 (0.231) 0.414 NHSL Development of Chryston Community Health Clinic 0.000 0.212 0.000 0.212 NHSL Dietetics Services - Double Running Costs 0.110 0.000 0.000 0.110 NLC Digital and IT Strategy Technology Improvements - Community Alarms 0.694 0.000 (0.064) 0.630 NLC Digital and IT Strategy Technology Improvements - Home Support Scheduling System 1.000 2.776 0.000 3.776 NLC Digital and IT Strategy Technology Improvements - Other 0.566 0.000 0.000 0.566 NLC Digital and IT Strategy Technology Improvements - SWIS 0.700 0.000 (0.173) 0.527 NHSL Discharge Support Workers Band 4 x 2 WTE 0.107 0.000 0.000 0.107 NHSL Distinction Awards 0.036 0.000 0.000 0.036 NLC Financial Strategy - Changes to LA Services Muirpark 2.973 0.000 (1.242) 1.731 NHSL Forensic Band 3 x 5 WTE 0.147 0.000 0.000 0.147 NHSL GPIT Reprovisioning Gap 0.181 0.000 0.000 0.181 NHSL Health Inequalities - Screening 0.098 0.000 (0.024) 0.074 NHSL Health Visiting Students/Trainees 0.840 0.000 (0.356) 0.484 NLC Home Support Resilience (2 year funding) 0.000 3.498 0.000 3.498 NHSL Hospital at Home Services - Support Development 0.414 0.000 (0.043) 0.371 NHSL HR Employability Team (2 year funding, 50:50 split between North and South) 0.000 0.187 0.000 0.187 NLC IJB Helpline (2 years funding) 0.000 0.600 0.000 0.600 NHSL Integrated Authority Support 6.076 (1.150) 0.000 4.926 NHSL Kylepark Works 1.000 0.608 0.000 1.608 NHSL Learning Disabilities Band 3 x 4 FTE 0.118 0.000 0.000 0.118 NLC Local Government Pay Award 23/24 0.000 2.653 0.000 2.653 NHSL Long Covid Pathways 0.000 0.444 0.000 0.444 NLC Mental Health Social Workers 2 x NL10 x 24 months 0.107 0.000 (0.074) 0.033 NHSL Minor Capital Works 1.387 0.000 (0.209) 1.178 NHSL Neonatal & Paediatrics Dieteics Intervention (3 year funding) 0.000 0.550 0.000 0.550 NHSL Organisational Development Fund 0.000 0.260 0.000 0.260 NHSL Paediatric Diabetes Insulin Pumps and Additional Staff 0.908 0.000 (0.027) 0.881 NLC Planned Date of Discharge - Discharge To Assess 0.200 0.241 (0.074) 0.367 NLC Planned Date of Discharge - Locality Social Work Manager Post 0.055 0.096 (0.051) 0.100 NHSL Podiatry Services - Foot Screening 0.459 0.000 (0.033) 0.426 NHSL Prisioner Healthcare - Transitional Project Band 8A 0.070 0.000 0.000 0.070 NHSL Psychology Posts 2 x Band 6 0.000 0.098 0.000 0.098 NHSL Regrading of Posts Including Backpay 0.125 0.125 0.000 0.250 NHSL Scottish Clinical Leadership Fellowship 0.045 0.000 (0.011) 0.034 NHSL Sexual Health Services - Forensic Medical 0.222 0.000 (0.047) 0.175 NHSL Sexual Health Services - Long-Acting Reversible Contraception (LARC) 0.109 0.386 (0.004) 0.491 NLC Social Care Contracting Staff within Quality Assurance Services 0.047 0.028 (0.052) 0.023 NLC/NHSL Staff Training Academy 0.000 2.400 0.000 2.400 NHSL Stigma Free Lanarkshire (3 year funding) 0.000 0.450 0.000 0.450 NHSL Supervisor Training 0.077 0.000 (0.012) 0.065 NLC Unmet Saving 21/22 - IDS/LSS (merging building Coatbridge & Cumbernauld) 0.086 0.000 (0.068) 0.018 NLC Violence Against Women (Joint Initiative with SLC and C&F) 0.030 0.000 0.000 0.030 NHSL Vulnerable and Complex Cases - Test of Change 0.000 1.208 (0.088) 1.120 31.661 17.186 (6.494) 42.353 LEAD EARMARKED RESERVES TOTAL EARMARKED RESERVES 119.453 (23.944) (26.271) 69.237TOTAL RESERVES
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12 Analysis of Additional Employee Costs Appendix 6 North West Locality £ North East Locality £ Adult Services £ Children Services £ Mental Health £ Other £ TOTAL £ 1 44,000 32,000 17,500 35,500 209,500 2,000 340,500 2 44,000 32,000 17,500 35,500 209,500 2,000 340,500 3 53,000 34,000 22,000 30,000 205,000 3,000 347,000 4 54,000 30,000 17,000 38,000 216,000 5,000 360,000 5 49,000 33,000 17,000 41,000 212,000 4,000 356,000 6 43,000 31,000 12,000 34,000 196,000 4,000 320,000 7 53,000 32,000 17,000 43,000 221,000 6,000 372,000 8 46,000 33,000 24,000 40,000 186,000 7,000 336,000 9 51,000 -58,000 9,000 7,000 185,000 -14,000 180,000 TOTAL 437,000 199,000 153,000 304,000 1,840,000 19,000 2,952,000 North West Locality £ Adult Services £ Children Services £ Learning Disabilities £ Mental Health £ Social Care Services £ TOTAL £ 1 1,396 6,804 9,018 19,329 72,766 109,313 2 406 6,804 1,303 37,927 338,077 384,517 3 2,527 6,804 42,413 184,579 236,323 4 4,348 4,796 37,915 199,682 246,741 5 5,698 4,988 38,211 212,758 261,655 6 759 4,797 1,627 49,939 193,626 250,748 7 2,817 4,796 59,821 234,119 301,553 8 10,554 4,796 97,273 182,799 7,204 302,626 9 11,584 12,168 754 63,042 232,980 13,336 333,864 10 11,285 16,710 4,141 57,024 221,263 20,796 331,219 11 57,701 57,701 TOTAL 51,374 73,463 16,843 502,894 2,072,649 99,037 2,816,260 North West Locality £ North East Locality £ Adult Services £ Children Services £ Mental Health £ Social Care Services £ Home Support £ Other £ TOTAL £ 1 13,187 8,071 10,569 12,294 49,952 8,427 109,798 4,808 217,106 2 12,032 8,789 3,582 9,091 42,880 73,558 285,090 1,096 436,118 3 21,425 6,426 4,508 7,572 29,605 76,713 277,793 2,558 426,600 4 12,482 4,153 2,223 16,873 30,022 74,719 290,873 2,923 434,268 5 17,069 10,685 3,218 9,750 53,447 87,187 321,181 1,541 504,078 6 10,687 7,575 4,373 14,542 48,147 76,800 326,698 2,629 491,451 7 13,149 4,503 6,412 21,905 55,807 84,165 362,809 4,290 553,040 8 9,351 9,011 7,230 27,429 58,631 113,755 503,326 2,800 731,533 9 8,914 12,937 5,770 28,958 34,450 118,428 420,088 2,046 631,591 10 86,099 254,737 340,836 11 79,279 377,024 456,303 TOTAL 118,296 72,150 47,885 148,414 402,941 879,130 3,529,417 24,691 5,222,924 North West Locality £ North East Locality £ Adult Services £ Children Services £ Mental Health £ Other £ TOTAL £ 1 6,869 5,164 12,800 6,579 10,496 889 42,797 2 3,401 4,223 7,228 5,775 8,002 796 29,425 3 4,231 6,891 8,791 6,755 9,229 656 36,553 4 3,007 4,827 5,230 8,288 7,947 2,269 31,568 5 3,801 3,348 5,450 7,051 9,240 4,532 33,422 6 3,660 3,937 5,002 11,180 7,207 649 31,635 7 2,077 1,879 6,954 12,542 8,465 1,605 33,522 8 2,447 3,914 6,168 12,599 6,428 1,591 33,147 9 3,517 6,460 8,221 14,474 5,392 1,790 39,854 TOTAL 33,010 40,643 65,844 85,243 72,406 14,777 311,923 BANKAIDE COSTS YEAR TO DATE OVERTIME COSTS YEAR TO DATE AGENCY COSTS YEAR TO DATE EXCESS PART TIME COSTS YEAR TO DATE Period Period Period Period