Appendix 1 and 2 M8
Argyll and Bute Council · 25 January 2023
Back to Argyll and Bute HSCP Integration Joint Board (IJB) — 25 January 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 30 NOVEMBER 2022 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 1,141 2,653 1,512 57.0% Underspends on centrally held funds (£1.4m) and central repairs (£25k) and staff travel and subsistence. This is combined with over-recovery on income for Covid-19 for income loss from charges to clients. Service Development 286 285 (1) (0.4%) Outwith reporting criteria. Looked After Children 4,743 4,813 70 1.5% 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. Child Protection 1,825 1,800 (25) (1.4%) Outwith reporting criteria. Children with a Disability 552 595 43 7.2% Outwith reporting criteria. Criminal Justice 21 33 12 36.4% Underspend is as a result of staff turnover and vacancies. Children and Families Central Management Costs 1,962 1,871 (91) (4.9%) The overspend relates to staff payroll costs and property rental costs, partially offset by underspends on travel. Older People 24,705 23,978 (727) (3.0%) The YTD overspend is a result of overspends on staffing in Homecare and Residential Units (including spend on agency) and as a result of demand for Care Home Placements. Physical Disability 2,267 2,196 (71) (3.2%) Overspending due to demand for services within Supported Living and timing of expenditure in the Integrated Equipment Service. Learning Disability 10,366 9,433 (933) (9.9%) Overspend is due to demand for services within Supported Living and Residential Placements combined with slippage against budget savings targets (£232k). This is partially offset by staffing underspends in Assessment and Care Management due to vacancies. Mental Health 1,875 1,836 (39) (2.1%) Outwith reporting criteria. Adult Services Central Management Costs 420 491 71 14.5% Underspend ing on training costs, staff travel and subsistence and as a result of timing of payments to other bodies. There is also additional income as a result of a post recharge to Scottish Government. COUNCIL SERVICES TOTAL 50,163 49,984 (179) (0.4%) HEALTH SERVICES: Explanation Community & Hospital Services 27,213 26,825 (389) (1.4%) Overspending due to agency staffing costs, predominately in OLI GP out of hours, and unachieved savings Mental Health and Learning Disability 23,743 23,106 (638) (2.8%) Overspending due to agency medical and nurse staffing in LIH, out of area eating disorder patients, unachieved savings Children & Families Services 5,493 5,669 176 3.1% Saving due to vanct posts. Commissioned Services - NHS GG&C 48,114 47,693 (421) (0.9%) Overspend due to high cost drugs (note delay in GGC reporting costs to HBs so based on estimate) Commissioned Services - Other 2,842 2,863 21 0.7% Outwith reporting criteria. Primary Care Services inc Dental 17,010 17,132 122 0.7% Saving due to vacant posts mainly within dental services. Other Primary Care Services 7,619 7,619 0 0.0% Outwith reporting criteria. Prescribing 14,115 13,812 (303) (2.2%) Overspend due to unachieved savings and increase in cost of drugs
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Service Actual £000 Budget £000 Variance £000 % Variance Explanation Public Health 1,352 1,364 12 0.9% Outwith reporting criteria. Lead Nurse 986 1,070 84 7.8% Saving due to vacant posts Management Service 65 54 (10) (19.2%) Overspend due to increased volume of orthotics orders Planning & Performance 1,767 1,704 (63) (3.7%) Adverse variance due to unachieved savings Budget Reserves 0 950 950 0.0% In year slippage on centrally held budget reserves Income (1,514) (1,234) 279 (22.6%) Increase in number of visitors requiring emergency hospital treatment Estates 6,169 6,102 (67) (1.1%) Overspend due to increases in cost of materials and utilities HEALTH SERVICES TOTAL 154,975 154,728 (248) (0.2%) GRAND TOTAL 205,138 204,712 (427) (0.2%)
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ARGYLL AND BUTE HEALTH AND SOCIAL CARE PARTNERSHIP APPENDIX 2 REVENUE BUDGET MONITORING FORECAST OUTTURN - AS AT 30 NOVEMBER 2022 Reporting Criteria: +/- £50k or +/- 10% Service Annual Budget £000 Forecast Outturn £000 Variance £000 % Variance Explanation COUNCIL SERVICES: Chief Officer 5,319 3,019 2,300 43.2% Reflects forecast underspends on centrally held funds (£2.1m) combined with over-recovery on vacancy savings (£650k) and additional Covid-19 funding (£54k). This is partially offset by a £500k provision for the unfunded impact of the 2022/23 pay award across Social Work. Service Development 442 437 5 1.1% Outwith reporting criteria. Looked After Children 7,628 7,339 289 3.8% Underspend reflects demand for Fostering, Adoption and Residential Placements 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 and Hostels on payroll costs and service provision at Castlewood Court. Child Protection 3,191 3,160 31 1.0% Outwith reporting criteria. Children with a Disability 973 975 (2) (0.2%) Outwith reporting criteria. Criminal Justice 88 72 16 18.2% Forecast underspend is on payments to other local authorities combined with staff travel and subsistence partially offset by a forecast overspend on payroll costs. Children and Families Central Management Costs 3,133 3,157 (24) (0.8%) Outwith reporting criteria. Older People 43,428 44,589 (1,161) (2.7%) Overspend reflects demand for Care Home Placements and Homecare as well the use of Agency staff across Assessment and Care Management, Homecare and Residential Units. Physical Disability 3,374 3,541 (167) (5.0%) The forecast overspend reflects higher than budgeted demand for services in Supported Living (£85k) and Residential Placements (£80k). Learning Disability 17,074 18,522 (1,448) (8.5%) Overspend reflects higher than budgeted demand for services in Supported Living (£663k) and Joint Residential (£527k) combined with slippage in achievement of budget savings (£305k). This is partially offset by forecast underspends on Day Services. Mental Health 3,184 3,286 (102) (3.2%) Higher than budgeted demand for services in Supported Living and Residential Placements. Adult Services Central Management Costs 671 665 6 0.9% Outwith reporting criteria. COUNCIL SERVICES TOTAL 88,505 88,762 (257) (0.3%) HEALTH SERVICES: Explanation Community & Hospital Services 40,270 40,873 (603) (1.5%) Overspend due to agency staffing costs, predominately in OLI GP out of hours, and unachieved savings Mental Health and Learning Disability 34,712 35,883 (1,171) (3.3%) Overspend due to agency medical and nurse staffing in LIH, out of area eating disorder patients, unachieved savings Children & Families Services 8,764 8,514 250 2.9% Saving due to vacancies. Commissioned Services - NHS GG&C 71,540 71,862 (322) (0.4%) High cost drugs (note delay in GGC reporting costs to HBs so based on 3 months actuals) Commissioned Services - Other 4,256 4,256 0 0.0% Outwith reporting criteria. Primary Care Services inc Dental 25,190 24,980 210 0.8% Saving due to vacancies mainly within dental services Other Primary Care Services 12,254 12,254 0 0.0% Outwith reporting criteria. Prescribing 20,988 21,238 (250) (1.2%) Overspend due to unachieved savings, increase in cost of drugs Public Health 2,020 1,980 40 2.0% Outwith reporting criteria. Lead Nurse 1,618 1,518 100 6.6% Vacancies
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Service Annual Budget £000 Forecast Outturn £000 Variance £000 % Variance Explanation Management Service 745 745 (0) (0.0%) Outwith reporting criteria. Planning & Performance 2,558 2,594 (36) (1.4%) Unachieved savings Budget Reserves 1,646 396 1,250 315.7% Anticipated slippage on in-year SG allocations Income (1,788) (1,988) 200 (10.1%) Increase in number of visitors requiring emergency hospital treatment Estates 9,265 9,333 (68) (0.7%) Increases in cost of materials and utilities HEALTH SERVICES TOTAL 234,038 234,438 (400) (0.2%) GRAND TOTAL 322,543 323,200 (657) (0.2%)