Appendix 'A' Learning Disabilities Benchmarking Table 1: LD spend as a proportion of Council spend (Net, excluding government grants including expenditure on Schools, North West local authorities, Source: RA 2015/16) Lower Quartile Upper Quartile Oldham Blackburn with Darwen UA Salford Bolton Wirral St Helens Liverpool Tameside Bury Wigan Trafford Manchester Lancashire Stockport Blackpool UA Rochdale Cumbria Warrington UA Halton UA Sefton Cheshire West and Chester UA Cheshire East UA Knowsley 2.7% 3.6% 4.0% 4.8% 4.9% 4.9% 4.9% 5.3% 5.4% 5.5% 5.5% 5.8% 6.1% 6.4% 6.4% 6.6% 6.6% 6.8% 6.8% 7.3% 7.4% 8.2% 9.1% Table 2: LD spend as a proportion of Social Care spend (Net, excluding government grants, North West local authorities, Source: RA 2015/16) Lower Quartile Upper Quartile Oldham Blackburn with Darwen UA Liverpool Bolton St Helens Sefton Lancashire Blackpool UA Salford Stockport Trafford Bury Manchester Cumbria Wirral Halton UA Wigan Warrington UA Cheshire East UA Cheshire West and Chester UA Tameside Rochdale Knowsley 16.6% 25.4% 27.0% 29.6% 30.3% 30.9% 31.4% 31.7% 32.6% 32.6% 32.8% 33.4% 33.5% 33.5% 34.1% 34.8% 35.2% 35.3% 35.9% 39.8% 44.0% 44.3% 46.4% Table 3: LD spend as a proportion of Council spend (Net, excluding government grants including expenditure on Schools, County Council authorities, Source: RA 2015/16) Lower Quartile Upper Quartile Buckinghamshire Lincolnshire Derbyshire North Yorkshire Lancashire Dorset Cumbria West Sussex Hampshire Northamptonshire Warwickshire Suffolk Devon Nottinghamshire East Sussex Staffordshire Norfolk Worcestershire Oxfordshire Gloucestershire Kent Somerset Hertfordshire Cambridgeshire Leicestershire Surrey Essex 5.1% 5.1% 5.3% 5.3% 6.1% 6.2% 6.6% 6.7% 7.1% 7.1% 7.1% 7.2% 7.3% 7.4% 7.9% 7.9% 8.0% 8.0% 8.2% 8.2% 8.3% 8.6% 9.0% 9.3% 9.8% 10.9% 12.3% Table 4: LD spend as a proportion of Social Care spend (Net, excluding government grants, County Council authorities, Source: RA 2015/16) Lower Quartile Upper Quartile Lincolnshire Dorset Derbyshire Suffolk East Sussex Nottinghamshire North Yorkshire Buckinghamshire Devon Lancashire Hampshire Gloucestershire Norfolk Cumbria Leicestershire Oxfordshire Warwickshire Somerset West Sussex Worcestershire Northamptonshire Cambridgeshire Kent Hertfordshire Staffordshire Surrey Essex 24.0% 25.4% 28.2% 29.4% 29.5% 29.6% 30.2% 30.2% 30.3% 31.4% 32.1% 32.9% 33.0% 33.5% 34.4% 34.4% 34.4% 35.2% 35.2% 36.0% 36.8% 37.2% 39.0% 39.4% 39.8% 41.6% 45.1% Appendix 'B' Table 5: LD Budgeted Savings Budget shortfall from 2014/15 2015/16 Brought forward savings Shared Lives 0.625 Reduction in Residential Admissions 0.500 Autism Strategy 0.500 Policy Options Remodelling workforce in former NHS operated learning disability supported living schemes Review of the In House Adult Disability Provider Domiciliary Service 2016/17 2017/18 0.625 0.625 0.147 0.008 Total 1.875 0.500 0.655 0.500 0.400 0.900 0.360 2.140 1.780 0.500 1.000 2.500 4.000 4.000 4.000 Service Offers Reduction on RAS budget 3.000 3.000 1.000 13.700 7.000 Capped rates - manage inflation 3.680 3.320 Independent Living Fund 0.400 0.750 0.350 1.500 Adult Disability 0.397 0.085 0.085 0.567 0.642 1.806 2.448 44.425 4.280 Reshaping the way Services are delivered Re-commissioning Telecare Learning Disability Remodelling Supported Living 5.700 Adult Social Care - Newtons Diagnostic 7.000 5.700 14.462 16.109 8.154 Budget shortfall from 2014/15 2015/16 2016/17 2017/18 Table 6: LD Savings deemed non-deliverable Brought forward savings Shared Lives 0.313 Reduction in Residential Admissions 0.250 Autism Strategy 0.500 0.313 0.313 0.938 0.250 0.147 0.008 Policy Options Remodelling workforce in former NHS operated learning disability supported living schemes Review of the In House Adult Disability Provider Domiciliary Service 0.655 - Reshaping the way Services are delivered Re-commissioning Telecare Learning Disability Remodelling Supported Living Total 5.700 Service Offers Reduction on RAS budget 0.250 0.500 2.000 2.000 1.500 1.500 1.250 2.000 0.500 9.700 3.500 Capped rates - manage inflation - Independent Living Fund - Adult Disability 0.199 Adult Social Care - Newtons Diagnostic 5.700 5.011 0.043 0.043 0.284 0.321 0.903 1.224 4.823 3.016 18.550