Transcript No Slide Title

Budget & Performance Task Group
Adult Social Care
Rachel Wigley
Finance Director, Tri-borough Adult Social Care
Westminster City Council
Strategic
Overview - How we are delivering better for less
Joint
commissioning
across triborough
Re-modelling
and re-tendering
in house
services
Better use of
technology
BETTER FOR LESS
Integrating with
health
Shifting care
closer to home
Personalisation
2
Westminster City Council
Demographic
Pressures & Potential Increase in Demand
INCREASING
DEMAND
2012-2020
Ages 18-64 condition prevalence projections based on data from PANSI
3
Westminster City Council
2011/12
Outturn
2012/13
Outturn
2013/14
forecast
spend as at
Dec 2013
£'000
£'000
£'000
£'000
1,485
16,616
1,838
20,859
1,867
Learning Disabilities
2,196
14,603
21,533
Mental Health
11,545
10,220
8,950
9,515
Older Peoples Service
38,604
38,683
40,536
38,343
10,299
7,482
8,416
0
1,123
1,217
8,450
1,376
888
117
0
0
Total
78,135
75,726
81,817
Budget
83,713
78,578
83,365
Variance
(5,578)
(2,852)
(1,548)
Adult Social Care
Service Division
Other Adult Services
2014/15
Budget
Physical Disability Service
Care & Health
Commissioning
Substance Misuse
81,084
Westminster City Council
Notes to slide 4 - finance data
• Care & Health Commissioning was not reported within ASC in 2011/12.
• Substance Misuse service moved into Public Health from 2013/14
• Learning Disability Reform Grant was consolidated into the Council’s
mainstream budget in 2013/14 reducing the grant income and inflating the
2013/14 ASC budget figures by £8m (comparative ASC budget in 2013/14
would have been £75,365,000). That is,
Adjusted Budget would be:
2011/12 - £83,713,000
2012/13 - £78,578,000
2013/14 - £75,365,000
Westminster City Council
Adult Social Care Budget
• Adult Social Care was allocated an approved budget of
£83.4m in 2013/14
• The projected controllable outturn for 2013/14 is £81.9m
• The draft budget envelope for 2014/15 is £81.1m a net
saving of £2.3m over 2013/14
• The budget envelope for 2014/ 15 includes savings proposals
amounting to £2.3m.
Westminster City Council
2014/15 Savings
£’000
Personalisation
50
Placement Review
30
Procurement (managing price)
120
Transport Policy changes (cost reduction)
490
Tri-Borough initiatives
30
Improve admin processes
100
Older People Strategy (SHSOP)
135
Use of Grant Reserves
1,327
Total
2,282
Westminster City Council
Long term cost pressures & risks
2014/15
£’000
Home Care – existing
870
Children Transiting into Adults
800
Inflation (contractual price uplift)
300
Demographic changes
500
Pay Award (1%)
150
Social Care Bill (potentially from Better Care Funding)
Total
TBC
2,620
Westminster City Council
Medium Term Savings Opportunities over next 2 to 5 years
£’000
Customer Care Journey
1,800
Specialist Housing Strategy for Older People
1,700
Health and Social Care Whole Systems Integration/BCF
2,500
Westminster City Council
2014 /15 Key Issues/Projects
• Home Care
• Health and Social Care Whole Systems Integration /
Better Care Fund
• Children Transiting into Adults