Appendix 1 and 2
Argyll and Bute Council · 27 March 2024
Back to Argyll and Bute HSCP Integration Joint Board (IJB) — 27 March 2024 and its agenda
Text extracted from the council's PDF. Layout and reading order may differ from the original.
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ARGYLL AND BUTE HEALTH AND SOCIAL CARE PARTNERSHIP APPENDIX 1 REVENUE BUDGET MONITORING SUMMARY - YEAR TO DATE POSITION AS AT 29 FEBRUARY 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 247 922 675 73.2% Saving due to vacancy savings combined with underspends on centrally held funding. Service Development 417 421 4 1.0% Outwith reporting criteria. Looked After Children 7,085 7,498 413 5.5% Underspend is as a result of demand for fostering, kinship and adoption placements and over-recovery of income from nursery meals. This is combined with underspends due to vacancies and long term absence. Child Protection 2,768 3,059 291 9.5% Underspends due to vacancies as well as underspends on travel and subsistence combined with demand for services across contact & welfare. Children with a Disability 875 815 (60) (7.4%) Overspend reflects current known demand for the service. Criminal Justice 265 268 3 1.1% Outwith reporting criteria. Children and Families Central Management 2,897 2,955 58 2.0% Variance is as a result of the receipt of grant income in excess of budget profile. Older People - Homecare 16,716 15,677 (1,039) (6.6%) Overspend reflects current known demand for service and includes unbudgeted spend on agency staff (£1.5m). Older People - Internal Residential 6,685 6,155 (530) (8.6%) Overspend due to agency cover across units, offset by staff vacancies. Older People - External Residential 9,579 8,584 (995) (11.6%) Overspend reflects demand for service based on package commitments. Older People - Other 7,900 8,223 323 3.9% Variance is due to underspend on payroll costs across assessment and care management teams, offset by agency cover. There is also an over-recovery of income from client charges. Physical Disability 3,135 3,143 8 0.3% Outwith reporting criteria. Learning Disability 16,465 16,828 363 2.2% Underspend reflects demand for residential placements partially offset by demand for supported living. Mental Health 3,132 3,099 (33) (1.1%) Outwith reporting criteria. Adult Services Central Management Costs 507 1,131 624 55.2% Variance is mainly due to YTD underspends on centrally held funds. COUNCIL SERVICES TOTAL 78,673 78,778 105 0.1% HEALTH SERVICES: Explanation Health & Community Care Services 41,576 41,957 381 0.9% Saving due to reduced cost per case activity with other Health Boards and vacancies Acute & Complex Care Services 36,835 36,081 (754) (2.1%) Overspend on agency nursing, medical & AHP costs in both LIH & Mental Health Services Children & Families Services 9,430 9,378 (51) (0.5%) Increased cost of consultant outreach services from GGC Commissioned Services - NHS GG&C 71,698 72,006 308 0.4% Saving due to reduced cost per case activity Commissioned Services - Other 4,271 4,207 (64) (1.5%) Overspend due to extension of high cost out of area placement Primary Care Services inc Dental 26,271 26,536 265 1.0% Saving due to vacancies, mainly in Dental Services Other Primary Care Services 9,263 9,263 0 0.0% Outwith reporting criteria. Prescribing 22,284 20,559 (1,725) (8.4%) Overspend due Increasing cost of drugs and amendments to drug tariff. Public Health 2,220 2,167 (53) (2.4%) Funding yet to be allocated, offset to reserves Lead Nurse 1,522 1,683 161 9.6% Underspend due to vacancies Management Service 1,326 1,382 57 4.1% Underspend due to vacancies Planning & Performance 2,264 2,185 (78) (3.6%) Adverse variance due to unachieved savings Budget Reserves 0 2,350 2,350 0.0% Anticipated slippage on reserves and SG allocations. Income (1,810) (1,736) 74 (4.3%) Some additional seasonal income has been received Estates 10,938 10,462 (477) (4.6%) Adverse variance due to unachieved savings & additional emergency works / reactive maintenance HEALTH SERVICES TOTAL 238,087 238,479 392 0.2% GRAND TOTAL 316,760 317,257 497 0.2%
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ARGYLL AND BUTE HEALTH AND SOCIAL CARE PARTNERSHIP APPENDIX 2 REVENUE BUDGET MONITORING FORECAST OUTTURN - AS AT 29 FEBRUARY 2024 Reporting Criteria: +/- £50k or +/- 10% Service Annual Budget £000 Forecast Outturn £000 Variance £000 % Variance Explanation COUNCIL SERVICES: Chief Officer 1,278 655 623 48.7% Underspend is due to an over-recovery on vacancy savings (£218k) combined with underspends on centrally held funds. Service Development 478 469 9 1.9% Outwith reporting criteria. Looked After Children 8,154 7,699 455 5.6% Forecast underspend is as a result of demand for fostering, kinship and adoption placements as well as on supporting young people leaving care. There is also an over-recovery on income from the Home Office for unaccompanied asylum seeking children. Partially offset by demand for external residential placements and payroll overspends in the children's houses. Child Protection 3,733 3,445 288 7.7% Underspend is as a result of demand for contact and welfare services as well as forecast underspends in the Area Teams on payroll costs, payments to other bodies, travel and subsistence. Children with a Disability 1,000 1,088 (88) (8.8%) The forecast overspend reflects current known demand for the service. Criminal Justice 262 184 78 29.8% The forecast underspend is due to vacancies within the Criminal Justice team. Children and Families Central Management 3,777 3,744 33 0.9% Outwith reporting criteria. Older People - Homecare 18,343 19,685 (1,342) (7.3%) Overspend based on current known commitment from CareFirst system, agency arrangements and smarter commissioning payments. Older People - Internal Residential 7,257 7,519 (262) (3.6%) Forecast overspend due to increased staffing forecasts (bank) and agency costs, offset by underspends against contracted posts and over-recovery of income. Older People - External Residential 10,018 11,256 (1,238) (12.4%) Overspend reflects demand for service based on package commitments. Older People - Other 9,413 8,989 424 4.5% The forecast underspend is due to vacancies across assessment and care management teams, progressive care and integrated care teams, offset partially by agency cover. Physical Disability 3,519 3,512 7 0.2% Outwith reporting criteria. Learning Disability 19,372 18,971 401 2.1% The forecast underspend reflects known demand for Residential Placements partially offset by overspends on Supported Living and Respite due to demand. Mental Health 3,632 3,668 (36) (1.0%) Outwith reporting criteria. Adult Services Central Management Costs 2,202 1,464 738 33.5% Underspend is mainly due to underspends on centrally held funds and staff vacancies. COUNCIL SERVICES TOTAL 92,438 92,348 90 0.1% HEALTH SERVICES: Explanation Health & Community Care Services 45,814 45,394 420 0.9% Reduced cost per case activity with other Health Boards, vacancies Acute & Complex Care Services 39,359 40,151 (792) (2.0%) The adverse forecast variance is due to the cost of agency staffing covering consultant and nursing vacancies and leave Children & Families Services 10,255 10,335 (80) (0.8%) Increased GGC charges for specialist services Commissioned Services - NHS GG&C 79,157 78,807 350 0.4% Reduced cost per case activity Commissioned Services - Other 4,624 4,524 100 2.2% Reduced activity due to delays for patients on Golden Jubilee waiting list Primary Care Services inc Dental 27,711 27,626 85 0.3% The forecast variance is due to vacancies & reduced non-pay spend. Other Primary Care Services 10,609 10,609 0 0.0% Outwith reporting criteria. Prescribing 22,566 24,566 (2,000) (8.9%) The adverse variance mainly due to increased drug pricing & changes to the drug tariff. Public Health 2,447 2,447 0 0.0% Outwith reporting criteria. Lead Nurse 1,844 1,654 190 10.3% The favourable forecast variance is due to vacancies Management Service 1,615 1,532 83 5.1% The favourable forecast variance is due to vacancies Planning & Performance 2,355 2,430 (75) (3.2%) The adverse forecast variance is due to unachieved savings targets. Budget Reserves 6,380 4,130 2,250 35.3% The favourable forecast variance is due to expected slippage on reserves and SG allocations. Income (1,894) (1,974) 80 (4.2%) Additional income from seasonal patient activity. Estates 11,467 12,017 (550) (4.8%) The adverse forecast variance is due to unachieved savings targets. & emergency works HEALTH SERVICES TOTAL 264,309 264,248 61 0.0% GRAND TOTAL 356,747 356,596 151 0.0%