Appendix 3a and 3b - Savings updated M4 IJB
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# Appendix 3a - 2024/25 Fully Complete Savings Target Ref. Savings Description £' 000 Social Work 2425-04 Increased income - fees and charges inflation already approved 100 2425-05 Allocate uncommitted budget to savings 550 2425-06 Review of miscellaneous unspent budgets 115 2425-09 Revise LD budget to reflect current demand 270 2425-10 Revised budgets across looked after children’s services to reflect demand 200 2425-11 Travel Budgets reduction to reflect spend patterns 50 2425-12 Transformation Budget - Allocate Uncommitted budget to savings 130 2425-13 Review all centrally managed budgets 200 2425-14 Removal of redundant post from budget 54 2425-15 Removal of redundant post from budget : Older Adults – Lorn Campbell Court & Catering post 50 Health AB2223-8 1% reduction in hospital budgets 107 AB2425-02 Review of Secondary Care Drugs - changes to pricing & patent expiry 300 AB2425-03 Review of Unallocated Budget Reserves 450 AB2425-04 Additional Patient Treatment Income 50 AB2425-05 Review of out of area care packages 200 AB2425-06 Small value uncommitted budgets 20 AB2425-07 Review of Energy Budgets 50 AB2425-08A Service Redesigns LIH -Medical Staff 250 AB2425-08B Service Redesigns LIH - Nursing staff 60 AB2425-10 Additional reserves funding to savings 760 Total Fully Complete 3,966
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Classification: OFFICIAL# Appendix 3b - LIVE SAVINGS PROGRAMME Target Declared M3 Remaining RISK NOTES Ref. Savings Description £' 000 £' 000 £' 000 Social Work 1819-33 Catering, Cleaning and other Ancillary Services 71 71 Project now starting to deliver savings - further progress expected during year 2324-04 Contract & Demand Officer Post 49 49 Post currently filled due to manage contract reviews and renewals - alternative to be identified 2324-07 Care @ Home Contract 400 400 Some achievement expected in year as new contract implemented in October 2024 2324-14 Reduce external placement budget by one (C&F) 160 160 No expectation this will be achieved as placements increasing 2425-01 Revert to National Minimum Pay Rate - uplift for some contracts is from £11.02 rather than £10.90 110 79 31 Some further progress expected depending on remaining contract uplifts 2425-03 Structured and monitored review of high cost care packages 150 150 Work at planning stage 2425-07 Review of expensive care packages 150 37 113 Underway 2425-08 Sleepovers Review 80 46 34 Underway Health AB1920-35 Bed reduction savings : Dunoon 150 150 Expect to declare on a non-recurring basis AB1920-4 Review of Service Contracts (Bute Dialysis) 19 19 AB2021-16 Dunoon Medical Services 120 120 Stable staffing still not in place at CCH to enable saving to be delivered AB2021-64 FME (Dunoon) 50 50 Stable staffing still not in place at CCH to enable saving to be delivered AB2223-9 Forensic Service Contracts 20 20 Stable staffing still not in place at CCH to enable saving to be delivered AB2021-19 Hotel Services redesign to reflect reduction in inpatient numbers 99 30 69 Project underway and some savings delivered, more is anticipated AB2021-23 Catering & Domestic Underspends 30 30 AB2021-4a/b Admin & Clerical 127 127 Reductions in the working week to be considered in context of this saving AB2021-20 Centralised booking of medical records - reduction in admin costs 97 97 AB2122-33 centralise lab ordering £20k and theatre stock ordering £5 40 40 AB2122-66 Savings from building rationalisation following increase in home working 71 71 Was dependent upon changes in Dunoon, intended to deliver through a number of smaller savings AB2223-5 Estates Staffing Structure 129 129 HR continue to support with this but little progress AB2324-26 Childrens & Families Staffing and service re-modelling 250 250 Underway, savings not yet identified AB2324-28 Prescribing 110 58 52 AB2324-30 Reduction in training SLA with UWS 5 5 AB2324-30 Marie Curie Contract underspend 10 10 AB2425-01 Review of Primary Care Drugs - Drugs of limited value etc, switches etc 150 150 Work on-going - some oportunties identified 2,647 250 2,397 655 141 514 1,654 109 1,545 338 0 338