Appendix 1 and 2 M11
Argyll and Bute Council · 29 March 2023
Back to Argyll and Bute HSCP Integration Joint Board (IJB) — 29 March 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 28 FEBRUARY 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 1,520 4,065 2,545 62.6% Underspends on centrally held funds (£1.83m) and over-recovery on Vacancy Savings (£638k) combined with additional income. Partly offset by YTD overspends on property maintenance, central repairs and software costs. Service Development 369 405 36 8.9% Outwith reporting criteria. Looked After Children 6,658 6,845 187 2.7% Underspends in Fostering and Adoption due to demand combined with underspends on Residential Placements and over-recovery of income in Supporting Young People Leaving Care from the Home Office for UASC. Partially offset by overspends on staff costs and packages to support young people leaving care. Child Protection 2,522 2,687 165 6.1% Underspend is due to vacancies and reduced travel and subsistence across the Area Teams. Children with a Disability 762 796 34 4.3% Outwith reporting criteria. Criminal Justice 66 187 121 64.7% Saving is as a result of staff turnover and vacancies combined with underspends on staff travel and subsistence and on payments to other authorities. Children and Families Management Costs 2,787 2,773 (14) (0.5%) Outwith reporting criteria. Older People 35,522 35,681 159 0.4% Underspend due to timing of funding from unscheduled care and delays in charges for smarter commissioning across Homecare. This is accompanied by projected over-recovery on income in internal Residential Units and underspends on staffing in Assessment and Care Management teams. Partially offset by overspends on Residential Placements and as a result of staffing costs within internal Residential Units. Physical Disability 3,087 3,026 (61) (2.0%) Overspend is due to demand for services within Supported Living. Learning Disability 15,583 14,373 (1,210) (8.4%) Overspend due to demand for Supported Living and Residential Placements combined with slippage against budget savings targets (£296k). Partially offset by underspends in the Day Services and Respite. Mental Health 2,680 2,632 (48) (1.8%) Outwith reporting criteria. Adult Services Central Management Costs 609 683 74 10.8% Underspends on training costs, staff travel and subsistence and as a result of timing of payments to other bodies and an over-recovery of income as a result of timing of a post recharge to Scottish Government. These are offset by costs of architects fees for place based review. COUNCIL SERVICES TOTAL 72,165 74,153 1,988 2.7% HEALTH SERVICES: Explanation Health & Community Care 39,258 39,661 404 1.0% Non-recurring funding for agency MDT staffing masking overspends on agency medical staffing & unachieved savings Acute & Complex Care 33,840 33,254 (586) (1.8%) Overspend due to agency medical and nurse staffing in LIH, out of area eating disorder patient and unachieved savings Children & Families Services 8,044 8,456 412 4.9% Saving due to service vacancies Commissioned Services - NHS GG&C 66,335 66,448 114 0.2% Reduced charges for cost per case charges for exclusions
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Service Actual £000 Budget £000 Variance £000 % Variance Explanation Commissioned Services - Other 3,979 3,906 (73) (1.9%) Overspend due to increase in drugs costs & TAVI procedures Primary Care Services inc Dental 24,020 24,041 22 0.1% Outwith reporting criteria. Other Primary Care Services 10,154 10,154 (0) (0.0%) Outwith reporting criteria. Prescribing 20,241 19,176 (1,065) (5.6%) Overspend due to unachieved savings and large inflaitonary increases in cost of drugs Public Health 1,891 1,883 (8) (0.4%) Outwith reporting criteria. Lead Nurse 1,392 1,547 155 10.0% Saving due to service vacancies Management Service 665 698 33 4.8% Outwith reporting criteria. Planning & Performance 2,529 2,497 (32) (1.3%) Unachieved savings Budget Reserves 0 2,450 2,450 0.0% Favourable variance due to in year slippage on budget reserves Income (1,855) (1,660) 195 (11.8%) Favourable variance due to increase in number of visitors requiring emergency hospital treatment Estates 8,752 8,582 (170) (2.0%) Overspend due to increases in cost of materials and utilities and slippage with savings. HEALTH SERVICES TOTAL 219,244 221,094 1,850 0.8% GRAND TOTAL 291,409 295,247 3,838 1.3%
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ARGYLL AND BUTE HEALTH AND SOCIAL CARE PARTNERSHIP APPENDIX 2 REVENUE BUDGET MONITORING FORECAST OUTTURN - AS AT 28 FEBRUARY 2023 Reporting Criteria: +/- £50k or +/- 10% Service Annual Budget £000 Forecast Outturn £000 Variance £000 % Variance Explanation COUNCIL SERVICES: Chief Officer 4,916 2,209 2,707 55.1% Forecast underspends on centrally held funds (£2.04m) combined with over-recovery on vacancy savings (£718k) and additional Covid-19 funding (£54k). This is partially offset by forecast overspends on Central Repairs, Software costs and slippage on achievement of budget savings. Service Development 436 432 4 0.9% Outwith reporting criteria. Looked After Children 7,725 7,495 230 3.0% Underspend reflects demand for Fostering and Adoption as well as over-recovery of income across Supporting Young People Leaving Care for UASC activity from the Home Office. Partially offset by overspends in the Children's Houses payroll costs and on provision at Castlewood Court. Child Protection 3,192 3,107 85 2.7% Underspends on payroll costs, staff travel and subsistence and payments to other bodies. This is combined with additional funding received for providing support to Child Disability Payments. Children with a Disability 989 897 92 9.3% Underspend due to demand and service availability at Ardlui Respite Facility combined with underspends due to demand for packages. Criminal Justice 126 31 95 75.4% Underspend is on staff costs due to vacancies and turnover, combined with underspends on payments to other bodies, equipment and staff travel and subsistence. Children and Families Management Costs 3,674 3,679 (5) (0.1%) Outwith reporting criteria. Older People 43,766 43,478 288 0.7% Underspend is due to funding allocation to offset agency costs in Homecare, additional income recovery in the Internal Residential Units, demand for respite and underspends in Carer's Support. Partially offset by demand for purchased Care Home Placements. Physical Disability 3,378 3,500 (122) (3.6%) Overspend reflects higher than budgeted demand for services in Supported Living (£111k) and Residential Placements (£36k) partially offset by underspends on Respite. Learning Disability 17,053 18,313 (1,260) (7.4%) Overspend reflects higher than budgeted demand for services in Supported Living (£464k) and Joint Residential (£515k) combined with slippage in achievement of budget savings (£323k). This is partially offset by underspends on Day Services. Mental Health 3,151 3,231 (80) (2.5%) Overspend reflects higher than budgeted demand for services in Supported Living (£35k) and Residential Placements (£92k) partially offset by underspends in Assessment and Care Management.
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Service Annual Budget £000 Forecast Outturn £000 Variance £000 % Variance Explanation Adult Services Central Management Costs 679 679 0 0.0% Outwith reporting criteria. COUNCIL SERVICES TOTAL 89,085 87,051 2,034 2.3% HEALTH SERVICES: Health & Community Care 43,254 42,702 552 1.3% Saving due to non-recurring funding for agency MDT staffing masking overspends on agency medical staffing & unachieved savings Acute & Complex Care 36,458 36,844 (386) (1.0%) Overspend due to agency medical and nurse staffing in LIH, out of area eating disorder patient and unachieved savings Children & Families Services 9,269 8,769 500 5.7% Saving due to service vacancies Commissioned Services - NHS GG&C 72,489 72,389 100 0.1% Reduced cost per case charges for exclusions Commissioned Services - Other 4,256 4,356 (100) (2.3%) Overspend is as a result of increased drug costs in December. Primary Care Services inc Dental 26,665 26,644 21 0.1% Outwith reporting criteria. Other Primary Care Services 11,275 11,275 0 0.0% Outwith reporting criteria. Prescribing 21,172 22,372 (1,200) (5.4%) Overspend due to unachieved savings and large inflaitonary increases in cost of drugs Public Health 2,216 2,246 (30) (1.3%) Outwith reporting criteria. Lead Nurse 1,700 1,530 170 11.1% Saving due to service vacancies Management Service 894 866 28 3.2% Outwith reporting criteria. Planning & Performance 2,713 2,738 (25) (0.9%) Unachieved HSCP wide savings Budget Reserves 7,617 4,917 2,700 54.9% Anticipated slippage on inyear SG allocations & financial plan reserves Income (1,788) (2,008) 220 (11.0%) Increase in number of visitors requiring emergency hospital treatment Estates 9,764 10,014 (250) (2.5%) Increases in cost of materials and utilities and unachieved savings. HEALTH SERVICES TOTAL 247,955 245,655 2,300 0.9% GRAND TOTAL 337,040 332,706 4,334 1.3%