Appendix 1 M12 IJB Budget Monitoring-Draft

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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 MARCH 2023
Reporting Criteria: +/- £50k or +/- 10%
Service Actual
£000
Budget
£000
Variance
£000
%
Variance
Explanation
COUNCIL SERVICES:
Chief Officer
5,670 8,503 2,833 33.3% Underspends held in Chief Officer budget line relating to unallocated centrally held funds / growth funding (£2.275m). There are overspends
on Payments to Health Boards, Central Repairs, Provision for Bad Debt and unachieved budget savings. These are all partially offset by an
over-recovery on vacancy savings achievement (£766k).
Service Development 424 427 3 0.7% Outwith reporting criteria.
Looked After Children
7,468 7,915 447 5.6% Underspend is as a result of income received from Home Office for Unaccompanied Asylum Seeking Children (£280k) combined with
underspends on residential placements (£110k) and fostering & adoption (£333k) due to demand. This is all partially offset by overspends in
the Children's Houses and Castlewood Court (£243k).
Child Protection 3,020 3,169 149 4.7% Underspends on payroll costs, staff travel and subsistence, payments to other bodies and payments to health boards. This is combined with
additional funding received for providing support to Child Disability Payments.
Children with a Disability 858 1,005 147 14.6% Underspend on respite services (£73k) combined with underspends due to demand for packages and on payroll at Kintyre Network Centre.
Criminal Justice 44 131 87 66.4% Staff vacancies and turnover, combined with underspends on payments to other bodies and equipment. Additional income received for
provision of Structured Deferred Sentences and Bail Diversion.
Children and Families Central Management
Costs
3,544 3,465 (79) (2.3%) Overspend reflects a provision for an employee settlement, senior staff pay awards and standby costs.
Older People
42,724 43,869 1,145 2.6% The underspend reflects the diffculties in securing Homecare provision with reduced capacity and delays in commissioning new services
(£531k), higher than budgeted income from fees and charges in the HSCP Care Homes (£611k) and underspends within the Telecare service.
There are also underspends on staff costs across Assessment and Care Management due to vacancies and in the Progressive Care Units. This
is all partially offset by overspends due to demand for purchased Residential Placements (£544k).
Physical Disability 3,473 3,380 (93) (2.8%) The overspend reflects higher than budgeted demand for services in Supported Living (£90k) and Residential Placements (£39k). This is
partially offset by underspends on the integrated equipment store due to a positive year end stock adjustment and on respite.
Learning Disability
18,051 17,015 (1,036) (6.1%) Overspend reflects higher than budgeted demand for services in Supported Living (£399k) and Joint Residential (£405k) combined with
slippage in achievement of budget savings (£323k). This is partially offset by underspends on Day Services and as a result of contribution from
reserves towards Service Improvement Officer payroll costs.
Mental Health 3,216 3,180 (36) (1.1%) Outwith reporting criteria.
Adult Services Central Management Costs 692 681 (11) (1.6%) Outwith reporting criteria.
Transfer to reserves (3,556) (3,556) Overall service underspend transfer to reserves
COUNCIL SERVICES TOTAL 89,184 89,184 0 0.0%
HEALTH SERVICES: Explanation
Health & Community Care 42,955 43,728 772 1.8% Non-recurring funding for agency & MDT staffing masking overspends on agency medical staffing & unachieved savings
Acute & Complex Care 37,241 36,732 (510) (1.4%) Agency medical and nurse staffing in LIH, out of area eating disorder patients, unachieved savings
Children & Families Services 8,820 9,310 490 5.3% Vacancies
Commissioned Services - NHS GG&C 73,862 74,812 950 1.3% Reduced cost per case charges confirmed at year end and increased drug rebates
Commissioned Services - Other 4,517 4,409 (108) (2.5%) Increase in drugs costs & TAVI procedures
Primary Care Services inc Dental 26,533 26,587 53 0.2% Reduced cost of training in year
Other Primary Care Services 10,909 10,909 0 0.0% Outwith reporting criteria.
Prescribing 22,257 21,323 (934) (4.4%) Unachieved savings, increase in cost of  drugs
Public Health 2,268 2,329 62 2.7% Vacancies
Lead Nurse 1,526 1,701 175 10.3% Vacancies
Management Service 718 1,398 680 48.6% Slippage on centrally held growth allocations
Planning & Performance 2,730 2,776 47 1.7% Outwith reporting criteria.
Budget Reserves 0 4,046 4,046 0.0% Allocations of reserves to fund in year spend
Income (2,024) (1,788) 236 (13.2%) Increase in number of visitors requiring emergency hospital treatment
Estates 10,183 9,767 (417) (4.3%) Increases in cost of materials and energy costs
(5,542) (5,542) Overall service underspend transfer to reserves
HEALTH SERVICES TOTAL 242,496 242,496 (0) 0.0%
GRAND TOTAL 331,680 331,680 (0) 0.0%
Total Transfer to Reserves 9,098