Financial Risks Aug 26
Argyll and Bute Council · 18 August 2026
Back to Argyll and Bute HSCP Finance and Policy Committee — 18 August 2026 and its agenda
Text extracted from the council's PDF. Layout and reading order may differ from the original.
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ARGYLL AND BUTE HEALTH AND SOCIAL CARE PARTNERSHIP - FINANCIAL RISKS 2026/27 HEALTH OR SOCIAL WORK SERVICE AREA DESCRIPTION OF RISK MITIGATIONS LIKELIHOOD FINANCIAL IMPACT £000 Quantified Risk £000s Current Position NHS NHS - Acute SLA costs are higher than budgeted as Glasgow implement their new costing / pricing model and activity review. INCLUDED IN CURRENT FINANCIAL FORECASTS Project groups established to conduct due diligence on SLA charging and activity. This is being progressed at a regional level with support from Scottish Government and NHS Highland. 5 >1,500 10,000 Due diligence underway. Working groups established including NHS Highland and Scottish Government Agencies. Report due to IJB in September to provide update. Overspend reported in financial returns (NHSH to SG)as a consequence. Focus is on minimising additional cost, planning is not being undertaken to compensate for this by reducing services elsewhere within A&B. NHS NHS - Acute Locum and agency costs remain above budget Continuing attempts to establish sustainable staffing models at LIH. 4 500-1,500 500 Attempts to recruit permanent staff on-going NHS NHS - Acute Kintyre Dialysis Service - additional costs associated with transporting patients and payments to other Boards as a consequence of not being able to staff the Kintyre unit appropriately. Consideration of different approaches to staffing models and review of Dialysis services nearing completion. 4 500-1,500 500 Consideration of different approaches to staffing models underway. Discussions with other Health Boards also progressing but lack of capacity elsewhere adding to problem. Review of dialysis services and options is nearing completion. Social Work Social Work - Children @ Families Cost of Children's Placements continues to increase - numbers and values. New forecasting model in place and agreed with Education services. 3 500-1,500 250 Budget under pressure at present and revised forecast process has been agreed and current overspend included in the forecast. The risk is that there is a further increase in external placements. Social Work Service Wide Care @ Home commissioned services failure in some areas resulting in increased costs from agency and internal delivered services. Risk service will not be able to continue to meet service demands fully and quality of service reduction. Options appraisal underway. Key worker accommodation project is aiming to mitigate housing costs associated with agency staff. Discussions with commissioned service providers on-going. 4 500-1,500 500 2 providers have / are in the process of winding up. This is impacting most acutely in Kintyre and Oban areas. The service is struggling to meet demand and secure staffing resource to deliver the care at home service. Option appraisal process underway and expectation that internal services will be required to increase in Oban in particular. HSCP Service Wide Savings plan and recovery plan savings not delivered in full. Public consultation and budget outlook to support decision making and management of savings programme. 4 500-1,500 500 Progress reported monthly. Savings related to SLA are a risk and included above. Grand Total 12,250 August 26
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# Range Assessment Value <100 50 100-300 200 300-500 400 500-1,500 1000 >1,500 2500 Risk % 1 0% 2 10% 3 25% 4 50% 5 75%