Meeting documents

Social & Health Care Scrutiny Committee
Wednesday, 30 October 2002

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Grant Client IncomeOther Income (incl. Recharges) Budget AreaAD£'000£ DifferenceChildren Looked AfterChildrens HomesPH3Number of places available per week @ 78% occupancyThornbury House MAIN3Number of places available per week @ 85% occupancyThornbury House SECURE Satellite#Number of places available per week!Residential Review Savings targetPart year effect of saving Foster Care+Includes 25 young persons from Leaving Care Foster PlusNumber of clients per weekFoster Care Not Linked no activityIndependent FosteringAgency Residential*Includes 5 young persons from Leaving Care Leaving CareVarious.Includes only the New Funding for Leaving CareResidence OrdersAdoption AllowancesService Management CLA TeamsFamily PlacementLeaving Care Team#Child Protection and Family Support#Family Support (Services & Workers)Home Care/ Relief to CareNumber of Hours per weekThame/BicesterACPCAssessment/Hosp TeamFamily Support TeamsQuality Assurance Officers DisabilitiesLD Resource CentresBarnardo's Service AgreementResource Centres Saving Target*Includes 7 young persons from Leaving CareRespite Care Workers Respite CareDisability TeamOther CAMH TeamYOT Team (seconded) SpecialistQuality ProtectsService Agreements<Includes equivalent to 4 service agreements for Leaving CareTotal Children & FamiliesCarers0Service: Strategic Planning and Support ServicesManagement Team DirectorateDIRAssistant DirectorsHead of ServiceSPARStrategic Planning Planning TeamNWPlanning OtherHuman Resources Personnel*Personnel support @ 2,200 members of staffTraining+Training provide approximately 435 courses Staff SupportHealth & Safety$Provides approximately 70 H&S VisitsAdmin&Admin Supports @ 345 members of staff Small GrantsCommunity WorkersJC ComplaintsDeal with 21 complaints Total SPAR RESOURCESProperty and ITPropertySC!Property Supports @ 73 propertiesFixed Equipment/Rent etcITIT Supports 1,600 clientsFinance & InformationPIU-PIU deliver on @ 19 exteranl/internal returnsFinanceIncome & AssessmentLI&A support 9,111 clients including financial assessment to Money ManagementBurials/Property Protection Supported 38 burials/protectionsTotal ResourcesVariable RechargesMiscCounty Treasurer Legal Unit:Buys @ 11,500 hours in total (input of additional funding)Environmental ServicesCSL4Buys @ 140,726 payroll and invoicing transactions paFixed RechargesCounty TreasurersChief ExecutiveCPUAdmin BuildingsIS&TTotal Central RechargesPolicy and Budget Plans ContingencyHOPS Contingency-Total Strategic Planning and Support ServicesService: Older People5Residential & Nursing (Contribution to Pooled Budget)Residential (external)LB*FTE clients at gross average cost per weekNicholson HouseContribution towards 18 places Closed Homes Care Management8FTE Staff at an average cost per year (including travel) Day CentresInternal5Number of places per week at an average cost per weekOCP Home SupportExternal (CMPB)Number of hours at cost per hour. Equivalent to 1350 FTE clients at average of 6.0 hrs per wk, 01-02 1350 FTE at 7.0 hrs per wk€Initial split of trading account. Number of hours at cost per hour. Equivalent to 1390 FTE clients at average of 5.8 hrs per wk. Other CMPB;Includes shopping, blocks and ICCS and ceased night serviceCommunity Meals>Number of meals at average cost per meal. Serving 1350 clientsLaundry*Number of clients at average cost per yearOther Service AgreementsUnallocated Grant/IncomePerformance Fund (Contingency)Total Older PeopleService: Learning Disabilities Residential Residential (external/OLA)AS*FTE clients at average gross cost per weekSupported Living (external)$FTE clients at average cost per week Accomodation Services (internal)Adult Family PlacementsCTPLD admin contribution%Extending admin support to 8 CTLPD's Social Workers (LD) Day Services Day Services (external/OLA)$Number of clients at a cost per yearDay Services (internal)fNumber of clients at a cost per year. 870 sessions per week at an average cost of £79.30 per session.+Further saving required across Day ServicesAS/JC€Number of hours at cost per hour. Equivalent to 147 FTE clients at average of 14.6 hrs per wk, 01-02 147 FTE at 18.85 hrs per wkInitial split of trading account. Number of hours at cost per hour. Equivalent to 146 FTE clients at average of 5.8 hrs per wk.Other Section 28a FundingCProvides a mix of services (Residential, Supported Livng, Day Care)Supported Employment$Number of employed clients supportedEmployment ServicesNumber of clients supportedSupporting People (THB);150 clients saving £300 per wk less costs of implementationUnallocated Saving?Provisionally 350k CMPB and 350k Residential/Service AgreementsTotal Learning DisabilitiesService: Physical DisabilitiesPhysical Disabilities Residential,FTE Clients at a gross average cost per weekExternal Home Support (CMPB)€Number of hours at cost per hour. Equivalent to 206 FTE clients at average of 14.8 hrs per wk, 01-02 206 FTE at 18.85 hrs per wkInternal Home SupportInitial split of trading account. Number of hours at cost per hour. Equivalent to 10.9 FTE clients at average of 5.8 hrs per wkSpecialist ServicesOT'sSensory Impairment CSDP StaffCSDP EquipmentŽCost per client episode. Savings made by maintaining client numbers but lowering average cost (changing equipment mix). 01-02 unit cost 116.15CSDP Equipment (Other)3Expenditure contains contracts and misc expenditureTotal Physical DisabilitiesService: Mental Health Mental HealthASWPremises related costs]Number of hours at cost per hour. Equivalent to 68.5 FTE clients at average of 3.5 hrs per wkInitial split of trading account. Number of hours at cost per hour. Equivalent to 6.2 FTE clients at average of 5.8 hrs per wk.Drugs and AlcoholRehabilitationCNumber of weeks rehabilitation. Approx 90 clients (17.7 week stays)Adults at RiskCMPB01-02 supported 25 clientsTotal Mental HealthService: Across Client GroupsRelief to CareaNumber of hours at cost per hr. Equivalent to 100 FTE clients at an average of 3.3 hrs per clientCarers Centres Carers Grant70k saving achieved here by use of increased carer's grant on current base budgets. 200k of total 816k grant shown under C & F. Transport;Other income derived from External, Education, SSD InternalEDTBNumber and cost of callouts. 5200 referrals result in 780 calloutsAsylum SeekersPClients at cost per wk. Grant is an estimate not fixed. Mix may alter unit cost.Home Support Trading AccountkNumber of hours at cost per hour. Equivalent to 1565 FTE clients at average of 5.8 hrs per wk, as per 01-02Internal Night CareBudgeted to ceaseContingency Saving-Activity unchanged awaiting details of saving Older PeopleLearning DisabilitiesSC/ALL?"LD Day Centre & Supp Living IncomeTotal Across Client GroupsForecast Spending for YearForecast Year-End Variance Action Plans%Operational Budget Monitoring 2002-03 General NotesAs aboveSubtotalbThis has been netted off in the residential figures above because of the preserved rights problems<Turnover factor not being met and unfunded early retirementsATurnover factor is being covered by some spare secretariate hoursAThis is a combined figure for Small Grants and Service AgreementsStaffing vacancy¥An amount needs to be allocated from contingency to meet the additional costs of the change in Director. Includes unfunded early retirements from Inspection Service.Based on current Service Agreement informationIncluded in Fostering figure›This is a prudent estimate f<Írom Finance. Operational staff believe that Trust Funding will be forthcoming, but there has not been evidence of this to dateaIncluded in the mainstream fostering variance, too timeconsuming to separate figures at this time,Included in total for CLA Service Management:Underspend is based on latest information on service usage%Based on latest information available;No invoicing has occurred to date, so zero variance assumed(Work is ongoing to verify payments trend9Budget reduced to match level of spend recorded last year9Initial figures suggest full achievement of income budget/Assumption that saving targets will be achieved!Based on current spending pattern!Based on current pattern of spend-Overspend due to agency finance manager costs0Further work ongoing to clarify current positionDepartmental SummaryChildren & FamiliesSupport ServicesAcross ServicesTotal Overspend Overall TotalTotal Management Team*Underspend due to current spending pattern-Underspend to be vired to Shotover Day Centre!Travel over - insufficient budget-Staff vacancies and small non-pay underspend. See separate note on Contingency)Total Child Protection and Family SupportTotal Children Looked AfterTotal Disabilities Total Other Original BasePlanning into ActionHome Support StaffingTransport FreezePreserved Rights GrantKFINE review overspend (£34k), less global allocations spent in cost centresDOverspends on pay and non-pay, but negated by higher level of incomeDUnderspend due to vacancies and embargo on purchase of new machinery!Best estimate on current workload„Includes assumption of no more spending on Property. But, still some outstanding rent reviews which are impossible to second guess.IT Project/Data info TeamYNo decision on unfunded P&B cut linked to SWIFT project and no funding for Data Info TeamStaffing vacancies`Slippage in appointing to the posts to deal with fairer charging and decrease in Agency spendinguThere appears to be a large underspend against travel, but this may be overstated if staff are not claiming regularlyForecast Previous MonthBased on latest information"Based on current spend informationS28a3Need to review level of S28a grant for current year"Based on current spending position2Finance told that this will be fully funded by YOTKCorrected for Cherwell Housing Trust Agreement which has decreased in 02/03Variance Last MonthNVariance for ECH clients removed as this is to be funded from preserved rights“Initial figures suggest full achievement of income budget, but there is an unknown factor around the "fairer charging" which may skew this forecastãTurnover factor and lack of full funding for the Head of Service post, plus unfunded honorariums for HoS and PA, plus £5k contingency not allocated for IIP. Also, £17k added for extra posts linked to MIS information managementfTurnover factor not being met and some sickness cover (secretary). Some maternity cover now added in.VMainly staffing vacancies across teams. Some additional advertising costs this month.4The commitment for Night Care Services has increasedSForecast based on the average level of payments over the last (rolling) six months.Merged with line above`Current apportionment of overall spending position, based on hours of care in this service area.!Adjustment for miscoding of staff/Decision made to holdback £21k of non-pay spendã£70k of the overspend relates to new Oxford SL House, which is the first stage of the closure of Marywood. Additional THB income expectation is not included in this figure (expected to be picked up within THB income forecast).ONumber of care staff have left and replacements not anticipated until Jan 2003.?Change to the method of forecasting due to monthly fluctuationsCRecharge included for seconded manager and non-pay forecast reduced<Change in forecast method due to fluctuations month to monthExtensive use of Agency staffMUpdated info on Warwick, but still not a complete picture of possible savings-Client numbers down by 28 (hours down by 152)Increased bid of £1,799 has been provisionally agreed by Health. Confirmation still to be received, but figure has been amended.Cancellation of some contractsXNot adjusted in July because of spreadsheet problems, but now updated to latest position"Increased commitment on a contract%Increase is due to additional clients"New figure advised by Anne Nursey.VA large chunk of this movement is due to a reduction in the forecast for CMPB (£100k)./Decrease is due to a decrease in client numbers|Reduction in contact hours relating to OP of around 400 per week (combined with overall reduction in costs in Int Home Care)Budget Transfer from PD to LDBudget transfer to PD from LD8Mainly explained by a transfer of preserved rights grant¦Underlying position has improved by around £150k due to clients leaving system. However, £415k of change is due to preserved rights grant being transferred elsewhereE£53k of the change is due to preserved rights grant being transferredØThe S28a contract has been provisionally agreed and the figure is included here, leading to a positive outcome of circa £320k. In addition, the reallocation of preserved rights has added £204k into this service areaF£53k of the change is due to a reallocation of preserved rights grantsêSome adverse movement on CMPB is offset, by reductions in the forecast shortfall in THB income and the an improved underspend on residential. 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