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Financial Appendix B: Financial Plan Revenue Budget
Proposal (to be agreed with your Finance Manager) |
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SOCIAL SERVICES |
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2006-07 £’000 |
2007-08 £’000 |
2008-09 £’000 |
Start & Effective date (mm/yy;mm/yy) |
What is the change or evidence of pressure? |
What is the impact (visible, measurable and intangible) On
users, staff, PIs, other services |
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2005-06 Adjusted Budget (from App. A) |
41688 |
44226 |
45484 |
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Service Pressures |
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Inflation above “standard” check gas growth
and rates |
1400 |
1400 |
1400 |
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As not allocated corporately but is part of SS Passport |
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Utilities additional inflation |
64 |
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Modelling of electricity and gas price inflation |
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Independent Sector Fees Inflation |
336 |
400 |
400 |
Apr-06 |
Costs of purchasing beds likely to rise above inflation. Current
modelling using PWC model and information from providers |
Failure to negotiate a rate with providers that is workable in
2006/07 could mean a shortage of beds, delayed hospital discharges
etc. |
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Single status |
0 |
1800 |
0 |
01/04/2007 |
Requirement to implement single status |
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Pensions |
272 |
272 |
272 |
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New legislation/ government initiatives |
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Residential Allowance - withdrawal of grant. |
601 |
0 |
0 |
Apr-06 |
The government withdrew residential allowance for people in
residential and nursing homes. A grant was paid which will transfer
to FSS. |
The change meant a loss of income to the council for all people
entering residential and nursing care. This is a transfer from a
specific grant to FSS. 200607 is the final year of transfer so that
the grant is fully picked up. |
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Preserved Rights Grant - withdrawal of grant. |
174 |
76 |
80 |
04/02 |
The government transferred the responsibility for people with
preserved benefits rights to the council. A grant was paid which is
gradually being transferred to FSS. |
The change meant a loss of income to the council for a number of
people entering residential and nursing care. This is a transfer
from a specific grant to FSS. This grant is partially being
transferred to FSS each financial year. |
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Safeguarding Children Grant |
135 |
0 |
0 |
Apr-06 |
This is currently a government grant that is not to be
transferred to FSS |
A number of projects are funded through the grant that would
need to cease. This includes council staff. |
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Access and Systems Capacity Grant |
126 |
7 |
7 |
Apr-06 |
Additional grant was awarded in 2005/06 as a one off. This was
used to meet the pressure on increased domiciliary care. |
The domiciliary care budget is currently overcommitted with
significant measures being used to redress this including panels.
The eligibility criteria was also amended in 2005/06 to reduce the
growth in spend. This is a growing area with increases in the older
population and a requirement to keep people in their own home. If
this grant is not built back in there will be a requirement to
reduce the numbers receiving domiciliary care which will impact on
PI's. |
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Supporting People Grant |
109 |
13 |
54 |
Apr-06 |
Supporting People grant is being withdrawn from a number of
schemes funded via social services. |
This will mean a loss of income for the scheme which the pooled
budget will pick up unless the service provided is reviewed and
reduced. |
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Increases in demand |
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Home Care Purchasing |
400 |
200 |
200 |
Apr-06 |
Home care purchasing has grown by £400k approximately each
financial year. |
The budget is currently £420,000 overcommitted. Panels were
introduced earlier in the year to reduce spend and revised
eligibility criteria have been introduced. It will take time for
this to have an impact. |
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Learning Difficulties Growth in Placements |
500 |
500 |
500 |
Apr-06 |
New placements are identified that will cost approximately
£300,000 in next year. In addition there is the risk of placements
of up to £800,000. |
There are a number of new people who will require residential,
nursing or supported living placements in 2006/07. These are
younger people leaving school and also older adults living with
family. There will be a requirement to meet the costs of care for
any placements that meet the eligibility criteria. |
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Additional Childrens Placements |
261 |
0 |
0 |
Apr-06 |
Two new placements made recently will continue in
2006/07 |
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Improvement priorities (incl. Revenue consequences of capital
investment) |
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Redevelop local resources for childrens placements |
10 |
0 |
0 |
Apr-06 |
This is an investment to enable savings to be generated |
This investment is made to enable savings of £50,000 to be
made. |
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Other |
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EPH Reprovision Programme Phasing - Original Phasing |
201 |
120 |
0 |
Apr-06 |
This is the revenue phasing for the reprovision
programme. |
This is one of the councils major capital projects. This is the
phasing of revenue costs for the new resource centres as homes
close and new centres are opened. |
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Delete Capital Charges budget as already provided within Capital
Model |
-416 |
-222 |
-43 |
Apr-06 |
This is double counting the provision for capital
charges |
There is no impact |
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EPH programme - adding back one-off savings in 2005/06 from
Tyndale/Woodside closure |
200 |
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Apr-06 |
In 2005/06 a one off budget saving of £200k was taken due to the
closure of Tyndale and Woodside. This needs to be added back as the
new homes will start to open in 2006/07 |
Failure to add back this sum would mean that the overall cash
envelope for the ehps's was reduced from the original budget. The
revenue costs of the new homes would exceed the budget
evailable. |
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PCT Integration |
100 |
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EDT potential restructuring |
0 |
? |
? |
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Total Service Pressures |
4473 |
4566 |
2870 |
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Service Savings |
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- Cashable efficiency savings |
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S117 Contingency |
-100 |
0 |
0 |
Apr-06 |
The budget includes £100k to repay people charged in previous
years. Statute has required that people receiving services under
S117 of the Mental Health Act are exempt from charge. |
This will mean that if new cases come forward to claim
repayment, funding at that time will need to be
identified. |
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Preserved Rights Attrition - check |
-40 |
-40 |
-40 |
Apr-06 |
It is anticipated that some of the preserved rights placements
will cease. |
This has no impact as it is a natural reduction in
expenditure. |
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Minimise increased cost pressures for Residential and Nursing
Care |
-8 |
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Apr-06 |
Limit increases for placements under age 65 to 2.95% |
Potential risk that providers will insist on higher fees or
removing the resident. |
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Maximise usage of voids in residential care block contract and
in-house provision |
-20 |
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Apr-06 |
This requires careful monitoring of block contracts. Some
success has already been made in this financial year |
Risks are that service users must be given choice about
placements and can make legal challenge if not given
choice. |
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Delete Performance Managers post |
-40 |
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This post has been deleted following a restructuring and
establishment of the SEER review team |
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- Additional income |
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CSCI reimbursement grant |
-2 |
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- Service reductions/reprioritisation |
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Reduce future and return childrens placements locally |
-50 |
0 |
0 |
Apr-06 |
This is the last phase of a three year programme of
reductions. |
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Savings in Children's Placements Budgets |
-261 |
0 |
0 |
Apr-06 |
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This will be achieved to offset the costs of new placements by
making local placements for young people that are currently placed
out of the area. |
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Redevelop day nurseries |
-30 |
0 |
0 |
Apr-06 |
This is the last phase of a three year programme of
reductions. |
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Improve Commissioning and Contracts - agency
contributions |
-10 |
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Apr-06 |
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Interagency Fees/ Care Leaving Charges |
-10 |
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Apr-06 |
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Care Leavers Eligibility Criteria |
-5 |
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Apr-06 |
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Review Application of Fair Access to Care(FACs) Criteria ( all
Services) |
-200 |
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Apr-06 |
Ensure criteria being applied rigourously |
This may mean that some people currently receiving services no
longer receive a service following review. This relates mainly to
people receiving low level domestic services |
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Provide Brokerage for Domestic Care only rather than provide
services |
-150 |
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Apr-06 |
No longer provide domestic care |
This would mean that service users pay direct to the provider
and may pay a higher charge than currently. |
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Raise threshold for FACs to Critical only. |
deleted |
deleted |
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Apr-06 |
This would meant that people currently assessed at 'substantial
risk' would no longer receive a service. |
This would require a consultation process and would mean that a
large number of people receiving domiciliary care would cease to
receive a service. This would impact on the councils ability to
achieve its required performance targets.Some adults with Learning
Difficulties would also stop receiving a service |
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Commission 5% less in-house home care |
-100 |
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Apr-06 |
This would mean that vacant hours in the in-house service would
be deleted and the service would be reduced. |
This will need to be carefully implemented to ensure it does not
adversely impact in areas where there is limited supply by the
independnet sector (e.g. some rural areas). |
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Care Remodelling to create more integrated intermediate care and
enablement services (ZBB proposal) |
0 |
-150 |
-150 |
Apr-07 |
This will provide an intensive short term service for people to
prevent admission to care and reduce the size of long term
domiciliary care packages |
This would reduce the numbers of people entering residential or
nursing care and will reduce long term high support home care
packages. |
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Savings from more efficient block contracting |
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-200 |
-100 |
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MH Target savings ( reduce adult care by £800k) |
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-100 |
-200 |
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Older People Mental Health |
0 |
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Apr-06 |
No service reductions proposed other than the cross cutting
savings detailed above |
Current expenditure on older peoples services is in line or
below the average of the family of authorities. |
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Adult Mental Health Services |
-100 |
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Apr-06 |
Review and tighten negotiations of high and medium cost
placements. Prompt assessment of Continuing Health Care
applications |
This is about ensuring negotiations about price for medium and
high cost residential and nursing placements leads to the best
price for the council. |
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Early EPH Closures |
-150 |
150 |
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This would mean the earlier closure than planned of
eph's |
Some staff may need to be held in supernumary posts pending the
opening of new homes. |
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Skill mix - adult care |
-50 |
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Changing the mix of posts within teams to reduce costs |
These changes will be made as posts become vacant |
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Restructuring of LD service as part of establishment of Pooled
Budget |
-609 |
-513 |
-554 |
Apr-06 |
It is anticipated that the pooled budget will be in place by
01/04/06. |
Establishment of the pooled budget will enable more efficient
and effective use of joint health and social care budgets. There is
a programme of service remodelling that is taking place. Other
initiatives include the maximisation of income through the
independent living fund. |
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Assistive Technology (ZBB proposal) |
0 |
tbd |
tbd |
Apr-07 |
A pilot is starting in April that will provide innovative
technology to enable people to remain in their own home |
This is funded by a government grant for two years and
evaluation of the project will enable calculation of the potential
savings to be made in future years. This should reduce people
entering residential and nursing care. |
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Total Service Savings |
-1935 |
-853 |
-1044 |
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Proposed budget |
44226 |
47939 |
47310 |
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Financial Plan Target Budget (From Appendix A) |
44226 |
45484 |
45484 |
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Difference (should be zero) |
0 |
-2455 |
-1826 |
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