Social care contingency
Total £5 million ongoing contingency.
The demand pressures on our budgets and the financial pressures associated with this have been highlighted throughout this report. Children’s social care, in particular, has experienced rising demand for its services in recent years. If this trend continues on the same path, it's likely that there will be increased costs again in 2020 to 2021. In such circumstances, the Head of Paid Service and Director of Finance and ICT will be responsible for making the decision on the allocation of budgets.
Adult social care and health
Total - £8.927 million ongoing, £2.743 million ongoing contingency, £7.210 million one-off.
£4.5 million ongoing.
Increases in 65-plus population, the number of disabled adults accessing services, cases of early onset of dementia, the complexity of need and the complexity of clients transitioning from children's services means that there continues to be a demographic growth pressure in respect of adult care.
£3.627 million ongoing.
The government provided £240 million in 2019 to 2020 through a Winter Pressures Grant which was ringfenced for use by local authorities to alleviate winter pressures on the NHS. In 2020 to 2021, this £240 million will not be ringfenced for that purpose and will instead be rolled into the iBCF, allocated using the existing adult social care relative needs formula, as in 2019 to 2020.
Implementation of a new pathway
£4.210 million one-off.
This funding is required to implement the recommendations of the Newton Europe review. The implementation of the revised pathway is expected to save £21 million over the next 3 years. This is part of a 4-year transformation programme that will seek to promote greater independence for older people in Derbyshire.
Transforming Care Programme
Thirty clients in long stay hospitals will need to be transferred to social care provision, as part of the Transforming Care Programme to transfer services from the NHS to us.
Learning disability short term breaks
As part of the Transforming Care Programme it has been agreed to move forward with a closure programme relating to 5 NHS funded short break units. This service is to transfer to us and discussions are underway with the NHS, which should establish the cost. This amount would be held in contingency budgets until the cost is known.
Homes for older people
£3 million one-off.
Due to significant pressures around maintenance within our older persons care homes this bid will support the ongoing maintenance and associated costs attributed to the works required.
Continuing health care
£2.2 million ongoing.
Following a review of continuing health care clients using a Continuing Health Care/Joint Funding Matrix to determine the threshold of needs between the NHS and social care, there is expected to be a year-on-year increase in costs. Discussions are underway with the NHS, which should establish the additional cost. This amount would be held in contingency budgets until the cost is known.
Total - £14.836 million ongoing, £5.836 million one-off.
£1.3 million ongoing, £1.3 million one-off.
A new structure for social workers has increased the number of established posts. The funding for this new structure was agreed in 2018 to 2019 and is transferring into the base budget of children's services over 4 years. This bid continues with the plan as previously set out in the Five Year Financial Plan.
Child carer allowance
To recognise the value provided by foster carers to us, it's proposed that their allowances are increased by inflation from 1 April 2020.
Develop quality assurance practices
Additional capacity is required to support improvement priorities identified as a result of the recent Ofsted inspection. There is a demand to develop and implement effective quality assurance and performance management activities and approaches.
Resources to implement new pathway
To provide programme direction and front line service input to assist with work being led by adult social care, required on the life-long disability pathway programme. The goal is to move to a culture where disabled people are encouraged to live as independently as possible and this requires a change in approach.
Leaving care services
The duties in relation to care leavers have been extended with support offered up to the age of 25 as required (previously 21) which has resulted in an increase in care leaver numbers. There are also more care leavers as the number of children in care moving through to care leaving age has increased. This reflects the additional cost of service provision.
£8 million ongoing.
The increase in the number and complexity of children being taken into care has meant that more children have to be placed with external providers rather than in-house provision. This has led to an increase in costs. This is an estimate of the additional cost in 2020 to 2021 of expected placements based on current levels of demand. If trends continue into 2020 to 2021, costs are likely to increase further. This increase in demand is being experienced nationally.
Section 17 and pre-placement expenditure
£1 million one-off.
Under Section 17 of the Children's Act, we have a duty "to safeguard and promote the welfare of children in need through promoting the upbringing of children by their families". This includes providing financial assistance to do so. Demand has been rising as a result of an increased number of referrals and increased identification of children that meet the threshold of children in need.
Special Guardianship Orders (SGO) and Child Arrangement Allowances
We provide means tested financial support towards the cost of caring for a child under Special Guardianship or Child Arrangement Orders. The number of children whose carers are in receipt of these payments has been increasing steadily for a number of years. This reflects the additional cost of providing the allowances.
Elective home education
There has been a significant increase in the number of young people being electively home educated. The request for funding is to enable us to meet our statutory function and to enable us to be more proactive at the point that parents indicate they are considering elective home education.
Special needs transport
£1 million ongoing, £971,000 one-off.
The SEND home to school transport budget has faced significant budget pressures for a number of years. Actual numbers and proportion of children with SEN support is increasing year on year, with significant increases in expenditure on children placed in out of county independent provision and young people that are post 16. In addition, Derbyshire special schools have been increasing the number of pupils they take. This reflects the additional cost of service provision.
Special needs service
The demands on the service for the foreseeable future are such that there is no scope to reduce expenditure and meet statutory duties. The pressure bid is therefore to increase budget to the current level of expenditure.
Child protection services
The number of children subject to a child protection plan in Derbyshire has increased over the last 3 years and the number of children in care has been increasing. There is a shortfall in funding to current levels of spend and additional funding is required to ensure the service is able to deliver within the expected timeframes and to expected levels.
£1.1 million one-off.
The number and the complexity of children in care proceedings is increasing. Children’s services’ costs continue to increase, most notably in respect of solicitors’ fees (incurred either where we are sharing or paying costs with another party, or where work cannot be delivered by the in-house legal services team), barristers' fees and the fees payable to the courts at each stage of children in care proceedings.
Future demand for services
£3 million ongoing
Demand experienced within children's services in recent years is likely to continue and therefore it is likely that costs will continue to increase during 2020 to 2021. This will principally affect the areas of child protection service staffing, placements for looked after and other accommodated children, including complex cases, and children who are electively home educated.
The children’s services department is facing unprecedented demand for its services. A recent Ofsted inspection identified a number of areas where children's services provision required improvement. As a result, the department has identified a number of areas where there will need to be either a reduction in costs and/or an improvement in service provision. This work will be co-ordinated within the department for a fixed term.
Commissioning, communities and policy
Total - £400,000 ongoing, £300,000 one-off.
Legal services child care cases
In the context of a rising number of child care cases, there is an objective of reducing children's services' spend on external legal services. Legal services is intending to introduce a new model of delivery based on core offer in January 2020 and this should over time help to stabilise costs.
The ICT strategy was approved by Cabinet in July 2018. Included within the ICT strategy was the need to increase the ICT budget by £1 million, to assist with the delivery of priorities, at a rate of £0.200 million each year, over the 5 year ICT strategy period.
We published our Climate Change Manifesto in May 2019. Resource is required to ensure we can take forward work across the council and deliver identified priorities.
Economy, transport and environment
Total - £470,000 one-off.
Ash dieback will lead to the decline and death of the majority of ash trees in Britain. The countryside service is to lead a strategic corporate-level response with relevant departments, developing a corporate Ash Dieback Action Plan, initiating a programme of inspection to quantify the scale of the problem on our estate including the surveying, felling and re-planting of trees on our land. It's considered likely that this funding will turn into a multi-year commitment once evaluation work has been performed.
Elvaston Castle Masterplan
Cabinet approved the Elvaston Castle Masterplan on 20 December 2018, following a public consultation exercise. A business case is being prepared for capital investment to deliver the masterplan, which requires preliminary studies, assessments and design work to identify the costs, requirements and potential income.