Appendix 3 (a) ADULTS AND COMMUNITY SERVICES PORTFOLIO SUMMARY OF BUDGET VARIATIONS 2007/08 ORIGINAL VARIATION IN BUDGET Ref 2007/08 2006/07 £000 £000 1 2006/07 BUDGET 76,059 Increased Costs 2 Inflation 2,077 Full Year Effect of Supplementary Estimates 3 Fuel increases 31 4 Inbucon 2006 award 20 Movements between other Departments/Portfolios 5 Transfer of Environmental Health Budget from PPS Portfolio 155 6 Maintenance Support for Care First from Resources Dept 27 7 Rent Allowances and Admin Subsidy 22 8 C&YP Contribution to Pineapple Club 10 9 Funding of Stewardship Post in Resources Dept -13 10 Funding of Direct Payments Officer in Resources Dept -16 11 Savings to fund Council-Wide Initiatives -26 12 Budget Adjustments between ACS and CYP -90 13 Transfer of BSSD to Chief Executives Department -232 Real Changes - Draft Budget 14 Increase in Learning Disabilities Residential Placements 319 10,893 15 Above inflation increase in Concessionary Fares 300 10,906 16 Demographic changes Older people - Nursing Care 200 6,218 17 Increase in Mental Health Residential Placements 150 2,193 18 Increase in Fee Levels above inflation - learning disabilities 100 10,893 19 Preserved Rights Grant - subsumed into RSG 68 20 Reissue of Freedom Passes 48 10,906 21 Saving on Supporting People Administration -75 22 Increase in Preventative Technology Grant -108 152 Savings 23 Increase charging by up to 40% -200 2,711 24 Reduction in Council's contribution to Supporting People Services -100 237 25 Change to eligibility criteria for domiciliary care -100 12,823 26 Reduce Care Management teams from 5 to 4 -50 2,521 27 Review use of high cost providers of domiciliary care -50 12,823 28 Efficiency Target for In house domiciliary Care -50 4,991 29 Income Target for Housing Development Section -50 30 Increased Income for Registration Services -50 258 31 Market testing Carelink, Intergrated Community Equipment, Meals -25 32 Review spend on OT aids and adaptations -25 629 33 Variation in Recharges 1,397 34 2007/08 DRAFT BUDGET 79,723 Appendix 3 (b) ADULTS AND COMMUNITY SERVICES PORTFOLIO Notes on budget variations in 2007/08 Ref Comments Full year Effect of Supplementary Estimates 3/4 The budget for 2006/07 was increased by £20,000 for the inbucon pay award and £31,000 for increases in fuel costs above inflation. Movements Between Other Departments/Portfolios 5 Transfer of Environmental Health Budget from PPS Portfolio - £155,000 Environmental Health & Trading Standards falls within Public Protection & Safety Portfolio, with the exception of Residential Services which falls within the ACS Portfolio. During 2006/2007 there were some realignment of budgets into the appropriate services. 6 Care First Maintenance Support from Resources Directorate - £27,000 The maintenance budget for the current social services IT system needs to be transferred from Resources Directorate when Care First is implemented in April 2007. 7 Rent Allowances and Admin Subsidy - £22,000 There is a £22k reduction in housing benefit admin grant for 2007/2008, for Rent Allowances. 8 C&YP Contribution to Pineapple Club - £10,000 The Children's Services Department have contributed £10,000 towards the cost of a two-year special project at the Pineapple Club costing £40,000 per year. 9 Funding of Stewardship Post in Resources Dept - Cr £13,000 Funding has been identified for the creation of a Stewardship Officer based within Resources Directorate to assist in managing the finaces of clients. 10 Funding of Direct Payments Officer in Resources Dept - Cr £16,000 Funding of £16,000 has been identified for a Direct Payments Officer within Resources Directorate. 11 Savings to fund Council-Wide Initiatives - Cr £26,000 A sum of £11k has been identified towards the Impovement & Efficiency Team and a further £15 for the Graduate Training Scheme. 12 Budget Adjustments between ACS and CYP - Cr £90,000 Appendix 3 (b) A net budget of £90k has been transferred from ACS to the Children's department mainly relating to placements. 13 Transfer of BSSD to Chief Executives Department - Cr £232,000 The Bromley Social Services Direct Team has been transferred to Chief Executives Department to form part of the Contact Centre. Appendix 3 (b) Real Changes 14 Increase in Learning Disabilities Residential Placements - £319,000 Members have received a number of reports looking at the cost pressures facing the authority over the next few years arising from increased numbers of people with complex learning disabilities, going into residential care. Work has been undertaken by officers to help develop alternative models of care, so that a number of people with learning disabilities can move into supporting living schemes in the Borough such as the Adult Placement and Keyring Schemes. Work is also ongoing as part of the Invest to Save bid to review all high cost placements. 15 Above inflation increase in Concessionary Fares - £300,000 This reflects increases in transport costs of 6.1% , which is 3% above normal inflation. 16 Demographic changes Older people - Nursing Care - £200,000 The number of people aged over 85 years in Bromley’s population continues to increase, and this will have an impact on resources during 2007/08 and beyond for domiciliary, residential and nursing care services. There is predicted to be a 5% increase in people aged over 85 years of age in 2007/08 compared to 2006/07. 17 Increase in Mental Health Residential Placements - £150,000 There has been a pressure arising from demand for residential care for people with mental health needs in the past few years and this trend is expected to continue into 2007/08 and future years. 18 Increase in fee levels above RPI for Residential Placements for Learning Disabilities Clients - £100,000. The pressures on residential placements for clients with physical and learning disabilities across all the London Boroughs means that providers are demanding increases significantly above inflation. Furthermore, as the Council is placing people with higher levels of need, the providers are demanding a premium associated with delivering the individual’s care plan and maintaining their safety. 19 Preserved Rights Grant into RSG - £68,000 Preserved Rights Specific Grant reduced by £179,000 in 2007/08 of which £68,000 was subsumed into the RSG. The balance of £111,000 is the assumption by Government around attrition rates. 20 Reissue of Freedom Passes - £48,000 Freedom passes are issued bi-annually and an increase in budget is required for 2007/2008. 21 Saving on Supporting People Administration - Cr 75,000 Appendix 3 (b) By bringing forward plans to reduce staffing levels and to mainstream the Supporting People activities within Adult & Community Commissioning, it is anticipated that there will be savings of £75,000 resulting from reduced admin costs chargeable to grant fund. Appendix 3 (b) 22 Increase in Preventative Technology Grant - Cr £108,000 The Preventative Technology Grant has been increased for 2007/2008 by £108,000.This additional grant income will be used to meet some of the service pressures facing the department in 2007/08. Savings 23 Increase charging by up to 40% - Cr £200,000 A proposal to increase the hourly rate for domiciliary care by 40% will generate an additional £200,000 income. 24 Reduction in Council's contribution to Supporting People Services - Cr £100,000 The Council is currently spending more on supporting people services than it receives in government grant. Given the service pressures facing the department in 2007/08 it is proposed that supporting people funding is reduced by £100,000 to help meet some of the Departments service pressures. 25 Change to eligibility criteria for domiciliary care - Cr £100,000 The Council currently operates 2.5 bands for eligibility of domiciliary care; “critical”, “substantial” and “moderate” but only where it is assessed that the client is likely to deteriorate to “substantial” within 6 months or less if services are not provided. Out of a total of 2,500 clients in receipt of domiciliary care 200 clients are currently assessed as being within this “moderate-plus” band. Removing the "moderate" band should deliver savings of £100,000 in 2006/07 increasing to £300,000 in a full year. The full impact of removing the “moderate-plus” band will need to be phased in over a number of years, as it is not proposed, nor would it be practical to remove the service from existing clients 26 Reduce Care Management Teams from 5 to 4 - Cr £50,000 Reducing the number of Care Management teams from 5 to 4 will allow for a Group Manager post to be deleted. This will however, result in a decrease of managerial expertise, and increased manager to care manager supervision ratios. It will require some realignment of teams and the potential merging of the specialist Physical Disabilities team with one of the existing Older People teams. 27 Review high cost providers of domiciliary care - £50,000 A target has been set of £50,000 p.a. for agency domiciliary care, which should be achieved by reviewing high cost providers. 28 Efficiency Target for In house Domiciliary Care - Cr £50,000 It is estimated that £50,000 could be saved on In-house homecare by reviewing current working arrangements. This would involve a progressive reduction in the capacity of the in-house service with more care purchased externally. 29 Income Target for Housing Development Section - Cr £50,000 Appendix 3 (b) Work is currently being undertaken to scope the potential income that could be generated through charging for: - · Administering the Payments in Lieu budget · Developers for housing’s input into legal documents for planning agreements · Staff time spent on Section 106 planning agreements. There are risks associated with any potential income, as income will fluctuate depending on what proposals developers put forward for approval and commencement of schemes. The government is also considering introducing Planning Gain Tax, which would prevent this income from being generated. 30 Increased Income for Registration Services - Cr £50,000 Nationality checking is a service offered to customers applying for British Citizenship. It is a new service, hitherto unavailable, which allows Register Office staff to check through a citizenship application, highlight omissions and, more importantly, copy documents for the customer, sending the copies to the Home Office certified as true copies of the originals. This service has been piloted in 2006/07 and additional income of £40,000 should be generated. However, it is anticipated that once other local authorities begin to offer the service, supply will begin to meet demand across London and the demand for the service in Bromley will reduce accordingly. A review of other income from fees & charges within the registrars division should deliver savings of £10,000 - £20,000 p.a. 31 Market testing Carelink, Intergrated Community Equipment, Meals - Cr £25,000 Officers are currently exploring the savings that might be generated from market testing or working in partnership with other local authorities to provide Carelink, the Meals Service and savings arising from having a Joint Store for equipment. 32 Review spend on OT aids and adaptations - Cr £25,000 A saving of £25,000 p.a. could be delivered by reviewing the current commissioning arrangements and tighter-gate keeping.