Appendix 1 and 2
Argyll and Bute Council · 27 November 2024
Back to Argyll and Bute HSCP Integration Joint Board (IJB) — 27 November 2024 and its agenda
Text extracted from the council's PDF. Layout and reading order may differ from the original.
Page 1
APPENDIX 1 # ARGYLL AND BUTE HEALTH AND SOCIAL CARE PARTNERSHIP REVENUE BUDGET MONITORING SUMMARY - YEAR TO DATE POSITION AS AT 31 OCTOBER 2024 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 641 726 85 11.7% Variance is due to vacancy savings offset by spend on agency staff and charges from housing services Service Development 231 231 0 0.0% Outwith reporting criteria. Looked After Children 4,205 3,865 (340) (8.8%) Overspend due to an increase in the demand in the number of residential placements partially offset by underspends in fostering and adoption. Child Protection 1,674 1,800 126 7.0% Small saving based on known demand for the service coupled with deferred income received from previous years. Children with a Disability 543 574 31 5.4% Outwith reporting criteria. Criminal Justice 167 156 (11) (7.1%) Outwith reporting criteria. Children and Families Central Management Costs 1,736 1,774 38 2.1% Outwith reporting criteria. Older People - Homecare 10,958 9,962 (996) (10.0%) Overspend reflects increased payments to commissioned service providers and use of agency workers. Older People - Internal Residential 3,788 3,450 (338) (9.8%) The variance is due the use of agency staff to cover sickness, holidays and vacancies. Older People - External Residential 5,483 5,909 426 7.2% The variance is due to timing difference with third party payments. Older People - Other 5,054 4,714 (340) (7.2%) The YTD variance is due to timing of re-charges to NHS and timing of payments to third parties. Physical Disability 2,144 2,284 140 6.1% The favourable variance is due to re-assessed care packages. Learning Disability 9,983 10,248 265 2.6% Variance reflects current demand levels for this service area. Mental Health 2,175 1,952 (223) (11.4%) The YTD variance is due to increases in assessed packages and associated costs. Adult Services Central Management Costs 356 407 51 12.5% The favourable variance is mainly due to YTD underspends on centrally held funds. COUNCIL SERVICES TOTAL 49,138 48,052 (1,086) (2.3%) HEALTH SERVICES: Explanation Health & Community Care Services 26,604.072 26,747.027 143 0.5% Saving is due to vacancies across a number of services Acute & Complex Care Services 24,786.579 23,435.234 (1,351) (5.8%) 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 6,041.851 6,003.583 (38) (0.6%) Outwith reporting criteria. Commissioned Services - NHS GG&C 45,361.207 44,857.808 (503) (1.1%) Overspend due to cost per case activity within GGC relating to drug treatment prescribing Commissioned Services - Other 2,662.150 2,560.696 (101) (4.0%) High cost other Scottish Board services charge for emergency care on a cost per case basis Primary Care Services inc Dental 17,198.025 17,282.121 84 0.5% Saving is due to vacancies Other Primary Care Services 6,168.037 6,168.037 0 0.0% Outwith reporting criteria. Prescribing 14,544.348 14,264.139 (280) (2.0%) Unachieved Savings Public Health 1,274.053 1,321.825 48 3.6% Outwith reporting criteria. Lead Nurse 1,055.203 1,122.850 68 6.0% The YTD variance is due to vacancies/ secondments Management Service 300.697 383.240 83 21.5% The YTD variance is due to vacancies/ secondments Planning & Performance 1,413.569 1,414.475 1 0.1% Outwith reporting criteria. Budget Reserves 0.000 1,250.000 1,250 100.0% Slippage on reserves due to delays in implementation, generally due to recruitment Income (1,385.928) (1,280.225) 106 (8.3%) Additional income from seasonal increase in activity, longer stay Mental Health patient Estates 6,458.364 6,356.491 (102) (1.6%) Inflationary pressures and increased demand for maintenance due to limited availability of capital funding, unachieved savings HEALTH SERVICES TOTAL 152,482 151,887 (595) (0.4%) GRAND TOTAL 201,620 199,939 (1,681) (0.8%)
Page 2
APPENDIX 2 # ARGYLL AND BUTE HEALTH AND SOCIAL CARE PARTNERSHIP REVENUE BUDGET MONITORING FORECAST OUTTURN - AS AT 31 OCTOBER 2024 Reporting Criteria: +/- £50k or +/- 10% Service Annual Budget £000 Outturn £000 Variance £000 % Variance Explanation COUNCIL SERVICES: Chief Officer (688) (434) (254) 36.9% The forecast variance 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. Service Development 459 459 0 0.0% Outwith reporting criteria. Looked After Children 6,696 7,258 (562) (8.4%) The forecast overspend reflects current known demand for the service. Currently have 15 children in residential placements with potentially more under consideration along with an overspend on staff costs due to a re-grading process (£250k) partially offset by underspends in Adoption and Fostering. Child Protection 3,607 3,420 187 5.2% The underspend is as a result of demand for contact and welfare services and deferred income. Children with a Disability 1,053 1,032 21 2.0% Outwith reporting criteria. Criminal Justice 174 78 96 55.2% The forecast underspend reflects additional grant funding received along with vacant posts. Children and Families Central Management Costs 3,740 3,702 38 1.0% Outwith reporting criteria. Older People - Homecare 19,550 20,462 (912) (4.7%) The 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 curently £2.2m however this is partially offset by underspend in staffing budgets and third party payments. Older People - Internal Residential 7,501 7,221 280 3.7% The underspend is due to a projected increase in other income from residential care partial offset by an overspend in agency staff costs. Older People - External Residential 11,385 12,321 (936) (8.2%) The overspend reflects the latest demand for service based care packages with highest demand being in Mid Argyll, Lorn, and H&L partially offset by a drop in demand in Bute. Older People - Other 9,398 9,707 (309) (3.3%) The forecast overspend is predominatly due to the costs associated with delayed discharge service and reflects the trend over previous financial years. Physical Disability 3,854 3,622 232 6.0% The saving is due to a combination of re-assessed needs packages and attritions. Learning Disability 20,315 19,864 451 2.2% Forecast underspend reflects demand for service and known commitments with MAKI and OLI showing an underspend position partial offset by a small overspend in H&L. Mental Health 3,939 4,321 (382) (9.7%) The forecast overspend is based on assessed care needs and agreed packages. Adult Services Central Management Costs 812 812 0 0.0% Outwith reporting criteria. COUNCIL SERVICES TOTAL 91,795 93,845 (2,050) (2.2%) HEALTH SERVICES: Explanation Health & Community Care Services 47,182 47,102 80 0.2% Saving is due to vacancies across a number of services Acute & Complex Care Services 40,921 42,985 (2,064) (5.0%) 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 10,718 10,718 0 0.0% Outwith reporting criteria. Commissioned Services - NHS GG&C 76,899 77,294 (395) (0.5%) Cost per case activity within GGC relating to homecare drug prescribing Commissioned Services - Other 4,321 4,470 (149) (3.4%) High cost other Scottish Board services charge for emergency care on a cost per case basis Primary Care Services inc Dental 29,875 30,386 (511) (1.7%) 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 24,792 25,142 (350) (1.4%) Overspend due to anticipated additional costs of prescribing, PSD reporting on the detail of costs runs two months in arrears Public Health 2,532 2,512 20 0.8% Outwith reporting criteria. Lead Nurse 1,988 1,924 64 3.2% The forecast variance is due to vacancies/secondments Management Service 1,568 1,390 178 11.3% The forecast variance is due to vacancies Planning & Performance 2,458 2,484 (26) (1.1%) Unachieved Savings Budget Reserves 14,198 11,998 2,200 15.5% Slippage on reserves due to delays in implementation, generally due to recruitment Income (1,944) (2,111) 167 (8.6%) Additional income from seasonal increase in activity, longer stay Mental Health patient Estates 11,227 11,252 (25) (0.2%) Inflationary pressures and increased demand for maintenance due to limited availability of capital funding, unachieved savings HEALTH SERVICES TOTAL 277,477 278,288 (811) (0.3%) GRAND TOTAL 369,272 372,133 (2,861) (0.8%)