Issue - meetings

Third Financial Review of 2023/24

Meeting: 22/01/2024 - Adults and Health Committee (Item 45)

45 Third Financial Review of 2023/24 pdf icon PDF 131 KB

To consider a report on the third review of the Cheshire East Council forecast outturn for the financial year 2023/24.

Additional documents:


Cllr A Moran joined the meeting during consideration of this item.


The Committee received a report which provided the third review of the Cheshire East Council forecast outturn for the financial year 2023/24.


Members were asked to consider the serious financial challenges being experienced by the Council (and other councils) and to recognise the important activities outlined which aimed at minimising the impact on services.


Officers reported that there were two key things that were driving the overspend which were inflation on placements which was primarily residential nursing care and supported living placements and an increase in people with more complex and greater needs than there was prior to the pandemic. It was thought that two of the reasons for that were due to the way the pandemic had affected people's mental health and an aging population.


In response to Members comments and questions officers reported that


-      A short stay bed was more expensive than a long-term package of care, so the decision was taken not to sustain the 200 short stay beds. The Council would go back to pre-pandemic levels that worked out at 50 short term beds and the costings around that were calculated last year in preparation for 23/24 budget. This would achieve savings as a result of a mixture of less care in some cases where that had been the assessed need, lower cost care such as care at home, or more income as people had moved from a short stay bed into a long stay bed.

-      The Council was currently out to consultation on a new Direct Payment strategy. It had increased the payment that it was making for direct payments so that it would become a more attractive option because overall that was a cheaper way of delivering care than either through commissioned domiciliary care or through a bed.

-      In respect of the home care provision there were currently no individuals waiting for home care which indicated that the strategic approach to increase capacity was working.

-      There were issues in terms of international recruitment, which the Council was supporting providers with alongside government funding.

-      The Cared Cubed tool used national benchmarking data in respect of cost of care and there was lots of data available for the Council to use in comparison with its neighbours, regionally and nationally.

-      Work was underway with legal colleagues to review the recovery of debt which was over 6 months.

-      In respect of being able to identify potential clients in advance there was data and projections that were built into the forecast. There was also a Preparing for Adulthood program that is developing projections in terms of young people who will transition into adult social care.

-      The interface between the provision of social care and NHS care and the respective criteria for each, is under constant review and work was ongoing.


An amendment to the recommendations in the report was moved and seconded which sought to amend the word ‘consider’ to  ...  view the full minutes text for item 45