Pooled Budget Officers Group

Finance, Performance and Activity ReportP11 – February 2017

Activity Summary – P11Service Users for all services as at 28/2/17

Mental Health line above only reflects Social Care service users at

present. CCG figures to be added

Finance Summary – P11Actuals to 28/2/17

Pooled Budget

Original

Budget

2016/17

£000

Latest

Budget

2016/17

£000

Year End

Forecast

Expenditure

£000

Year End

Variation

£000

Year End

Variation

% of

budget

Change in

Variance from

Previous Month

£000

Learning Disability 83,699 82,470 83,532 1,062 1% 375

Mental Health 53,929 54,280 55,699 1,420 3% 45

Older People & Equipment 187,104 195,213 201,027 5,814 3% -99

Physical Disability 19,271 19,861 22,103 2,242 11% -314

Total 344,003 351,824 362,361 10,538 3% 7

Oxfordshire County Council Risk Share

Learning Disability 904 320

Mental Health 550 22

Older People & Equipment 716 -74

Physical Disability 1,387 -194

Total Oxfordshire County Council 3,557 74

Oxfordshire Clinical Commissioning Group Risk Share

Learning Disability 158 56

Mental Health 870 23

Older People & Equipment 5,099 -25

Physical Disability 856 -120

Total Oxfordshire Clinical Commissioning Group 6,983 -66

Learning Disabilities Pooled Budget

Finance ReportP11 - February 2017

Learning Disabilities Pooled BudgetActivity Analysis

The averages above are intended as an indicator and reflect the mean

spend and activity within the month.

Within the actual spend will be a range of prices and fluctuating

activity reflecting personalised service user needs.

Activity

at month

end

Average

Rate

Forecast FY

Variance

£000

Care Home beds £21,723 289 £1,482 £2,239

Direct Payments £11,178 447 £469 £731

Support at home hours £1,808 996 £20 -£378

Supported Living service users £33,531 709 £857 -£1,531

Planned FY

Budget

£000

Service Line

Feb-17

Learning Disabilities Pooled BudgetFinance Summary

Outturn

2015/16

£000

Description of Service

Original

Budget

2016/17

£000

Latest

Budget

2016/17

£000

Year End

Forecast

Expenditure

£000

Year End

Forecast

Variation

£000

Year End

Forecast

Variation

% of budget

Change in

Variance from

Previous Month

£000

69,838 SPB4-1 - Personalisation/Ongoing Support 71,202 70,992 72,937 1,946 3% 466

2,550 SPB4-2 - Contracted Services - Blocks 2,262 2,455 2,294 -162 -7% 0

141 SPB4-3 - Contracted Services - Housing/Vacancies 397 397 415 17 4% 17

5,986 SPB4-4 - Health Contract 5,863 5,921 6,097 176 3% 0

93 SPB4-5 - Transformation 353 217 163 -54 -25% -58

100 SPB4-6 - Carers Grant 187 187 137 -49 -26% -4

144 SPB4-7 - Direct Access Services 155 142 157 15 10% 0

22 SPB4-8 - Assistive Technology 0 0 0 0 0

2,367 SPB4-9 - Staffing 2,443 922 1,072 151 16% 5

254 SPB4-10 - Recharges 286 286 259 -27 -9% -1

241 SPB4-11 - Out of Area Treatments 550 950 0 -950 -100% -50

81,734 Total 83,699 82,470 83,532 1,062 1% 375

Risk Share

72,347 OCC 76,043 74,579 85.10% 904 1% 320

12,906 OCCG 13,083 13,318 14.90% 158 1% 56

85,253 Total contributions 89,126 87,897 1,062 1% 375

0 SPB4-19 - OCC Income (Budgeted) -5,427 -5,427 0 0

85,253 Total Income 83,699 82,470 1,062 1% 375

Finance Report for February 2017

Mental Health Pooled Budget

Finance ReportP11 – February 2017

Mental Health Pooled BudgetFinance Summary

Outturn

2015-16

£000 Description of Service

Orignal

Budget

2016/17

£000

Latest

Budget

2016/17

£000

Year End

Forecast

Expenditure

£000

Year End

Forecast

Variation

£000

Year End

Forecast

Variation %

of Budget

Change in

Variance from

Previous

Month

£000

0 Outcome Based Contract (Appendix 1) 36,537 36,537 36,880 343 1% 56

Other Mental Health Services (Appendix 2)

0 Adult Social Care 338 338 1,095 757 224% -11

1,952 Provider Pool costs 1,916 1,916 1,916 0 0% 0

416 Eating Disorders 413 413 413 0 0% 0

6,047 Child & Adolescent Mental Health (CAMHS) 7,784 7,784 7,784 0 0% 0

0 CAMHS outside OH contract 265 757 757 0 0% 0

0 Children's IAPT 26 26 26 0 0% 0

0 Community Psychological Medicine 101 101 101 0 0% 0

679 IAPT 4,146 4,557 4,557 0 0% 0

203 Mental Health & Homelessness 203 50 54 4 7% 0

26 Commissioning Intentions 436 37 15 -22 -59% 0

298 Carers 329 329 302 -27 -8% 0

0 Other Mental Health Services 55 55 55 0 0% 0

0 Crisis Concordat - Street Triage 192 192 192 0 0% 0

0 Crisis Concordat - Extended Liaison Psychiatry 263 263 263 0 0% 0

0 Crisis Concordat - SCAS Triage 182 182 182 0 0% 0

247 Aspergers 214 214 318 104 49% 0

319 Mental Health Act Assessments 305 305 305 0 0% 0

131 Advocacy 114 114 114 0 0% 0

125 Continuing Healthcare (CHC) 110 110 370 260 236% 0

36,985 Total Other Mental Health Services 17,392 17,743 18,819 1,076 0% -11

47,428 Total for Risk Share on OP Pool 53,929 54,280 55,699 1,420 3% 45

Risk Share

OCC 550 22

OCCG 870 22

Total contributions 1,420 45

Finance Report for February 2017

Older People’s Pooled Budget

Finance ReportP11 – February 2017

Older People’s Pooled BudgetActivity Analysis

The averages above are intended as an indicator and reflect the mean

spend and activity within the month.

Within the actual spend will be a range of prices and fluctuating

activity reflecting personalised service user needs.

Average Weekly

Rate

Activity at

month end

Care Home beds £34,609 £638 1,534 £3,339

Direct Payments £8,961 £328 522 £0

Support at home hours £17,987 £21.95 17,757 -£661

Care Home beds £7,160 £1,145 113 -£10

Support at home service users £1,946 £1,321 44 £439CHC

Service Line

Social Care

Client

Group

Planned FY

Budget

£000

FebruaryForecast FY

Variance

£000

Outturn

2015/16

£000

Description of Service

Original

Budget

2016/17

£000

Latest

Budget

2016/17

£000

Year End

Forecast

Expenditure

£000

Year End

Forecast

Variation

£000

Year End

Forecast

Variation

% of

budget

Change in

Variance from

Previous Month

£000

Oxfordshire County Council

35,752 Care Homes 30,847 34,609 38,312 3,703 11% 364

23,116 Home Support and Extra Care Housing 22,841 24,209 23,055 -1,154 -5% -683

18,804 Prevention and Early Support 18,985 18,103 15,192 -2,912 -16% -109

13,135 Staffing & Infrastructure Costs 12,291 14,846 15,963 1,117 8% 279

90,808 84,964 91,767 92,522 754 1% -148

2,003 Equipment 2,776 2,395 2,356 -39 -2% 74

92,811 Total Social & Community Services 87,740 94,162 94,878 716 1% -74

Oxfordshire Clinical Commissioning Group

8,044 Care Homes 9,309 8,484 8,538 54 1% 4

4,059 Home Support 3,341 4,269 5,024 755 18% 63

942 Delegated Health Tasks 1,146 1,150 1,102 -48 -4% 273

11,519 Funded Nursing Care 11,799 11,676 15,856 4,180 36% -283

6,837 Prevention and Early Support 7,518 7,181 6,733 -449 -6% 22

38,908 Oxford Health Community Contract 38,889 38,470 38,804 334 1% 0

9,907 Oxford Health Mental Health Contract 9,907 10,022 10,022 0 0% 0

8,718 Other Services 15,842 18,341 18,079 -262 -1% -23

88,934 97,751 99,594 104,158 4,564 5% 56

1,923 Equipment 1,076 1,456 1,991 535 37% -81

90,856 Total Oxfordshire Clinical Commissioning Group 98,827 101,050 106,149 5,099 5% -25

183,667 Total Expenditure for Older People's Pool 186,567 195,213 201,027 5,815 3% -99

Physical Disabilities Pooled Budget

Finance ReportP11 –February 2017

Physical Disabilities Pooled BudgetActivity Analysis

The averages above are intended as an indicator and reflect the mean

spend and activity within the month.

Within the actual spend will be a range of prices and fluctuating activity

reflecting personalised service user needs.

Activity at

month end

Average

Rate

Care Home beds £3,201 98 £1,031 £382

Direct Payments 451 £345

Support at home hours 2,496 £21

ECH - HS hours 317 £16

Care Home beds £2,755 37 £1,899 £266

Support at home clients £1,296 38 £1,455 -£22CHC

Planned FY

Budget

£000

Forecast FY

Variance

£000

Service Line

Social Care£8,182 £1,019

Client

Group

February 2017

Physical DisabilitiesFinance Summary

Finance Report for February 2017

Outturn

2015/16

£000

Description of Service

Original

Budget

2016/17

£000

Latest

Budget

2016/17

£000

Year End

Forecast

Expenditure

£000

Year End

Forecast

Variation

£000

Year End

Forecast

Variation

% of budget

Forecast

Variation

January

£

Change in

Variation from

Previous

Month

£000

Oxfordshire County

3,462 Care Homes 3,201 3,201 3,584 382 12% 372 10

8,329 Support at Home 8,114 8,182 9,201 1,019 12% 1,636 -617

638 Prevention & Early Support 611 611 310 -300 -49% -300 0

12,429Total Oxfordshire County

Council Expenditure11,925 11,994 13,095 1,101 9% 1,708 -607

Oxfordshire Clinical

2,751 Care Homes 2,177 2,755 3,074 319 12% 367 -48

1,291 Support at Home 1,172 1,296 1,235 (61) -5% (235) 173

1,414 Personal Budgets 1,460 1,462 1,574 112 8% 43 69

520 Delegated Health Tasks 495 544 585 41 7% (75) 116

1,463 Acquired Brain Injury 1,732 1,473 1,787 314 21% 325 -11

100 HIV & AIDS Services 100 100 100 0 0% 0 0

248 Funded Nursing Care 210 236 654 418 177% 423 -6

7,787

Total Oxfordshire Clinical

Commissioning Group

Expenditure

7,345 7,866 9,008 1,142 15% 848 293

20,216 Total Expenditure 19,271 19,861 22,103 2,242 11% 2,556 -314

Partner Contributions

12,001 OCC Contributions 11,925 11,994 11,994 (0) (0) (0) 0

7,345 OCCG Contributions 7,345 7,866 7,866 (0) (0) (0) 0

19,346 Total Contributions 19,271 19,861 19,861 (0) (0) (0) 0

Risk Share

12,793 OCC Contributions 12,746 12,815 61.84% 1,387 11% 1,581 -194

OCC income -821 -821

7,423 OCCG Contributions 7,345 7,866 38.16% 856 11% 976 -120

20,216 Total Contributions 19,271 19,861 2,242 2,556 -314