Appendix 3 a b c

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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Page 1

Target Achieved
Ref. Savings Description £' 000 £' 000
Social Work
1819-7 Thomson Court 10 10
1819-14 Redesign of Internal and External Childrens Residential Placements 22 22
1819-18 Review provision of HSCP care homes 99 99
1819-19a Review and Redesign of Learning Disability Services - Sleepovers and Technology - Kintyre 3 3
1819-19a Review and Redesign of Learning Disability Services - Sleepovers and Technology - Bute 1 1
1819-19a Review and Redesign of Learning Disability Services - Sleepovers and Technology - Helensburgh
16 16
1819-19a Review and Redesign of Learning Disability Services - Packages of Care Mid Argyll 34 34
1819-19a Review and Redesign of Learning Disability Services - Packages of Care Kintyre 26 26
1819-19a Review and Redesign of Learning Disability Services - Packages of Care Cowal 11 11
1819-19a Review and Redesign of Learning Disability Services - Packages of Care Helensburgh 13 13
1819-19c Review and Redesign of Learning Disability Rothesay Resource Centre 3 3
1819-19c Review and Redesign of Learning Disability Assist Cowal Resource Centre 30 30
1819-25
Older People Day/Resource Centre - Address high levels of management - consolidate opening
hours - shared resource 57 57
1920-16 Redesign review of Criminal Justice service to become self funding 20 20
1920-40
Implement best practice approaches for care at home and re-ablement across all areas following
Bute pilot 300 300
1920-41 Extend use of external home care transferring hours as gaps occur 33 33
1920-43 Cap on overtime 87 87
1920-45 Planned changes in staffing for Bowman Court in line with Lorne Campbell Court structure 28 28
2021-5 Bring staffing within ECCT teams and Mull Progressive Care Centre into line with best practice 85 85
2021-7a Review of provisioning of day services and remodel considering options of greater third sector
involvement aiming for 10% reduction in cost (currently underspending by c £70k) - Dementia
Rothesay 10 10
2021-7a Review of provisioning of day services and remodel considering options of greater third sector
involvement aiming for 10% reduction in cost (currently underspending by c £70k) - Oban Day Centre
10 10
2021-7a Review of provisioning of day services and remodel considering options of greater third sector
involvement aiming for 10% reduction in cost (currently underspending by c £70k) - Struan Day
Centre 18 18
2021-32 Review housing support services and remove where not required for LD and PD clients - Kintyre
19 19
2021-42a Integrated equipment store - increased consistency in prescribing
70 70
2021-46 Improved rostering of staff for school hostels 6 6
2122-08 Pay for care home placements for older people in line with national contract with no added
enhancements 70 70
2122-09
When a new client is assessed as requiring 24 hour care and refuses care home placement, offer to
fund a package of care at home up to £30k,  allowing the service user to fund the additional hours of
care if they chose to remain at home 60 60
2122-12 Reduce payments to voluntary organisations for non-contracted services 60 60
2122-19 remove existing underspends in contact & welfare budget 50 50
2122-20 reduction in staff travel 20 20
2122-21 align budgets with spending levels in sundry Social work Childrens budgets 24 24
2122-22 Remove underspend in fostering budget 70 70
2122-23 Remove vacant assessment and reviewing officer post 50 50
2122-24 Community justice to be self funding 50 50
2122-47 Reduce care home placements budgets as numbers have been falling pre Covid 90 90
2122-49 Reduce social work travel budget 16 16
2122-50 Reduction and realignment of the Development and Flexibility Budget Lines £13k and sundry  other
social work underspends £11k 24 24
2122-51 Do not fill vacant posts in day services as service is being re-designed 30 30
2122-52 Reduction in mental health team travel £5.5k 6 6
2122-53 Removal of out of area day services no longer required 13 13
2122-55 Reduction in travel for Social Work Mental health & Addictions team travel 2 2
2122-57 Savings from review of Jeans Bothy SLA already completed 5 5
2122-70 From Social Work: unallocated growth monies for 2020/21 782 782
2122-71b Non-recurring vacancy savings for one year only, reflecting continued reduction of activity in 2021/22
due to pandemic 250 250
Health
1819-53 Vehicle Fleet Services (see also 2021-57) 18 18
1920-3 Health Promotion Discretionary Budgets 54 54
1920-8a GP Prescribing 324 324
1920-8b GP Prescribing 500 500
1920-38a LIH Theatre nurse staffing - HAK112 30 30
2021-57
Fleet management  - electric vehicles, improved accuracy of mileage claims using postcodes; fuel
savings through use of telematic data (see also 1819-53) 40 40
2021-58 Additional Income from other Health Boards 200 200
2122-05 Only pay for escort travel where it is essential 35 35
2122-16 Reduce befriender service following review of clients 12 12
2122-17
Encourage clients to have individual tenancies with housing association - they will qualify for benefits
covering housing costs - rather than HSCP paying for rents and council tax - encouraging fuller
independence for clients 9 9
2122-18 Reduce Senior Dental Officer post by 0.4 WTE 40 40
2122-15a End grants paid to link clubs, some of which are no longer providing services 2 2
2122-27 staff travel reduction 5 5
2122-28 Reduction in Staff Nurse and Community Children’s Nurse hours 16 16
2122-29 slight reduction in admin hours 6 6
2122-34 Oban hospital: outreach clinics £5k; TSSU transfer to N Highland £5k 10 10
2122-39 Bute patient travel £10k 10 10
2122-41 Islay: save admin on patient travel £26k 26 26
2122-45 Helensburgh: Linen services £6.8k,  window cleaning £2k 9 9
2122-56 Reduction in travel for Health Mental health & Addictions team travel 3 3
2122-58 review of Community Mental Health SLA with NHS GG&C and improved contract management of
this service 30 30
2122-59 HSCP telephony new contract £153k; 153 153
2122-61 re-grade of project manager post in Planning & Performance team 7 7
2122-62 removal of surplus from social prescribing budget  30 30
2122-63 removal of surplus from  public engagement £8k 8 8
2122-64 Medical director budget - reduce Travel 4 4
2122-65 Lead Nurse budget reduce Travel £2k and Child Protection £5k 7 7
2021-66 Community dental practices 15 15
2122-67 Finance Hours reduction of 0.6 Band 4 £17k; travel and stationery £3k 20 20
2122-69 People & Change saving on Travel and printing £4k 4 4
2122-71a Non-recurring vacancy savings for one year only, reflecting continued reduction of activity into
2021/22 due to pandemic 750 750
Total 5,059 5,059
APPENDIX 3a - FULLY ACHIEVED SAVINGS 2021/22

Page 2

Target Achievement Shortfall C/FWD
Ref. Savings Description £' 000 £' 000 £' 000
Social Work
2122-01 Align business model for staffing for the 3 children's homes 100 94 6
2122-03 Do not replace independent chair of  panel 8 6 2
2122-11 Remove funding for all lunch clubs 29 0 29
2122-02 Carry out hostel review to achieve best value in admin and catering 44 21 23
2021-7b
Review of provisioning of day services and remodel considering options of
greater third sector involvement aiming for 10% reduction in cost
(currently underspending by c £70k) - Lorn Resource 44 17 27
2021-7b
Review of provisioning of day services and remodel considering options of
greater third sector involvement aiming for 10% reduction in cost
(currently underspending by c £70k) - Lochside 29 0 29
2021-7b
Review of provisioning of day services and remodel considering options of
greater third sector involvement aiming for 10% reduction in cost
(currently underspending by c £70k) - Woodlands 27 0 27
2021-7b
Review of provisioning of day services and remodel considering options of
greater third sector involvement aiming for 10% reduction in cost
(currently underspending by c £70k) - Phoenix 22 0 22
2021-7b
Review of provisioning of day services and remodel considering options of
greater third sector involvement aiming for 10% reduction in cost
(currently underspending by c £70k) - ASIST 41 0 41
1819-33 Catering, Cleaning and other Ancillary Services 70 0 70
2122-54 Reduction in supported living packages through improved commissioning 30 0 30
Health
1819-32 Catering & cleaning review 20 0 20
1819-44 Advanced Nurse Practitioners - Oban 14 0 14
1920-38b Lorn & Islands Hospital staffing 28 7 21
2122-15b
End grants paid to link clubs, some of which are no longer providing
services 5 3 2
2021-1
Mental Health redesign of dementia services (excludes commissioned
services) 200 0 200
2122-32 1% general efficiency requirement across all hospital budgets 487 301 186
2122-35
Mid Argyll hospital removal of surplus budgets on hotel services £20k,
comms £4.3k; GMS out of hours £2k; equipment £1.5k 28 24 4
2122-10
Redirect Oban Integrated Care Funding (used to pay grants to a range of
voluntary sector organisations) to pay for day responder service as in other
areas 74 60 14
2122-46 Helensburgh outreach clinics £8k; casualty payments £14k, 22 8 14
2122-66 Savings from building rationalisation following increase in home working 100 28 72
1920-22 Dunoon Medical Services (see also 2021-16) 100 0 100
1920-35 Bed reduction savings : Dunoon 150 0 150
2021-2
Standardise procurement of food across all sites and expansion in
conjunction with Council for early years 69 0 69
2021-3
AHP - carry out workforce planning and establishment setting to find
efficiencies in posts and realign services provided to match 86 0 86
2021-4a
Admin & clerical general productivity / efficiency enhancement via shift to
digital working in 2020/21 and 2021/22 100 0 100
2021-4b Right size admin budgets Mid Argyll and LIH 45 18 27
2021-16 Rationalisation of medical services for Dunoon (adds to 1920-22) 20 0 20
2021-19 Redesign of hotel services to reflect reduction in inpatient numbers 99 0 99
2021-20 Centralised booking of medical records - reduction in admin costs 97 0 97
2021-23 Catering & domestic - spending below budgets 30 0 30
2021-29 Dunoon Gum clinic - underspend 20 0 20
2021-64
Review of Forensic Medical Examiner Costs -  Bute & Cowal and Out of
hours 50 0 50
2122-04
Bring back urology services from NHS Greater Glasgow & Clyde and offer
from Oban Hospital instead 110 0 110
2122-33
centralise lab ordering £20k and theatre stock ordering £5 along with North
Highland 25 5 20
2122-43 Oban Patient travel £25k; staff travel £10k 35 25 10
2122-60
Planning & Performance team - reduce budget for travel & printing £3k; 
Consultant Travel £10k 13 3 10
2122-30
Introduce more re-use of walking frames and improved procurement of
musculo-skeletal supplies 20 0 20
2122-36 Campbeltown hospital patients travel £30k 30 0 30
2122-37 Campbeltown hospital  catering £14k; 14 12 2
2122-38
Campbeltown hospital  sundry underspends comms £6k; portering £1;
pharmacy £6k; general management discretionary £5k, transport £2k;
GMS out of hours £1.5k 22 9 13
2122-42
Islay: saving on local outreach clinics and accommodation through more
remote clinics 15 0 15
2,572 641 1,931
APPENDIX 3b - PARTIALLY ACHIEVED SAVINGS

Page 3

Total
Target Achievement Shortfall Reduction C/Fwd
Ref. Savings Description £' 000 £' 000 £' 000 £' 000 £' 000
Social Work - Cancelled in Full
1819-42
Contract Management reducing payments to
Commissioned External providers 33 0 33 33
1819-19b
Review of Ext Residential Learning Disability
Placements  194 0 194 194
1819-22
Adult Care West - Restructure of Neighbourhood
Teams (SW & Health) 250 0 250 250
1819-31
Integrate HSCP Admin, digital Tech and Central
Appoint System 104 0 104 104
1819-46
Adopt a Single Community Team Approach to
undertaking Assessment and Care Management 120 0 120 120
Health - Cancelled in full
2021-17
Ongoing grip and control of all non-essential
expenditure 256 0 256 256
2021-15
Investment fund savings  - reduce spend on Care
& repair by £60k originally funded as short term
investment 60 0 60 60
2021-65 Review of support payments to GP practices 50 0 50 50
2122-25
Remove 0.7 health visitor post following
retirements 35 0 35 35
2122-26 Remove advanced nurse vulnerable groups post 60 0 60 60
2122-31
Kintyre OT £13; Kintyre Physio £4k; Mid Argyll
Physio £4k 21 0 21 21
2122-44 Oban paramedical supplies £5k 5 0 5 5
2122-40 Cowal Pharmacy 10 0 10 10
Social Work Reductions
1819-19a
Review and Redesign of Learning Disability
Services - Packages of Care Lorn 46 22 24 24 0
2021-32
Review housing support services and remove
where not required for LD and PD clients - Cowal 39 18 21 7 14
1819-8 Assessment and Care Management 42 28 14 14
2021-30
Provide sleepovers on exceptional basis or as part
of core and cluster, and increase technology
provision as alternative - savings on top of £299k
for earlier years b/fwd and not yet delivered 50 7 43 43 0
1819-19a
Review and Redesign of Learning Disability
Services - Sleepovers and Technology - Mid Argyll 4 2 2 2 0
1819-19a
Review and Redesign of Learning Disability
Services - Sleepovers and Technology - Lorn 15 0 15 15 0
1819-19a
Review and Redesign of Learning Disability
Services - Sleepovers and Technology - Cowal 12 2 10 10 0
2021-32
Review housing support services and remove
where not required for LD and PD clients - Mid
Argyll 26 0 26 8 18
2021-32
Review housing support services and remove
where not required for LD and PD clients - Lorn 45 0 45 31 14
2021-32
Review housing support services and remove
where not required for LD and PD clients -
Helensburgh 45 7 38 28 10
1819-19b
Review and Redesign of Learning Disability
Services - Sleepovers and Technology Argyll Wide 118 22 96 46 50
Health Reductions
1920-4 Review of Service Contracts 64 0 64 44 20
Total Cancelled / Reduced 1,704 108 1,596 1,470 126
APPENDIX 3c - SAVINGS CANCELLED / REDUCED