Clinical commissioning v individual commissioning:The role of personal health budgets     Nuffield Trust: 26 April 2012
PHBs are one part of the drive to personalise publicservices in general, and health services in particular                ...
5 Key Points•   At the heart of a personal health budget is a care plan which is developed in    partnership. Bringing tog...
The PHB pathway is very similar to a number of others:• Personal budgets in social care,•SEND pathfinders•LTC care plannin...
Different ways of delivering a personalhealth budget                    Notional                                          ...
The Pilot Programme: involving people with a range of conditions:
Government is committed to national roll-out2012-13       2013-14        2014-15          […]   longer-term aim    Pilot  ...
What does the announcement mean in practice?The pilot finishes in October 2012, Government will then make adecision on the...
Valuable learning from Pilots:• Financial issues such as how to set budgets and freeingup funding from existing block cont...
The PHB pilot workstreams – getting ready for rollout:Leadership and ownership: Nurturing and building leadership and owne...
Conclusion: personal health budgets • A lot of enthusiasm for personal health budgets and   personalisation more generally...
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Alison Austin: Clinical commissioning v individual commissioning: The role of personal health budgets

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In this slideshow, Dr Alison Austin, head of the personal health budgets team at the Department of Health, outlines the different elements of a personalised health service and highlights the ways in which the personal health budgets initiative will be rolled out by the Government.

Dr Austin presented at the Nuffield Trust seminar: Clinical commissioning versus individual commissioning: the role of personal health budgets?

Published in: Health & Medicine
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Alison Austin: Clinical commissioning v individual commissioning: The role of personal health budgets

  1. 1. Clinical commissioning v individual commissioning:The role of personal health budgets Nuffield Trust: 26 April 2012
  2. 2. PHBs are one part of the drive to personalise publicservices in general, and health services in particular Right to Control Personalise pilots d care Self-directed planning support Personal health Personal budgets budgets in social Choice, care Special including Educational choice of Needs & provider, Disabilities GP, (SEND) treatment pilots and Choose & Book
  3. 3. 5 Key Points• At the heart of a personal health budget is a care plan which is developed in partnership. Bringing together the clinical knowledge and expertise of professionals in partnership with the individual’s knowledge of how their condition affects them and what works for them.• The plan and the budget enables people to meet their needs in different ways, ways that work for them. Once it has been developed, the plan will be subject to clinical governance and sign off.• Personal health budgets are not about new money; rather they use money which would have been spent on an individual’s care in different ways.• Personal health budgets aim to deliver better health and wellbeing outcomes through choice and control. They should facilitate integration across services and build on other policies such as LTC personalised care planning.• Personal health budgets are currently being piloted, direct payments for healthcare are only lawful in DH approved pilot sites. But they will be rolled out subject to piloting.
  4. 4. The PHB pathway is very similar to a number of others:• Personal budgets in social care,•SEND pathfinders•LTC care planning•Year of Care level of plan need planning assessment agreed commissioning agreed processBut there are only a few differences e.g. • when/if people know how much money is in there budget • how budgets set • means testing
  5. 5. Different ways of delivering a personalhealth budget Notional More direct control to individual budget Already individuals legally Personal Real budget possible care held on the individual’s plans behalf Direct payment – cash held by patient
  6. 6. The Pilot Programme: involving people with a range of conditions:
  7. 7. Government is committed to national roll-out2012-13 2013-14 2014-15 […] longer-term aim Pilot National roll-out from evaluation A wider right 2013-14 (an objective for the (October to ask for a NHSCB) 2012) personal health budget, for Right to ask for a those who personal health budget would in NHS Continuing benefit Healthcare (from April 2014)
  8. 8. What does the announcement mean in practice?The pilot finishes in October 2012, Government will then make adecision on the future of personal health budgets based on the results ofthe pilots. Subject to the evaluation this will mean that: • Clinical Commissioning Groups will be able to introduce personal health budgets on a voluntary basis to anyone who would benefit from them. • after April 2014 everyone who is eligible for NHS CHC will be able to ask for one, • by April 2014, all Clinical Commissioning Groups will need to have the capacity and capability to deliver personal health budgets, • NHS CHC teams will need to understand personal health budgets and how they sit within the NHS Continuing Healthcare pathway and be able deliver them
  9. 9. Valuable learning from Pilots:• Financial issues such as how to set budgets and freeingup funding from existing block contracts, sustainability;• Scope of service areas that could be included, andconditions for which it is most appropriate;• Cultural barriers: personal health budgets will involve asignificant shift of power towards giving real power andchoices to patients;• The staff training and development needed to ensure staffhave the necessary new skills;• Building the market to ensure diversity of provision andreal choice;• Information, support and advice is key
  10. 10. The PHB pilot workstreams – getting ready for rollout:Leadership and ownership: Nurturing and building leadership and ownership of personal health budgets amongst people who can influence their roll out and people that they will affectCommunication: Creating and communicating a compelling vision for personal health budgets and helping people understand what they arePractical tools: Helping the NHS system understand what it needs to do to prepare for introducing personal health budgets by developing best practice tools and learning with sites, in areas such as budgets setting, information advice and brokerage, and integration of health and social care budgetsPolicy: Ensuring that other government policies help make personal health budgets work through liaison and partnerships with other policy areas.Workforce: making sure that the right level of skills and understanding of personal health budgets are developed among the relevant workforceProviders: Help to ensure that the provider market has an understanding of the agenda and can start to prepare itself.
  11. 11. Conclusion: personal health budgets • A lot of enthusiasm for personal health budgets and personalisation more generally • Still a long way to go – this will take time, and there are many risks and challenges to overcome • But great potential to : - Use existing money more efficiently - Join up services around the individual - Help people manage their health better - Reduce hospital admissionsFor more information, visit our Learning Network websitewww.dh.gov.uk/personalhealthbudgetsor email the team at personalhealthbudgets@dh.gsi.gov.uk

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