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Health and Social Care
Budget Book 2006/07
Health and Social Care
Description of Service
The Health and Social Care Service functions funded by the Council provide social care and support for the
borough’s most vulnerable residents. The overarching objective of the service can be summarised as being: 
“to improve the life chances of vulnerable children and promote the independence of adults
with social care needs” 

Services
2005/06
2006/07
Net Expenditure
Net Expenditure
Budget £’000
Budget £’000
Children’s Services 
Planning and Business Development 
4,734
4,070
Children’s Direct Services
– Adoption, Fostering and Psychology
6,396
6,546
– Specialist Services 
8,895
9,653
– Residential Services 
21
21
– Direct Services Business Support
460
463
Children’s District Services 
– Referral, Assessment and Family Support Service
6,141
6,443
– Looked After Children
9,075
12,100
– District Services Management
1,691
1,707
Asylum Services 
0
0
Special Projects and Grant Control
(1,098)
441
Quality Assurance
1,982
1,781
Youth Offending 
2,076
2,144
Children’s Trust
83
1,228
Total Children’s Services (excluding Support Services)
40,456
46,597
Adult Care 
Delayed Discharge Grant
(200)
(201)
Business Development Services 
1,888
1,943
Provider Services 
6,906
7,109
Older Persons and Young Persons Disability Services
36,396
39,334
Commissioning
8,314
8,738
Adult Care Management
959
736
Mental Health Pool
7,684
8,676
Mental Health Non Pool 
717
759
Learning Disabilities 
14,030
15,094
Total Adult Care 
76,694
82,188
Support Services 
3,966
4,111
Total
121,116
132,896
67

Subjective Analysis Summary
2005/06
2006/07
Total Budget £’000
Total Budget £’000
Agency Staff
2,148
2,510
Employees (excluding Agency)
46,000
48,340
Property Costs
2,143
2,136
Transport
1,602
1,568
Equipment, Furniture & Materials
1,786
1,832
Catering
144
147
Clothing, Uniforms & Laundry
30
35
Services
2,260
2,453
Communications & Computing
1,125
1,158
Printing, Stationery & General
300
311
Grants & Subscriptions
1,212
1,237
Miscellaneous
590
580
Supplies and Services
7,446
7,753
Third Party Payments
102,304
109,541
Transfer Payments
9,211
9,087
Support Services 
570
761
Total Expenditure
171,423
181,696
Government Grants
(26,304)
(23,523)
Other Grants & Contributions
(12,352)
(13,589)
Fees and Charges
(10,396)
(11,459)
Recharges
(1,255)
(228)
Total Income
(50,307)
(48,800)
Net Expenditure
121,116
132,896
Movements from 2005/06 to 2006/07
£’000
2005/06 Revised Budget
121,116
Inflation
4,492
Commitments
10,084
Savings
(2,894)
Growth
98
2006/07 Total Budget
132,896
Explanation of Movements 
See following budget pages.
Outputs 
See following budget pages 
68

 
Health and Social Care
Budget Book 2006/07
Children’s Services
The Children’s Division provides a range of social care services to those children & young people and their
families defined as in need of care and protection by the Council. The service is provided in line with the
requirements and the spirit of the Children Act 1989 and related legislation.
The division receives referrals concerning children about whom there are concerns from a range of
sources, and undertakes an assessment of need, commissions and provides appropriate services and keeps
these under review to ensure the care provided is meeting needs. 
Planning and Business Development 
Description of Service
The unit provides an integrated planning & commissioning and strategic business development resource
for the division. A range of commissioning and brokerage services across the division are managed within
this budget.
Budget – Cost Centre Group – SC001
Subjective Analysis Summary
2005/06
2006/07
Total Budget £’000
Total Budget £’000
Agency Staff
28
29
Employees (excluding Agency)
934
1,071
Property Costs
2
9
Transport
2
4
Equipment, Furniture & Materials
6
16
Catering
2
2
Services
0
71
Communications & Computing
3
3
Printing, Stationery & General
25
29
Grants & Subscriptions
3
3
Supplies and Services
38
123
Third Party Payments
5,604
5,163
Total Expenditure
6,609
6,398
Government Grants
(1,552)
(2,005)
Fees and Charges
(323)
(323)
Total Income
(1,875)
(2,328)
Net Expenditure
4,734
4,070
Movements from 2005/06 to 2006/07
£’000
2005/06 Revised Budget
4,734
Inflation
136
Commitments
0
Savings
(800)
2006/07 Total Budget
4,070
69

 
Explanation of Movements 
Inflationary pressures of £136k.
Savings
Reconfiguration of the children’s residential provision has been agreed to release £800,000 of efficiency
gains across the year. 
Outputs 
The main cost drivers in this area include;
l Neighbourhood Renewal Fund Projects x 5
l Children’s Residential Care Provision, approx. 650 children looked after.
l Business Development costs – Directors salary, business standards and recruitment and selection
costs.
l Approx14 other small centrally costed contracts.
70

 
Health and Social Care
Budget Book 2006/07
Children’s Direct Services – Summary
Description of Service
Direct Services provides borough-wide specialist service and care provider services comprising of: – 16+
Service, Asylum seekers Team, Child Mental Health Team, Disabilities/ HIV Team, Family Court Assessment
Service, Fostering & Adoption Service & Residential Services.
Budget – Cost Centre Group – SC002 
Subjective Analysis Summary
2005/06
2006/07
Total Budget £’000
Total Budget £’000
Agency Staff
96
99
Employees (excluding Agency)
5,947
6,122
Property Costs
255
238
Transport
176
180
Equipment, Furniture & Materials
41
42
Catering
12
12
Clothing, Uniforms & Laundry
23
24
Services
163
167
Communications & Computing
47
48
Printing, Stationery & General
41
42
Grants & Subscriptions
9
9
Miscellaneous
47
48
Supplies and Services
384
393
Third Party Payments
13,064
13,888
Transfer Payments
365
372
Support Services
473
482
Total Expenditure
20,759
21,774
Government Grants
(3,782)
(3,861)
Other Grants & Contributions
(149)
(152)
Fees and Charges
0
(871)
Recharges
(1,056)
(208)
Total Income
(4,987)
(5,092)
Net Expenditure
15,772
16,682
Movements from 2005/06 to 2006/07
£’000
2005/06 Revised Budget
15,772
Inflation
360
Commitments
550
Savings
0
Growth
0
2006/07 Total Budget
16,682
Explanation of Movements 
Standard and above RPI inflationary pressures amount to £360k.
Unavoidable commitments of £550k (see Specialist Services)
Outputs 
Please see the outputs in the sub analysis following from SD014 – SD018.
71

Adoption Fostering and Psychology
Description of Service
The largest cost under Direct services relates to Adoption and fostering services for children including those
with psychological needs.
Budget – Cost Centre Group – SD014
Subjective Analysis Summary
2005/06
2006/07
Total Budget £’000
Total Budget £’000
Agency Staff
93
96
Employees (excluding Agency)
1,729
1,780
Property Costs
16
16
Transport
59
60
Equipment, Furniture & Materials
23
24
Catering
6
6
Clothing, Uniforms & Laundry
23
24
Services
115
118
Communications & Computing
1
1
Printing, Stationery & General
0
0
Grants & Subscriptions
9
9
Supplies and Services
178
182
Third Party Payments
6,689
6,830
Total Expenditure
8,764
8,963
Government Grants
(1,548)
(1,581)
Fees and Charges
0
(837)
Recharges
(819)
0
Total Income
(2,368)
(2,417)
Net Expenditure
6,396
6,546
Movements from 2005/06 to 2006/07
£’000
2005/06 Revised Budget
6,396
Inflation
150
2006/07 Total Budget
6,546
Explanation of Movements 
Inflationary uplift at PRI (standard) rate.
Outputs 
The main cost drivers in this area are;
Client support =
Currently we aim to support over 310 FTE in-house fostering clients and provide support for 150 adoption
clients.
l Fostering = 17.7 FTE 279 clients at average of £354 per client per week
l Adoptions = 12.4 FTE 133 clients at average of £189 per client per week
l Grant funded projects = 14.5 FTE
l Management = FTE 2
72

 
Health and Social Care
Budget Book 2006/07
Specialist Services
Description of Service
Consists of Leaving Care Services, Disabilities and CAMHS.
Budget – Cost Centre Group – SD015
Subjective Analysis Summary
2005/06
2006/07
Total Budget £’000
Total Budget £’000
Agency Staff
3
3
Employees (excluding Agency)
3,849
3,963
Property Costs
66
56
Transport
117
119
Equipment, Furniture & Materials
16
17
Catering
6
6
Services
48
49
Communications & Computing
6
6
Printing, Stationery & General
27
28
Miscellaneous
31
32
Supplies and Services
135
137
Third Party Payments
6,374
7,058
Transfer Payments
365
372
Support Services
473
482
Total Expenditure
11,381
12,191
Government Grants
(2,234)
(2,280)
Other Grants & Contribution
(149)
(152)
Fees and Charges
0
(34)
Recharges
(104)
(72)
Total Income
(2,486)
(2,538)
Net Expenditure
8,895
9,653
Movements from 2005/06 to 2006/07
£’000
2005/06 Revised Budget
8,895
Inflation
208
Commitments
550
2006/07 Total Budget
9,653
Explanation of Movements
Inflationary uplift at PRI (standard) rate £208k
Unavoidable commitments of £550k are represented by:
Service Area
No Clients
Average Cost Per Annum
Disabilities Placements
23
1948
Care packages
not placement based
746
Direct Payments
24
284
Less Management action to mitigate
(247)
Estimated Cost of Services
2732
Less Current Inflated Budget
(2182)
Additional Budget Required
550
73

 
Outputs 
The main cost drivers in this area are;
Disabilities cost funding;
l 25 Disabilities placements @ an average of £1,627 per week
l 24 FTE’s across the disabilities service
Direct Payments support funding;
l 25 Direct payments @ an average cost of £227 per week
Leaving Care Services
l Support to 340 16+ clients. 
l 42 FTE’s across leaving care.
There is approximately another 20 FTE’s across specialist services providing services in the Emergency duty
and family court assessments team.
74

 
Health and Social Care
Budget Book 2006/07
Residential Services
Description of Service
Residential children’s services
Budget – Cost Centre Group – SD017
Subjective Analysis Summary
2005/06
2006/07
Total Budget £’000
Total Budget £’000
Property Costs
21
21
Communications & Computing
0
0
Supplies and Services
0
0
Total Expenditure
21
21
Net Expenditure
21
21
Movements from 2005/06 to 2006/07
£’000
2005/06 Revised Budget
21
Inflation
0
2006/07 Total Budget
21
Explanation of Movements 
Inflationary uplift at PRI (standard) rate.
Outputs 
This budget is to cover maintenance of 1 building.
75

 
Direct Services Business Support Unit 
Description of Service
This service area consists of general management overheads for the Children’s Direct business unit
including building related and staffing costs.
Budget – Cost Centre Group – SD018 
Subjective Analysis Summary
2005/06
2006/07
Total Budget £’000
Total Budget £’000
Employees
369
380
Property Costs
152
145
Equipment, Furniture & Materials
1
2
Communications & Computing
40
41
Printing, Stationery & General
14
15
Miscellaneous
16
16
Supplies and Services
72
73
Total Expenditure
593
598
Recharges
(133)
(136)
Total Income
(133)
(136)
Net Expenditure
460
463
Movements from 2005/06 to 2006/07
£’000
2005/06 Revised Budget
460
Inflation
3
2006/07 Total Budget
463
Explanation of Movements 
Inflationary uplift at PRI (standard) rate.
Outputs 
The main cost drivers including 10 FTE’s and maintenance and rents for one building.
76

 
Health and Social Care
Budget Book 2006/07
Children’s District Services – Summary
Description of Service
District Services provide the core assessment and care management services through the following
specialist teams for the north and south of the borough:
l Referral & Assessment, including hospital based teams
l Family Support Services, including child protection 
l Children Looked After Services.
Budget – Cost Centre Group – SC003 
Subjective Analysis Summary
2005/06
2006/07
Total Budget £’000
Total Budget £’000
Agency Staff
30
31
Employees (excluding Agency )
9,224
9,496
Property Costs
195
168
Transport
377
385
Equipment, Furniture & Materials
41
42
Catering
2
2
Services
992
1,263
Communications & Computing
20
20
Printing, Stationery & General
34
35
Miscellaneous
75
77
Supplies and Services
1,165
1,439
Third Party Payments
6,122
8,940
Transfer Payments
240
245
Support Services
6
6
Total Expenditure
17,359
20,711
Government Grants
(451)
(460)
Total Income
(451)
(460)
Net Expenditure
16,908
20,251
Movements from 2005/06 to 2006/07
£’000
2005/06 Revised Budget
16,908
Inflation
1,203
Commitments
2,140
2006/07 Total Budget
20,251
Explanation of Movements
See Individual Services 
Outputs
Family Support/Referral & Assessment: Preventative services delivered by 147 FTE’s.
Districts Placements: This service has 108 FTE’s. The team support the full time equivalent of 263
placements in the year analysed below.
Agency Fostering 
101
Mother & Baby
6
Residential
15
Residence Orders
80
Family Placements
60
Secure
1
Districts management: covering the Business manager’s costs and the support costs for the office site.
77

 
Referral, Assessment and Family Support Service
Description of Service
District Services provide the core assessment and care management services through the following
specialist teams for the north and south of the borough:
l Referral & Assessment, including hospital based teams
l Family Support Services, including child protection
Budget – Cost Centre Group – SSDISREF 
Subjective Analysis Summary
2005/06
2006/07
Total Budget £’000
Total Budget £’000
Employees
5,602
5,768
Transport
172
175
Equipment, Furniture & Materials
2
2
Services
455
589
Printing, Stationery & General
2
2
Miscellaneous
40
41
Supplies and Services
499
635
Third Party Payments
181
185
Transfer Payments
101
103
Total Expenditure
6,555
6,866
Government Grants
(414)
(423)
Total Income
(414)
(423)
Net Expenditure
6,141
6,443
Movements from 2005/06 to 2006/07
£’000
2005/06 Revised Budget
6,141
Inflation
177
Commitments
125
2006/07 Total Budget
6,443
Explanation of Movements 
Commitment
£125k increase in commitments relates to legal fees increased pressure.
Outputs
Family Support/Referral & Assessment: Preventative services delivered by 147 FTE’s.
Districts Placements: This service has 108 FTE’s. The team support the full time equivalent of 263
placements in the year analysed below.
Agency Fostering 
101
Mother & Baby
6
Residential
15
Residence Orders
80
Family Placements
60
Secure
1
Districts management: covering the Business manager’s costs and the support costs for the office site.
78

 
Health and Social Care
Budget Book 2006/07
Looked After Children
Description of Service
District Services provide the core assessment and care management services through the following
specialist teams for the north and south of the borough:
l Children Looked After Services.
Budget – Cost Centre Group 
Subjective Analysis Summary
2005/06
2006/07
Total Budget £’000
Total Budget £’000
Employees
2,294
2,361
Transport
197
201
Services
537
674
Miscellaneous
5
5
Supplies and Services
543
679
Third Party Payments
5,940
8,755
Transfer Payments
139
142
Total Expenditure
9,112
12,138
Government Grants
(37)
(37)
Total Income
(37)
(37)
Net Expenditure
9,075
12,100
Movements from 2005/06 to 2006/07
£’000
2005/06 Revised Budget
9,075
Inflation
1,010
Commitments
2,015
2006/07 Total Budget
12,100
Explanation of Movements 
Increase in commitments comes from 3 main areas, £1,370k relates to increasing client numbers in agency
fostering, increase due to an increase of 30+ clients on current budget provisions. £125k relates to an
increase in legal based costs and £520k was an increase in Mother and Baby placements. Refer to SC003
summary for financial breakdown.
Outputs
Family Support/Referral & Assessment: Preventative services delivered by 147 FTE’s.
Districts Placements: This service has 108 FTE’s. The team support the full time equivalent of 263
placements in the year analysed below.
Agency Fostering 
101
Mother & Baby
6
Residential
15
Residence Orders
80
Family Placements
60
Secure
1
Districts management: covering the Business manager’s costs and the support costs for the office site.
79

 
Children’s District Services Management
Description of Service
Management and Support Service for Children’s District Service 
Budget – Cost Group – SSDISMAN
Subjective Analysis Summary
2005/06
2006/07
Total Budget £’000
Total Budget £’000
Agency Staff
30
31
Employees (excluding Agency)
1,328
1,367
Property Costs
195
168
Transport
9
9
Equipment, Furniture & Materials
39
40
Catering
2
2
Communications & Computing
20
20
Printing, Stationery & General
32
33
Miscellaneous
30
31
Supplies and Services
123
126
Support Services
6
6
Total Expenditure
1,691
1,707
Net Expenditure
1,691
1,707
Movements from 2005/06 to 2006/07
£’000
2005/06 Revised Budget
1,691
Inflation
16
2006/07 Total Budget
1,707
Explanation of Movements 
Standard inflation
80

 
Health and Social Care
Budget Book 2006/07
Asylum Services
Description of Service
Asylum Seekers service is a 100% grant funded service run to assist and support the borough’s asylum
population including Adults and Families to Unaccompanied Asylum Seeking Children.
Budget – Cost Centre Group – SC004
Subjective Analysis Summary
2005/06
2006/07
Total Budget £’000
Total Budget £’000
Agency Staff
625
644
Employees (excluding Agency)
397
409
Property Costs
147
128
Transport
32
32
Equipment, Furniture & Materials
10
10
Catering
1
1
Clothing, Uniforms & Laundry
5
5
Services
35
36
Communications & Computing
3
3
Printing, Stationery & General
3
3
Grants & Subscriptions
5
5
Miscellaneous
113
115
Supplies and Services
174
177
Third Party Payments
929
980
Transfer Payments
1,655
1,690
Support Services
31
0
Total Expenditure
3,990
4,060
Government Grants
(3,941)
(4,010)
Recharges
(49)
(50)
Total Income
(3,990)
(4,060)
Net Expenditure
0
(0)
Movements from 2005/06 to 2006/07
£’000
2005/06 Revised Budget
0
Inflation
(0)
2006/07 Total Budget
(0)
Explanation of Movements 
Outputs 
The Unaccompanied Asylum Seekers service will provide support to approx. 125 clients during the year.
Service is 100% funded by grant based on client numbers, therefore income will depend on the number of
clients supported for the year.
81

 
Special Projects and Grant Control
Description of Service
Includes a number of grants and relevant income, and some other special projects.
Budget – Cost Centre Group – SC005 
Subjective Analysis Summary
2005/06
2006/07
Total Budget £’000
Total Budget £’000
Employees
0
353
Third Party Payments
456
112
Total Expenditure
456
465
Government Grants
(1,554)
(24)
Fees and Charges
0
(109)
Recharges
0
109
Total Income
(1,554)
(24)
Net Expenditure
(1,098)
441
Movements from 2005/06 to 2006/07
£’000
2005/06 Revised Budget
(1,098)
Inflation
(37)
Training Budget Transfer
255
Commitments
1,577
Savings
(354)
Growth
98
2006/07 Total Budget
441
Explanation of Movements 
Proportion of standard inflation allocated to unit £37k
Commitments 
Represents the allocation of the safeguarding grant which was ended for 2006/07
Savings
Represents adjustments to service priorities to ensure departmental targets met.
Outputs 
The budgets here are to fund the safeguarding and overall policies for the Division.
82

Health and Social Care
Budget Book 2006/07
Quality Assurance 
Description of Service
This service provides specific child protection work as well as independent review and professional audit of
children’s social care.
Budget – Cost Centre Group – SC006
Subjective Analysis Summary
2005/06
2006/07
Total Budget £’000
Total Budget £’000
Agency Staff
324
334
Employees (excluding Agency)
2,456
2,262
Transport
49
50
Equipment, Furniture & Materials
7
7
Communications & Computing
1
1
Printing, Stationery & General
17
17
Miscellaneous
30
31
Supplies and Services
54
56
Third Party Payments
61
62
Total Expenditure
2,944
2,764
Government Grants
(804)
(821)
Other Grants & Contributions
(158)
(161)
Total Income
(962)
(982)
Net Expenditure
1,982
1,781
Movements from 2005/06 to 2006/07
£’000
2005/06 Revised Budget
1,982
Inflation
54
Training budget transfer
(255)
2006/07 Total Budget
1,781
Explanation of Movements 
Net effect of inflation including grant inflation.
Outputs 
There are 31 FTE’s who aim to ensure that all child protection and looked after conferences are held on
time.
83

 
Youth Offending 
Description of Service
Support of youth offending services.
Budget – Cost Centre Group – SB006
Subjective Analysis Summary
2005/06
2006/07
Total Budget £’000
Total Budget £’000
Agency Staff
74
76
Employees (excluding Agency)
2,786
2,867
Property Costs
43
44
Transport
91
93
Equipment, Furniture & Materials
28
28
Catering
5
5
Services
37
38
Communications & Computing
35
35
Printing, Stationery & General
26
26
Grants & Subscriptions
1,191
1,216
Miscellaneous
1
1
Supplies and Services
1,322
1,349
Third Party Payments
292
316
Transfer Payments
40
41
Support Services
48
31
Total Expenditure
4,695
4,818
Government Grants
(2,727)
(2,785)
Recharges
108
111
Total Income
(2,619)
(2,674)
Net Expenditure
2,076
2,144
Movements from 2005/06 to 2006/07
£’000
2005/06 Revised Budget
2,076
Inflation
68
2006/07 Total Budget
2,144
Explanation of Movements 
Standard inflation increases.
Outputs
41 FTE’s contribute to services aimed at reducing youth offending.
84

 
Health and Social Care
Budget Book 2006/07
Children’s Trust / CYPSB Every Child Matters 
Description of Service
Additional resources required to fund the Every Child Matters: Change for Children programme in
Southwark.
Budget – Cost Centre Group – SB009
Subjective Analysis Summary
2005/06
2006/07
Total Budget £’000
Total Budget £’000
Employees
83
1,000
Third Party Payments
107
337
Total Expenditure
190
1,337
Government Grants
(51)
(52)
Other Grants & Contributions
(56)
(57)
Total Income
(107)
(109)
Net Expenditure
83
1,228
Movements from 2005/06 to 2006/07
£’000
2005/06 Revised Budget
83
Inflation
2
Commitments
1,143
2006/07 Total Budget
1,228
Explanation of Movements 
Standard inflation increase on base budget
Commitments represent additional resources required to fund the Every Child Matters programme These
cost pressures will be offset by the LPSA grant funding that is now expected to be received in two parts,
amounting to £2.2m. Any release of Local Public Service Agreement (LPSA) monies will require the prior
approval of the Finance Director. 
Outputs 
20 FTE posts at various managerial levels to manage the process across children’s social care and
education.
85

 
Adult Care Division 
Description of Service
Our Adult services division aims to enable adults and older people to live as independently as possible. We
are here to maintain and improve quality of life for
Older people 
People who have a physical or sensory disability 
People who have a learning disability 
People who have a mental health problem 
People who are supported by a drug or alcohol service 
People receiving occupational therapy
Budget – Cost Centre Group – SB002 
Subjective Analysis Summary
2005/06
2006/07
Total Budget £’000
Total Budget £’000
Agency Staff
875
1,200
Employees (excluding Agency)
21,299
21,882
Property Costs
796
790
Transport
783
799
Equipment, Furniture & Materials
1,564
1,597
Catering
115
118
Clothing, Uniforms & Laundry
2
6
Services
525
536
Communications & Computing
620
634
Printing, Stationery & General
100
102
Grants & Subscriptions
1
1
Miscellaneous
321
307
Supplies and Services
3,249
3,301
Third Party Payments
75,660
79,733
Transfer Payments
6,911
6,739
Support Services
11
11
Total Expenditure
109,584
114,456
Government Grants
(11,433)
(9,505)
Other Grants & Contributions
(11,756)
(12,986)
Fees and Charges
(9,738)
(9,813)
Recharges
37
37
Total Income
(32,891)
(32,267)
Net Expenditure
76,693
82,189
Movements from 2005/06 to 2006/07
£’000
2005/06 Revised Budget
76,693
Inflation
2,562
Commitments
4,674
Savings
(1,740)
2006/07 Total Budget
82,189
86

Health and Social Care
Budget Book 2006/07
Explanation of Movements 
Inflation
Inflation increase of 3.3%
Commitments
This year additional funding has been required to fund increasing service costs from a higher number of
placements and packages.
Savings 
Changing working practices and re-negotiating some contracts to become more flexible and tailored to
individual needs have made efficiency savings.
Outputs 
Refer to each individual unit summary for description of outputs.
87

 
Delayed Discharge Grant 
Description of Service
This is a grant-funded service where some expenditure is undertaken within other business units. We are
granted money from Department of Health to reduce delayed waiting times for discharge from hospital.
This is done through provision of additional intensive rehabilitation and step down services. By providing
these types of services we are able to support clients to return home to live as independently as possible.
Budget – Cost Centre Group – SC113
Subjective Analysis Summary
2005/06
2006/07
Total Budget £’000
Total Budget £’000
Agency Staff
6
6
Employees (excluding Agency)
292
301
Property Costs
37
38
Third Party Payments
102
74
Total Expenditure
438
419
Government Grants
(638)
(620)
Total Income
(638)
(620)
Net Expenditure
(200)
(201)
Movements from 2005/06 to 2006/07
£’000
2005/06 Revised Budget
(200)
Inflation
(1)
2006/07 Total Budget
(201)
Explanation of Movements 
Small movement for inflation on grant.
Outputs 
In recent years we have reduced delayed discharges to fewer than 3 per week from an original 20-30 per
week. These services should maintain this standard. Where a delay occurs we are fined £120 per day and
our aim is to minimise these fines.
88

 
Health and Social Care
Budget Book 2006/07
Business Development Services 
Description of Service
Business Development provides the following services; 
l Training – both internal and external for voluntary sector and partners.
l Financial Assessment and Charging teams, payments to residential homes.
l Client Affairs team
l Budget Monitoring and Performance Support for business units in Adults.
Budget – Cost Centre Group – SC112
Subjective Analysis Summary
2005/06
2006/07
Total Budget £’000
Total Budget £’000
Agency Staff
56
57
Employees (excluding Agency)
3,298
3,383
Property Costs
28
29
Transport
4
5
Equipment, Furniture & Materials
7
7
Services
104
106
Communications & Computing
8
8
Printing, Stationery & General
37
38
Grants & Subscriptions
1
1
Miscellaneous
57
58
Supplies and Services
214
218
Third Party Payments
71
(323)
Transfer Payments
13
13
Support Services
9
9
Total Expenditure
3,693
3,391
Government Grants
(7,903)
(6,056)
Other Grants & Contributions
(176)
(179)
Fees and Charges
(575)
(587)
Recharges
6,848
5,374
Total Income
(1,806)
(1,448)
Net Expenditure
1,888
1,943
Movements from 2005/06 to 2006/07
£’000
2005/06 Revised Budget
1,888
Inflation
55
2006/07 Total Budget
1,943
Explanation of Movements 
RPI inflation adjustment and small movement in savings due to changes in grant.
Outputs 
Full Time Equivalents
89

 
Provider Services 
Description of Service
Provider Services covers the remaining in house services for day centre provision and some respite services
across all client groups. Currently a number of these are subject to externalisation and modernisation
processes.
Budget – Cost Centre Group – SC100
Subjective Analysis Summary
2005/06
2006/07
Total Budget £’000
Total Budget £’000
Agency Staff
28
29
Employees (excluding Agency)
6,288
6,340
Property Costs
431
445
Transport
608
621
Equipment, Furniture & Materials
252
257
Catering
115
117
Clothing, Uniforms & Laundry
2
2
Services
55
56
Communications & Computing
54
55
Printing, Stationery & General
21
21
Miscellaneous
17
18
Supplies and Services
515
525
Third Party Payments
283
289
Transfer Payments
117
119
Support Services
2
2
Total Expenditure
8,273
8,372
Government Grants
(61)
(62)
Other Grants & Contributions
(22)
(22)
Fees and Charges
(685)
(699)
Recharges
(599)
(479)
Total Income
(1,367)
(1,263)
Net Expenditure
6,906
7,109
Movements from 2005/06 to 2006/07
£’000
2005/06 Revised Budget
6,906
Inflation
203
2006/07 Total Budget
7,109
Explanation of Movements 
The only movement in Provider Services is standard inflation. 
Outputs 
Currently there are 4 Older People day centres, 4 Learning Disabilities day centres, 2 Mental Health day
centres, and 1 LD joint respite with Children’s and 1 Physical Disabilities day centre with additional
rehabilitation support. In addition the Alarm Scheme provides a total of 2,000 units to individuals other
council projects and private sheltered housing. 
90

 
Health and Social Care
Budget Book 2006/07
Older Persons and Young Persons Disability Services 
Description of Service
This service area covers provision of placements and packages for Older People and those with Physical
Disabilities. This area also includes occupational therapy services. We provide assistance to live at home for
those able to remain in their own home and their carers through Homecare, Day Care and Short Term
respite services. For those unable to remain at home we provide residential and nursing care including for
those clients with dementure.
Budget – Cost Centre Group – SC101
Subjective Analysis Summary
2005/06
2006/07
Total Budget £’000
Total Budget £’000
Agency Staff
606
944
Employees (excluding Agency)
5,870
6,043
Property Costs
94
95
Transport
70
71
Equipment, Furniture & Materials
1,272
1,298
Services
91
93
Communications & Computing
8
8
Printing, Stationery & General
23
24
Miscellaneous
167
171
Supplies and Services
1,561
1,594
Third Party Payments
32,579
33,970
Transfer Payments
6,653
6,792
Total Expenditure
47,433
49,510
Government Grants
(126)
(128)
Other Grants & Contributions
(1,979)
(2,081)
Fees and Charges
(5,986)
(6,121)
Recharges
(2,947)
(1,847)
Total Income
(11,037)
(10,177)
Net Expenditure
36,396
39,334
Movements from 2005/06 to 2006/07
£’000
2005/06 Revised Budget
36,396
Inflation
1,082
Commitments
2,008
Savings
(152)
2006/07 Total Budget
39,334
Explanation of Movements 
Increase in commitments comes from 3 main areas, £557k relates to increasing numbers and unit costs of
placements across all areas, £320k relates to an increase in our concessionary fares commitment and
£1,131k is where grants have been mainstreamed into the overall council settlement instead of coming
from the DoH as grant income. Savings were generated by re-negotiating our residential block contract
(£50k) and other improved utilisation of contracts £102k.
91

 
Outputs 
Placements provided (not in block contracts)
l 581 OP clients at an average cost of £528pw
l 88 PD clients at an average cost of £926pw
l 60 National Assistance clients at an average cost of £180pw
OT Equipment (under a pooled arrangement)
l Over 10,000 deliveries per year of equipment ranging in value from £1-£3000
Homecare Hours
l 1,555 OP and 433 PD clients supported per week at an average unit cost of £12.90ph
Concessionary Fare
l £6.1m share of total London wide concessionary fares scheme 
92

Health and Social Care
Budget Book 2006/07
Commissioning 
Description of Service
This service area relates to OP&PD commissioning only. The commissioning unit monitors and manages
large contracts for example private and voluntary day care, welfare catering, management of cost and
volume Homecare contracts as well as a number of specialist contracts.
Budget – Cost Centre Group – SC102
Subjective Analysis Summary
2005/06
2006/07
Total Budget £’000
Total Budget £’000
Agency Staff
20
0
Employees (excluding Agency)
956
1,085
Property Costs
22
23
Transport
4
4
Equipment, Furniture & Materials
15
16
Clothing, Uniforms & Laundry
0
5
Services
13
13
Printing, Stationery & General
2
2
Miscellaneous
66
47
Supplies and Services
95
82
Third Party Payments
9,674
9,927
Total Expenditure
10,772
11,120
Government Grants
(1,289)
(1,230)
Other Grants & Contributions
(169)
(173)
Fees and Charges
(563)
(575)
Recharges
(438)
(405)
Total Income
(2,458)
(2,382)
Net Expenditure
8,314
8,738
Movements from 2005/06 to 2006/07
£’000
2005/06 Revised Budget
8,314
Inflation
446
Commitments
0
Savings
(22)
Growth
0
2006/07 Total Budget
8,738
Explanation of Movements 
Total savings by the unit from re-alignment of several small contracts equates to £267k this is offset by
internal movements of some contracts to commissioning equating to £245k leaving a total net saving of
£22k.
93

 
Outputs 
The main cost drivers in this area are:
Welfare Catering
l 209,000 meals delivered @ average cost of £6.90 per delivered meal
Current Block Homecare Contract’s
l 145,000 hours at an average unit cost of £15.00 per hour
l 255,000 hours at an average cost of £15.00 per hour
Over 40 voluntary sector projects funded to provide services such as specialist day care, advocacy and
carers support.
94

 
Health and Social Care
Budget Book 2006/07
Adult Care Management 
Description of Service
Adult Care Management is the basic support around all the business units i.e., assistant directors,
accountant salaries, carefirst loan payment, grant funding, and other centrally located budgets.
Budget Cost Centre Group SC108
Subjective Analysis Summary
2005/06
2006/07
Total Budget £’000
Total Budget £’000
Employees
523
539
Property Costs
15
15
Transport
1
1
Services
253
259
Communications & Computing
524
535
Printing, Stationery & General
6
6
Supplies and Services
784
800
Third Party Payments
210
214
Total Expenditure
1,533
1,569
Recharges
(574)
(833)
Total Income
(574)
(833)
Net Expenditure
959
736
Movements from 2005/06 to 2006/07
£’000
2005/06 Revised Budget
959
Inflation
24
Commitments
0
Savings
(247)
Growth
0
2006/07 Total Budget
736
Explanation of Movements 
Movement includes standard inflation and savings generated through grant movements.
Outputs 
The budgets here are largely overhead allocations and as such contribute to all output within the division.
95

Mental Health Pool
Description of Service
The Mental Health service area is here to provide help for adults with mental health problems, such as
depression, phobias and other serious conditions. Where necessary we will provide comprehensive
ongoing community mental health care, in partnership with the individuals and their carers as well as with
their general practitioner through our pooled responsibilities. We work closely with other support
agencies, such as the in-patient wards, day centres, the housing department and support agencies from
the private and voluntary sectors. For most people, we provide help in the person’s home, although they
may sometimes have to attend one of our offices. Mental Health Services are integrated with the South
London and Maudsley NHS Mental Health Trust. We have four joint Community Mental Health Teams that
work within the boundaries of the Southwark Primary Care Trust’s four localities, plus in-patient services
provided from two main sites at Guys Hospital and the Maudsley. The aim being to provide user focused
services for which the target is community-based treatment in the least restrictive environment.
Budget Cost Centre Group SC110
Subjective Analysis Summary
2005/06
2006/07
Total Budget £’000
Total Budget £’000
Employees
2,983
3,071
Property Costs
169
144
Transport
88
90
Equipment, Furniture & Materials
18
18
Catering
0
0
Services
9
10
Communications & Computing
25
26
Printing, Stationery & General
11
11
Miscellaneous
13
13
Supplies and Services
77
79
Third Party Payments
7,281
8,861
Total Expenditure
10,598
12,245
Government Grants
(1,417)
(1,409)
Other Grants & Contributions
(504)
(1,437)
Fees and Charges
(875)
(755)
Recharges
(119)
32
Total Income
(2,915)
(3,569)
Net Expenditure
7,684
8,676
Movements from 2005/06 to 2006/07
2005/06 Revised Budget
7,684
Inflation
215
Commitments
1,685
Savings
(908)
2006/07 Total Budget
8,676
96

Health and Social Care
Budget Book 2006/07
Explanation of Movements 
Commitments 
Increase in commitments has arisen throughout 2005/06 which has caused full year pressure of £1.538m
this is due to increased complexity of cases, higher number of clients and increasing unit costs beyond
standard inflation, an additional £147k has been mainstreamed from grants.
Savings 
Savings of £908k consists of movement of contract between some areas better use of some block
contracts and tighter control on expenditure for placements requiring lower care needs.
Outputs 
Across the whole client group we are currently funding 317 clients (not in block contracts). For complex
forensic placements we are funding 29 clients at an average unit cost of £1.1k a week. Total costs for
these clients are £1.66m pa. Other placements of 157 at a unit cost between £400 and £750 per week,
dependant on level of intensity of care necessary. Finally there are 131 National Assistance Act cases at an
average unit cost of £100-£150pw. In addition £2m is spent on block contracts providing services such as
drop in centre’s, after care, respite and day care to prevent further breakdowns for clients. This assists in
containing placement pressures where unit costs would be much higher.
97

Mental Health Non pool
Description of Service
Mental Health non-pool relates to placements for drug and alcohol abuse.
Budget – Cost Centre Group – SC114
Subjective Analysis Summary
2005/06
2006/07
Total Budget £’000
Total Budget £’000
Employees
189
195
Transport
5
6
Communications & Computing
1
1
Printing, Stationery & General
1
1
Miscellaneous
1
1
Supplies and Services
3
3
Third Party Payments
897
916
Total Expenditure
1,095
1,119
Other Grants & Contributing
(251)
(256)
Fees and Charges
(79)
(81)
Recharges
(48)
(23)
Total Income
(378)
(360)
Net Expenditure
717
759
Movements from 2005/06 to 2006/07
£’000
2005/06 Revised Budget
717
Inflation
18
Commitments
24
2006/07 Total Budget
759
Explanation of Movements 
The movements in this area are for standard inflation and the increased commitment of £24k is where
grants have been mainstreamed into the overall council settlement instead of coming from the DoH as
grant income.
Outputs 
There are 416 client weeks of rehab per year at an average cost of £725pw. In addition there are day care
and specialist support available and support workers to conduct the referral, assessment and review
process for clients.
98

 
Health and Social Care
Budget Book 2006/07
Learning Disabilities 
Description of Service
This service area covers adults with a learning disability or the carer of a family member who has a learning
disability. The range of services offered includes;
l Support in the home 
l Short breaks during the day 
l Longer breaks at a day care or residential centre 
l Day activities and opportunities for individuals to be supported to find employment 
The unit is also responsible for placing, reviewing and monitoring supported living and residential
placements.
Budget – Cost Centre Group – SC111
Subjective Analysis Summary
2005/06
2006/07
Total Budget £’000
Total Budget £’000
Agency Staff
159
164
Employees (excluding Agency)
899
925
Transport
2
2
Third Party Payments
24,561
25,488
Transfer Payments
128
131
Total Expenditure
25,749
26,710
Other Grants & Contributions
(8,656)
(8,838)
Fees and Charges
(975)
(996)
Recharges
(2,088)
(1,782)
Total Income
(11,719)
(11,615)
Net Expenditure
14,030
15,094
Movements from 2005/06 to 2006/07
£’000
2005/06 Revised Budget
14,030
Inflation
518
Commitments
956
Savings
(410)
2006/07 Total Budget
15,094
Explanation of Movements 
Increase in commitments relates to 2 areas, £634k relates to increasing numbers and unit costs of 
complex forensic clients and the other, £322k is where grants have been mainstreamed into the overall
council settlement instead of coming from the Department of Health as grant income. Savings were
generated through reducing admissions to residential care for clients with lower levels of needs and
through re-aligning of block contracts. The total savings were £448k although small movements in some
contracts to other business areas reduce total savings by £38k to £410k total savings.
99

 
Outputs 
For LD the main outputs are:
Residential and Nursing Placements (including block placements)
l 202 clients at an average unit cost of £1,267pw
l Additional 7 complex cases at a cost of between £1,600pw and £2,600pw
l The number of clients in the main block placements is 48 at an average weekly cost of £1,445 per
week.
l Placements are jointly funded with the PCT and these costs are gross of their income.
100

 
Health and Social Care
Budget Book 2006/07
Support Services 
Description of Service
This provides central support specific to Social Services. Resources within Support Services provide Central
Accountancy Services, IT Support and Co-ordination, Corporate Health, Director and Secretariat, Facilities
Management Services, Performance & Planning, and Personnel Services.
Budget – Cost Centre Group – SB003
Subjective Analysis Summary
2005/06
2006/07
Total Budget £’000
Total Budget £’000
Agency Staff
96
99
Employees (excluding Agency)
2,875
2,877
Property Costs
705
760
Transport
93
25
Equipment, Furniture & Materials
90
91
Catering
8
8
Services
506
341
Communications & Computing
396
414
Printing, Stationery & General
53
56
Grants & Subscriptions
2
3
Miscellaneous
4
2
Supplies and Services
1,059
914
Third Party Payments
9
9
Support Services
1
230
Total Expenditure
4,838
4,914
Government Grants
(8)
0
Other Grants & Contributions
(233)
(233)
Fees and Charges
(335)
(342)
Recharges
(295)
(228)
Total Income
(871)
(803)
Net Expenditure
3,966
4,111
Movements from 2005/06 to 2006/07
£’000
2005/06 Revised Budget
3,966
Inflation
145
Commitments
0
Savings
0
Growth
0
2006/07 Total Budget
4,111
101

Outputs 
Best part of the support services budget goes to fund the personnel providing the services: 
Area
FTE
Central Finance Team
8
Corporate Health
3.5
IT
8
Director & Secretariat
6.8
Departmental Services
17
Performance & Planning
4.5
Personnel Services
8
Partnership
1.5 
Total
57.3
Other outputs measures includes:
Telephone extension support 1500 (no. of extension)
Computers maintenance 1400 (no. of PCs)
Dealing with complaints 21 (complaints)
Freedom of Information 24 (no. of requests)
Premises maintenance 2 (properties)
Legal Property fees 130 (property related queries)
IT support & Training 800 (staff)
102