Appendix 1 and 2IJB Budget Monitoring
Argyll and Bute Council · 25 September 2024
Back to Argyll and Bute HSCP Integration Joint Board (IJB) — 25 September 2024 and its agenda
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Classification: OFFICIAL# ARGYLL AND BUTE HEALTH AND SOCIAL CARE PARTNERSHIP APPENDIX 1 REVENUE BUDGET MONITORING SUMMARY - YEAR TO DATE POSITION AS AT 31 JULY 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 353 346 (7) (2.0%) Outwith reporting criteria. Service Development 125 129 4 3.1% Outwith reporting criteria. Looked After Children 2,526 2,325 (201) (8.6%) Overspend is due to an increase in the demand and authorisation of additional residential placements early in the year. Child Protection 903 1,005 102 10.1% The variance is based on known commitments and some deferred income received previously. Children with a Disability 375 347 (28) (8.1%) Outwith reporting criteria. Criminal Justice 134 16 (118) (737.5%) The variance is due to timing of grant income. Children and Families Central Management Costs 884 939 55 5.9% The YTD variance is due to increased s12 payments. Older People - Homecare 5,292 5,017 (275) (5.5%) The overspend is based on known commitments and service provision levels. Older People - Internal Residential 2,041 1,812 (229) (12.6%) The overspend is based on known commitments and service provision levels. Older People - External Residential 2,792 3,113 321 10.3% The YTD variance is due to known commitments. Older People - Other 2,822 2,683 (139) (5.2%) The YTD variance is due to various areas of miscelaneous spend and income. Physical Disability 1,386 1,436 50 3.5% The YTD variance is due to known commitments. Learning Disability 4,470 4,650 180 3.9% The YTD variance is based on known commitments in joint residential care provision. Mental Health 1,112 954 (158) (16.6%) The YTD variance is due to known commitments and increased placements. Adult Services Central Management Costs 215 258 43 16.7% The facourable variance is due to over recovery of income. COUNCIL SERVICES TOTAL 25,430 25,030 (400) (1.6%) HEALTH SERVICES: Explanation Health & Community Care Services 14,987 15,200 214 1.4% The YTD variance is due to vacancies across a number of services Acute & Complex Care Services 14,038 13,282 (756) (5.7%) 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 3,412 3,398 (15) (0.4%) Outwith reporting criteria. Commissioned Services - NHS GG&C 25,751 25,621 (130) (0.5%) Overspend relates to cost per case activity within GGC relating to homecare drug prescribing Commissioned Services - Other 1,550 1,463 (87) (6.0%) Overspend due to high costs from other Scottish Board services charge on a cost per case basis Primary Care Services inc Dental 9,600 9,757 157 1.6% The YTD variance is due to vacancies Other Primary Care Services 3,420 3,420 0 0.0% Outwith reporting criteria. Prescribing 8,428 8,123 (305) (3.8%) Overspend due to unachieved savings. Public Health 699 724 25 3.5% Outwith reporting criteria. Lead Nurse 576 590 14 2.4% Outwith reporting criteria. Management Service 159 161 2 1.3% Outwith reporting criteria. Planning & Performance 781 778 (3) (0.4%) Outwith reporting criteria. Budget Reserves 0 450 450 100.0% Slippage on reserves due to delays in implementation, generally due to recruitment Income (795) (692) 102 (14.8%) Seasonal increase in activity, longer stay Mental Health patients. Estates 3,648 3,554 (93) (2.6%) Inflationary pressures and increased demand for maintenance due to limited availability of capital funding, there are also a number of unachieved savings. HEALTH SERVICES TOTAL 86,255 85,830 (425) (0.5%) GRAND TOTAL 111,685 110,860 (825) (0.7%)
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Classification: OFFICIAL# ARGYLL AND BUTE HEALTH AND SOCIAL CARE PARTNERSHIP APPENDIX 2 REVENUE BUDGET MONITORING FORECAST OUTTURN - AS AT 31 JULY 2024 Reporting Criteria: +/- £50k or +/- 10% Service Annual Budget £000 Outturn £000 Variance £000 % Variance Explanation COUNCIL SERVICES: Chief Officer (2,478) (2,496) 18 (0.7%) Outwith reporting criteria. Service Development 476 474 2 0.4% Outwith reporting criteria. Looked After Children 7,943 8,630 (687) (8.6%) The overspend relates to childrens external residential placements. We currently have 16 children in placements with a potential 6 other children being considered. This overspend is likely to increase as we progress through the year. Child Protection 3,619 3,524 95 2.6% The 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 1,054 1,067 (13) (1.2%) Outwith reporting criteria. Criminal Justice 174 166 8 4.6% Outwith reporting criteria. Children and Families Central Management Costs 3,942 3,964 (22) (0.6%) Outwith reporting criteria. Older People - Homecare 19,989 19,842 147 0.7% The forecast underspend is based on current known commitment from CareFirst system. Older People - Internal Residential 7,619 7,399 220 2.9% The forecast underspend is due to over-recovery of income. Older People - External Residential 12,385 13,515 (1,130) (9.1%) The overspend reflects demand for service based on known package commitments. Older People - Other 9,452 9,763 (311) (3.3%) The forecast overspend is an accumulation of small overspends across various budget lines including payments to other services of the authority. Physical Disability 3,860 3,561 299 7.7% The forecast underspend is based on current known commitments on Carefirst. Learning Disability 20,406 19,931 475 2.3% The forecast underspend is based on current known commitments on Carefirst. Mental Health 3,951 4,542 (591) (15.0%) The forecast overspend is based on current known commitments on Carefirst. Adult Services Central Management Costs 812 804 8 1.0% Outwith reporting criteria. COUNCIL SERVICES TOTAL 93,204 94,686 (1,482) (1.6%) HEALTH SERVICES: Explanation Health & Community Care Services 44,743 44,781 (38) (0.1%) Outwith reporting criteria. Acute & Complex Care Services 39,188 41,082 (1,894) (4.8%) 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 10,109 10,109 0 0.0% Outwith reporting criteria. Commissioned Services - NHS GG&C 76,862 76,862 0 0.0% Outwith reporting criteria. Commissioned Services - Other 4,321 4,426 (105) (2.4%) Overspend due to high costs from other Scottish Board services charge on a cost per case basis Primary Care Services inc Dental 29,544 29,614 (70) (0.2%) 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 24,722 25,022 (300) (1.2%) Anticipated additional costs of prescribing, PSD reporting on the detail of costs runs two months in arrears Public Health 1,693 1,693 0 0.0% Outwith reporting criteria. Lead Nurse 1,761 1,761 0 0.0% Outwith reporting criteria. Management Service 1,896 1,841 55 2.9% Saving due to vacancies. Planning & Performance 2,307 2,403 (96) (4.2%) Unachieved Savings Budget Reserves 2,999 1,199 1,800 60.0% Slippage on reserves due to delays in implementation, generally due to recruitment Income (1,944) (2,031) 87 (4.5%) Forecast activity for patients from out with A&B, long stay Mental Health patient discharged Estates 10,886 11,136 (250) (2.3%) Inflationary pressures and increased demand for maintenance due to limited availability of capital funding, unachieved savings HEALTH SERVICES TOTAL 259,827 260,638 (811) (0.3%) GRAND TOTAL 353,031 355,324 (2,293) (0.6%)