Personal health budgets
Standard presentation updated November 2012
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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.
Personalisation
Personal health budgets are part of the drive to personalise
public services, particularly health services
Right to
Control
pilots
Personalise
d care
planning
Personal
health
budgets
Special
Educational
Needs &
Disabilities
(SEND) pilots
Selfdirected
support
Social
care
personal
budgets
Choice: of
provider, GP,
treatment and
Choose &
Book
Context
The essential parts of a
personal health budget
The person with the personal health budget (or their
representative) will:
• be able to choose the health and wellbeing outcomes
they want to achieve, in agreement with a healthcare
professional
• know how much money they have for their health care
and support
• be enabled to create their own care plan, with support if
they want it, and the right information to make decisions
• be able to choose how their budget is held and
managed, including the right to ask for a direct payment
• be able to spend the money in ways and at times that
make sense to them, as agreed in their plan.
Steps of the personal health
budgets process
National pilot programme
• Three-year pilot programme tested out personal health
budgets in the NHS, involving 70 PCTs in England
• Over 2,700 people in the pilot: including people with a
range of long term conditions i.e. COPD, stroke,
diabetes, neurological, mental health needs
• People in receipt of NHS Continuing Healthcare, many of
whom previously received personal budgets in social
care, were a key group
• The pilot drew to a close in October 2012
Evaluation
• In-depth study with twenty of the pilot sites explored how
best to implement personal health budgets, and who will
benefit most
• Five interim evaluation reports published during the pilot
by independent personal health budgets evaluation
(PHBE) team, led by University of Kent
• Focused on early experiences of pilot project managers,
practitioners and budget holders and set-up costs
• Final independent evaluation report published November
2012
Planning and managing the money
Care planning
• At the heart of a personal health budget is a care plan
• Developed by an individual in partnership with their
healthcare professional
• The care plan sets out how a person’s budget will be
spent to enable them to reach their health and wellbeing
goals
• The cartoon on the following slides outlines steps to
effective care planning
[CARE PLAN CARTOON FROM ONLINE TOOLKIT
www.personalhealthbudgets.dh.gov.uk/toolkit ‘GETTING
THE MESSAGE ACROSS’ SECTION – INSERT
POWERPOINT SLIDES HERE, example overleaf]
1. FINDING OUT ABOUT PERSONAL HEALTH BUDGETS
Spending the budget
• An individual with a personal health budget will be able
to spend it on a range of things to help them meet their
goals
• For example therapies, personal care and equipment
• People will not be able to pay for emergency care and
care they normally get from a family doctor
• Not allowed to spend the money on gambling, debt
repayment, alcohol or tobacco, or anything unlawful
Governance and risk
• The personal health budgets partnership combines the
professional’s vital clinical expertise and knowledge, with
the person’s expertise in their condition and needs
• Clinical governance should support flexibility and
innovation where possible, so people can try new
approaches to achieving their health goals
• Health care professionals will continue to be focused on
securing the best health outcomes for people. Personal
health budgets may provide alternative ways of
achieving these, with people able to explore a wider
range of options in their care plan
Government is committed to
national rollout
2012-13
Pilot
evaluation
(October
2012)
2013-14
2014-15
National rollout from
2013-14 (an objective for the
NHSCB)
Right to ask for a
personal health budget
in NHS Continuing
Healthcare
(from April 2014)
[…]
longer-term aim
A wider right
to ask for a
personal
health
budget, for
those who
would
benefit
Next steps
• Department of Health has identified £1.5 million
to support the first stage of rollout
• The funding will be used to support personal
health budgets until April 2013
• DH delivery team will support areas willing to “go
further, faster”, along with wider implementation
– active learning network
– regional events and networks: some hosted
by SHAs, others by former pilot sites
• After this date, responsibility will transfer to the
NHS Commissioning Board
Good practice toolkit
• “Personal health budgets: Learning from the pilot
programme”
• Brings together learning from the DH’s personal health
budgets pilot programme, and shows how personal
health budgets can be implemented well
• For people working in the NHS or working with personal
health budgets more widely, and people eligible for a
personal health budget and their families
• Some parts of the toolkit aimed at particular groups such
as frontline healthcare practitioners, or finance managers
www.personalhealthbudgets.dh.gov.uk/toolkit
Stories
• Dan, 22 and from Hull, has cerebral palsy.
• He needs regular physiotherapy, but sometimes is
unable to access it on the NHS for long periods. This
leaves Dan in pain, with severe postural problems.
• With his personal health budget Dan can access weekly
physiotherapy, seeing improvements in his muscle
control, posture, speech and breathing.
• Through the care planning process, equipment was also
identified that will help Dan manage his condition better.
• Now Dan can communicate more clearly and lead a full
and active life, including attending college and pursuing
his passion for music.
Stories
• Nikki, 35 and from Dorset, has childhood onset
rheumatoid arthritis with severe flare-ups.
• Normal NHS services were often unable to provide
immediate care, so Nikki had frequent prolonged stays in
hospital.
• Nikki uses her personal health budget to employ three
carers on a flexible basis.
• When a flare-up occurs they are able to reach her within
30 minutes, and between them can provide 24 hour care
for several weeks if needed.
• Nikki’s medication can be administered at home by the
NHS. Nikki’s flare-ups are much shorter, she has fewer
hospital admissions, and a better quality of life.
More information
• Learning Network
www.dh.gov.uk/personalhealthbudgets
• NHS Choices
www.nhs.uk/personalhealthbudgets