Agenda item 4 - MTFS (Final) Cab 070213 , item 9. PDF 1 MB

• The Learning Disabilities External Care budget over spend forecasts have reduced by a
net £0.7 million (from £1.6 million to £0.9 million), which reflects a decrease in the
provisions for ordinary residence, joint funding pressures and children’s transitions which
are now lower than previously forecast.
• Other minor overspends in other areas within Adult Care have increased by a net £0.4
million.
The four significant risks within the Adult Care budget previously reported remain as follows:
Ordinary Residence issues: Where service users from ‘out of county’ become resident in
Gloucestershire and therefore GCC pick up the costs relating to their care. This occurs when a
residential provider de-registers the Home and become a provider of supported living
arrangements. Operational and Legal challenges continue within this area.
Young People in Transitions to Adult Services: Transitions impact on the learning disabilities
budgets in terms of numbers of individuals, and they also tend to be higher cost cases.
Although the numbers of young people in transition to Adult Services from Children’s Services
are included within the 2012/13 budget figures, some young people with physical disabilities
within Gloucestershire education establishments are currently not supported by GCC. If such
young people decide to remain within Gloucestershire when they finish their education,
Gloucestershire County Council becomes responsible for their on-going care.
The developing multi-disciplinary team working and the provision of a Reablement Service
continues to be key within the Integration Programme and the Customer Journey Project.
MTFS savings rely on an effective Reablement Service to reduce long term commitments within
the External Care budgets for Older People and People with Physical Disabilities.
Decisions made by NHS Gloucestershire continue to have an impact on the commitments for
Adult Social Care particularly around the major review of Learning Disabilities and Mental
Health joint funded cases.
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