Issue - meetings

(i)         to note this report in relation to the IJB budget and the information on areas of risk and management action that are contained herein;

(ii)        to approve the budget virements indicated in Appendix D; and

(iii)      to request that a report be presented to August’s Board meeting on the delivery of mainstream services, with a focus on cost pressures, key actions for future improvement and delivery timescales. The report should pay particular attention to (1) prescribing, (2) hosted services and (3) out of area placements.

The Board had before it a report by Gillian Parkin (Finance, NHSG) and Jimmie Dickie (Finance, ACC) which (1) summarised the current year revenue budget performance for the services within the remit of the IJB as at period 12 (end of March 2018); (2) advised on any areas of risk and management action relating to the revenue budget performance of IJB services; and (3) requested approval of budget virements so that budgets were more closely aligned to anticipated income and expenditure.

The report recommended:-

That the Board –

(a)          Note the report in relation to the IJB budget and the information on areas of risk and management action that are contained herein; and

(b)          Approve the budget virements indicated in Appendix D.

Alex Stephen advised that an adverse position of £3,480,000 had been recorded for mainstream budgets for 2017-18 and the usable reserves position at Year End was £8,306,965. He pointed out that reserves were no longer included within the financial monitoring report and would now be reported separately to give Board members a clearer picture on the mainstream financial position. Mr Stephen projected that prescribing and social care pressures would be the main drivers of anticipated adverse movements in the short-medium term. 

Thereafter there were questions and comments on (1) the anticipated timescale for service redesign plans to be brought to the Board for decision making; (2) the cost pressures impacting on the delivery of transformation projects; and (3) the importance of developing solutions at Board level to address current overspends within out of area placements, hosted services and prescribing budgets.

The Board resolved:-

(i)         to note this report in relation to the IJB budget and the information on areas of risk and management action that were contained therein;

(ii)        to approve the budget virements indicated in Appendix D; and

(iii)      to request that a report be presented to August’s Board meeting on the delivery of mainstream services, with a focus on cost pressures, key actions for future improvement and delivery timescales. The report should pay particular attention to (1) prescribing, (2) hosted services and (3) out of area placements.