Appendix 1 and 2
Argyll and Bute Council · 21 September 2022
Back to Argyll and Bute HSCP Integration Joint Board (IJB) — 21 September 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 31 JULY 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 388 695 307 44.2% Variance due to underspends on centrally held funds. Service Development 138 123 (15) (12.2%) Variance due to overspends on staff costs combined with timing of income receipt. Looked After Children 2,081 2,318 237 10.2% The underspend relates to Adoption and Fostering due to demand levels for these services. Child Protection 803 890 87 9.8% The YTD underspend is due to underspends on payments to other bodies combined with additional one off unbudgeted income receipt for NearMe from the Scottish Government. Children with a Disability 229 295 66 22.4% The variance is as a result of budget profiling for payments to other bodies. This needs to be adjusted in line with planned expenditure. Criminal Justice 56 1 (55) (5500.0%) The variance is as a result of timing of income receipt for the S27 grant funding partially offset by underspends on staff costs. Children and Families Central Management Costs 812 958 146 15.2% The variance is as a result of staff vacancies which have yet to be transferred to vacancy savings combined with timing of expenditure on rental costs and payments to other bodies. Older People 11,081 12,299 1,218 9.9% The YTD variance is as a result of staff vacancies in the Assessment and Care Management Teams, timing of payments across Homecare and the availability of Scottish Government funding. Physical Disability 1,119 1,129 10 0.9% Outwith reporting criteria. Learning Disability 4,585 4,489 (96) (2.1%) The Overspend is due to demand for services within Supported Living. Mental Health 822 967 145 15.0% The variance is as a result of staff vacancies in the Assessment and Care Management Teams, combined with underspends on payments to other bodies. Adult Services Central Management Costs 181 199 18 9.0% Outwith reporting criteria. COUNCIL SERVICES TOTAL 22,295 24,363 2,068 8.5% HEALTH SERVICES: Explanation Community & Hospital Services 20,070 19,400 (670) (3.5%) Overspending due to agency staffing costs and unachieved savings Mental Health and Learning Disability 4,782 4,993 211 4.2% Vacancies Children & Families Services 2,564 2,680 116 4.3% Vacancies Commissioned Services - NHS GG&C 22,986 23,007 20 0.1% Outwith reporting criteria. Commissioned Services - Other 1,457 1,386 (71) (5.1%) Overspend due to emergency ICU patient admitted to Aberdeen Royal Infirmary Primary Care Services inc Dental 8,076 8,174 98 1.2% Vacancies mainly within dental services Other Primary Care Services 4,108 4,108 0 0.0% The YTD variance is outwith reporting criteria. Prescribing 6,878 6,746 (131) (1.9%) Unachieved savings & short supply of specific drugs Public Health 758 777 19 2.5% Outwith reporting criteria.
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Service Actual £000 Budget £000 Variance £000 % Variance Explanation Lead Nurse 501 531 30 5.7% Outwith reporting criteria. Management Service (593) (596) (3) 0.5% Outwith reporting criteria. Planning & Performance 911 822 (89) (10.8%) Overspend due to unachieved savings Budget Reserves 0 160 160 0.0% Income (796) (596) 200 (33.6%) Favourable variance is due to increased number of visitors requiring emergency hospital treatment Estates 2,976 2,857 (119) (4.2%) Overspend is due to further increases in cost of utilities and PFI charges HEALTH SERVICES TOTAL 74,677 74,449 (228) (0.3%) GRAND TOTAL 96,972 98,812 1,840 1.9%
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ARGYLL AND BUTE HEALTH AND SOCIAL CARE PARTNERSHIP APPENDIX 2 REVENUE BUDGET MONITORING FORECAST OUTTURN - AS AT 31 JULY 2022 Reporting Criteria: +/- £50k or +/- 10% Service Annual Budget £000 Forecast Outturn £000 Variance £000 % Variance Explanation COUNCIL SERVICES: Chief Officer 4,296 3,235 1,061 24.7% Forecast underspends on centrally held funds (£1.021m) and non recurring savings. Service Development 448 440 8 1.8% Outwith reporting criteria. Looked After Children 7,688 7,326 362 4.7% Forecast underspend reflects demand for Fostering and Adoption services as well as over-recovery of income across Supporting Young People Leaving Care for UASC activity from the Home Office. This is partially offset by overspends in the Children's Houses on payroll costs. Child Protection 3,297 3,273 24 0.7% Outwith reporting criteria. Children with a Disability 921 899 22 2.4% Outwith reporting criteria. Criminal Justice 88 78 10 11.4% Underspend is due to staff vacancies. Children and Families Central Management Costs 3,276 3,288 (12) (0.4%) The forecast variance is outwith reporting criteria. Older People 43,607 43,385 222 0.5% The forecast underspend is due to current known demand and capacity in Homecare (£808k) and higher than budgeted income for fees and charges in the Residential Units and Telecare. These are partially offset by demand for Care Home Placements (£677k). Physical Disability 3,449 3,574 (125) (3.6%) Overspend is due to higher than budgeted demand for Support Living (£23k) and Residential Placements (£103k). Learning Disability 17,393 18,943 (1,550) (8.9%) The forecast overspend reflects higher than budgeted demand for services in Supported Living (£1.009m) and Joint Residential care(£546k). This is subject to on-going further analysis. Mental Health 3,260 3,365 (105) (3.2%) Overspend reflects higher than budgeted demand for Residential Placements (£169k) partially offset by underspends in the Assessment & Care Management Teams and Supported Living. Adult Services Central Management Costs 447 439 8 1.8% Outwith reporting criteria. COUNCIL SERVICES TOTAL 88,170 88,245 (75) (0.1%) HEALTH SERVICES: Explanation Community & Hospital Services 58,101 59,183 (1,082) (1.8%) Agency staffing costs and unachieved savings Mental Health and Learning Disability 15,341 15,207 134 0.9% Vacancies Children & Families Services 8,403 8,153 250 3.1% Vacancies Commissioned Services - NHS GG&C 69,020 69,020 0 0.0% The forecast variance is outwith reporting criteria.
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Service Annual Budget £000 Forecast Outturn £000 Variance £000 % Variance Explanation Commissioned Services - Other 4,156 4,174 (18) (0.4%) The forecast variance is outwith reporting criteria. Primary Care Services inc Dental 24,684 24,556 128 0.5% Vacancies mainly within dental services Other Primary Care Services 12,254 12,254 0 0.0% The forecast variance is outwith reporting criteria. Prescribing 20,904 21,080 (176) (0.8%) Unachieved savings Public Health 2,043 1,983 60 3.0% The forecast variance is outwith reporting criteria. Lead Nurse 1,616 1,542 74 4.8% Vacancies Management Service 800 800 0 0.0% The forecast variance is outwith reporting criteria. Planning & Performance 2,452 2,660 (208) (7.8%) Unachieved savings Budget Reserves 8,728 8,228 500 6.1% Anticipated slippage on inyear SG allocations Income (1,788) (1,888) 100 (5.3%) Increase in number of visitors requiring emergency hospital treatment Estates 8,936 9,198 (262) (2.8%) Increases in cost of utilities and PFI charges HEALTH SERVICES TOTAL 235,650 236,150 (500) (0.2%) GRAND TOTAL 323,820 324,395 (575) (0.2%)