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Personal Health Budgets
Georgina Walton
Personal Health Budget Project Manager
Personal Health Budgets
Backdrop
“ You have the right to make choices about your NHS care and to information to support these choices. The options available to you will develop over time and depend on your individual needs.”
(Section 2a of the NHS Constitution)
Personal Health Budgets
Evidence from social care• Co-production• Better outcomes (even if service
doesn’t change at all)• Cost effective• Direct payments can work well for all
ages, personal backgrounds, conditions
Personal Health Budgets
Key deliverables
National• People know up front roughly how much their
personal health budget will be • People can choose how to use their personal
health budget in the way that suits them best• A range of deployment options are available
Personal Health Budgets
Six principles• Upholding NHS values • Quality is key!• Tackling inequalities
and protecting equality• Personal health budgets
are voluntary• Decision making close
to the individual• Partnership
Personal Health Budgets• Who can have a personal budget?
• Anyone who wants one. Needs should be such that a budget can be reasonably set
• What can a budget be spent on? • Not emergency care or core GP services• Agreed care plan with agreed health and wellbeing
objectives• Services should be appropriate for the state to provide
– not gambling, debt repayment, alcohol, tobacco
Personal Health BudgetsWhat’s involved?
There are 4 key stages Personal Health Budgets
Knowing amount of money in
the budget
Agreeing the Care plan which sets out:
•health needs / outcomes,•money in budget•What goods and services will be bought and the cost of these
Managing the plan and getting
the care eg by direct payment
Monitoring and
Review
Personal Health BudgetsDifferent ways of delivering a
personal health budget
Personal care plans
Notional individual
budget
Real budget held on the individual’s
behalf
Direct payment –
cash held by patient
Already legally
possible
Mo
re d
irect co
ntro
l to
ind
ivid
ua
ls
Personal Health Budgets
Local key deliverables
NHS Eastern and Coastal Kent to pilot
Continuing Health Care with 20 patientsEnd of Life Care with 4 patients
Maternity with 30 womenCarers
Mental Health with 20 individuals
Personal Health Budgets
Local key deliverables
To build on the integrated commissioning structures between Health and Social Care, KCC has been supporting NHS Eastern and Coastal Kent and will test the potential of the Kent Card as the payment mechanism for the
Personal Health Budget
Personal Health Budgets
Evaluation of the pilotThe independent evaluation team in place will report at intervals over 3 years, to include:
Health, wellbeing, experience and access
Variation by condition
and background
Financial impact
Effect on NHS
services
Practical – what works,
what doesn’t?
Impact on staff
Personal Health Budgets
March 2010Regulation in
place
Programme timeline
Summer 2010First interim
report published
2012end of pilots
and evaluation
April 2010Recruitment to
evaluation cohort starts
Mid-2010direct payments allowed in pilots
(subject to regulation)
Personal Health BudgetsConclusion: personal health budgets
• Drawing on the evidence from social care and other countries
• Still a long way to go – this will take time, and there are many risks and challenges to overcome
• But great potential to improve the quality of care and make services more personalised
• A real commitment to join up and share learning with other programme
For more information, visit: www.personalhealthbudgets.org.ukor email the team at [email protected]
Personal Health BudgetsSome potential examples of things which
could be included
• Equipment - electric wheelchairs, beds etc• Hydrotherapy • Complimentary therapy eg acupuncture• Air conditioning• Activities and classes instead of traditional mental
health services• Alternative respite arrangements
