Appendix 1

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ARGYLL AND BUTE HEALTH AND SOCIAL CARE PARTNERSHIP APPENDIX 1
REVENUE BUDGET MONITORING SUMMARY - YEAR TO DATE POSITION AS AT 31 MARCH 2025
Reporting Criteria: +/- £50k or +/- 10%
For information:
The Council don't do monthly based accrual accounting, whereas Health do.
On the Council side, there may be a mismatch between year to date actual and budgets, due to timing differences as to when invoices are paid.
Health do monthly based accrual accounting, therefore, you should see a correlation in the year to date position and the year end outturn position.
Service Actual
£000
Budget
£000
Variance
£000
%
Variance
Explanation
COUNCIL SERVICES:
Chief Officer 1,666 1,384 (282) 54.7% The underspend is due to an over-recovery on vacancy savings (£363k) combined with a drawdown from pension
savings held by Council.
Service Development 436 429 (7) (1.6%) Outwith reporting criteria.
Looked After Children
7,695 6,708 (987) (14.7%) Overspend is due to demand for residential care placements and increased staffing costs as a result of re-grading in
childrens homes.  These are partially offset by underspends in fostering and adoption due to demand for these
service areas.
Child Protection 3,198 3,618 420 11.6% The Underspend is mainly due to underspends in the Area Teams on payroll costs.
Children with a Disability 843 1,048 205 19.6% Underspend is due to a reduction in third section grant payments.
Criminal Justice 153 236 83 35.2% The forecast underspend is due to vacancies within the Criminal Justice team
Children and Families Central Management
Costs
3,861 3,745 (116) (3.1%) The overspend is the result of additional payroll costs associated with sickness absence.
Older People - Homecare 21,418 19,781 (1,637) (8.3%) The overspend reflects cost of care packages for the homecare service with reliance on agency staff to cover the
service.
Older People - Internal Residential 7,996 7,511 (485) (6.5%) The Overspend reflects increased use of agency staff at Kintyre Care Centre and Gortonvogie partially offset by a
reduction in direct staff costs.
Older People - External Residential 11,426 11,424 (2) (0.0%) Outwith reporting criteria.
Older People - Other 9,004 9,369 365 3.9% Underspend is due to an increase in income from telecare services.
Physical Disability 3,708 3,785 77 2.0% Underspend is due to a combination of re-assessed needs packages and attritions.
Learning Disability 19,615 19,822 207 1.0% Underspend reflects demand for service.
Mental Health 4,203 4,215 12 0.3% Outwith reporting criteria.
Adult Services Central Management Costs 633 784 151 19.3% Underspend is mainly due to underspends on centrally held funds and staff vacancies.
COUNCIL SERVICES TOTAL 95,855 93,859 (1,996) (2.1%)
HEALTH SERVICES: Explanation
Health & Community Care Services 47,558 48,383 824 1.7% Saving is due to vacancies across a number of services
Acute & Complex Care Services 44,344 42,454 (1,890) (4.5%) Agency locum usage to cover medical & nursing vacancies in LIH & Mental Health, high cost out of area
private sector mental health placements
Children & Families Services 11,479 11,419 (60) (0.5%) High cost of out of area inpatient placements
Commissioned Services - NHS GG&C 83,399 81,592 (1,807) (2.2%) Higher cost per case activity within GGC relating to drug treatment prescribing & new treatments
Commissioned Services - Other 5,106 4,548 (558) (12.3%) High cost other Scottish Board services charge for emergency care on a cost per case basis
Primary Care Services inc Dental 31,982 31,897 (85) (0.3%) Smal overspend relating to 2c practies.
Other Primary Care Services 10,882 10,882 0 0.0% No variance
Prescribing 25,040 24,877 (164) (0.7%) Overspend due to price increases due to drug shortages
Public Health 2,713 2,837 125 4.4% Saving due to vacancies/ secondments
Lead Nurse 1,830 1,969 139 7.1% Saving due to vacancies/ secondments
Management Service 3,203 3,391 188 5.5% The variance is due a technical accounting adjustment relating to clinical negligence provisions
Planning & Performance 2,474 2,504 31 1.2% Outwith reporting criteria.
Budget Reserves 0 3,379 3,379 100.0% Slippage on reserves due to delays in implementation of projects, generally due to recruitment delays.
Income (2,229) (1,944) 285 (14.7%) Longer stay Mental Health inpatient.
Estates 13,469 13,310 (160) (1.2%) Inflationary pressures and increased demand for maintenance due to limited availability of capital funding
and deteriorating infrastructure. There are also savings that have not been achieved.
HEALTH SERVICES TOTAL 281,252 281,497 245 0.1%
GRAND TOTAL 377,107 375,356 (1,751) (0.5%)