Personal
Health
Budgets
Dawn Stobbs
September 2014
www.england.nhs.uk
Presentation will include :• What is a personal health budget?
• How do they fit with the choice agenda in the NHS?
• What do we know so far about personal health
budgets.
• Government commitments and legislation for personal
health budgets.
• Personal health budgets support programme.
www.england.nhs.uk
Self Care
Shared
Decision
Making
Activated
patients
Information
as a service
www.england.nhs.uk
Designed by Sarah Walker – Enable East
What is a Personal Health Budgets?
• A personal health budget is an amount of money to
support a person’s identified health and wellbeing
needs, planned and agreed between the person and
their local NHS team.
• The vision for personal health budgets is to enable
people with long term conditions and disabilities to
have greater choice, flexibility and control over the
health care and support they receive.
• Personal health budgets offer the opportunity for
people to work in equal partnership with the NHS
about how their health and wellbeing needs can best
be met.
• Personal health budgets are not about new money,
but about using resource differently
www.england.nhs.uk
They can be managed in 3 ways
Options for holding the budget:
• Notional budget
• Third party budget
• Direct payment
www.england.nhs.uk
www.england.nhs.uk
www.england.nhs.uk
The Story So Far.
• Pilot programme - large scale controlled trial
evaluation 2009-2012.
• Recruited 2,000 people.
• Concentrated on Mental Health, Continuing Health
Care, COPD, Diabetes, long term neurological
conditions, stroke. Also discreet studies into maternity,
substance misuse and end of life care.
• Results - better outcomes, reduced use of hospital,
cost effective especially for people with the highest
needs.
www.england.nhs.uk
Government Commitments
• Right to ask from April 2014 - in adult NHS
Continuing Healthcare and children’s continuing care.
• Right to have from October 2014- same groups as
above.
• NHS Mandate - will be an option for people with long
term physical and mental health conditions who could
benefit from April 2015.
• Direct payment regulations– NHS everywhere in
England can offer direct payments from August 2013.
• CCGs have the responsibility for delivery even if
Continuing Health Care/continuing care services are
being delivered by CSUs.
www.england.nhs.uk
Need to do it right.
Evaluation - benefits of personal health budgets
depend on how they were introduced.
Best results – people know budget up front; advice
and support available; choice and flexibility over how to
spend budget , choice on how it is managed.
Scale-up - challenge of maintaining the integrity of the
values.
To work well, personal health budgets need
 good support from all parts of the system.

co-production with people with direct experience.
www.england.nhs.uk
Examples
•
•
•
•
•
Employing personal assistants
Alternative respite and day care provision
None standard equipment and services
Alternative health and wellbeing provision
Joint packages for health and social care
www.england.nhs.uk
Integrated Personal Commissioning
Programme
• Announced by Simon Stevens in July.
• Integration at the level of the individual across health
and social care.
• Person centred planning and personal budgets across
health and social care.
• Capitated (individual level) budgets for their health
and social care.
• Children and Young People with complex needs,
people with multiple LTC, LD with high support needs
and MH.
• In partnership with the voluntary sector.
www.england.nhs.uk
Delivery Support
• Delivery support around the country.
• Work looking at specific issues or areas where we
need to learn more e.g. children, learning disabilities,
budget setting, integration, workforce.
• More work to learn from and join up with other similar
programmes and developments e.g. Special
Educational Needs and Disabilities (SEND) pathfinder
project.
• Continue to share learning and stories via the PHB
toolkit and website.
• Bring people together to network and share.
www.england.nhs.uk
Support for developing PHBs for
Children
NHS England has:• commissioned In Control to work with 4 CCGs to develop approaches to
mainstreaming personal health budgets for young people, children and
families (health, social care and education) Dorset, East Sussex,
Trafford and Nottinghamshire.
• commissioned Council for Disabled Children to develop practical tools
for introduction of SEND reforms into health – 3 events happening
around the country in September and October to introduce new
resources.
• Ongoing programme of regional events aimed at people working
alongside young people, children and families about how to introduce
personal health budgets within the context of personal budgets in an
EHC plan.
• Three regional events in January, February and March to provide more
in-depth introduction to implementing personal health budgets for
children.
www.england.nhs.uk
Contact Details
Dawn Stobbs Patient Participation Team
Dawn.stobbs@nhs.net 07876 851775
Kirsty Freeman -North East
Kirsty.freeman1@nhs.net
Personal Health Budget website
www.personalhealthbudgets.england.nhs.uk
Evaluation Team website
www.phbe.org.uk
www.england.nhs.uk