Activity and Performance Report Quarter 1 Four Objectives - PowerPoint PPT Presentation

Activity and Performance Report Quarter 1

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 £210k underspend at year end (£382k at month 3) but there are a number of unknowns within that projection including on residential care charging income and homecare staffing.

Efficiencies • The Integration Joint Board’s cash efficiency target is £1,135k, which includes the Comhairle’s workforce planning savings. • We estimate that the IJB has already achieved savings of £315k, against the Financial Efficiency Plan (FEP) of £1,135k and at month 4 we are forecasting to achieve £1,117k of these savings though there are £188k of high risk savings.

CnES Efficiencies £ Implemented Risk Rating A reduction in overtime payments of 50% 15,000 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 16,000 Yes FTE Reduce care home management in Uist and Benbecula by 13,000 No High 1 FTE No Medium Reduce Ardseileach service by 1 FTE 7,500 Re-design of the anti-social behaviour post 10,000 No 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 No High A reduction in sickness absence of 10% 22,500 The use of four additional fleet cars for travel 10,000 No Medium Reduce care home management in Lewis and Harris by 1 Yes 17,500 FTE Reduce care home management in Uist and Benbecula by 15,500 No High 1 FTE Reduce Ardseileach service by 1 FTE 21,500 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 Further savings will be explored in respect of established to will subsequently service across the following care venues: the laundry service within the care homes, undertake capacity be considered as - Dun Eisdean with a potential saving of £30,000, which will planning work in part of the - Dun Berisay accrue to the IJB respect of the future Comhairle’s next - Harris House care home estate, capital programme. - Trianaid The projected 2016/17 out turn for CNES including the - Sacred Heart Residential Care is a £348k surplus, but this development of We are in the - St Brendan’s assumes all charges raised will be recovered. extra care housing. process of agreeing - Care Units This will explore an a new fee structure overarching with HC-One The commissioning of residential care £1.568m commissioning following the sale of from third and independent sector strategy, Blar Buidhe falling providers will be undertaken under the Notes:- procurement and through. direction of the Head of Partnership An inflationary uplift, to be agreed locally, will finance implications, Services (currently the Head of Social and be provided to Western Isles providers and the technical Quality of care Partnership Services). In order to meet the terms of the Scottish specifications continues to be Government settlement, CNES will make an associated with the monitored across all agreed contribution to the costs of supporting redesign of the homes. Following third and independent sector providers to pay residential estate. inspection in May, care staff a minimum of £8.25 per hour This will be tied into Harris House has the Local Housing maintained grades While the projected 2016/17 out turn for Strategy. of 5 and 4 for care externally commissioned care is a £50k, the and support and external care home budget is in balance management.

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 will explore the redesign The IJB will develop successful. CNES will deliver a home care service of the Mobile Overnight Support Service, integrated across the five localities of the Integration which will deliver potential savings of £90,000 community teams Satisfaction survey Joint Board. The home care service will for 2016/17 consisting of of home care clients operate under the direction of the Head Further savings will be explored in respect of community nursing in Lewis and Uists of Locality Services (currently the Head of the laundry service within the care homes, and homecare, produced a 93% Community Services) with a potential saving of £30,000, which will building on three satisfaction rate accrue to the IJB over-arching with the overall principles: service provided The projected 2016/17 out turn for CNES Care at Home is a £53k surplus, which is Putting the Development of - largely due to vacancies within the service. person at the service proposals centre of care. underway to bring CNES will also commission home care £3,132,000 Autonomy for community nursing - services from third sector providers the and social care (and/or offer a direct payment), as An inflationary uplift, to be agreed locally, will professionals together. This has required in response to need and within be provided to Western Isles providers providing care. included available resources. The commissioning of A strong focus participation on - care from third and independent sector In order to meet the terms of the Scottish on preventing national test site providers will be undertaken under the Government settlement, CNES will make an unnecessary events, with our direction of the Head of Partnership agreed contribution to the costs of supporting admission to contribution focused Services (currently the Head of Social and third and independent sector providers to pay hospital on reform in the Partnership Services). care staff a minimum of £8.25 per hour Uists The projected 2016/17 out turn for externally One complaint commissioned care is a £50k overspend due to an increase in spot purchasing

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 £3k 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 The service is using the allocation of £50k per annum for 2 years to resource a fixed term Team Leader post to address the Community Justice Re-design ahead of a review of Social Work Management within the IJB. 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 £7k 8, 9, 12, 13, 14, directed support, which Head of Partnership Services overspend 16, will improve (currently the Head of Social and identification of Partnership Services) Notes: personal budgets. The core service is supported in 16/17 Technical work is through the provision of £28k external Self underway, with a view Directed Support resources to enable the to having systems in service to employ a fixed term social work place by March 2018. post Recruitment and retention issues are being addressed One complaint