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Introduction to Personal Health Budgets Morwenna Foden Commissioning Manager NHS Bassetlaw CCG. What is personalisation?.
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Introduction to Personal Health Budgets Morwenna Foden Commissioning Manager NHS Bassetlaw CCG
What is personalisation? • ‘Personalisation is about putting individuals firmly in the driving seat of building a system of care and support that is designed with their full involvement and tailored to meet their own unique needs. • Individuals will receive their own budget and can decide how, who with and where they wish to spend that budget in order to meet their needs and achieve their desired outcomes’ • http://www.personalisationagenda.org.uk/
Why personalisation? • Campaigned for by disabled people • Choice and control • Empowers individuals to be the expert • “No decision about me without me” • Cross-party government agenda
Personal Budgets: social care • Since October 2010 in Nottinghamshire • Anyone in receipt of ongoing social care is offered a Personal Budget • Everyone is offered a Direct Payment • In Nottinghamshire: • 91% of service users have a Personal Budget • 34% have a direct payment
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 health and wellbeing outcomes.
NHS Pilot • 20 in-depth pilot sites (Doncaster, Nottingham City) • Evaluation looked at: • who will benefit most from personal health budgets • how the NHS can make them work
NHS Pilot • Findings: • improved quality of life and psychological wellbeing • benefits were more marked where people had higher levels of need • worked better where people were given more choice and control • people reported positive impacts of their personal health budget, they also talked about the change in their relationship with healthcare professionals • family carers were more likely to report a better quality of life
Continuing Healthcare • A package of care that is arranged and funded solely by the NHS for individuals who are not in hospital who have complex ongoing healthcare needs.
NHS Roll Out • Right to ask: April 2014 • Right to have: October 2014 • Long term conditions & mental health: April 2015
What we are doing in Bassetlaw CCG • Agreeing our vision and strategy • Deciding how to set budgets • Creating a system for administering direct payments • Trialling processes with a few patients • All systems go for April!
Opportunities for the VCS • Support with the processes: • care planning and brokerage • managing budgets • Service delivery: • patient becomes the commissioner • promoting services to individuals • diversifying services: not limited by a contract • being flexible to meet needs