Personal Health Budget - Our Local Offer
Personal Health Budgets are one way of giving people more choice and control over the care they receive from the NHS. Personal Health Budgets can help people find the care and support that best suits their personal circumstances and achieve the things that are most important to them. The following information aims to help local people understand more about Personal Health Budgets, why they are being offered and, where relevant, how to apply for one.
What is a Personal Health Budget?
A Personal Health Budget is an amount of money to support a person’s identified health and wellbeing needs, the use of which is planned and agreed between the individual, their representative, or, in the case of children, their families or carers and the local NHS team. It is not new money, but is money that would normally have been spent by the NHS on the person’s care being spent more flexibly to meet their identified needs.
Personal Health Budgets are voluntary and people do not have to have one. People with a Personal Health Budget will never be asked to pay for their own care although they could manage the budget they are given through a Direct Payment. Otherwise people could opt for the NHS or a third party organisation to manage the budget on their behalf.
Why have they been introduced?
Personal Health Budgets have been shown to help people improve their health and wellbeing, and achieve the outcomes important to them. They are just one way of providing more personalised care. Personal Health Budgets have been found to be particularly effective for people with complicated needs in reducing their need to go into hospital thereby helping to maintain their independence. As such, Personal Health Budgets support Birmingham’s health and wellbeing priorities to help vulnerable people in becoming more resilient and staying independent.
Who can get a Personal Health Budget?
Personal Health Budgets are already available in Birmingham for adults with continuing healthcare needs and also for children and young people with continuing care needs. From October 2014, people with these needs were given the right to have a Personal Health Budget.
Personal Health Budgets are also an option for children and young people (up to the age of 25) who have an Education, Health and Care Plan and who need some healthcare support to help with their learning and education because of their special educational needs or disabilities.
At present this option is only available to those eligible for continuing care (or Continuing Healthcare where someone is aged over 18) as this money is held in a separate budget from other services. In the future, the Clinical Commissioning Group will have to release money from existing contracts to make available more Personal Health Budgets as part of an Education, Health and Care plan. This must be done carefully to make sure that services are not destabilised for all who use them. In the meantime we will work to ensure that the health element of an Education, Health and Care plan is as personalised as possible to meet the needs of children and young people.
NHS Birmingham South Central Clinical Commissioning Group (CCG), along with other clinical commissioning groups in Birmingham and Birmingham City Council, are working with families to find the best way to offer Personal Health Budgets alongside Council funded Personal Budgets to deliver services agreed in Education, Health and Care plans.
NHS England also expects that people with a learning disability and/or autism should be offered the chance to have a Personal Health Budget or a joint Personal Budget that takes into account their social care needs as well. The CCG is working with partners to make sure this option is available to local people as part of other improvements set out in its Transforming Care plan for people with a learning disability and/or autism who display behaviour that challenges.
Who might be able to have a Personal Health Budget in the future?
As the CCG learns more about the best way to offer Personal Health Budgets, it will extend the offer to other people. Who this will be and when this will take place will depend on a number of factors including:
- What local people tell us about how they want to use a Personal Health Budget and how they could best be supported through the process; and
- How quickly the money for Personal Health Budgets can be released from existing contracts.
Currently the CCG is planning to offer Personal Health Budgets as follows;
During 2016/17, the CCG will work towards offering Personal Health Budgets to:
- People who receive packages of care jointly funded by the NHS and the Local Authority;
- Adults who use certain mental health services.
In 2017/18 the CCG is aiming to offer Personal Health Budgets to people:
- With palliative and end of life care needs who are likely to die within 12 months;
- Who have multiple long term conditions;
- Who find it difficult to use existing services such as those who are homeless or live as part of a travelling community.
Which organisations are involved in delivering Personal Health Budgets?
The CCG is mainly working with Birmingham City Council and NHS Arden and GEM Commissioning Support Unit in the delivery of Personal Health Budgets. The CCG also works with local NHS Trusts to help identify people who can benefit from a Personal Health Budget and support or signpost people through the process.
How can I find out whether a Personal Health Budget would be good for me or the person I care for?
If you are interested in finding out more about taking up a Personal Health Budget talk to the person who told you that you were eligible for Continuing Healthcare or children’s and young people’s continuing care or have helped you in the past with your care plans.
In the future we hope to develop a single contact point for local people to find out more easily about how they can apply for a Personal Health Budget.
Where can I find out more about Personal Health Budgets?
NHS Choices provides a lot of useful information on Personal Health Budgets including some personal stories about how they can be used and how they have helped people. http://www.nhs.uk/choiceintheNHS/Yourchoices/personal-health-budgets/Pages/about-personal-health-budgets.aspx
The PeopleHub website gives information on how people have used Personal Health Budgets and what people think of them. http://www.peoplehub.org.uk/
NHS Birmingham South Central Clinical Commissioning Group’s information on Education, Health and Care plans for special educational needs and disabilities can be accessed here: http://bhamsouthcentralccg.nhs.uk/health-services/services-for-children-and-young-people-with-special-educational-needs-and-or-a-disability-send
People eligible for Continuing Healthcare who are interested in taking up a Personal Health Budgets may find our local leaflets useful in both providing an introduction to Personal Health Budgets but also describing what your Personal Health Budget ‘journey’ may look like. These can be found below.
Is this information available in different formats?
Personal Health Budget holder funding for training
Personal Health Budget holders can apply for funding to pay for training for themselves and/or their personal assistants. The funding can also be used to meet the cost of travel or hiring replacement support if a personal assistant attends training during working hours. The Skills for Care funding is limited. Find out more here