Appendix 3a and b - Savings updated M8
Argyll and Bute Council · 25 January 2023
Back to Argyll and Bute HSCP Integration Joint Board (IJB) — 25 January 2023 and its agenda
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Appendix 3a - 2022/23 Fully Complete Savings Target Ref. Savings Description £' 000 Social Work 2021-7b Review of provisioning of day services and remodel considering options of greater third sector involvement aiming for 10% reduction in cost, several targets under this project have been amalgamated. 145 2021-32 Review housing support services and remove where not required for LD and PD clients - several targets under this project have been amalgamated. 86 2122-01 C &F Align business model for staffing for the 3 children's homes 6 2122-03 C&F - Do not replace independent chair of panel 2 2223-17 Reduce the number of individual sleepovers and utilise TEC 78 2223-22 Older Adults - Remove current year underspend and anticipated unfunded growth from budget. 390 2223-23 Older Adults - Funding to cover care home contract uplift. 193 2223-11 MH - Reduction in value of 3rd Party Contract 10 2223-12 C&F Shift the balance of care across fostering, kinship and out of area residential placements. 100 2223-13 C&F - Redesign and review of Justice services to become fully funded by specific grant. 60 2223-15 C&F - Printer and Paper cost reduction 4 2223-16 Day Services - Internal Staffing 20 2223-20 LD&PD Transport costs - Day Services. 12 2223-21 Corp - Hold programme manager post vacant. 76 2223-10 Corp - Additional non-recurring vacancy savings to be removed from budget in year as they arise. 250 Health 1920-38b Lorne & Islands Hospital staffing 21 2122-10 Redirect Oban Integrated Care Funding to pay for day responder service as in other areas 14 1819-44 Advanced Nurse Practitioners - Oban 14 2122-35 Mid Argyll hospital hotel services £20k, comms £4.3k; GMS out of hours £2k; equipment £1.5k 4 2122-36 Campbeltown hospital patients travel £30k 30 2223-3 MH - Review of specific high cost care packages. 115 2223-4 Ensure that funding for pay rate uplifts are passed through to Health Budgets 50 2223-24 Primary Care -Ensure national funding is fully utilised to cover eligible costs - Denistry. 22 2223-26 Public Health - Review of Living Well grants 18 2223-27 Children & families 130 2223-6 Estates - Reduce Energy Usage 60 2122-37 Campbeltown hospital catering 2 2223-2 Corp - Additional non-recurring vacancy savings to be removed from budget in year as they arise. 750 2223-25 Public Health -Reduce specific engagement budget which is now subsumed into mainstream PH activities 9 Declared on non-recurring basis at present: 1920-35 Bed reduction savings : Cowal Community Hospital 150 2122-02 Carry out hostel review to achieve best value in admin and catering - declared non-recurring as contract changes required. 23 2021-29 Dunoon Gum clinic - underspend 20 2,864
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Appendix 3b - LIVE SAVINGS PROGRAMME Target Declared M8 Remaining RISK NOTES Ref. Savings Description £' 000 £' 000 £' 000 Social Work 2122-11 Remove funding for all lunch clubs 29 22 7 Saving declared last year non-recurring, expect to declare in 2022/23 1819-19b Review and Redesign of Learning Disability Services - Sleepovers and Technology Argyll Wide 50 39 11 Complete - full year effect will clear balance in 23/24 2122-15b End grants paid to link clubs, some of which are no longer providing services 2 2 2223-18 Increased utilisation of new housing capacity for service users. 31 31 Complete - full year effect will clear balance in 23/24 1819-33 Catering, Cleaning and other Ancillary Services 71 71 Catering related project - proposal to work with Argyll & Bute Council under development TBC MH/LD/PD 225 225 Difficulty in filling post to progress, this will be rolled into 2023/24 target for service 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 80 Project delayed as staffing resource has been deployed to assist with severe service pressure and unmet need in Oban area Health 2021-1 Mental Health redesign of dementia services 200 100 100 Declared on a non-recurring basis last year, structure to be confirmed and expect to declare more of this balance in 22/23. 2122-33 centralise lab ordering £20k and theatre stock ordering £5 along with North Highland 20 20 Expect to declare in 22/23 2122-43 Oban Patient travel £25k; staff travel £10k 10 10 Expect to declare in 22/23 2122-60 Planning & Performance team - reduce budget for travel & printing £3k; Consultant Travel £10k 10 5 5 Expect to declare in 22/23 2122-38 Campbeltown hospital sundry underspends comms £6k; portering £1; pharmacy £6k; general management discretionary £5k, transport £2k; GMS out of hours £1.5k 13 8 5 Expect to declare in 22/23 2122-42 Islay: saving on local outreach clinics and accommodation through more remote clinics 15 15 Expect to declare in 22/23 2122-32 1% general efficiency requirement across all hospital budgets 186 170 16 Small balance to be declared 1819-32 Catering & cleaning review 20 20 Catering related project - proposal to work with Argyll & Bute Council under development 2021-2 Standardise procurement of food across all sites and expansion in conjunction with Council for early years 69 69 Catering related project - proposal to work with Argyll & Bute Council under development 2021-19 Redesign of hotel services to reflect reduction in inpatient numbers 99 99 Catering related project - proposal to work with Argyll & Bute Council under development 2021-23 Catering & domestic - spending below budgets 30 30 Catering related project - proposal to work with Argyll & Bute Council under development 2122-46 Helensburgh outreach clinics £8k; casualty payments £14k, 14 14 Negotiations underway - requires variation to GP contract 2122-30 Introduce more re-use of walking frames and improved procurement of musculo-skeletal supplies 20 20 Work underway to develop project 2021-4ab Admin & clerical general productivity / efficiency enhancement via shift to digital working in 2020/21 and 2021/22 127 127 Project underway 2021-20 Centralised booking of medical records - reduction in admin costs 97 97 Project underway 2223-7 Transfer Switchboard Services to Highland Health Board from Glasgow. 54 54 NHS Highland unable to support project, alternative now identified and saving expected in 2023/24 2223-1 Management and review of prescribing processes and products to ensure best value is being achieved. 589 272 317 Work on-going - saving challenging due to on-going supply chain disruption - £360k of savings identified to date. 1920-4 Review of Service Contracts 20 20 Specific savings to be identified as part of contract management processes 2223-5 Ensure that all staff are deployed to substantive roles within the HSCP staffing structure. 129 129 HR now providing support to progress. 2223-8 1% reduction in hospital budgets. 470 104 366 Approximately half of the target has been identified to date 2021-64 Review of Forensic Medical Examiner Costs - Bute & Cowal and Out of hours 50 50 Negotiations underway - dependent upon Dunoon contract 2223-9 Reduction in Forensic Service Contract costs. 20 20 Negotiations underway 2122-66 Savings from building rationalisation following increase in home working 72 72 Saving is subject to Cowal Community Hospital Capital Project - project delayed and due to commence in spring 2023 1920-22 Dunoon Medical Services (see also 2021-16) 100 100 As Above 2021-3 AHP - carry out workforce planning and establishment setting to find efficiencies in posts and realign services provided to match 86 86 Workforce establishment setting nearing completion - expected that this will be declared at least on a non-recurring basis in 23/24 2021-16 Rationalisation of medical services for Dunoon (adds to 1920-22) 20 20 Subject to Dunoon GMS procurement and capital project 2122-04 Bring back urology services from NHS Greater Glasgow & Clyde and offer from Oban Hospital instead 110 110 It has not been possible to progress this during 2022/23, project will remain in the savings programme 3,138 720 2,418 535 344 191 Low risk 1,910 376 1,534 Anticipated to be challenging to deliver in full within year 693 0 693 Unlikely to be deliverable in 2022/23