Archived decisions

                    Appendix 4a

Adult Services

Proposals for growth and redeployment 2007/08 to 2009/10

         

Staffing (FTEs)

   

2007/08

2008/09

2009/10

2007/08

2008/09

2009/10

   

£'000

£'000

£'000

     
 

Growth proposals and unavoidable service pressures:

           
 

Demographic Pressures:

           
 

Older People Domiciliary Care

1,000

1,430

1,600

-

-

-

 

People with Learning Disabilities - Transition and Aspergers

2,870

3,287

3,400

-

-

-

 

People with Mental Health Needs - Aspergers, Twilight Service & Early Onset Dementia

210

-

-

-

-

-

 

People With Physical or Sensory Needs

237

430

245

-

-

-

 

Sub Total

4,317

5,147

5,245

1

-

-

 

Higher Care Levels Than Budgeted

           
 

Ongoing impact of pressures within People with Learning Disabilities from 06/07

3,021

76

78

-

-

-

 

Ongoing impact of pressures within Older Persons from 06/07

9,565

-

-

-142

-

-

 

Ongoing impact of pressures within People with Physical Disabilities from 06/07

1,680

-

-

-

-

-

 

Sub Total

14,266

76

78

-142

-

-

 

New Legislation

           
 

Mental health practitioner training & mental capacity act

20

189

-25

-

-

-

 

Inflationary Pressures

           
 

Inflation on purchased care services in excess of corporately assessed inflation

596

450

450

-

-

-

 

Other:

           
 

Additional costs from loss of supporting people funding

130

350

-

-

-

-

 

Enhance nursing care homes - additional revenue costs

145

-

-

-

-

-

 

Integrated community equipment store

200

100

50

-

-

-

 

Loss of income from other local authorities

145

-

-

-

-

-

 

Revenue implications of well being agenda

0

300

-

6

-

-

 

Additional information system requirements for People with Mental Health Needs

48

6

6

-

-

-

 

Sub total

668

756

56

6

-

-

 

Total increase

19,867

6,618

5,804

-135

-

-

Staffing (FTEs)

2007/08

2008/09

2009/10

2007/08

2008/09

2009/10

£'000

£'000

£'000

Redeployment and savings proposals:

Financial Recovery Plans

Review and modernisation of People with Learning Disabilities services

-1,030

-500

-

-14

-

-

Review and modernisation of People with Physical Disabilities Services

-845

-561

-430

-

-

-

Review and modernisation of Older People Services

4,188

1,144

1,392

41

-

-

Additional income from the revised non residential charging policy

3,280

-

-

-

-

-

Sub Total

-9,343

-2,205

-1,822

-55

-

-

Other efficiency savings:

Purchased residential and day care for Older People (including Pay and Benefits benefit realisation savings)

1,618

1,168

-

-57

-20

-

Purchased residential and other care for People with Physical Disabilities

235

175

-

-

-

-

More effective procurement for People with Learning Disabilities

-190

-140

-100

-2

-

-

More effective procurement for People with Mental Health Needs

-172

-

-

-

-

-

Staffing efficiencies for Older People

-300

-

-

-

-

-

Pay and benefits benefit realisation for financial services

-30

-

-

-

-

-

More efficient assessment commissioning and procurement - all client groups

-500

-

-

-

-

-

Further service reductions for day and other care in Learning Disabilities

-260

-

-

21

-

-

Sub Total

-3,305

-1,483

-100

-80

-

-

Scope for Increased Income

Increased income over and above inflation

-430

-

-

-

-

-

Adjustment to contingency

-1,316

3,070

2,818

-

-

-

Total redeployment proposals

-14,394

-618

896

-135

-20

-

Savings required to cover deletion of non-recurring sum in the base budget

2,700

-

-

-

-

-

Net increase equal to increase in budget guidelines

8,173

6,000

6,700

-270

-20

-