Appendix 3a and b - Savings updated M7
Argyll and Bute Council · 29 November 2023
Back to Argyll and Bute HSCP Integration Joint Board (IJB) — 29 November 2023 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 2324‐13 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 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 6,026 Declared on non‐recurring basis at present: 1920‐35 Bed reduction savings : Cowal Community Hospital 150 2324‐31 Non‐recurring saving ‐ AHP investment 150 Non‐recurring savings 300
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Appendix 3b ‐ LIVE SAVINGS PROGRAMME Target Declared M7 Remaining RISK NOTES Ref. Savings Description £' 000 £' 000 £' 000 Social Work 1819‐33 Catering, Cleaning and other Ancillary Services 71 71 Shared service model with council now in place, project expected to progress in 23/24 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 2324‐11 Reduce sleepovers and use of TEC 80 36 44 Costings for recent reductions in packages underway ‐ anticipated this can be delivered in 23/24 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) 60 60 Bulk of saving declared last year, remaining balance to be confirmed 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) AB2122-60 Near Me Consultant Travel £10k 2 1 1 AB2223-5 Estates Staffing Structure 129 129 HR support in place, litlle progress being made AB2223-8 1% reduction in hospital budgets 306 165 141 Work on‐going in most localities AB2223-1 Review of GP Prescribing practice - reduce volume and price 194 166 28 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 150 150 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 AB2021-64 FME Dunoon (CCH Project) 50 50 Will not be achieved until 2025/26 AB2223-9 Forensic Service Contracts (CCH Project) 20 20 Will not be achieved until 2025/26 AB2122-66 Savings from building rationalisation (CCH Project) 72 72 Will not be achieved until 2025/26 2,584 448 2,136 881 250 631 1,033 198 835 670 0 670
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2023/24 Savings Year to 31 May 2023 Target Achievement Balance % £' 000 £' 000 £' 000 Fully Achieved 5,216 5,216 0 Partially Complete 3,374 74 3,300 Non‐recurring 320 320 0 Total 8,910 5,610 3,300 63% 2023/24 Savings Year to 31 June 2023 Target Achievement Balance % £' 000 £' 000 £' 000 Fully Achieved 5,633 5,633 0 Partially Complete 2,957 175 2,782 Non‐recurring 320 320 0 Total 8,910 6,128 2,782 69% 2023/24 Savings m5 Target Achievement Balance % £' 000 £' 000 £' 000 Fully Achieved 5,643 5,643 0 Partially Complete 2,947 302 2,645 Non‐recurring 300 300 0 Total 8,890 6,245 2,645 70% 2023/24 Savings Year to 30 October 2023 Target Achievement Balance % £' 000 £' 000 £' 000 Fully Achieved 6,026 6,026 0 Partially Complete 2,584 448 2,136 Non‐recurring 300 300 0 Total 8,910 6,774 2,136 76%