Appendix 1 and 2 M11, 18/03/2025 Argyll and Bute HSCP Finance and Policy Committee
Argyll and Bute Council · 26 March 2025
Back to Argyll and Bute HSCP Integration Joint Board (IJB) — 26 March 2025 and its agenda
Text extracted from the council's PDF. Layout and reading order may differ from the original.
Page 1
Classification: OFFICIAL# ARGYLL AND BUTE HEALTH AND SOCIAL CARE PARTNERSHIP APPENDIX 1 REVENUE BUDGET MONITORING SUMMARY - YEAR TO DATE POSITION AS AT 28 FEBRUARY 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 983 292 (691) (236.6%) Adverse variance due to the under recovery of vacancy savings, partially offset by spend on agency staff and charges from housing services and a termination payment due to a senior officer leaving their substantive post. Service Development 381 395 14 3.5% Outwith reporting criteria. Looked After Children 6,718 6,090 (628) (10.3%) Overspend due to high numbers in children's residential placements. Child Protection 2,805 3,169 364 11.5% Forecast is based on known demands for the service and deferred income received from previous years. Children with a Disability 790 969 179 18.5% Saving due to two third sectors grants ending. Criminal Justice 164 256 92 35.9% Favourable variance is due to additional grant funding. Children and Families Central Management Costs 3,103 3,093 (10) (0.3%) Outwith reporting criteria. Older People - Homecare 18,578 17,257 (1,321) (7.7%) Overspend due to demand driven increase in payments to third party providers and the use of agency staff. Older People - Internal Residential 6,811 6,400 (411) (6.4%) Overspend due to the use of agency staff to cover sickness, holidays and vacancies. Older People - External Residential 9,546 9,425 (121) (1.3%) Variance is due to timing difference with third party payments. Older People - Other 7,765 7,979 214 2.7% The YTD variance is due to timing differences relating to re-charges to NHS and payments to third parties. Physical Disability 3,292 3,355 63 1.9% Forecast based on current assessed care packages. Learning Disability 17,152 17,302 150 0.9% Forecast is based on demands for this service. Mental Health 3,644 3,639 (5) (0.1%) Outwith reporting criteria. Adult Services Central Management Costs 636 696 60 8.6% The YTD variance is due to timing differences with charges to Health Boards and third party payments. COUNCIL SERVICES TOTAL 82,368 80,317 (2,051) (2.6%) HEALTH SERVICES: Explanation Health & Community Care Services 43,428 44,099 670 1.5% Saving due to vacancies across a number of services Acute & Complex Care Services 40,249 38,861 (1,387) (3.6%) Overspend due to 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 10,354 10,252 (102) (1.0%) Overspend due to high cost of out of area inpatient placements Commissioned Services - NHS GG&C 75,807 74,744 (1,064) (1.4%) Higher cost per case activity within GGC relating to drug treatment prescribing & new treatments Commissioned Services - Other 4,472 4,231 (241) (5.7%) High cost other Scottish Board services charge for emergency care on a cost per case basis Primary Care Services inc Dental 28,728 28,712 (16) (0.1%) Outwith reporting criteria. Other Primary Care Services 9,847 9,847 0 0.0% Outwith reporting criteria. Prescribing 22,926 22,537 (389) (1.7%) Overspend due to price increases due to drug shortages Public Health 2,260 2,356 96 4.1% Saving due to vacancies Lead Nurse 1,709 1,828 119 6.5% Saving is due to vacancies/ secondments Management Service 1,212 1,499 286 19.1% Saving is due a technical accounting adjustment relating to clinical negligence provisions Planning & Performance 2,264 2,287 23 1.0% Outwith reporting criteria. Budget Reserves 0 1,650 1,650 100.0% Favourable variance due to slippage on reserves due to delays in implementation, generally due to recruitment Budget Reserves - Committed Pay & SLA 0 0 0 0.0% Outwith reporting criteria. Income (2,043) (1,799) 244 (13.5%) Seasonal increase in activity, longer stay Mental Health patient discharge Estates 10,567 10,488 (79) (0.8%) Inflationary pressures and increased demand for maintenance due to limited availability of capital funding, unachieved savings HEALTH SERVICES TOTAL 251,780 251,590 (189) (0.1%) GRAND TOTAL 334,148 331,907 (2,240) (0.7%)
Page 2
Classification: OFFICIAL# ARGYLL AND BUTE HEALTH AND SOCIAL CARE PARTNERSHIP APPENDIX 2 REVENUE BUDGET MONITORING FORECAST OUTTURN - AS AT 28 FEBRUARY 2025 Reporting Criteria: +/- £50k or +/- 10% Service Annual Budget £000 Outturn £000 Variance £000 % Variance Explanation COUNCIL SERVICES: Chief Officer (338) 42 (380) 112.4% The forecast overspend reflects an under recovery in vacancy savings due to either posts being filled or cost centres not open for savings due to agency costs being incurred. There is also an increased expectation of CRA spend based on Property Services Commitments along with unbudgeted spend on agency staff. Service Development 452 447 5 1.1% Outwith reporting criteria. Looked After Children 6,706 7,367 (661) (9.9%) The overspend reflects current known demand for the service with 16 active external residential placements with an average cost of a placement being c£120k per annum. The forecast overspend also reflects the increase in staffing costs in children's residential units as a result of a re-grading process. The overspend is partially offset by under spends in Foster and Adoption based on demand for these service areas. Child Protection 3,631 3,234 397 10.9% The forecast underspend is as a result of demand for contact and welfare services and deferred income in the area teams budget lines. Children with a Disability 1,051 863 188 17.9% The forecast underspend reflects a reduction in third sector grants payable to external organisations, one of which may re-start before then end of the financial year. Criminal Justice 230 132 98 42.6% The forecast underspend reflects additional grant funding received along with vacant posts. Children and Families Central Management Costs 3,762 3,773 (11) (0.3%) Outwith reporting criteria. Older People - Homecare 19,589 20,896 (1,307) (6.7%) The forecast overspend reflects the latest assessed needs packages for the homecare service with an increasing reliance on agency staff to cover the service. The forecast overspend on agency staff is currently £3.1m however this is partially offset by underspends in staffing budgets and third party payments. Older People - Internal Residential 7,533 7,896 (363) (4.8%) Overspend reflects increased use of agency staff at Kintyre Care Centre and Gortonvogie partially offset by a reduction in direct staff costs and payments due to Health Boards. Older People - External Residential 11,422 12,351 (929) (8.1%) The forecast overspend reflects the latest demand for service based care packages. Older People - Other 9,412 9,161 251 2.7% The forecast underspend is due to an expected increase in income from telecare services. Physical Disability 3,763 3,700 63 1.7% The forecast underspend is due to a combination of re-assessed packages and attritions. Learning Disability 19,951 19,792 159 0.8% Underspend reflects current demand for service and known commitments. Mental Health 4,252 4,259 (7) (0.2%) Outwith reporting criteria. Adult Services Central Management Costs 819 768 51 6.2% The forecast underspend is based on a reduced need for the training budget held here and some small underspends on supplies and services budgets. COUNCIL SERVICES TOTAL 92,235 94,681 (2,446) (2.7%) HEALTH SERVICES: Explanation Health & Community Care Services 48,128 47,439 690 1.4% Saving is due to vacancies across a number of services Acute & Complex Care Services 42,320 43,935 (1,615) (3.8%) Overspending due to 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 11,173 11,233 (60) (0.5%) Overspend die to arrears costs of regrading of school nurses Commissioned Services - NHS GG&C 81,539 82,667 (1,128) (1.4%) Forecast overspend on cost per case activity within GGC relating to homecare drug prescribing & high cost procedures Commissioned Services - Other 4,548 4,859 (311) (6.8%) High cost of other Scottish Board services charge for emergency care on a cost per case basis Primary Care Services inc Dental 30,365 30,642 (277) (0.9%) Agency locum costs associated with running 2c GP Practices in A&B Other Primary Care Services 10,741 10,741 0 0.0% Outwith reporting criteria. Prescribing 24,805 25,210 (405) (1.6%) Overspend due to anticipated additional costs of prescribing, PSD reporting on the detail of costs runs two months in arrears Public Health 2,714 2,649 65 2.4% Saving due to vacancies Lead Nurse 1,988 1,876 112 5.6% Forecast saving is due to vacancies/secondments Management Service 1,756 1,424 332 18.9% The forecast variance is due a technical accounting adjustment relating to clinical negligence provisions & vacancies Planning & Performance 2,488 2,460 28 1.1% Outwith reporting criteria. Budget Reserves 2,600 0 2,600 100.0% Slippage on reserves due to delays in implementation, generally due to recruitment Budget Reserves - Committed 6,461 6,461 0 0.0% Reserves committed for Pay Reforms and SLA uplifts Income (1,944) (2,198) 254 (13.1%) Forecast activity income for patients from outwith A&B, long stay Mental Health patient discharged Estates & Depreciation 11,459 11,619 (160) (1.4%) Overspend due to inflationary pressures and increased demand for maintenance due to limited availability of capital funding, unachieved savings HEALTH SERVICES TOTAL 281,142 281,017 125 0.0% GRAND TOTAL 373,377 375,698 (2,321) (0.6%)