Appendix 3a and b - Savings updated M9
Argyll and Bute Council · 31 January 2024
Back to Argyll and Bute HSCP Integration Joint Board (IJB) — 31 January 2024 and its agenda
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Appendix 3a - 2023/24 Fully Complete Savings Target Ref. Savings Description £' 000 Social Work 2122-02 Carry out hostel review to achieve best value in admin and catering - declared non-recurring as contract changes required. 23 2122-11 Remove funding for all lunch clubs 7 2223-18 Increased utilisation of new housing capacity for service users. 18 2223-19 Implement reviews of care packages to ensure these are equitable across the area and transition to older adult care packages were appropriate 80 2223 / 2324-12 MH/LD/PD High Cost Care Package Reviews 325 2324-01 Allocate centrally held growth budgets to cost pressures 1,300 2324-02 Allocate £500k of transformation budget to cost pressures 500 2324-03 Remove Programme Manager & travel budget (SIO team) 85 2324-05 Increase Income Budgets - fees and occupancy increases 268 2324-06 Uplift vacancy target by inflation 200 2324-08 Unscheduled Care Funding for cost pressures 200 2324-09 Carer services budget review 320 2324-10 LD Day Services Staffing 62 2324-11 Reduce sleepovers and use of TEC 80 2324-13 External funding for service improvement LD 30 2324-15 Income from Unacompanied asylum seeking children 250 2324-16 Remove interim care budget as funding ended 366 2324-18 End Guardian Service for Council Staff 25 2324-17 Whole Family Wellbeing (potentially non-recurring) 120 Health AB1819-32 General Catering & Domestic services efficiency target 20 AB2021-2 Standardise procurement of food across all sites Council Shared Service Model 69 AB2122-43a/b Oban staff travel £10k 10 AB2122-42 Islay: saving on local outreach clinics and accommodation 15 AB2122-60 Near Me Consultant Travel £10k 2 AB2223-1 Review of GP Prescribing practice - reduce volume and price 194 AB2223-7 P&P Switchboard Service 54 AB2021-29 GUM Clinic 20 2324-19a Reallocation of NI increase budget not required 888 2324-19b Review of prior year reserves 200 2324-20 Remove vacant Project Manager Role 60 2324-21 Remove Depute Chief Officer Role 105 2324-23 Energy Efficiency Measures 80 2324-25 Remove Analyst Role 54 2324-27 Mental Health Package Reviews 150 AB2324-22 Revised charging policy - staff accommodation 25 AB2324-29 Public Health - general 6 AB2324-29 Public Health - grants 16 AB2324-29 Public Health - salary costs 20 AB2324-30 Resuscitation Training Income 5 2324-32 Patient Services Additional Income 50 Total Fully Complete 6,302 Declared on non-recurring basis at present: 1920-35 Bed reduction savings : Cowal Community Hospital 150 2324-31 Non-recurring saving - AHP investment 150 AB2021-1 Redesign of dementia services 24 1819-33 Catering, Cleaning and other Ancillary Services 25 Non-recurring savings 349
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Appendix 3b - LIVE SAVINGS PROGRAMME Target Declared M9 Remaining RISK NOTES Ref. Savings Description £' 000 £' 000 £' 000 Social Work 1819-33 Catering, Cleaning and other Ancillary Services 46 46 Shared service model with council now in place, project progressing £25k declared on non-recurring basis 2324-04 Remove contract & demand officer post 49 33 16 under review due to requirement for contract / procurement expertise - non recurring 2324-07 Care at Home / Smarter Commissioning Savings 400 400 Sustainability of providers remains a risk - unlikely to be achieved in 2023/24 2324-14 Reduce external placement budget by 1 - C&F 160 160 Expect to declare saving during year Health AB1920-4 Review of Service Contracts (Bute Dialysis) 20 20 Detailed review of contractual arrangements required AB2021-19 Hotel Services redesign to reflect reduction in inpatient numbers 99 99 Shared service model with council now in place, project expected to progress in 23/24 AB2021-23 Catering & Domestic Underspends 30 30 Shared service model with council now in place, project expected to progress in 23/24 AB2021-4a/b Admin & Clerical 127 127 Work underway to establish opportunities for this once 2021-20 is complete AB2021-20 Centralised booking of medical records - reduction in admin costs 97 97 Good progress made - expect to declare in 23/24 AB2021-3 AHP Workforce Review 11 11 Expect to declare on a non-recurring basis as a minimum AB2021-1 Redesign of dementia services (excludes commissioned services) 36 36 0 Bulk of saving declared last year, remaining balance declared on non-recurring basis at present AB2122-30 re-use of walking frames / improved procurement of musculo-skeletal supplies 20 17 3 Review of Integrated Equipment Store now underway AB2122-33 centralise lab ordering £20k and theatre stock ordering £5 20 20 New contract in place, savings to be confirmed (NHSH project) AB2223-5 Estates Staffing Structure 129 129 HR support in place, litlle progress being made AB2223-8 1% reduction in hospital budgets 306 175 131 Work on-going in most localities AB2324-24 Review telecom lines and switchboard saving 32 30 2 AB2324-26 Childrens & Families Staffing and service re-modelling 250 250 Non recurring savings being achieved AB2324-28 Medicines / prescribing 150 4 146 Drugs spend significantly higher than budget at present AB2324-30 Reduction in training SLA with UWS 5 5 AB2324-30 Marie Curie Contract underspend 10 10 AB2021-16 Dunoon Medical Services (CCH Project) 120 120 Will not be achieved until 2025/26 at earliest AB2021-64 FME Dunoon (CCH Project) 50 50 Will not be achieved until 2025/26 at earliest AB2223-9 Forensic Service Contracts (CCH Project) 20 20 Will not be achieved until 2025/26 at earliest AB2122-66 Savings from building rationalisation (CCH Project) 72 72 Will not be achieved until 2025/26 at earliest 2,259 295 1,964 641 83 558 548 208 340 1,070 4 1,066