Appendix 1 and 2 M6
Argyll and Bute Council · 23 November 2022
Back to Argyll and Bute HSCP Integration Joint Board (IJB) — 23 November 2022 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 SEPTEMBER 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 886 1,519 633 41.7% Variance due to underspends on centrally held funds (£340k) and over-recovery on vacancy savings (£160k) combined with additional Covid-19 income for lost charges to clients. Service Development 211 205 (6) (2.9%) Outwith reporting criteria. Looked After Children 3,187 3,508 321 9.2% Underspends in Adoption and Fostering due to demand combined with underspends on residential placements and additional income in the Hostels for provision of meals and in Supporting Young People Leaving Care from the Home Office for UASC. Child Protection 1,290 1,292 2 0.2% Outwith reporting criteria. Children with a Disability 363 404 41 10.1% Underspend due to timing of invoices. Criminal Justice 69 113 44 38.9% Underspend is as a result of staff turnover and vacancies. Children and Families Central Management Costs 1,297 1,353 56 4.1% Underspend is as a result of timing of invoices for rental costs combined with additional funds from reserves drawdown to offset additional costs. Older People 17,023 18,188 1,165 6.4% There are overspends on staffing in homecare and residential units, offset by income collected for homecare, care home placements and residential care and the drawdown from reserves to offset homecare agency costs. Physical Disability 1,666 1,636 (30) (1.8%) Outwith reporting criteria. Learning Disability 7,129 6,713 (416) (6.2%) Overspend is due to demand and costs for services within Supported Living. Mental Health 1,214 1,378 164 11.9% Underspend is as a result of vacancies combined with timing of payment for addictions contracts. This is partially offset by demand for services within Supported Living. Adult Services Central Management Costs 300 310 10 3.2% Outwith reporting criteria. COUNCIL SERVICES TOTAL 34,635 36,619 1,984 5.4% HEALTH SERVICES: Explanation Community Services & Community Hospitals 20,193 19,870 (324) (1.6%) Overspend due to agency staffing costs and unachieved savings Acute & Complex Care 17,774 17,170 (604) (3.5%) Overspend due to agency medical and nurse staffing, unachieved savings Children & Families Services 3,968 4,110 142 3.4% Underspending is due to vacancies within the service. Commissioned Services - NHS GG&C 35,734 35,443 (291) (0.8%) Outwith reporting criteria. Commissioned Services - Other 2,125 2,157 31 1.5% Outwith reporting criteria. Primary Care Services inc Dental 12,275 12,370 95 0.8% Underspend due to vacancies mainly within dental services Other Primary Care Services 5,686 5,686 (0) (0.0%) Outwith reporting criteria. Prescribing 10,428 10,359 (70) (0.7%) Unachieved savings & short supply of specific drugs
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Service Actual £000 Budget £000 Variance £000 % Variance Explanation Public Health 1,087 1,093 6 0.5% Outwith reporting criteria. Lead Nurse 721 779 59 7.5% Underspend is due to temporary vacancies Management Service (274) (253) 22 (8.7%) Outwith reporting criteria. Planning & Performance 1,355 1,267 (89) (7.0%) Unachieved savings Budget Reserves 0 675 675 0.0% Unachieved centrally held savings Income (1,175) (937) 238 (25.4%) Over recovery of income due to an increase in number of visitors requiring emergency hospital treatment Estates 4,633 4,478 (155) (3.5%) Overspend is due to inflation on cost of utilities and PFI charges HEALTH SERVICES TOTAL 114,530 114,267 (264) (0.2%) GRAND TOTAL 149,165 150,886 1,720 1.1%
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ARGYLL AND BUTE HEALTH AND SOCIAL CARE PARTNERSHIP APPENDIX 2 REVENUE BUDGET MONITORING FORECAST OUTTURN - AS AT 30 SEPTEMBER 2022 Reporting Criteria: +/- £50k or +/- 10% Service Annual Budget £000 Forecast Outturn £000 Variance £000 % Variance Explanation COUNCIL SERVICES: Chief Officer 4,967 3,478 1,489 30.0% Underspend on centrally held funds (£900k) combined with forecast over-recovery on vacancy savings (£558k) and additional Covid-19 funding to adjust for lost income from clients (£33k). Service Development 440 432 8 1.8% Outwith reporting criteria. Looked After Children 7,640 7,296 344 4.5% Underspend reflects demand for Fostering and Adoption services combined with demand for Residential Placements as well as over-recovery of income across Supporting Young People Leaving Care for UASC activity from the Home Office. Child Protection 3,276 3,256 20 0.6% Outwith reporting criteria. Children with a Disability 920 909 11 1.2% Outwith reporting criteria. Criminal Justice 88 79 9 10.2% Underspend due to staff turnover and vacancies. Children and Families Central Management Costs 3,179 3,207 (28) (0.9%) Outwith reporting criteria. Older People 43,618 44,114 (496) (1.1%) Overspend reflects demand for Care Home Placements (£668k) and Respite (£161k). Partially offset by a forecast underspends across Homecare (£313k) based on current known commitments. However, the Homecare underspend of £313k includes a significant forecast overspend on staff costs, including Agency Staff costs (£1.0m) which is being partially covered by funding drawdown from reserves (£700k). Physical Disability 3,359 3,527 (168) (5.0%) Overspend reflects higher than budgeted demand for services in Supported Living (£69k), Residential Placements (£78k) and Respite (£23k). Learning Disability 17,304 18,667 (1,363) (7.9%) Overspend reflects higher than budgeted demand for services in Supported Living (£693k) and Joint Residential (£559k) combined with slippage in achievement of budget savings (£119k). Mental Health 3,232 3,343 (111) (3.4%) Overspend reflects higher than budgeted demand for services in Supported Living (£18k) and Residential Placements (£92k). Adult Services Central Management Costs 447 426 21 4.7% Outwith reporting criteria. COUNCIL SERVICES TOTAL 88,470 88,734 (264) (0.3%)
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Service Annual Budget £000 Forecast Outturn £000 Variance £000 % Variance Explanation HEALTH SERVICES: Community Services & Community Hospitals 39,884 40,191 (307) (0.8%) Overspend due to agency staffing costs and unachieved savings Acute & Complex Care 34,571 35,819 (1,248) (3.5%) Overspend due to agency medical and nurse staffing, unachieved savings Children & Families Services 8,465 8,215 250 3.0% Underspending is due to vacancies within the service. Commissioned Services - NHS GG&C 70,885 70,885 0 0.0% Outwith reporting criteria. Commissioned Services - Other 4,256 4,387 (130) (3.0%) Outwith reporting criteria. Primary Care Services inc Dental 24,786 24,657 129 0.5% Vacancies mainly within dental services Other Primary Care Services 12,254 12,254 0 0.0% Outwith reporting criteria. Prescribing 20,895 21,165 (270) (1.3%) Overspend due to expected level of unachieved savings. Public Health 2,040 1,980 60 3.0% Outwith reporting criteria. Lead Nurse 1,596 1,508 88 5.8% Underspend is due to temporary vacancies Management Service 795 723 72 10.0% Outwith reporting criteria. Planning & Performance 2,561 2,656 (95) (3.6%) Unachieved savings Budget Reserves 2,698 1,598 1,100 68.8% Anticipated slippage on in-year SG allocations Income (1,788) (1,888) 100 (5.3%) Increase in number of visitors requiring emergency hospital treatment Estates 9,029 9,251 (222) (2.4%) Increases in cost of utilities and PFI charges HEALTH SERVICES TOTAL 232,929 233,402 (473) (0.2%) GRAND TOTAL 321,399 322,136 (737) (0.2%)