Report on the most effective process for Personal Health Budgets

  • A new paper has been published by In Control highlighting the 10 features an effective process for personal health budgets for continuing healthcare.

    The paper, by In Control in partnership with NHS North West, has been published to show the most effective processes for personal health budgets before they come in to effect in April 2014.

    Pilot sites have implemented the personal health budgets on a variety of services and support issues, such as mental health problems, diabetes, end of life care and continuing healthcare.

    Based on the research done so far, 10 of the most effective budget processes for personalisation have been concluded:

    1. A personal health budget covers the full range of an individual's health or social care needs
    2. The full continuing healthcare package is included within a personal health budget
    3. Individual's know how much they have to spend before they start planning
    4. The indicative budget process is based on needs not hours of care
    5. Clinicians are involved from the very beginning but do not dominate
    6. Adequate support is available to personal health budget holders for support planning
    7. The support plan is written in an individual's own words and is not a clinical care plan
    8. Individuals are in charge of decisions about training
    9. The approval process is light touch and transparent
    10. There are adequate options available for how the personal health budget is held

    In advance of the official evaluation, the Secretary of State for Health has committed to give the right to ask for a personal health budget in continuing healthcare from April 2014 in advance of the official publication of the national evaluation in October 2012

    Vidhya Alakeson, Director of Research and Strategy at the Resolution Foundation and author of the report, comments:

    Through our work in the North West we have established that the current pilot programme has not been driven by a blueprint for how personal health budgets should be implemented and, therefore, there is a significant amount of variation in how the process has been designed and the outcomes have been achieved for people.

    In identifying the features of an effective process, the report intends to inform future implementation to ensure that personal health budgets deliver the best possible outcomes for individuals and families.

    Personal health budgets require significant culture change in the NHS to succeed but many of the pilot sites have demonstrated that this is possible. In those areas that have gone the furthest, personal health budgets have become the norm in continuing healthcare - they are how continuing healthcare is done locally, although the option not to have a personal health budget remains.

    See the full report by In Control.





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