Appendix 1 M12 IJB Budget Monitoring-260424

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ARGYLL AND BUTE HEALTH AND SOCIAL CARE PARTNERSHIP APPENDIX 1
REVENUE BUDGET MONITORING SUMMARY - PROVISIONAL YEAR END POSITION AS AT 31 MARCH 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 635 1,202 567 47.2% Underspend is due to an over-recovery on vacancy savings (£155k) combined with underspends on centrally held
funds (£566K).
Service Development 465 474 9 1.9% Outwith reporting criteria.
Looked After Children
7,803 8,162 359 4.4% Underspend is as a result of demand for fostering, kinship and adoption placements and on supporting young
people leaving care. There was also receipt of additional income from the Home Office for unaccompanied asylum
seeking children. This was partially offset by demand for external residential placements and payroll overspends in
the children's houses.
Child Protection 3,359 3,747 388 10.4% Underspend is mainly due to vacancies.
Children with a Disability 990 1,001 11 1.1% Outwith reporting criteria.
Criminal Justice 168 269 101 37.5% Underspend is due to vacancies within the Criminal Justice team as well as funding allocated at year end
Children and Families Central Management 3,793 3,779 (14) (0.4%) Outwith reporting criteria.
Older People - Homecare 19,520 18,355 (1,165) (6.3%) Overspend due to demand, agency costs and smarter commissioning payments.
Older People - Internal Residential 7,901 7,281 (620) (8.5%) Overspend due to staffing bank and agency costs, offset by underspends against contracted posts and additional
income.
Older People - External Residential 11,106 10,018 (1,088) (10.9%) Overspend reflects demand for service based on package commitments.
Older People - Other 8,985 9,437 452 4.8% Underspend due to vacancies across assessment and care management teams, progressive care and integrated care
teams, offset partially by agency cover.
Physical Disability 3,508 3,517 9 0.3% Outwith reporting criteria.
Learning Disability 19,301 19,357 56 0.3% Small underspend reflects demand for Residential Placements partially offset by overspends on Supported Living
and Respite and by redundancy payments incurred at year end.
Mental Health 3,594 3,631 37 1.0% Outwith reporting criteria.
Adult Services Central Management Costs 754 1,487 733 49.3% Underspend is mainly due to underspends on centrally held funds and staff vacancies.
COUNCIL SERVICES TOTAL 91,882 91,717 (165) (0.2%)
HEALTH SERVICES: Explanation
Health & Community Care Services 45,415 45,865 449 1.0% Saving due to reduced cost per case activity with other Health Boards and vacancies
Acute & Complex Care Services 40,328 39,519 (809) (2.0%) Overspend due to agency nursing, medical & AHP costs  in both LIH & Mental Health Services
Children & Families Services 10,265 10,324 59 0.6% Increased cost of consultant outreach services from GGC
Commissioned Services - NHS GG&C 77,845 78,397 552 0.7% Reduced cost per case activity and additional drug rebates
Commissioned Services - Other 4,796 4,664 (132) (2.8%) Overspend due to the extension of an out of area placement
Primary Care Services inc Dental 28,791 29,006 214 0.7% Saving due to vacancies, mainly in Dental Services
Other Primary Care Services 10,741 10,741 0 0.0% Outwith reporting criteria.
Prescribing 24,084 22,918 (1,166) (5.2%) Overspend due to increasing cost of drugs and amendments to drug tariff. 
Public Health 2,602 2,605 3 0.1% Outwith reporting criteria.
Lead Nurse 1,664 1,844 181 9.8% Saving due to short term vacancies.
Management Service 2,491 2,478 (12) (0.5%) Outwith reporting criteria.
Planning & Performance 2,466 2,386 (81) (3.4%) Overpsend due to failure to achieve savings.
Budget Reserves 0 3,819 3,819 0.0% Favourable variance due to slippage on budget reserves spend and additional SG allocations.
Income (2,008) (1,894) 115 (6.1%) Additional income from re-charges for activity in A&B Hospitals due to increased activity.
Estates 11,346 10,953 (393) (3.6%) Overspend due to unachieved savings & emergency works
HEALTH SERVICES TOTAL 260,826 263,624 2,798 1.1%
GRAND TOTAL 352,708 355,341 2,633 0.7%