Appendix 1 and 2
Argyll and Bute Council · 17 September 2025
Back to Argyll and Bute HSCP Integration Joint Board (IJB) — 17 September 2025 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 APPENDIX 1 REVENUE BUDGET MONITORING SUMMARY - YEAR TO DATE POSITION AS AT 31 JULY 2025 Reporting Criteria: +/- £50k or +/- 10% For information: The Council don't do monthly based accrual accounting, whereas Health do. For Council spend, 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 433 385 (48) (12.5%) Variance is due to timing of income from NHS recharges, offset by staff vacancies. Service Development 139 143 4 2.8% Outwith reporting criteria. Looked After Children 2,847 2,405 (442) (18.4%) The overspend is due to the demand / numbers in external childrens residential placements. Child Protection 1,000 984 (16) (1.6%) Outwith reporting criteria. Children with a Disability 311 344 33 9.6% Outwith reporting criteria. Criminal Justice 27 (211) (238) 112.8% Variance is due to timing of grant income. Children and Families Central Management Costs 945 1,098 153 13.9% The Variance is due to timing of DES and WFWF grant income and timing of invoices received from NHS highland Older People - Homecare 5,967 5,680 (287) (5.1%) The overspend reflects an increase in payments to third party providers and the use of agency staff. Older People - Internal Residential 2,208 2,036 (172) (8.4%) The overspend is due to additional spend on staff overtime and agency workers. Older People - External Residential 3,369 3,519 150 4.3% Spend reflects current commitments. Older People - Other 2,905 2,705 (200) (7.4%) Variance is due timing differences in third party payments for Carer's Respite Physical Disability 1,362 1,322 (40) (3.0%) Outwith reporting criteria. Learning Disability 5,567 5,562 (5) (0.1%) Outwith reporting criteria. Mental Health 1,460 1,305 (155) (11.9%) Variance is due timing differences in third party payments and income from NHS recharges. Adult Services Central Management Costs 176 271 95 35.1% Variance is due to timing differences in third party payments. COUNCIL SERVICES TOTAL 28,716 27,548 (1,168) (4.2%) HEALTH SERVICES: Explanation Health & Community Care Services 24,429 24,124 (306) (1.3%) The overspend is due to continuing agency staff usage, predominently to cover medical staff vacancies in Lorn & Isles Hospital. Complex Care & Registered Services 6,947 6,967 19 0.3% Outwith reporting criteria. Children & Families Services 4,315 4,087 (228) (5.6%) Overspend is due to the high cost of out of area inpatient placements Commissioned Services - NHS GG&C 28,027 27,458 (569) (2.1%) Overspend is due to cost per case drug treatments. Commissioned Services - Other 1,556 1,618 62 3.8% The YTD underspend is due to delays in planned activity for patients referred to other Health Boards Primary Care Services inc Dental 10,410 10,464 54 0.5% The underspend is due to vacancies Other Primary Care Services 3,984 3,984 0 0.0% Outwith reporting criteria. Prescribing 7,643 7,916 272 3.4% Underspend is due to staff vacancies. Public Health 630 736 106 14.4% Underspend is due to delays in non-pay project spend Lead Nurse 642 685 43 6.3% Outwith reporting criteria. Management Service 934 1,030 96 9.3% The YTD underspend is due to vacancies/ secondments within senior management Planning & Performance 908 929 21 2.3% Outwith reporting criteria. Budget Reserves 0 800 800 100.0% The YTD underepend is due to slippage on reserves due to delays in implementation, generally due to recruitment Budget Reserves - Committed 0 0 0 0.0% Outwith reporting criteria. Income (801) (708) 92 (13.0%) The underspend is due to seasonal increase in activity Estates 3,963 3,900 (63) (1.6%) Outwith reporting criteria. Centrally Held Savings (726) (726) 100.0% Savings in Development to balance budget HEALTH SERVICES TOTAL 93,588 93,263 (325) (0.3%) GRAND TOTAL 122,304 120,811 (1,493) (1.2%)
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# ARGYLL AND BUTE HEALTH AND SOCIAL CARE PARTNERSHIP APPENDIX 2 REVENUE BUDGET MONITORING FORECAST OUTTURN - AS AT 31 JULY 2025 Reporting Criteria: +/- £50k or +/- 10% Service Annual Budget £000 Outturn £000 Variance £000 % Variance Explanation COUNCIL SERVICES: Chief Officer (1,127) (2,035) 908 (80.6%) The forecast saving is due to two vacant posts and the reallocation of cost and demand pressure budgets yet to be fully committed. Service Development 510 510 0 0.0% Outwith reporting criteria. Looked After Children 7,632 8,915 (1,283) (16.8%) The forecast overspend reflects current known demand for residential placements with currently 19 active placements with an average cost of c£186k per annum and the highest cost individual placement being £307k. The overspend is partially offset by underspends in Adoption and Fostering. Child Protection 3,851 3,786 65 1.7% Forecast underspend is due to vacant posts within area teams and contact & welfare. Children with a Disability 1,100 1,063 37 3.4% Outwith reporting criteria. Criminal Justice 272 267 5 1.8% Outwith reporting criteria. Children and Families Central Management Costs 4,009 3,932 77 1.9% Underpsend is due to two vacant posts within the Bowmore are team and a projected underspend on SWES payments. Older People - Homecare 20,291 20,580 (289) (1.4%) The forecast overspend reflects known demand for home care packages and the use of agency staff to cover sickness absence and vacancies. Older People - Internal Residential 7,890 8,147 (257) (3.3%) Overspend is due to the use of agency staff within the care homes partially offset by vacancies. Older People - External Residential 13,003 13,071 (68) (0.5%) The forecast overspend reflects the latest demand for service based care packages. Older People - Other 9,832 9,638 194 2.0% The forecast underspend is due to staff vacancies in progressive care, integrated care teams and assessment and care management Physical Disability 4,020 4,047 (27) (0.7%) Outwith reporting criteria. Learning Disability 20,413 20,244 169 0.8% Forecast underspend reflects demand for service and known commitments. Mental Health 4,334 4,559 (225) (5.2%) The forecast overspend reflects the demand for residential care packages combined with the use of agency staff in the assessment and care management teams. Adult Services Central Management Costs 828 822 6 0.7% Outwith reporting criteria. COUNCIL SERVICES TOTAL 96,858 97,546 (688) (0.7%) HEALTH SERVICES: Explanation Health & Community Care Services 72,062 73,502 (1,440) (2.0%) The forecast overspend is due to agency staffing, predominately medical staff in Lorn & Isles Hospital Complex Care & Registered Services 21,095 20,783 312 1.5% Underspend is due to staff vacancies Children & Families Services 12,170 12,485 (315) (2.6%) The overspend is due to the high cost of out of area inpatient placements & cost per case drug treatments Commissioned Services - NHS GG&C 82,374 82,746 (372) (0.5%) The forecast overspend is due to cost per case activity within GGC relating to homecare drug prescribing & high cost procedures Commissioned Services - Other 4,784 5,025 (241) (5.0%) The forecast overspend is due to high cost other Scottish Board services charge for emergency care on a cost per case basis Primary Care Services inc Dental 31,585 32,419 (834) (2.6%) The forecast overspend is due to agency locum costs associated with running 2c GP Practices Other Primary Care Services 10,882 10,882 0 0.0% Outwith reporting criteria. Prescribing 24,717 24,499 218 0.9% The forecast underspend is due to staff vacancies Public Health 2,460 2,310 150 6.1% The forecast underspend is due to delays in non-pay project spend Lead Nurse 2,043 1,957 86 4.2% The forecast variance is due to vacancies/secondments Management Service 3,156 2,979 177 5.6% The forecast underspend is due senior management vacancies Planning & Performance 2,681 2,762 (81) (3.0%) The forecast overspend is due to unachieved savings Budget Reserves 2,500 0 2,500 100.0% The forecast underspend is due to slippage on financial plan reserves due to delays in implementation Budget Reserves - Committed 21,267 21,267 0 0.0% Reserves committed for Pay Reforms, SLA uplifts & SG Policy Commitments Income (1,974) (2,178) 204 (10.3%) The forecast underspend is due to increased activity relating to non-A&B resident patients Estates & Depreciation 11,790 11,790 0 0.0% Outwith reporting criteria. Centrally Held Savings (2,178) (1,000) (1,178) 54.1% Savings Plans in Development at present and use of non-recurring reserves HEALTH SERVICES TOTAL 301,416 302,230 (814) (0.3%) GRAND TOTAL 398,274 399,776 (1,502) (0.4%)