Appendix 1 and 2 M4
Argyll and Bute Council · 30 August 2023
Back to Argyll and Bute HSCP Integration Joint Board (IJB) — 30 August 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 JULY 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 (281) (337) (56) 16.6% The YTD variance is as a result of profiling of vacancy savings as well as timing of payments to other services of the authority. Service Development 134 133 (1) (0.8%) Outwith reporting criteria. Looked After Children 2,227 2,268 41 1.8% Outwith reporting criteria. Child Protection 888 982 94 9.6% Variance is as a result of staffing vacancies which have not yet been transferred to vacancy savings combined with demand for services across Third Party Payments. Children with a Disability 240 245 5 2.0% Outwith reporting criteria. Criminal Justice 94 37 (57) (154.1%) Variance is as a result of timing of income receipt. Scottish Government grant income has been received slower than anticipated. This is partially offset by staffing underspends due to turnover and vacancies. Children and Families Central Management Costs 896 1,035 139 13.4% Variance is due to timing of receipt of grant income - in advance of anticipated expenditure - combined with budget profiling and timing of receipt of invoices for payments to health boards and rental costs. This is combined with payroll underspends which have not yet been transferred to vacancy savings. Older People 12,231 12,102 (129) (1.1%) Overspend reflects 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 1,176 1,160 (16) (1.4%) Outwith reporting criteria. Learning Disability 4,953 5,039 86 1.7% The YTD variance is as a result of timing of payments to third parties combined with YTD over-recovery of income, again due to timing of income receipt. Mental Health 920 880 (40) (4.5%) Outwith reporting criteria. Adult Services Central Management Costs 166 232 66 28.4% Variance is as a result of timing of payments to third parties. COUNCIL SERVICES TOTAL 23,644 23,776 132 0.6% HEALTH SERVICES: Explanation Health & Community Care Services 14,962 14,977 14 0.1% Overspending on agency nursing, medical & AHP costs being offset by vacancies Acute & Complex Care Services 13,191 12,916 (274) (2.1%) Overspend on agency nursing, medical & AHP costs in both LIH & Mental Health Services Children & Families Services 3,282 3,361 79 2.4% Saving due to vacancies Commissioned Services - NHS GG&C 24,669 24,644 (24) (0.1%) Outwith reporting criteria. Commissioned Services - Other 1,365 1,436 71 4.9% This variance is influenced by patients delayed on waiting lists with other NHS Scotland providers. Primary Care Services inc Dental 8,814 8,862 49 0.6% Outwith reporting criteria. Other Primary Care Services 3,291 3,291 0 0.0% Outwith reporting criteria. Prescribing 8,575 7,199 (1,376) (19.1%) Increasing cost of drugs and amendments to drug tariff. Public Health 582 607 25 4.1% Outwith reporting criteria. Lead Nurse 563 605 42 7.0% Outwith reporting criteria. Management Service (308) (309) (1) 0.5% Outwith reporting criteria. Planning & Performance 998 926 (72) (7.8%) Adverse variance due to unachieved savings. Budget Reserves 0 1,050 1,050 0.0% Anticipated slippage on reserves and SG allocations. Income (652) (613) 39 (6.4%) Outwith reporting criteria. Estates 3,549 3,494 (55) (1.6%) Adverse variance due to unachieved savings. HEALTH SERVICES TOTAL 82,881 82,446 (435) (0.5%) GRAND TOTAL 106,525 106,222 (303) (0.3%)
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ARGYLL AND BUTE HEALTH AND SOCIAL CARE PARTNERSHIP APPENDIX 2 REVENUE BUDGET MONITORING FORECAST OUTTURN - AS AT 31 JULY 2023 Reporting Criteria: +/- £50k or +/- 10% Service Annual Budget £000 Forecast Outturn £000 Variance £000 % Variance Explanation COUNCIL SERVICES: Chief Officer 1,178 981 197 16.7% Underspend is due to an over-recovery on vacancy savings combined with underspends on centrally held funds, printing & stationery and postages. Service Development 494 486 8 1.6% Outwith reporting criteria. Looked After Children 7,896 7,869 27 0.3% Outwith reporting criteria. Child Protection 3,697 3,572 125 3.4% 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 1,001 983 18 1.8% Outwith reporting criteria. Criminal Justice 224 200 24 10.7% Underspend is as a result of staff vacancies and subsequent payroll underspends combined with underspends on travel and subsistence. Children and Families Central Management Costs 3,867 3,849 18 0.5% Outwith reporting criteria. Older People 45,250 45,576 (326) (0.7%) Forecast overspend within the care home placement budgets and high utility costs within progressive care. This is partially offset by underspends in Homecare as a result of capacity issues which have reduced the volume of service provided. Physical Disability 3,561 3,502 59 1.7% The forecast underspend reflects known demand for Residential Placements partially offset by overspends on Supported Living and Respite due to demand. Learning Disability 19,520 19,224 296 1.5% Underspend reflects known demand for Residential Placements partially offset by overspends on Supported Living and Respite due to demand. Mental Health 3,633 3,710 (77) (2.1%) Overspend reflects higher than budgeted demand for services in Supported Living and Residential Placements combined with overspends on staff costs due to agency. Adult Services Central Management Costs 767 759 8 1.0% Outwith reporting criteria. COUNCIL SERVICES TOTAL 91,088 90,711 377 0.4% HEALTH SERVICES: Explanation Health & Community Care Services 44,807 45,007 (200) (0.4%) The adverse forecast variance is due to the cost of agency staffing in GP out of hours services Acute & Complex Care Services 38,471 39,821 (1,350) (3.5%) The adverse forecast variance is due to the cost of agency staffing covering consultant and nursing vacancies and leave Children & Families Services 10,368 10,068 300 2.9% 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 27,136 27,136 (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. Public Health 2,028 2,028 0 0.0% Outwith reporting criteria. Lead Nurse 1,856 1,756 100 5.4% The favourable forecast variance is due to vacancies Management Service 1,138 1,138 0 0.0% Outwith reporting criteria. Planning & Performance 2,725 2,925 (200) (7.3%) The adverse forecast variance is due to unachieved savings targets. Budget Reserves 12,274 9,074 3,200 26.1% The favourable forecast variance is due to expected slippage on reserves and SG allocations. Income (1,838) (1,838) 0 0.0% Outwith reporting criteria. Estates 10,702 10,852 (150) (1.4%) The adverse forecast variance is due to unachieved savings targets. HEALTH SERVICES TOTAL 260,881 261,681 (800) (0.3%) GRAND TOTAL 351,969 352,392 (423) (0.1%)