The National Personal Health Budget Pilot Programme. Gemma Newbery ‘NHS Personal Health Budget’ Project Manager. What is a Personal Health Budget? (PHB).
The National Personal Health Budget Pilot Programme
‘NHS Personal Health Budget’ Project Manager
What is a Personal Health Budget? (PHB)
A Personal Health Budget (PHB) is an amount of money that is allocated to a patient. The patient has choice and control over how this money is spent to meet their own personal and clinical outcomes.
Where have PHBs Come From?
Personal Health Budgets (PHBs) are one part of the drive to personalise public services in general, and health services in particular. They are a way to allow people to take more control over how money is spent on their healthcare.
Positive lessons from social care
Very new to the NHS
Promising international evidence
Many risks and complexities
evidence of the benefits of personalisation
NHS Personal Health Budget Pilot Sites
To explore the use of Personal Health Budgets for:
Patients with neurological conditions referred to the new Community Neurology Service
Patients with memory problems referred to the Intermediate Care Service at the Willows
Patients that become eligible for fully funded NHS Continuing Health Care or joint funded care packages
Carers of patients receiving a Personal Health Budget
Clear Government Support for PHBs
NHS White Paper
Mental health strategy
October 2011 announcement that, subject to the evaluation, people receiving NHS Continuing Healthcare will have a right to ask for a personal health budget by April 2014
SEN Green Paper
Right to Control
NHS Operating Framework.
NHS Future Forum and the Government’s response
At the heart of a personal health budget is a care plan which is developed in partnership. Bringing together the clinical knowledge and expertise of professionals in partnership with the individual’s knowledge of how their condition affects them and what works for them.
The plan and the budget enables people to meet their needs in different ways, ways that work for them. Once it has been developed, the plan will be subject to clinical governance and sign off.
Personal health budgets are not about new money; rather they use money which would have been spent on an individual’s care in different ways.
Personal health budgets aim to deliver better health and wellbeing outcomes through choice and control. They should facilitate integration across services.
Agree the Plan
Based on the cost of providing the patient with commissioned services
Continuing Health Care Resource Allocation System
Directory of Services:
Step 1 – Clinical sign off by lead clinician
Step 2 – Commissioning sign off
Notional individual budget
More direct control to individuals
Real budget held on the individual’s behalf
Direct payment – cash held by patient
Review periods based on:
Support Plan Period
Pete’s Story – DVD
It is essential that health and social care work together to facilitate personalisation
Personal Health Budgets aren’t for everyone
People want help to develop a support plan and decide how to spend their budget
Support planning is time consuming if it is done properly
Fluctuating and changing need
The culture change to facilitate personalisation in health is huge
It is important to recognise and record risks
Delivering Personal Health Budgets in a time of financial challenge
Developing the right systems and processes
Early Lessons & Key Challenges - 2
What Next - 1?
To build on the lessons learnt throughout the PHB pilot to develop a sustainable, efficient and effective process for providing patients with a PHB in Nottingham.
What Next - 2?
Tel: 0115 883 9474