Appendix 1 - Provisional Year End Position
Argyll and Bute Council · 25 May 2022
Back to Argyll and Bute HSCP Integration Joint Board (IJB) — 25 May 2022 and its agenda
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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 MARCH 2022 Reporting Criteria: +/- £50k or +/- 10% Service Actual £000 Budget £000 Variance £000 % Variance Explanation COUNCIL SERVICES: Chief Officer 151 652 501 76.8% Overspend due to the remaining debt repayment to Council (£703k) and the proposed transfer of underspend to general reserve (£682k) being shown at Chief Officer for reporting purposes. These are funded by underspends across the other service areas. Additionally over-recovery of charges to clients (£330k) and funding received for the slippage on budget savings (£1.098m) are included here. Service Development 425 438 13 3.0% Outwith reporting criteria. Looked After Children 7,290 7,127 (163) (2.3%) Overspend due to demand for residential placements (£499k), partially offset by underspends on adoption (£86k), fostering (£150k) and throughcare (£95k). Child Protection 2,985 3,071 86 2.8% Underspend reflects lower than expected demand for contact and welfare services (£45k) and on payments to health boards and other bodies in the Child Protection Committee (£41k). Children with a Disability 709 879 170 19.3% Underspend reflects lower spend on external respite placements in Ardlui respite facility (£89k) and underspends on payments to other bodies (£76k) due to demand for service. Criminal Justice (35) 121 156 128.9% Underspends on staffing (£121k) as well as underspends on payments to other bodies (£35k). Children and Families Central Management Costs 3,032 2,977 (55) (1.8%) Overspends on staffing (£43k) as well as combined small overspends in supplies and services. Older People 37,157 38,443 1,286 3.3% Underspend reflects reduced demand for external residential care (£630k), underspends within the homecare (£438k) and progressive care services (£136k), higher income from fees and charges in the HSCP care homes (£105k) and underspends within Telecare (£62k). There are also transport related underspends due to Covid-19 restrictions (£55k). This is offset by the non-delivery of agreed savings of £418k. The slippage on savings is further partially offset at Chief Officer level where Covid-19 income from the Scottish Government is credited. Physical Disability 3,219 3,145 (74) (2.4%) Overspend reflects higher than budgeted demand for Supported Living (£219k). Partially offset by an underspend (£12k) in the residential care budget and the intergrated equipment store budget (£112k) due to a positive year end stock adjustment. Learning Disability 16,698 15,497 (1,201) (7.8%) Overspend due to service demand in Supported Living (£879k) and residential care (£148k) as well as slippage on savings (£496k) partially offset by underspends on staff and travel costs in day services (£192k) and payments for respite activity (£71k). The slippage on savings and income from clients is offset at Chief Officer level. Mental Health 2,913 2,849 (64) (2.2%) Overspend mainly due to demand in the residential care budget (£236k) offset partially by underspends within the assessment and care management teams (£85k), payments for addiction support (£23k) and supported living budgets (£34k). Adult Services Central Management Costs 606 633 27 4.3% Outwith reporting criteria. COUNCIL SERVICES TOTAL 75,150 75,832 682 0.9% HEALTH SERVICES: Explanation Community & Hospital Services 59,763 58,821 (943) (1.6%) Overspend due to unachieved savings, bank, agency and locum costs and unfunded nurse staffing regradings.
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Service Actual £000 Budget £000 Variance £000 % Variance Explanation Mental Health and Learning Disability 14,278 14,808 531 3.6% Underspend due to vacancies within the service. Children & Families Services 8,713 8,820 106 1.2% Underspend due to vacancies within the service. Commissioned Services - NHS GG&C 68,804 68,296 (507) (0.7%) Budget overspend due to unfunded element of nationally agreed SLA uplift and an increase in high cost treatments particulary oncology drugs costs charged in March. Commissioned Services - Other 4,128 4,003 (125) (3.1%) Overspend due to increased number of patients receiving TAVI cardiac procedure at GJNH & unfunded element of SLA uplift. Head of Primary Care 24,962 24,924 (39) (0.2%) Outwith reporting criteria. Other Primary Care Services 10,835 10,835 0 0.0% Outwith reporting criteria. Prescribing 20,488 20,366 (123) (0.6%) Overspend due to increased volume of prescriptions, new diabetes and cholesterol drugs, patient specific high cost drugs Public Health 2,988 2,992 4 0.1% Outwith reporting criteria. Lead Nurse 3,496 3,577 81 2.3% Underspend due to staff vacancies and delays on non-pay spend due to Covid. Management Service 3,087 2,859 (228) (8.0%) Overspending due to slippage with the savings programme. Planning & Performance 2,855 2,691 (164) (6.1%) Overspending die to unachieved A&B wide savings Budget Reserves 0 1,251 1,251 100.0% Slippage on budget reserves allocations / spend. Income (1,944) (1,758) 186 (10.6%) Favourable variance due to long stay mental health inpatients from overseas and England. Estates 9,120 9,091 (30) (0.3%) Outwith reporting criteria. HEALTH SERVICES TOTAL 231,575 231,575 0 0.0% GRAND TOTAL 306,725 307,407 682 0.2%