A personal health budget (PHB) is an amount of money that is spent on an individual’s health and wellbeing needs and is generally for those with a long-term illness or disability. The NHS wants to make it easier for people to get the NHS care that best suits them. Having a personal health budget is one way we way we think we can achieve this.
If you have a personal health budget, you will be able to use it for a range of things to help you meet your health and wellbeing goals, for example therapies, personal care and equipment. You will not be able to pay for emergency care and care you normally get from a family doctor (GP). You are also not allowed to spend the money on gambling, debt repayment, alcohol or tobacco, or anything unlawful.
A personal health budget can take three forms:
NHS Milton Keynes Clinical Commissioning Group is committed to expanding Personal Health Budgets beyond patients in receipt of Continuing Healthcare funding from April 2016. As part of this new initiative we will aspire to:
See the patient as the expert in their own life
Provide clear and accessible information about PHBs
Take into account that PHBs will not be appropriate for everyone
Calculate a comprehensive indicative budget
Endorse the support planning process which is the lynchpin of a PHB
Remain open minded and flexible in decision making; advocating choice and control and a transparent process
Focus on the outcomes the support plan aims to achieve for an individual’s health and wellbeing, not the specific items bought
Facilitate patients to make informed decisions taking into account risk to themselves, others and the organisations involved
Work with local providers to ensure there is a range of services to choose to purchase with a PHB
Provide efficient and safe means for managing a PHB
Work closely with the local authority to provide a seamless process for integrated packages
Monitor and evaluate the impact of PHBs on individuals and their care and use feedback to make positive changes to our systems and processes
Within the next twelve months, NHS Milton Keynes Clinical Commissioning Group will develop Personal Health Budgets for:
• Adults and children with learning disabilities
Within the next twelve months, NHS Milton Keynes Clinical Commissioning Group will explore Personal Health Budgets for individuals impacted by the Joint Transformation Plan.
The specific cohort for the next twelve months will be children and adults with learning disability and/or autism who may exhibit challenging behaviours, are currently receiving inpatient care and those who are on Milton Keynes Transforming Care ‘at risk’ register i.e. people supported within the community but who may be at risk of admission. In Milton Keynes, this amounts to approximately 150 children and adults who are (or are planned to be) supported within the community through individual packages of care (IPC).
Throughout the next twelve months NHS Milton Keynes Clinical Commissioning Group will:
i) Work with care coordinators to review the elements of the care package to identify which aspects could be funded under PHB i.e. cashable care plan
ii) Work with care coordinators to identify any inherent risks in offering a PHB and work to mitigate these risks
iii) Work with the service user and their family carer to develop a PHB to meet identified need
People with learning disability and/or autism may have specific additional needs to access a Personal Health Budget. The CCG will consider mechanisms to facilitate access to a Personal Health Budget such as contracting Care Navigators/ Brokerages/Advocacy.
• Children with special educational needs and disabilities
NHS Milton Keynes Clinical Commissioning Group will to work with MKC to align the personal health budget and personal budget offer for children and young people aged 0-25 who has an Education, Health and Care (EHC) Plan. The initial focus will explore opportunities for children and young people who have a learning disability and / or autism in line with the Transforming Care agenda.
Over the next twelve months we will work with children and families to understand how they would like to use personal health budgets to meet their needs and support them to achieve the best outcomes. This will help the CCG develop future contractual arrangements to support the expansion of Personal Health Budgets.
• Continue to promote Personal Health Budgets for NHS continuing healthcare and children’s continuing care
NHS Milton Keynes Clinical Commissioning Group will also develop a longer term strategy for expanding personal health budgets to 1-2 in 1,000 people (0.1%-0.2% of the population). Expansion plans will also focus on the development of integrated budgets.
Can I apply for a personal health budget in Milton Keynes?
If you feel you meet one of the criteria outlined above and would like more information about Personal Health Budgets, please contact:
Quality Standards Manager
Milton Keynes Clinical Commissioning Group
155 Sherwood Drive
Tel: 01908 278759
You can contact the personal health budget team by calling 01604 651178 or by email firstname.lastname@example.org
For more information on Personal Health Budgets follow the links below:
This webpage was published in April 2016 v1
This webpage was updated in June 2016 v1.1