Appendix 1 and 2
Argyll and Bute Council · 27 September 2023
Back to Argyll and Bute HSCP Integration Joint Board (IJB) — 27 September 2023 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 31 AUGUST 2023 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 (221) 6 227 3783.3% Variance due to over-recovery on vacancy savings (£203k) combined with underspends on centrally held funds. Service Development 172 173 1 0.6% Outwith reporting criteria. Looked After Children 2,826 2,967 141 4.8% Underspend is as a result of demand for fostering, kinship and adoption placements as well as additional income for provision of nursery meals. This is combined with payroll underspends due to vacancies. Child Protection 1,153 1,261 108 8.6% Variance is as a result of vacancies as well as underspends on travel and subsistence combined with demand for services across contact & welfare. Children with a Disability 319 328 9 2.7% Outwith reporting criteria. Criminal Justice 106 169 63 37.3% Underspend due to vacancies combined with underspends on payments to other bodies. Children and Families Central Management Costs 1,148 1,201 53 4.4% The YTD variance is due to timing of receipt of grant income. Older People 16,477 15,625 (852) (5.5%) The YTD variance reflects increased demand within the care home placement budget and YTD overspends on employee costs due to use of agency staff in residential units and homecare. Physical Disability 1,502 1,427 (75) (5.3%) The YTD overspend is due to demand driven overspends in Supported Living and Respite and an overspend on equipment purchases within the Integrated Equipment Store. Learning Disability 6,537 6,705 168 2.5% The YTD variance reflects reduced residential placements partially offset by demand for supported living. Mental Health 1,235 1,226 (9) (0.7%) Outwith reporting criteria. Adult Services Central Management Costs 296 302 6 2.0% Outwith reporting criteria. COUNCIL SERVICES TOTAL 31,550 31,390 (160) (0.5%) HEALTH SERVICES: Explanation Health & Community Care Services 18,857 18,670 (187) (1.0%) Overspend due to agency nursing, medical & AHP costs, partly offset by vacancies Acute & Complex Care Services 16,552 16,263 (289) (1.8%) Overspend due to agency nursing, medical & AHP costs in both LIH & Mental Health Services Children & Families Services 4,142 4,212 70 1.7% Saving due to service vacancies Commissioned Services - NHS GG&C 30,868 30,905 37 0.1% The YTD variance is outwith reporting criteria. There are delays in getting some cost per case data from GGC including oncology drug costs Commissioned Services - Other 1,689 1,920 231 12.0% The YTD variance is influenced by patients delayed on waiting lists with other NHS Scotland providers. Primary Care Services inc Dental 11,050 11,032 (18) (0.2%) Outwith reporting criteria. Other Primary Care Services 4,003 4,003 0 0.0% Outwith reporting criteria. Prescribing 10,620 9,079 (1,541) (17.0%) Increasing cost of drugs and amendments to drug tariff. National delays in prescribing data mean the majority of the costs are estimated based on prior months data and updates from the national FHS Execs Group. Public Health 892 938 46 4.9% Outwith reporting criteria. Lead Nurse 687 761 74 9.7% Saving due to service vacancies Management Service (99) (86) 14 (16.2%) Unachieved savings Planning & Performance 1,229 1,172 (57) (4.9%) Unachieved savings Budget Reserves 0 850 850 0.0% Anticipated slippage on reserves and SG allocations. Income (854) (766) 88 (11.5%) Favourable variance due to seasonal income. Estates 4,362 4,354 (7) (0.2%) Outwith reporting criteria. HEALTH SERVICES TOTAL 103,995 103,307 (688) (0.7%) GRAND TOTAL 135,545 134,697 (848) (0.6%)
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ARGYLL AND BUTE HEALTH AND SOCIAL CARE PARTNERSHIP APPENDIX 2 REVENUE BUDGET MONITORING FORECAST OUTTURN - AS AT 31 AUGUST 2023 Reporting Criteria: +/- £50k or +/- 10% Service Annual Budget £000 Forecast Outturn £000 Variance £000 % Variance Explanation COUNCIL SERVICES: Chief Officer 551 75 476 86.4% Forecast underspend is due to over-recovery on vacancy savings (£278k) combined with underspends on centrally held funds. I13 Service Development 490 481 9 1.8% Outwith reporting criteria. Looked After Children 7,866 7,670 196 2.5% Forecast underspend is as a result of rreduced 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 3,681 3,542 139 3.8% 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 1,001 981 20 2.0% Outwith reporting criteria. Criminal Justice 224 215 9 4.0% Outwith reporting criteria. Children and Families Central Management Costs 3,765 3,755 10 0.3% Outwith reporting criteria. Older People 44,251 45,448 (1,197) (2.7%) The forecast overspend reflects demand driven overspends within the care home placement budgets and homecare. High staff costs across HSCP residential units due to agency cover are also contributing. Physical Disability 3,553 3,627 (74) (2.1%) Overspend reflects higher than budgeted demand for Supported Living (£55k), Respite (£9k) and higher than budgeted equipment purchasing in the Integrated Equipment Service (£15k). Learning Disability 19,486 18,963 523 2.7% The forecast underspend reflects known demand for Residential Placements partially offset by overspends on Supported Living and Respite due to demand. Mental Health 3,624 3,754 (130) (3.6%) Overspend reflects higher than budgeted demand for services in Supported Living (£48k) and Residential Placements (£114k). These are partially offset by an underspend on addictions service due to vacancies. Adult Services Central Management Costs 2,595 2,576 19 0.7% Outwith reporting criteria. COUNCIL SERVICES TOTAL 91,087 91,087 0 0.0% HEALTH SERVICES: Explanation Health & Community Care Services 44,512 44,770 (258) (0.6%) The adverse forecast variance is due to the cost of agency staffing in nursing and GP out of hours services Acute & Complex Care Services 38,367 39,417 (1,050) (2.7%) The adverse forecast variance is due to the cost of agency staffing covering consultant and nursing vacancies and leave Children & Families Services 10,090 9,890 200 2.0% The favourable forecast variance is due to vacancies Commissioned Services - NHS GG&C 73,932 73,932 0 0.0% Outwith reporting criteria. Commissioned Services - Other 4,409 4,409 0 0.0% Outwith reporting criteria. Primary Care Services inc Dental 27,131 27,131 0 0.0% Outwith reporting criteria. Other Primary Care Services 10,909 10,909 0 0.0% Outwith reporting criteria. Prescribing 21,964 24,464 (2,500) (11.4%) The adverse forecast variance is due to the impact of increased drug pricing & changes to the drug tariff. Due to issues with the implementation of a new national system, robust prescribing data cannot be produced and the forecast is based on limited actual data Public Health 2,075 2,075 0 0.0% Outwith reporting criteria. Lead Nurse 1,826 1,696 130 7.1% The favourable forecast variance is due to vacancies Management Service 1,107 1,107 0 0.0% Outwith reporting criteria. Planning & Performance 2,717 2,917 (200) (7.4%) The adverse forecast variance is due to unachieved savings targets. Budget Reserves 15,393 12,493 2,900 18.8% The favourable forecast variance is due to expected slippage on SG allocations and use of reserve funding. Income (1,838) (1,838) 0 0.0% Outwith reporting criteria. Estates 10,712 10,834 (122) (1.1%) The adverse forecast variance is due to unachieved savings targets. HEALTH SERVICES TOTAL 263,305 264,205 (900) (0.3%) GRAND TOTAL 354,392 355,292 (900) (0.3%)