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M6 Appendix 3a and 3b Savings

Argyll and Bute Council · 19 November 2025
Back to Argyll and Bute HSCP Integration Joint Board (IJB) — 19 November 2025 and its agenda

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Page 1

Appendix 3a - 2025/26 Fully Complete Savings
Target
Ref. Savings Description £' 000
Social Work
2324-07 Care at Home Commissioning 400 *Adjusted for in budgeting process
2425-03 Structured and monitored review of high cost care packages 150 *Adjusted for in budgeting process
2324-04 Contract & Demand Officer Post - revised and saving taken on catering shared service post instead 49
2526-1 Review of Responder Service / mobile teams 742
2425-01 Revert to National Minimum Pay Rate - uplift for some contracts - remaining balance 31
2526-3 Flat cash settlements on contracts 100
2425-08 Sleepovers Review 34
2526-7 Telecare Charges Increase 40
2425-07 Review of expensive care packages 98
2526-6 Just Checking 15
2526-11 KCC estates support post 31
2526-9 Direct payment Recovery (Recovery Plan) 50
2526-10 SLT Vacant Posts (Recovery Plan) 25
Health
AB1920-35 Bed reduction CCH 2019 150
AB20-21 16 Dunoon Medical Services 120
AB2526-01 Depreciation - end of life assets 70
AB2526-02 Energy price reductions 100
AB2526-04 Performance Analyst 0.5FTE 22
AB2526-05 Health Intelligence Support Worker 0.5FTE 20
AB2526-06 Public Health Addictions Contract saving 21
AB2526-07 Cessation of Living Well Grants 12
AB2526-08 Redesign of Living Well Network 25
AB2526-09 Prevention Outcomes Framework 12
AB2526-11 Dental Services efficency 100
AB2526-13 Housekeeping savings 50
AB2526-14 Establishment Reviews 65
AB2526-15 Reduction in minor allocations budget 45
AB2526-17 Patient Treatment Income 30
AB2526-18 Review of staff bandings 25
AB2526-16 Reserves Review 400
AB2526-22 Reduction in fleet vehicle numbers (NHS Recovery Plan) 50
AB2526-24 Patients Travel Savings (NHS Recovery Plan) 75
AB2526-27 Slippage on budget reserves (NHS Recovery Plan) 100
AB2526-28 Contract Efficiencies (NHS Recovery plan) 140
AB2526-29 Review of MH Care Packages (NHS Recovery Plan) 100
AB2526-26 Medical Agency Costs - 2C (NHS Recovery Plan) 300 non recurring
AB2526-21 Out of Area Patient - non recurring (NHS Recovery Plan) 250 non recurring
AB2526-27 Slippage on Reserves (NHS Recovery Plan - £300k addnl) 500 non recurring
AB2526-30 Slippage on care packages (NHS Recovery Plan) 50 non recurring
AB2526-17 Patient Treatment Income 100 non recurring
AB2526-14 Establishment Reviews 100 non recurring
Total Fully Complete 4,797

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Appendix 3b - LIVE SAVINGS PROGRAMME
Target Declared Remaining RISK NOTES
Ref. Savings Description £' 000 £' 000 £' 000
Social Work
1819-33 Catering, Cleaning and other Ancillary Services 71 25 46 £25k declared on a non-recurring basis, catering income increasing
2324-14 Reduce external placement budget by one (C&F) 160 160 No expectation this will be achieved as placements increasing
2526-2 Increased Fees and Charges 200 100 100 Awaiting analysis of income to declare during year
2526-4 Care @ Home Efficicencies 250 250 Work underway to identify progress
2526-5 High Cost Care Packages (LD/MH/PD) 200 58 142
2526-8 Additional Income from Adoptions (Recovery Plan) 100 100 Unlikely to be delivered due to court ruling
2526-12 LCC Removal of Voids (Recovery Plan) 5 5 Notice now given on 2 properties
2526-13 Day Services Review (Recovery Plan) 50 50 Review still to report and make recommendations
2526-14 Community Transport (Recovery Plan) 25 25 Intial meeting with contractor - consultation to commence
2526-15 Threshold of Care (Recovery Plan) 80 80 Policy change approved and delivery of saving now being monitored weekly
2526-16 Agency Workers - Oban (Recovery Plan) 90 45 45 Saving partially achieved to date.
2526-17 Care @ Home Efficicencies - Accomodation (Recovery Plan) 44 44 Currently 9 agency staff now in HSCP leased / owned accomodation
Health
AB1920-4 Review of Service Contracts (Bute Dialysis) 19 19
AB2021-64 FME (Dunoon) 50 50 Project group now established as staffing in place to deliver this now.
AB2223-9 Forensic Service Contracts 20 20 Project group now established as staffing in place to deliver this now.
AB2021-19 Hotel Services redesign to reflect reduction in inpatient numbers 69 69 Project underway and some savings delivered, more is anticipated
AB2021-4a/b Admin & Clerical 120 120 No plan at present to deliver this saving
AB2021-20 Centralised booking of medical records - reduction in admin costs 97 97 as above
AB2122-33 Lab ordering / consumables LIH 40 40 Managed service contract now in place, saving will be paritally delivered this year.
AB2526-03 Prescribing - Primary Care 250 95 155 progress suggests this is on-track
AB2526-10 Drug Purchasing Efficiencies 400 200 200 progress suggests this is on-track
AB2122-66 Savings from building rationalisation 63 63 Was dependent upon changes in Dunoon, intended to deliver through a number of smaller savings, £8k delivered last year.
AB2223-5 Estates Staffing Structure 129 129 No progress to date, HR continue to support.
AB2526-12 Secondary Care Drugs 100 100
AB2526-16 Review of telecoms contract 35 10 25
AB2526-20 Suplementary Staffing Reduction 200 100 100 non-recurring
AB2526-25 Reduce Agency Medical - LIH Model (NHS Recovery Plan) 1000 500 500 Good progress to data, will declare as year progresses
AB2324-26 Childrens & Families Staffing and service re-modelling 250 250 Maternity review nearing completion.
4,117 1,133 2,984
284 110 174
2,822 1,023 1,799
1,011 0 1,011