Activity and Performance Report Month 10
Four Objectives • Developing our locality arrangements, to ensure that our services are responsive and connected to local communities • Working with staff, stakeholders and service users to develop integrated delivery arrangements which are capable of improving the experience and outcomes of the people we serve • Deploying our resources transparently, making sound investment decisions and managing a very fragile budget • Implementing our strategic plan, to ensure that our services change and adapt in response to population need
Use of Resources • We are forecasting a £281k underspend at year end, as a result of pressures within the medical wards, high cost mental health packages and over-estimated income from care home charges
Efficiencies • The Integrated Joint Board’s cash efficiency target is £1,135k, which includes the Comhairle’s workforce planning savings. • It is estimated that the IJB has already achieved savings of £970k, against the Financial Efficiency Plan (FEP) of £1,135k.
CnES Efficiencies £ Implemented Risk Rating A reduction in overtime payments of 50% 15,000 In Part High A reduction in sickness absence of 10% 22,500 No High The use of four additional fleet cars for travel/use of single 10,000 In Part Medium vehicles Reduce care home management in Lewis and Harris by 1 16,000 Yes FTE Reduce care home management in Uist and Benbecula by 13,000 In Part High 1 FTE Re-design of the anti-social behaviour post 10,000 In Part Medium Deletion of vacant Service Manager – Adult Care and 55,000 Yes Support post, Community Services Savings to be implemented in 2017/18 CnES Efficiencies £ Implemented Risk Rating A reduction in overtime payments of 50% 30,000 No High A reduction in sickness absence of 10% 22,500 No High The use of four additional fleet cars for travel 10,000 No Medium Reduce care home management in Lewis and Harris by 1 17,500 Yes FTE Reduce care home management in Uist and Benbecula by 15,500 No High 1 FTE Reduce Ardseileach service by 1 FTE 29,000 No Medium
Function IJB Directions to CnES 2016/17 Budgetary Provision Link to Strategic Performance Plan Update Residential CNES will provide residential and nursing £4.629m Key Deliverables: 1, The review of and care from within its own service and will 4, 8, 11, 12, 18, 22, residential care has Nursing commission from third and independent Notes:- 23, 24 been established Care sector providers within and outside of In order to deliver these services within and is reporting to the Western Isles in accordance with the budget, CNES will need to move reduce the Notes:- the IJB on options Social Work (Scotland) Act and 1968 CEL number of care home service managers by 2 for the replacement 32 (choice directions). FTE. A Residential Review of Dun Eisdean and Group will be Dun Berisay. This CNES will deliver a residential care home There is still a large overspend in year against established to will subsequently service across the following care venues: residential income. The review of residential undertake capacity be considered as - Dun Eisdean client charges has indicated that the income planning work in part of the - Dun Berisay due is not as high as the previous year due to respect of the future Comhairle’s next - Harris House last year’s income accrual having back care home estate, capital programme. - Trianaid payments for previous years included and that including the - Sacred Heart there will also be a level of time barred development of Quality of care - St Brendan’s debt/income. These assumptions therefore extra care housing. continues to be - Care Units result in projected overspend against This will explore an monitored across all residential care of £174k. overarching homes. commissioning The commissioning of residential care £1.568m strategy, Refurbishment of from third and independent sector procurement and Dun Berisay now providers will be undertaken under the Notes:- finance implications, complete direction of the Head of Partnership An inflationary uplift, to be agreed locally, will and the technical Services (currently the Head of Social and be provided to Western Isles providers specifications Inspections within Partnership Services). In order to meet the terms of the Scottish associated with the residential care, day Government settlement, CNES will make an redesign of the care and homecare agreed contribution to the costs of supporting residential estate. over last third and independent sector providers to pay This will be tied into performance care staff a minimum of £8.25 per hour the Local Housing period. Service Strategy. improvement plans, recommendations undertaken
Function IJB Directions to CnES 2016/17 Budgetary Provision Link to Strategic Performance Update Plan Care at CNES will meet assessed need under the £5,329,000 Key Deliverables:- 1, Implementation of Home Social Care (Self-directed Support) 2, 4, 5, 6, 7, 11, 13, home care redesign (Scotland) Act 2013 and all relevant Notes:- 18, 23, 24, 25 in Stornoway and preceding legislation In order to deliver an efficient service across Broadbay has been all localities, the IJB has redesigned the The IJB will develop successful. Roll-out CNES will deliver a home care service Mobile Overnight Support Service, which will integrated to other localities across the five localities of the Integration deliver potential savings of £90,000 for community teams underway and Joint Board. The home care service will 2016/17 consisting of subject to operate under the direction of the Head community nursing consultation of Locality Services (currently the Head of The projected 2016/17 out turn for CNES and homecare, Community Services) Care at Home is a £193k surplus, which is building on three Development of largely due to vacancies within the service. over-arching service proposals principles: underway to bring community nursing - Putting the and social care person at the together. This has centre of care. included - CNES will also commission home care £3,132,000 Autonomy for participation on services from third sector providers the national test site (and/or offer a direct payment), as An inflationary uplift, to be agreed locally, will professionals events, with our required in response to need and within be provided to Western Isles providers providing care. contribution focused - available resources. The commissioning of A strong focus on reform in the care from third and independent sector In order to meet the terms of the Scottish on preventing Uists. Still ongoing providers will be undertaken under the Government settlement, CNES will make an unnecessary direction of the Head of Partnership agreed contribution to the costs of supporting admission to Intermediate care Services (currently the Head of Social and third and independent sector providers to pay hospital service in Partnership Services). care staff a minimum of £8.25 per hour development. Proposed The living wage payment schedule is almost establishment of complete, but should be capable off being team late summer absorbed within the resources CNES set aside 2017
Function IJB Directions to CnES 2016/17 Budgetary Provision Link to Performance Update Strategic Plan Criminal CNES will deliver a criminal justice £229,000 Key Work continues in Justice Social social work service across the Deliverables;- support of the transition Work Western Isles. The service will The projected 2016/17 out turn for 1, 2, 4, 9, 13, to a local Community operate under the direction of the criminal justice social work is a £5k 14 Justice Partnership. A Head of Partnership Services underspend Improvement plan will (currently the Head of Social and be developed by March Partnership Services) Notes: 2017. In order to manage these services within budget, CnES has committed to a re-design of a criminal justice post Assessment CNES will deliver an assessment and £1,302,000 Key We intend to introduce and Care care management service across the Deliverables;- the equivalency model Management Western Isles. The service will The projected 2016/17 out turn for 1, 2, 4, 5, 6, 7, in support of self- operate under the direction of the assessment and care management is a 8, 9, 12, 13, 14, directed support, which Head of Partnership Services £102k underspend, ostensibly created by 16, will improve (currently the Head of Social and staffing challenges identification of Partnership Services) personal budgets. Notes: Technical work is The core service is supported in 16/17 underway, with a view through the provision of £28k external Self to having systems in Directed Support resources to enable the place by March 2018. service to employ a fixed term social work post Recruitment and retention issues are being addressed
Recommend
More recommend
