Personal Health Budgets
Dawn Stobbs
Personalisation and Control Specialist
Widnes 24th April 2013
Personal Health Budgets?
What are they?
What have we learnt?
What happens next?
Widnes 24th April 2013
2 NHS | Presentation to [XXXX Company] | [Type Date]
Personal Health Budget
• 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
The essential parts of a Personal Health Budget
The person (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.
Personal Health Budget
Personal Health Budget
•
•
Cannot be spent on: emergency care,
planned operations, activity covered by the
GP contract, anything illegal, gambling, debt
repayment, alcohol and tobacco or any
service that an individual would usually
make a contribution towards e.g.
prescription charges.
Can be used for goods, services and
activities to meet an identified health
outcome.
Personal Health Budget: Examples
•
•
•
•
Employ personal assistants to look after you
at home.
Alternative therapies e.g. for pain
management instead of pain medication.
Alternative activities to traditional day care
or respite care.
Alternative equipment and classes to help
manage your condition.
Evaluation Findings. Overall Positive
• Positive impact on care-related quality of life and
psychological well-being.
• Did not have an impact on health status or healthrelated quality of life. (positive or negative)
• Positive impact on peoples outcomes when:
More choice and control
Budgets with £1000 or more
• Overall personal health budgets were cost
effective.
• But we still have much to learn
Announcement November 2012
• Confirm objective in Mandate to NHS England
• Confirm right to ask for NHS Continuing
Healthcare recipients by April 2014
• Enabling NHS Commissioners to offer personal
health budgets to others who may benefit
• Current pilot sites will be able to continue to offer
direct payments, until revision of the current
legislation allows them more widely
• Responsibility for delivery transferred to NHS
England on 1st April 2013
Personal Health Budget. What now?
• Delivery support around the country
• Work looking at specific issues or areas where we need
to learn more e.g. 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
Useful Links and Contacts
• Contacts: dawn.stobbs@nhs.net T: 07789741134
• PHB website
www.personalhealthbudgets.england.nhs.uk
• Evaluation Team website
www.phbe.org.uk