An introduction to personal health budgets in Continuing Healthcare (CHC)


>>Voice Over: As part of ‘NHS Continuing
Healthcare’, Clinical Commissioning Groups have a legal duty to offer ‘personal health
budgets’ to those who are eligible. These budgets allow people to receive care
and support that best suits them. Previously, the NHS would decide what form of care and support a person received, and
when they’d receive it. However with personal health budgets, the
recipient (or their representative) can decide what outcomes they want to achieve, and how
their budget will be used to meet these outcomes, with the agreement of their NHS team. That means people have more choice, control
and flexibility, over their care and support. So how does this work in practice? Let’s say Jill has just been found eligible
for NHS Continuing Healthcare. There are six steps you’ll need to take: 1. Firstly, you have a duty to tell Jill about
personal health budgets, and provide information to help her decide whether such a budget is
right for her. 2. If it is, you should work with Jill, or
her representative, to assess what her health and wellbeing needs are. 3. Based on these needs, you should calculate
how much money Jill would require for her ongoing care and support. 4. Together with Jill, make a care plan, detailing
what’s important for her health and wellbeing, and how the money will be used. 5. You should arrange with Jill how to put her
plan into practice, making sure that everything is in place to meet her needs. This might
involve ‘direct payments’ to Jill, or paying a ‘3rd party budget’ to an independent
organization, who’ll manage the money on Jill’s behalf. If the NHS manages Jill’s
budget for her, that’s called a ‘notional budget’. 6. Lastly, you should check in regularly with
Jill, to make sure everything’s going well, and adjust her plan, or budget, where needed. There are different ways to approach each
of these steps. So it’s a good idea to talk to people like Jill, when figuring out the
best approach for them and your CCG. This process should fit in with your existing
case management for NHS Continuing Healthcare, and provide new options for people whose preferences
might not be fully met through traditional arrangements. It might be challenging for you to find a
balance between giving people more choice and flexibility, and maintaining clinical
accountability. It might also be challenging to ensure that
your decisions about personal health budgets are both fair to everyone receiving NHS services,
and sustainable for the NHS. So to manage these challenges, your CCG should
form a group of people for you to work with, from different areas of your organization,
and possibly your local authority and recipients of NHS services. This group will help make sure there’s clinical
and financial governance at all stages. It’s worth noting that you’re not using
new money for personal health budgets. You’re using money that’s already available for
care and support, but in a different way. Personal health budgets might be relatively
new, but the evidence is that they help people have a better experience of care and support,
and improve their quality of life. To find out more visit www.england.nhs.uk/personalhealthbudgets

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