Appendix 4a and b - Savings updated M5
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.
Page 1
Appendix 4a - 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 2324-09 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 AB2122-43a/b Oban staff travel £10k 10 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 2324-32 Patient Services Additional Income 50 Total Fully Complete 5,643 Declared on non-recurring basis at present: 1920-35 Bed reduction savings : Cowal Community Hospital 150 2021-29 Dunoon Gum clinic - underspend 20 2324-31 Non-recurring saving - AHP investment 150 Non-recurring savings 320
Page 2
Appendix 4b - LIVE SAVINGS PROGRAMME Target Declared M5 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 21 28 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 2324-08 Unscheduled Care Funding for cost pressures 200 200 Sustainability of providers remains a risk 2324-11 Reduce sleepovers and use of TEC 80 80 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 AB1819-32 General Catering & Domestic services efficiency target 20 20 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 AB2021-2 Standardise procurement of food across all sites Council Shared Service Model 69 69 Shared service model with council now in place, project expected to progress 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 20 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) AB2122-42 Islay: saving on local outreach clinics and accommodation 15 15 AB2122-60 Near Me Consultant Travel £10k 2 2 AB2223-5 Estates Staffing Structure 129 129 HR support in place, progress remains challenging AB2223-7 P&P Switchboard Service 54 54 Project nearing completion, expect to declare 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 194 116 78 AB2324-24 Review telecom lines and switchboard saving 32 32 AB2324-26 Childrens & Families Staffing and service re-modelling 250 250 Non recurring savings being achieved AB2324-28 Medicines / prescribing 150 150 AB2324-30 Resuscitation Training Income 5 5 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 2,947 302 2,645 1,004 116 888 1,403 186 1,217 540 0 540