£22 Million to be Slashed from Health & Social Care Budget

Members of the Argyll and Bute Integration Joint Board (IJB) were presented with the
budget outlook for the next 2 years at their meeting on Wednesday 25th January
2016. This report highlighted that the IJB is facing an extremely challenging financial
outlook. It is estimated the IJB will require to make savings of £16.3m for 2017-18 and
a further £5.7m for 2018-19 from its annual budget of £256m.
Christina West, Chief Officer for the Argyll and Bute Health and Social Care
Partnership, said:
“The Budget Outlook Report presented to the Integration Joint Board today highlights
that the IJB is, like all public sector organisations, facing an extremely challenging
financial situation. The need to find savings of this scale is due to a range of factors
including increasing demands on health and social care services, the effects of
inflation and the estimated level of funding from our partner bodies, NHS Highland and Argyll and Bute Council.
“In December 2016 the Scottish Government published its Health and Social Care Delivery Plan which details how
health and social care services need to transform. This means increasing the speed of change from reactive
emergency based services such as those provided in hospitals to community based services which focus on
prevention, early intervention and helping people make better lifestyle choices and manage their own conditions.
“As a public sector body the IJB also has to deliver services within its budget and it is clear that to meet all the
challenges we cannot continue to do things the same way. We have started the process for planning for this and have
involved Locality Planning Groups in developing proposals for change to fundamentally transform services to ones
which prioritise:
• Anticipatory Care i.e. planning and minimising the need for emergency or urgent care or a crisis response
• Prevention of ill health
• Maintenance of health and wellbeing i.e. doing more to look after ourselves
“To deliver this change we have included in our financial planning a new investment of approximately £2m in our
community and health improvement services over the next 2 years to help achieve this transformation.
“We will also be continuing to focus on tackling the waste in our systems and processes, reducing duplication, using
digital technology to increase productivity, rationalising the number of buildings we operate from and making the best
use of the capacity and skills of our workforce. All of this will provide better outcomes for those individuals who receive
care whether in the community or in a hospital. These actions will also ensure we can provide value for money from the
finite resources we have available to deliver health and social care services.
“The IJB will have to make difficult decisions and choices which we know will cause anxiety and concerns in local
communities and it is incumbent upon the IJB to explain to the public and our staff the reason that we need to make
these changes.
“We are already seeking views, comments and suggestions from the public, partners and our staff on a number of local
projects where we believe we need to redesign services.
“We are now planning to carry out a separate engagement and involvement exercise on proposed areas of service
change across Argyll and Bute and the feedback from this will help inform the IJB decision making process on the
changes we have to prioritise over the next 2 years. Further details on this engagement and involvement process will
be announced in the coming weeks.”
The Argyll and Bute Integration Joint Board (IJB) is the governance Board of the Health and Social Care Partnership
and has responsibility for the planning, resourcing and overseeing of the operational delivery of integrated services.
The membership of the IJB comprises elected councillors from Argyll and Bute Council, NHS Highland Board members
and a number of other members from a range of sectors and stakeholder groups including clinicians, the Third Sector,
Independent Sector, patients/service users, Trade Unions, staff and carers.
Argyll and Bute HSCP Vision – People in Argyll and Bute will live longer, healthier, happier, independent lives
To achieve this vision the HSCP has within its Strategic Plan agreed the following 6 areas of focus:
• Reduce avoidable emergency admissions to hospital and minimise the time people are delayed
• Support people to live fulfilling lives in their own homes for as long as possible
• Support unpaid carers to reduce the impact of their caring role on their own health and wellbeing • Implement a
continuous improvement approach
• Support staff to continuously improve the information, support and care they deliver
• Efficiently and effectively manage all resources to deliver Best Value

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