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

Personalised care

planning

Personal health

budgets

Right to Control pilots

Special Educational

Needs & Disabilities

(SEND) pilots

Choice: of provider, GP, treatment and

Choose & Book

Self-directed support

Social care

personal budgets

Context

The essential parts of a personal health budgetThe 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

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)

Pilot evaluation (October

2012)

A wider right to ask

for a personal

health budget, for those who

would benefit

2012-13 2013-14 2014-15 […] longer-term aim

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 Choiceswww.nhs.uk/personalhealthbudgets