Meeting documents

Adult, Community Services and Health Overview and Scrutiny Panel
Tuesday 16 December 2008

Web Agenda/Minutes Summary Document

Meeting Name:
Adult, Community Services and Health Overview and Scrutiny Panel

Meeting Date:
12/16/2008 Pick

Meeting Time:


Location:


Sub Committee / User Forum etc (if required):




Members Present:

Non-Members Present:

Confidentiality: Part I


Document Type: Agenda


Document Status: Final



N O T I C E

O F

M E E T I N G

ADULT SERVICES AND HEALTH
OVERVIEW AND SCRUTINY PANEL

will meet on
TUESDAY 16 DECEMBER 2008

at

7.30pm

in the

COUNCIL CHAMBER, TOWN HALL, MAIDENHEAD

TO: MEMBERS OF THE ADULT SERVICES & HEALTH OVERVIEW & SCRUTINY PANEL

      COUNCILLOR MEADOWCROFT (CHAIRMAN)
      COUNCILLOR MRS ENDACOTT (VICE-CHAIRMAN)
      COUNCILLORS MRS S EVANS, LENTON, MAJEED, MRS NAPIER & MRS PROCTOR

      SUBSTITUTE MEMBERS
      COUNCILLORS HERDSON, MRS KEMP, MRS LUXTON, MRS NEWBOUND, PENFOLD, D. WILSON & MRS YONG
Ian Hunt
Interim Head of Democratic Services

Issued: 9 December 2008

Members of the Press and Public are welcome to attend Part I of this meeting.

The agenda is available on the Council’s web site at www.rbwm.gov.uk or contact the
Panel Administrator Andrew Scott (01628) 796028

In the event of the fire alarm sounding or other emergency, please leave the building quickly and calmly by the nearest exit. Do not stop to collect personal belongings and do not use the lifts. Congregate in the Town Hall Car Park, Park Street, Maidenhead (immediately adjacent to the Town Hall) and do not re-enter the building until told to do so by a member of staff.


AGENDA

PART I
ITEMSUBJECT
WARD
PAGE
NO
    1
APOLOGIES FOR ABSENCE

To receive any apologies for absence
    2
DECLARATIONS OF INTEREST

To receive Declarations of Interests from Members of the Panel in respect of any item to be considered at the meeting.
-
    3
MINUTES

To confirm the Part I Minutes of the meeting of the Panel held on 4 November 2008.
All
i-iv
    4
ANNUAL PERFORMANCE ASSESSMENT OF ADULT SOCIAL CARE BY THE COMMISSION FOR SOCIAL CARE INSPECTION (CSCI)

To comment upon the report being submitted to Cabinet on 18 December 2008 on the Annual Performance Assessment of Adult Social Care Services.
All
1
    5
THE PRELIMINARY BUDGET REPORT

To comment upon the report being submitted to Cabinet on 18 December 2008 on the Preliminary Budget for 2009/2010.
All
11
    6
2009/10 FEES AND CHARGES REPORT

To comment upon the report being submitted to Cabinet on 18 December 2008 on the Fees and Charges for 2009/2010.
All
25
    7
SERVICE MONITORING REPORT

To consider activity within the Adult Services and Health services during the period to 30 November 2008.
All
56
    8
WORK PROGRAMME

The following items are scheduled for discussion at the meeting of the Panel to be held on 16 December 2008:
    Budget – 2009/2010
    Service Monitoring Report
    Update – Minor Injuries Unit, St Mark’s Hospital
All
-
    9
LOCAL GOVERNMENT ACT 1972 – EXCLUSION OF THE PUBLIC

To consider passing the following resolution:-

“That under Section 100(A)(4) of the Local Government Act 1972, the public be excluded from the remainder of the meeting whilst discussion takes place on item 10 on the grounds that it involves the likely disclosure of exempt information as defined in Paragraph 3 of part I of Schedule 12A of the Act"
REPORT TO CABINET
Title:ANNUAL PERFORMANCE ASSESSMENT OF ADULT SOCIAL CARE BY THE COMMISSION FOR SOCIAL CARE INSPECTION (CSCI)
Date:18 December 2008
Member Reporting:Councillor Dudley
Contact Officer(s):Allan Brown, Head of Adult Services (01628-683701)
Wards Affected:All
    1. SUMMARY

    1.1 Performance in adult social care services is subject to an annual assessment by the Commission for Social Care Inspection (CSCI). CSCI require that the outcome of the performance assessment, including the Council’s Star Rating, is reported to Cabinet. The outcome is that the authority has retained 2 stars and is rated as ‘good’ at delivering outcomes with ‘promising’ capacity to improve.
      1.2 Copies of the annual performance report are available in the Members’ Room, Group Offices or from Democratic Services.
        2. RECOMMENDATION:
            i) That the report and this year’s Star Rating be noted.
            ii) That the Head of Adult Services be asked to put in place an action plan to address those areas of the service deemed to be ‘areas for development’.
          What will be different for residents as a result of this decision?
          Improved services for older people, those with disabilities and other vulnerable adults. This will impact on their quality of life and provide an improved range of service for some of the most vulnerable in the community.
        3. SUPPORTING INFORMATION

        3.1 Background

        3.1.1 As reported annually to Cabinet, the adult social care judgement is made by the Commission for Social Care Inspection (CSCI). The role of the CSCI is to bring together the inspection, regulation and review of adult social care services into one organisation. Its primary function is to promote improvements in social care.

        3.1.2 In the annual process, the following elements of performance assessment for adult social care contribute to the final report and judgements:
            Ongoing routine business meetings between the Council and the CSCI
            An annual self-assessment submitted by the Council
            2007/08 performance indicators
            An Annual Review Meeting (which was held in July 08) that examined evidence from both the self-assessment and the performance indicators
            The subsequent Performance Assessment Notebook (PAN), containing evidence and emerging hypotheses, which was shared with the Council after the Annual Review Meeting
            The final performance ratings letter, sent to the Council under embargo in October 2008 (to provide an opportunity to comment before the publication of the final version on 27 November 2008).
        3.1.3 The performance ratings for adult social care for 2007/08, also published on 27 November, were overall judgements about:

        Areas for judgementGrade awarded
        Delivering OutcomesGood
        Improved health and emotional well-beingGood
        Improved quality of lifeGood
        Making a positive contributionGood
        Increased choice and controlGood
        Freedom from discrimination and harassmentGood
        Economic well-beingGood
        Maintaining personal dignity and respectGood
        Capacity to Improve Promising
        LeadershipPromising
        Commissioning and use of resourcesExcellent
        Performance Rating2 Stars

        3.1.4 The outcome of this judgement is that the Council has been awarded 2 Stars for its adult social care performance, which is the same rating as that awarded in 2007. This was disappointing in view of the significantly higher number of ‘key strengths’ as against ‘areas for development’ (summarised in Appendix 1). CSCI identified a total of 43 ‘key strengths’ and 11 ‘areas for development’.

        3.1.5 Good progress has been made during 2007/08 and there have been a significant number of developments which have been noted as key strengths in the report.
            Most people receive an assessment in a timely manner and almost all people who have been assessed as needing care, receive it when they need it.
            The council has demonstrated that the provision of telecare has increased in order that people can remain more independent within their own homes.
            The number of older people helped to live at home has improved to a good level.
            The number of people with learning disabilities helped to live at home has improved to a very good level.
            The number of people with mental health problems helped to live at home remains at a very good level.
            The work to improve carers services has been maintained and is of a good level
            More problem drug users are now retained in treatment services and there has been an improvement overall for people who use drug services.
            The council has sustained the good range of advocacy services and there is clear evidence of expansion.
            RBWM continues to demonstrate consistent leadership and there has been some improvement in the level of performance demonstrated this year.
        3.1.6 Details of the performance assessment framework is contained in Appendix 2.

        4. OPTIONS AVAILABLE AND RISK ASSESSMENT

        4.1 Options

        OptionCommentsFinancial Implications
        1. That Members note the report and ask the Head of Adult Services to implement an action planWe are overall satisfied with the result and indicated improvements and will strive to address the areas identified for improvement, some of which require the assistance of partner agencies such as the Primary Care Trust and the Acute TrustAny developments will be from within existing resources
        2.
        4.2 Risk Assessment

        4.2.1 There are no risks inherent in this report. However the CSCI have recommended a service inspection during 2009-2010 and it will be important to address as many as possible of the identified ‘areas for development’ in order to achieve a successful inspection outcome and maintain the Council’s reputation as a good performer in adult services.

        5. CONSULTATION CARRIED OUT
          No external consultation has been carried out in the preparation of this report.


          6. COMMENTS FROM OVERVIEW AND SCRUTINY PANEL
              Comments from Audit & Performance Review Panel will be included after the meeting on 8 December. Comments from Adult Services & Health Scrutiny Panel on 16 December will be reported verbally to Cabinet.
          7. IMPLICATIONS
              The following implications have been addressed, where indicated below.
            Financial
            Legal
            Human Rights Act
            Planning
            Sustainable Development
            Diversity & Equality
            Yes
            Yes
            Yes
            N/A
            N/A
            N/A

              Background Papers: None
          APPENDIX ONE

          KEY STRENGTHS AND AREAS FOR DEVELOPMENT BY PEOPLE USING SERVICES

          Key strengthsKey areas for development
          All people using services
            Most people receive an assessment in a timely manner and almost all people who have been assessed as needing care, receive it when they need it.
            Service delivery remains free from discrimination and there are examples that people from under represented groups are increasingly accessing services.
            The council has demonstrated that the provision of telecare has increased in order that people can remain more independent within their own homes.
            Volunteering is an area of continuing priority within the council and has been included as a Local Area Agreement target.
            There is evidence that the council has an increased number of people who remain in hospital when their medical needs have been met. The council should work to ensure that fewer people remain in hospital unnecessarily.
            The number of clients receiving a review has improved, however this has not improved at the same rate as other councils.
            Performance in most outcome areas has plateaued and whilst there are some improvements reflected by some of the performance indicators (PI’s), this is sufficiently across the whole performance indicator suite.
          Older people
            The number of older people helped to live at home has improved to a good level.
          People with learning disabilities
            The number of people with learning disabilities helped to live at home has improved to a very good level.
          People with mental health problems
            The number of people with mental health problems helped to live at home remains at a very good level.
          People with physical and sensory disabilities
          Carers
            The work to improve carers services has been maintained and is of a good level

          KEY STRENGTHS AND AREAS FOR DEVELOPMENT BY OUTCOME

          Improved health and emotional well–being
          The contribution that the council makes to this outcome is Good

          KEY STRENGTHSKEY AREAS FOR DEVELOPMENT
          There is good information about a range of activities promoting health and wellbeing, which is available; this includes access for minority groups.
          Work to achieve good health for people with Learning Disabilities adults is in place.
          More problem drug users are now retained in treatment services and there has been an improvement overall for people who use drug services.
          The number of clients receiving a review has improved and the council is committed to achieving further improvement.
          There is evidence that the council has an increased number of people who remain in hospital when their medical needs have been met. The council should work to ensure that fewer people remain in hospital unnecessarily.

          Improved quality of life
          The contribution that the council makes to this outcome is Good.

          KEY STRENGTHSKEY AREAS FOR DEVELOPMENT
          The council has demonstrated that the provision of telecare has increased in order that people can remain more independent within their own homes.
          The numbers of people helped to live at home has improved across care groups.
          More people with learning disabilities are able to live in the community as extra care housing has been increased and further increases are planned for 2008/09.
          The work to improve carer’s’ services has been maintained and is of a good level.
          The level of intensive home care has dropped and is now below the average for other similar councils.




          Making a positive contribution
          The contribution that the council makes to this outcome is Good.

          KEY STRENGTHSKEY AREAS FOR DEVELOPMENT
          The council has provided a range of examples of its pro-activity in relation to seeking regular feedback from people who use services and their carers.
          Volunteering is an area of continuing priority within the council and has been included as a Local Area Agreement target.
          A good use of different formats has enabled people to participate and where possible hard to reach groups have been contacted. The council has appointed someone to work with the Black and Minority Ethic community.
          The council has identified within its planning that further work is required to improve services for people with HIV and AIDs and their carers.


          Increased choice and control
          The contribution that the council makes to this outcome is Good.

          KEY STRENGTHSKEY AREAS FOR DEVELOPMENT
          Most people receive an assessment in a timely manner and almost all people who have been assessed as needing care, receive it when they need it.
          Information is made available to people who are self funding but who require advice and guidance to access services privately.
          A very good level of performance has been achieved in 2007/08 in terms of people who use services receiving a statement of their needs and how they will be met.
          The council has sustained the good range of advocacy services and there is clear evidence of expansion.
          The opportunity for people wishing to use direct payments to purchase services has successfully increased again in 2007/08.
          Progress on delivering higher cost packages via Direct Payments should remain a priority.



          Freedom from discrimination and harassment
          The contribution that the council makes to this outcome is Good.

          KEY STRENGTHSKEY AREAS FOR DEVELOPMENT
          The access team and customer service centre has fully trained staff available to provide the information, advice and sign posting when people need it.
          Service delivery remains free from discrimination and there are examples that people from under represented groups are increasingly accessing services
          None

          Economic well being
          The contribution that the council makes to this outcome is Good.

          KEY STRENGTHSKEY AREAS FOR DEVELOPMENT
          The council has enabled more people with learning disabilities achieve paid work and voluntary work during 2007/08
          The intervention of the rapid response and rehabilitation service enabled most people using the service to live independently.
          The council has a well very experienced team focused on providing welfare benefits advice to local residents likely to need social care assistance.
          More work could be done to ensure that carers are supported to return to employment.


          Maintaining personal dignity and respect
          The contribution that the council makes to this outcome is Good.

          KEY STRENGTHSKEY AREAS FOR DEVELOPMENT
          There has been a considerable increase in the number of referrals and cases completed, indicating that there is a greater awareness of the need to safeguard vulnerable adults.
          Good progress has been made in partnership with the PCT to formulate a “dignity statement”.
          The accreditation and monitoring team within the council visit care homes that have problems to ensure that residents are safeguarded.
          Although there has been a small increase in the number of staff in external organisations receiving safeguarding training the council should work to ensure that its planned safeguarding training in 2008/09 is included those staff.
          Capacity to improve – Leadership
          The council’s capacity to improve services further is Promising.

          KEY STRENGTHSKEY AREAS FOR DEVELOPMENT
          RBWM continues to demonstrate consistent leadership and there has been some improvement in the level of performance demonstrated this year.
          The council is measuring and monitoring the quality of its work in relation to the seven outcomes of “Our Health, Our Care, Our Say” and in the directors overview of performance issues the responses were identified against each outcome.
          Changes within council scrutiny arrangements are giving greater focus and there is a specific adult social care and health overview and scrutiny committee.
          There is evidence of strong partnerships.
          Performance in most outcome areas has plateaued and whilst there are some improvements in some of the areas covered by PI's, this is not sufficient across the whole performance indicator suite. A service inspection is recommended.


          Capacity to improve – Commissioning and the use of resources
          The council’s capacity to improve services further is Excellent

          KEY STRENGTHSKEY AREAS FOR DEVELOPMENT
          The directorate working with health professionals has a detailed analysis of need for most of the population.
          Joint commissioning strategies are in place for all care groups including carers.
          Eligibility criteria are consistent with no plan to change or review. There are appropriate responses given to self funders and good support for people using services with financial advice for service users who require help.
          People who use services, their carers and relevant staff are central to commissioning processes and there are many examples of good quality consultation.
          The directorate is well informed about the cost of provision and is at all times looking for best value services.
          The council has a clear understanding of the local social care market and has responded well to working jointly with providers and other stakeholders when commissioning new services.
          There is a joint approach between the council, health and other partner agencies to ensure that where care homes are failing intervention is taken to either relocate individuals or to work to resolve problems. Good examples have been provided.
          The council should ensure that further progress is made to improve the level of intensive home care.

          $meetings_081216_ashosp_csci_appx2.xls.pdf Meetings 081216 Ashosp Csci Appx2





          20
          REPORT TO CABINET

          Title: THE PRELIMINARY BUDGET REPORT

          Date: 18 December 2008

          Member Reporting: Councillor Hilton

          Contact Officer(s): Andrew Brooker, Head of Finance, 01628 796341
          Peter Brown, Chief Accountant, 01628 796207

          Wards affected: All

          1. SUMMARY

          The preliminary budget report sets the scene for discussions to be held in various Council forums in coming weeks prior to setting the Budget for 2009/10 which will go to Cabinet on 12th February 2009 and Council on 24th February 2009.

          The report discusses the impact of the “credit crunch” on Council service delivery, which at present is marginal. However it is widely acknowledged that the causes of this particular recession are different from any experienced in the past, this means that future impact has to be uncertain. The only certainty is that it is likely to have a negative impact on the Councils financial position.

          The report covers Government settlements and reminds members that we are in the middle of a three-year settlement. Whilst this brings a degree of certainty it highlights an ongoing real-term reduction in the level of financial support from the national Government with the consequential impact on Council tax payers

          The section under the Medium Term Financial Plan outlines some the assumptions that have been made and issues under consideration in preparing the budget. The section covers inflation, service pressures, capital financing and the challenging efficiency agenda.

          The section headed Council Tax Income complements the Council Tax Base report elsewhere on this agenda and reinforces the Councils commitment to keeping Council Tax increases below the level of inflation.

          The report concludes with a section on School Funding and rehearses some of the challenges that the Council faces, together with the School’s Forum in agreeing to the distribution of the Dedicated Schools Grant. School Budgets will face some of the challenges facing other Council services with below inflation increases in per capita funding, falling pupil rolls and emerging cost pressures, principally from complex SEN placements.

          2. RECOMMENDATION

          That Cabinet notes the content of the Report

          What will be different for residents as a result of this decision?
          No decision taken but residents can be assured that members have all relevant information necessary to provide a context for their budget discussion over the next two months. The Council restates its commitment to keep Council Tax increases below RPI as measured in the previous September.

          3. SUPPORTING INFORMATION

          3.1 Background

          “CREDIT CRUNCH”

          Budgets for the next two years at least will be set against a background that has not been experienced in recent years, significant economic insecurity. There are a number of well-publicised issues impacting the national and global economies that have been well rehearsed in the press over recent weeks. In summary, therefore, we are facing:

          Reduction in property values
          Rising unemployment
          Volatility in stock markets
          A significant increase in inflation over the past six months to a figure (5.0% RPI September 2008) well above the Bank of England’s target rate.
          Admission from Bank of England that the national economy is entering recession
          Inflation likely to show a significant fall in coming months
          Interest Rates likely to be subject to further cuts globally in an attempt to reverse the move towards recession
          Loss of confidence having an impact on inter bank lending which, in turn, is impacting on availability of credit.

          Such a range of challenges leaves few Council services untouched but some of the main risk areas that have been identified include:

          Income from Commercial Estates
          Income from Leisure Centres
          Demand for Housing Support – Bed & Breakfast and Housing Benefit
          Car Park income
          Investment income
          Cost of contracts – a number are driven by September RPI particularly in Adult Social Care
          Land Charge and Development Control income.
          Level of Developer contributions

          At present service monitoring has identified minimal impact: some increase in activity for Housing Policy; one of our commercial estate tenants has gone into liquidation and car park volumes have not reached anticipated levels.

          The Council has some challenging decisions to make. At one end of the range of options the Council could establish a provision to reflect all the uncertainties in next years gross budget requirement. However, if council Tax commitments are to be honoured this would have the consequence of reduced spending on services and service reductions would inevitably be required to make room for this provision. At the other end of the range would be to reflect the current healthy levels of reserves and wait for a clearer picture to emerge. A more proactive approach would be to identify one off measures/investments that can be taken to protect, as far as possible, current income/service levels. An example might be to provide additional resources for Housing Policy or CAB so that residents at risk of being made homeless get the necessary advice promptly. These measures, being relatively short term, could be funded from Reserves.

          GOVERNMENT SETTLEMENTS

          Next year will be the second in the current 3-year settlement so the Council can be relatively confident that it knows what level of support it can expect from Central Government.

          The budget report to Council in February 2008 talked at some length about the revision that had been made to Department for Communities and Local Government’s (DCLG) funding mechanism, which shifted significant levels of funding away from those authorities it perceived to have the ability to raise additional revenue for themselves. In common with many local authorities in the South East the Borough can expect minimal increases in general grant in coming years whilst the current funding regime is in place. The increases proposed reflect changes in responsibility but no provision is made for increase to the number of service users (demographic pressures) or capital financing costs and minimal allowance is made for price increases (1.75% in 2009/10 and 1.5% in 2010/11). It is clear therefore, with the impact of inflation on Council run services expected to be 4.1% next year, that this alone represents a real term reduction in funding of £600,000, close to 1% on Council Tax.

          A technical adjustment to the Formula has been made as reported to Cabinet earlier in the year. As part of the national Government initiative to provide local authorities with greater freedom over the use of grant, a range of previously service specific grants have now been moved into a new category of grant, the Area Based Grant, which can be used for any purpose. These monies have not, at this stage, been allocated through DCLG’s Formula Grant methodology to avoid any redistribution but guidance requires Councils to account for the grant as External Support, as we do Formula Grant, rather than as service specific grants.

          2008/9

          £’000

          £’0002009/10

          £’000

          % Increase
          £’00020010/11

          £’000

          % Increase
          Formula Grant Base
          18,257
          18,536
          Floor Increase
          319
          1.75
          278
          1.5
          Technical Adjustments
          -40
          279
          -15
          263
          Formula Grant
          18,257
          18,536
          18,799
          Area Based Grant
          5,200
          7,136
          Note 1
          6,980
          Note 2
          Total External Support
          23,457
          25,672
          25,779
          Note 1 – Reflects movement of Supporting People Grant to ABG (£1.723m)

          Note 2 – Reflects end of Extended Schools Start Up Grant (£341k reduction)

          As reported in the Council Budget report the Formula Grant methodology assumes that Councils will deliver 3% cash releasing efficiency measures. Over the last four years since the ‘Gershon’ targets were introduced, the Borough is ahead of its cumulative targets; in common with most other authorities this remains a challenging target going forward. The assumed saving from the ‘programme’ is in excess of £3m each year,

          MEDIUM TERM FINANCIAL PLAN (MTFP)

          The MTFP has been under regular review since it was last updated as part of the 2008/9 Budget report. The version shown in Appendix A includes updated inflation and service pressure assumptions.

          The MTFP is a planning document which allows ‘what if’ questions to be asked. A number of assumptions have had to be made about some important issues, notably:

          Inflation
          Pay awards
          Pensions increase
          Service pressures
          Capital financing
          Council Tax revenue
          Inflation

          CSR07 included the assumption that inflation would be 2.7% as it applies to the public sector over the three-year settlement period (2008/9 – 20010/11). This has proved an optimistic assessment. Current assumptions indicate that inflation will impact on Borough Services at 4.1% next year although it is anticipated that this will fall by 2010/11. Whilst current predictions are that inflation, by whatever measure, will fall over coming months it is important to note that a number of the Councils contracts are inflated by measure of inflation taken in September each year, as are State Pensions.

          Inflation going forward is clearly difficult to predict but a working assumption has been made of 3% for future years.

          Pay Awards

          Pay awards nationally are becoming contentious. The settlement negotiations due for implementation in April 08 are currently being mediated through ACAS. An interim award of 2.45% has been agreed by LG Employers. Provision was made for a 2.5% award in the 2008/09 Budget.

          A similar provision is currently being proposed in 2009/10. Although RPI is currently at 5% and Union Representatives are already preparing above inflation pay claims it is anticipated that falling inflation and the prospect of economic recession will enable Employers to contain much of this pressure.

          It is important to record that provision of an additional 1% for pay (in non-school services) would cost close to £600k. Given the fact that Government support is unlikely to increase and that the Council has a clear commitment regarding Council Tax increases this additional provision would be at the expense of further efficiency measures.

          For future years 2.5% pay awards have been allowed for

          Pensions Increase

          Employer Pension contributions are currently set until April 2011 at their current level 14.7%. There is clearly some concern that the stock market turbulence will require an increase in both employer and employee contribution rates. Between May 2008 and September 2008 the fund lost £209m of its value (14%). However it is important to remember that:

          The Berkshire Fund started at a relatively high level of funding
          Each month more cash is received from Employers and Employees contributions, which currently exceeds outgoing pension payments. This creates the opportunity to take advantage of some relatively cheap investment opportunities
          The current low level of stock market enables, over the long term (30 years), a relatively optimistic view to be taken of future investment growth
          The Actuaries and Pension Fund Manager take a long-term view (“40 years rather than 40 days”).

          It is currently assumed therefore that there will be no requirement to increase Employer contribution rates in the foreseeable future but this will only be confirmed by the actuarial review in 2010.

          Service Pressures

          Every effort will be made, as always, to contain service pressures within existing budgets but national issues such as demographic pressures and waste management legislation are largely unavoidable. Allowance is, therefore, made for these additional costs.

          Service Pressures identified to date are outlined in the attached Appendix B.

          Capital Financing

          The Council continues with its long term objective to fund a greater proportion of its capital spend from Revenue. This ambition is reflected in the MTFP in the form of additional annual revenue contributions to the Capital Fund.

          Historically, the Council spends £1.3m per annum on ‘short life assets’, Leisure Centre equipment; IT Hardware; Vehicles etc. Looking forward some significant technical investment in IT should enable this sum to be reduced to an average of £1m per annum. The base budget for 2008/09 includes provision for a £900k contribution to the Capital Fund. An increase of £100k would enable the initial objective of funding all short life assets from Revenue.

          There remains significant recurring expenditure on Highways, Streetlights and Property that are currently funded from capital resources. It remains an objective of the Council to fund a greater proportion of these costs from revenue, thereby saving financing costs. This ambition is still reflected in the MTFP.

          Government Departments announced as part of the 3-year settlement its spending allocations 2010/11. Whilst some of these allocations come to the authority in the form of grants most are in the form of ‘supported Capital Expenditure’, the revenue cost of which is, in theory, reflected in Formula Grant assessments. However, as the Council is below the grant floor, there will be no increase in grant to cover these allocations. Consequently, the impact of all capital financing directly impacts on the Council Tax.

          Cabinet received at its October meeting an update on its Asset Management Plan. There will be a continued emphasis on ensuring that maximum benefit is obtained for the Council’s physical assets. Surplus assets will be identified wherever possible and where appropriate those assets will be sold to support the Council’s Capital programme but only where appropriate. Before assets are sold the Council will ensure, especially in the current economic climate, that it is the right time to sell but more importantly whether these assets can be better used to generate revenue for the Council.

          In the short term in order to finance priority infrastructure maintenance and development the Council will have little alternative to borrowing funds. Decisions over whether this is funded short term (utilising cash reserves) or longer term (utilising PWLB loans) will be taken by the Head of Finance in conjunction with Lead Members as part of his Treasury Management responsibilities. An assumption, carried forward from previous MTFP’s is that £6m of capital spend will require corporate funding each year.

          A significant proportion of the capital programme has over the past few years been funded from s106 contributions. Renewal of this source of finance must be at some risk in the short term given the present economic climate.

          Fees & Charges

          A report on Fees & Charges appears elsewhere on this agenda but the Medium Term Plan assumes that income from Fees & Charges will keep pace with inflation. It is however part of the Council Financial Strategy to review those fees which carry an element of subsidy for service users.

          Efficiency Savings

          CSR07 assumes that 3% cashable efficiency savings are available in each of the three years 2008/9 – 2010/11. Para 3.1.9 quantifies this at £3m pa.

          In order to meet the cost of emerging service pressures, principally driven by demographic pressures, and the increased cost of services, driven by inflation, without any significant increase in financial support from DCLG, whilst keeping to Council Tax increase commitments means that efficiency savings in excess of those indicated in CSR 07 will be required. Directorates have been asked to identify savings of £4.7m in order to provide the Council with the flexibility to set a Council Tax in line with its public commitments.

          April 2004 when the phrase “Gershon Savings” was first introduced into the Local Government Finance vocabulary the Council has identified efficiency savings of £11m, against a target of £10m. However in common with most other local authorities the scope for further efficiencies is becoming more difficult to identify

          In recent years the efficiency agenda has been addressed by a combination of wide ranging “corporate initiatives” and smaller scale reviews carried out by individual service managers. If the savings targets going forward are to be delivered it is important for the Council to adopt and resource a new strategy for delivering these efficiencies.

          Interest Rates

          Interest Rates have an important impact on Council Finances. Current changes to interest rates will have no effect on the cost of borrowing as the Council’s long term loans were taken out at fixed rates.

          The more important impact is on the interest that the Council earns on its cash balances. Currently volatility in interest rates makes it difficult to plan ahead. The recent Treasury Management report that Cabinet received showed that the Council could have average cash balances approaching £35m. The reductions in bank base rate, if reflected in reduced investment income, will result in a reduction of £700k in investment income per annum. Many “experts” are predicting that interest rates will rise again in 18 months time but budgeting for that increase is a significant risk.

          The decision that the Council will need to make when it sets its budget is to what extent it maintains its longer term approach of making a cautious assessment of its investment income so that in times of higher levels of investment income, “windfall” receipts are taken into reserves, and when interest rates fall the revenue budget is supported from reserves.

          COUNCIL TAX INCOME

          Council Tax is the most important source of revenue for the Council, and funds a greater proportion of Council spend than most other authorities. In 2008-9 78% of the Councils Gross Budget Requirement (that element funded from Formula Grant and Council Tax) was funded from Council Tax. When compared to all other local authorities this is the 7th highest of all 388 Local Authorities in England, the average being 43.6%.

          Annual increases in Council Tax on individual properties is supplemented by increases in the taxbase (increase in the number of properties on which the tax is levied). It is perhaps this fact that DCLG have recognised (but arguably overcompensated for) in its grant distribution models.

          The Council has a very clear commitment to keep its tax increase below RPI as measured in the previous September; this is consistent with the increase in State Pensions and Benefits. RPI increased by 5% in the year to September 2008

          The taxbase for 2009-10 is assessed elsewhere on this agenda but suffice it to say it reflects the general slowdown in the housing markets. At present collection rates are being maintained although this is one of the risks that needs to be assessed in the Budget report.

          Members should note that, dependent on tax base, 0.5% increase in Council Tax generates approx £340k additional revenue for the Council.

          SCHOOL FUNDING

          The main source of school funding is the ring-fenced Dedicated Schools Grant (DSG). The grant must be used in support of the Schools Budget as defined in regulations, and is supplemented by other sources of funding such as standards fund grants, and Learning and Skills Council funding for sixth forms.

          RBWM’s 2008-09 DSG allocation was £73.044 million. The 2009-10 will be determined by pupil numbers in January 2009 but latest estimates suggest a fall in total pupil numbers of around 130 compared with 2008-09. The unit rate on which DSG is calculated is fixed for the period 2008-11 and will increase from £4,040 per pupil in 2008-09 to £4,193 in 2009-10, a rise of 3.8%. This compares with an increase of 4.6% per pupil in the previous year.

          The minimum increase schools can expect to receive in their 2009-10 budgets is 2.1% per pupil, as defined by the Minimum Funding Guarantee set by the DCSF. In practice most schools will see increases above the minimum level and in accordance with known inflationary uplifts used to set the Council’s budget. The level of DSG funding available once inflationary and contractual pressures have been met is known as ‘headroom’. In the past headroom has been used to fund new initiatives and priorities both in schools and central services (subject to the Central Expenditure Limit - CEL) as discussed with Schools Forum.

          For 2009-10 the level of headroom is likely to be significantly less than in previous years because

          a) the per pupil increase in DSG funding in 2009-10 is lower than it has ever been previously

          b) the cost of out-of-borough special school placements has risen significantly due to an increase in the number of high cost placements, and is facing a pressure of up to £600k or more in 2009-10. Funding for this can only come from DSG headroom or from a reallocation of existing resources within the Schools Budget. The scale of this budget pressure is such that little or no headroom may be left for other priorities. Any net increase in the out-of-borough SEN budget is likely to impact on the relative balance of resources between the ISB and central DSG expenditure. Schools Forum would need to formally approve this allocation if it resulted in the central expenditure limit being exceeded.

          Members will recall that the CEL, determines the minimum amount authorities must delegate to schools. The Council is responsible, in consultation with the Schools Forum, for determining the split of the grant between expenditure on central functions, (e.g. special educational needs, excluded pupils, early years education and childcare in the non-maintained sector) and delegated funding to schools (the

          4. OPTIONS AVAILABLE AND RISK ASSESSMENT


          4.1 Options

          OptionCommentsFinancial Implications
          1. Accept the report This report is for information and explains what factors affect the budget making decisionContained within the report
          2. Reject the report This is not an option. The Council is required to complete its Council Tax making process
          4.2 Risk assessment

          A number of the risks associated with the preparation of the budget are discussed in the body of the report. Individual risk assessments have been made for the detailed proposals being made for inclusion in the Budget for 2009-10.

          The biggest single risk to the Council is the impact of the “Credit Crunch” which is outlined in paragraphs 3.1.1 to 3.1.4 above.


          5. CONSULTATIONS CARRIED OUT

          Budget proposals are being guided by Manifesto commitments made before the May 2006 elections

          Regular meetings are held with both the Windsor and Maidenhead Chambers of Commerce

          6. COMMENTS FROM THE OVERVIEW AND SCRUTINY PANEL

          N/A

          7. IMPLICATIONS

          The following implications have been addressed where indicated below.

          Financial
          Legal
          Human Rights Act
          Planning
          Sustainable Development
          Diversity & Equality
          ü
          ü
          ü
          ü
          ü
          ü

          Background Papers:


          --------------------------------------------------------------------------------------------------------------------------
          Authorisation:
            Legal
            Finance
            Planning
            Property
            Procurement
            DMT
            Name:
            Date Approved:
            Directors Group
            Lead Member
            Ward Cllrs (if Appropriate)
            Leader’s Office
            Scrutiny Panel
            Name:
            Date Approved:

          $meetings_081216_ashosp_preliminary_budget_appendixA.xls.pdf Meetings 081216 Ashosp Preliminary Budget Appendixa

          $meetings_081216_ashosp_preliminary_budget_appendixB.xls.pdf Meetings 081216 Ashosp Preliminary Budget Appendixb





          25
          REPORT TO CABINET

          Title: 2009/10 FEES AND CHARGES REPORT

          Date: 18 December 2008

          Member Reporting: Councillor Hilton

          Contact Officer(s): Andrew Brooker, Head of Finance, 01628 796341
          Peter Brown, Chief Accountant, 01628 796207

          Wards affected: All

          1. SUMMARY

          1.1.1 The report considers increases in the Fees and Charges roughly in line with the September 2008 inflation (5%).

          2. RECOMMENDATION

          That Cabinet approve the Fees and Charges contained in Appendix A of the report

          What will be different for residents as a result of this decision?
          The increasing Fees and charges in line with September RPI will help keep Council Tax increases to below RPI.

          3. SUPPORTING INFORMATION

          Fees and Charges

          September RPI sets the level that Government will use in assessing increases in 2009/10 pensions and benefits and at 5% is the baseline chosen for increases in fees and charges.

          In setting the charges for 2009/10 the Council has sought to ensure that any change will not adversely impact on its strategy to support recreational activities or affect the trading position of the services it offers generally.

          The detailed Fees and charges proposals are contained in Appendix A

          4. OPTIONS AVAILABLE AND RISK ASSESSMENT

          4.1 Options

          OptionCommentsFinancial Implications
          1. Approve the fees and charges as set out in Appendix A This is in accordance with the Medium Term Financial Plan and will enable Revenue: some (-)£1m
          2. Modify the fees and charges proposalsMay reduce the Councils ability to restrict Council Tax increasesRevenue:

          Unknown

          4.2 Risk assessment

          The current economic climate may reduce income from areas susceptible to economy changes. Examples include car parks, land charges, planning fees, Leisure income etc. It is difficult to assess the impact of changes in these areas. However, a 1% reduction in income equates to some £260k. As the economic changes are expected to be short term it is possible to utilise balance to cover small shortfalls, However, the Head of Finance will keep this situation under strict review during 2009/10.

          5. CONSULTATIONS CARRIED OUT

          All lead members consulted

          Chambers of Commerce will be consulted

          6. COMMENTS FROM THE OVERVIEW AND SCRUTINY PANEL

          Awaited.

          7. IMPLICATIONS

          The following implications have been addressed where indicated below.

          Financial
          Legal
          Human Rights Act
          Planning
          Sustainable Development
          Diversity & Equality
          ü
          ü
          N/A
          N/A
          N/A
          N/A

          Background Papers:
          None

          $meetings_081216_ashosp_fees_charges_appendix1.xls.pdf Meetings 081216 Ashosp Fees Charges Appendix1

          $meetings_081216_ashosp_fees_charges_appendix2.xls.pdf Meetings 081216 Ashosp Fees Charges Appendix2

          $meetings_081216_ashosp_fees_charges_appendix3.xls.pdf Meetings 081216 Ashosp Fees Charges Appendix3

          $meetings_081216_ashosp_fees_charges_appendix4.xls.pdf Meetings 081216 Ashosp Fees Charges Appendix4

          $meetings_081216_ashosp_fees_charges_appendix5.xls.pdf Meetings 081216 Ashosp Fees Charges Appendix5






          60

          REPORT TO CABINET

          Title: SERVICE MONITORING REPORT

          Date: 18 December 2008

          Member Reporting: Councillor Hilton

          Contact Officer(s): Andrew Brooker, Head of Finance, x6341

          Wards affected: All


          1. SUMMARY


          1.1 This service monitoring report provides a monthly update on service delivery with emphasis on the impact on the council’s financial position.


          1.2 Services are currently projecting expenditure £323k (last month: £557k) more than the approved estimate of £86,022k (last month: £85,949k). Balances at year end are projected to be £5.441M (last month £5.280m).

          1.3 The approved capital programme has increased by £58k since last month to £37.531m, which is funded by grants and contributions. Variances are -£376k (last month -£434k). Slippage has increased to £4.545m (last month: £2.665m).

          2. RECOMMENDATION: That:


            i) The provisional revenue and capital outturn figures be noted.

            ii) The capital programme variances and slippage identified in Appendix C be approved.

            iii) That Directors work with Lead Members to develop proposals to contain expenditure within current budget limits.


            What will be different for residents as a result of this decision?
            The Council is responsible for ensuring that it has put in place the proper arrangements to secure economy, efficiency and effectiveness in its use of resources. If the management of services and their budgets are not regularly reviewed, any and all services for residents could be adversely affected and Council Tax levels may be affected.






          3. SUPPORTING INFORMATION


          3.1 Background


          3.2 As at 30 November 2008, total service expenditure for 2008/9 is expected to be £86,345k (down £161k from last month’s £86,506k).


          3.3 Summaries of the Council’s provisional outturn Revenue and Capital financial reports are contained in Appendices A and B respectively. The revenue report includes income and expenditure statements together with a short Directorate report drawing members’ attention to key activities affecting the current and future years.


          3.4 The Director of Learning & Care reports that its 2008-9 costs are projected to be overspent by £124k (down £259k from last month) on its approved estimate of £48,457k (last month’s approved estimate was £48,409k).


          Children’s Services are expected to be overspent by £483k, an increase of £32k on last month. Home to school transport costs have increased as a travel operator’s contract has been extended to cover an additional route.


          Adult Social Care is expecting to underspend by £279k (down £291k from an expected overspend last month of £12k). It is anticipated that the Concessionary Fares scheme will underspend by £200k. Income has increased and spot placement expenditure decreased on elderly and physical disability residential and nursing care.


          The approved estimate has been increased by £50k to cover the cost of pension enhancements charged to the in-house homecare budget.


          3.5 The Director of Community Services reports a variance of £105k (same as last month) from the approved estimate of £22.810m (last month £22,785k).


          Building Control and Planning incomes are lower (£30k), offset by some additional Building Control staff savings (-£10k). Expected loss of rental income on a void property (£45k) has been offset by a potential saving on the delays to a Fire, Health & Safety works project (-£65k).


          The Public Protection & Sustainability approved estimate has increased by £25k after Cabinet approved a contribution to the 2M Group costs for a judicial review into BAA’s plans to build an additional runway at Heathrow.


          3.6 The Chief Executive reports that Corporate Services expenditure is expected to be £94k higher (last month: £69k higher) than the approved estimate of £14,755k (same as last month).


          Projected income levels for the Guildhall have been reduced by £25k. The Guildhall was closed for eight weeks during May and June for repairs, but subsequent income has not compensated for the loss.

          The decline in income from Local Land Charges has flattened off slightly since last month, but the impact of the downturn in the housing market continues to be monitored closely.

          4. CHANGES TO VALUE-ADDED TAX STANDARD RATE


          The Cabinet meeting on 27th November considered the Chancellor of the Exchequer’s announcement on 24th November that the rate of VAT would fall to 15% with effect from 1st December 2008.


          Cabinet agreed to implement the changes in VAT rates as soon as possible and that authority be delegated to the Head of Finance, in consultation with the Lead Member for Finance and the Chief Executive, to amend the published Fees and Charges where appropriate. There is a separate report on the impact of the VAT changes.


          5. OVERALL POSITION


          Appendix A summarises the projected outturn position and shows projected year-end reserves to have increased by £161k to £5.441m from the previous month. This is made up of £73k supplementary estimates, referred to above, and a reduction in variances of £234k.


          6. CAPITAL


          6.1 Overall Gross Expenditure Budget

          Total capital expenditure for 2008/09 is expected to be £32.610m, which is £4.921m below the approved budget. This is made up of £376k variances and £4.545m slippage and is summarised as follows:-

          Exp Inc Net
          £'000 £'000 £'000
          Approved Budget October 2008 37,531 -24,357 13,174
          Variances identified -376 60 -316
          Slippage to 2009/10 -4,545 2,318 -2,227
          Projected capital programme 2008/2009 32,610 -21,979 10,631

          6.2 Approved Capital Budget Changes


          The £58k increase in the capital budget is because of S106 claims for Larchfield School (£15k) and Holyport Primary School (£16k), an accounting adjustment for Oak Lodge Day Centre (£16k) and a Travel Plan Grant for Alwyn & Ellington Primary Schools (£11k).


          6.3 Projected Variances and Slippage


          Community Services report that in comparison to the approved budget, there will be a net under spend of £392k (last month £450k). Learning and Care reports the same expected overspend of £16k as per last month.


          The main changes are from Traffic Management Schemes (+£67k), Transport Assessment for Sites (+£35k) and Construction of New Footways (-£48k. See appendix C for further details.


          Slippage has increased by £1.880m since last month to £4.545m. The most significant projects to have slipped are the Quality & Access Programme for Early Year (£550k), Children’s Centre Phase 3 (£300k), Council Building Rewiring/Re-Cabling (£250k), Guildhall and Theatre Royal (£179k), Office Accomodation (£157k), Customer Service Centre software (£150k), Modernisation of School Dining Facilities (£100k) and Town Hall Replacement Heating Piperwork (£100k). Full details are in appendix C.


          Overall Programme Status


          The project statistics show the following position:

          Number of Schemes in Programme 466
          Yet to Start 8%
          In Progress 52%
          (Of which Ongoing Annual Programmes 6%
          e.g.. Disabled Facilities Grant)
          Completed 26%
          Devolved Formula Capital Grant schemes 14%
          (Data not available on budgets devolved to schools)

          7. OPTIONS AVAILABLE AND RISK ASSESSMENT


          7.1 Options

          OptionCommentsFinancial Implications
          1. Accept the reportDirectors have a responsibility for managing their Services within the Budget approved by Council. Cabinet has limited power to vary those budgets within the overall budget and policy framework or to re-define the priorities agreed when the budget was approved. Cabinet does however have responsibility for considering the impact on future year’s budgets of the decisions taken.Revenue

          Capital
          2. Reject the reportThis is not an option as The Local Government Act 2003 requires the Royal Borough to monitor its financial positionRevenue

          Capital
          7.2 Risk assessment

          Risk assessments are carried out as a matter of course for the delivery of individual services. The main Financial risks are included on the Council’s Risk Register . paragraphs 3.8 to 3.15 discuss the risks associated with the current economic downturn.

          The Councils Financial Strategy outlines the measures available to it in the event of a series of events that lead to significant projected budget variances being reported.

          8. CONSULTATIONS CARRIED OUT


          No specific consultation is carried out as this is a regular monitoring report


          9. COMMENTS FROM THE OVERVIEW AND SCRUTINY PANEL


          Relevant components of this report will be considered by each of the four scrutiny panels as part of their next round of meetings.


          IMPLICATIONS


          10. The following implications have been addressed where indicated below.

          Financial
          Legal
          Human Rights Act
          Planning
          Sustainable Development
          Diversity & Equality
          ü
          ü
          N/A
          N/A
          N/A
          N/A

          Background Papers: Cabinet 24 July 2008 – Monitoring report.

          $meetings_081216_ashosp_service_monitoring_report_appendix1.doc.pdf Meetings 081216 Ashosp Service Monitoring Report Appendix1

          $meetings_081216_ashosp_service_monitoring_report_appendix2.xls.pdf Meetings 081216 Ashosp Service Monitoring Report Appendix2

          $meetings_081216_ashosp_service_monitoring_report_appendix3.xls.pdf Meetings 081216 Ashosp Service Monitoring Report Appendix3

          $meetings_081216_ashosp_service_monitoring_report_appendix4.xls.pdf Meetings 081216 Ashosp Service Monitoring Report Appendix4