Personal budgets in the Netherlands
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Personal budgets in the Netherlands

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International Seminar on Social and Health systems in Europe organized by SITRA. Helsinki 7-8 September 2010.

International Seminar on Social and Health systems in Europe organized by SITRA. Helsinki 7-8 September 2010.
Presentation by Floris de Boer, Ministry of Health, Welfare and Sport.

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Personal budgets in the Netherlands Personal budgets in the Netherlands Presentation Transcript

  • Personal budgets in the Netherlands
    • International Seminar on Social and Health systems in Europe organized by SITRA. Helsinki 7 – 8 September 2010.
    • Presentation by Floris de Boer (Direction Long term care).
  • Content
    • Introduction
    • History
    • Facts & figures
    • Less satisfactory developments
    • Necessary interventions to make the system future-proof
    • Upcoming developments
  • I. Introduction
    • An incident
    • Thanks & introduction
    • Content of the speech
  • II. History
    • 1991: “Working document innovation care for mentally disabled persons”.
    • 1995: “Care in your wallet”
    • Quango’s and politics
  •  
  •  
  • III. Facts and figures
    • Dutch peculiarities
    • Growth number budget holders and granted/available budget
    • Quality of care, made available by personal budgets
    • (ZVW)
    • cure
    (AWBZ) care (WMO) Social support
  • There is a whole world outside the long term care……
    • PGB in the long term care
    • PGB in the Social Support Act (Wmo) for domestic home help, transport, wheelchairs, adjustment of house (for disabled people)
    • PGB for re-integration (finding a job after a period of inability to work)
    • PGB for (medical) aids such as hearing aids etc.
    • PGB for the cost of psychiatric treatment (cure)
  • [1] Ramingen [2] Ramingen [3] Zonder de Wmo zouden er circa 30.000 budgethouders meer zijn 2.220 1.846 1.455 1.136 922 764 635 Expenses in million Euro’s 1.700 1.700 2.000 1.208 917 583 1.042 Average increase pro month 130.000 110.000 90.000 [3] 95.000 80.500 69.500 62.500 Number of budget holders 2009 [2] 2008 [1] 2007 2006 2005 2004 2003 Year
  •  
  • Way of supply Bronnen: bewerking op basis van gegevens zzp-bronbestand, NZA, CAK, CIZ en CVZ en VGZ. 18.000 71.000 500.000 Total 1.000 5.000 9.000 2.000 1.000 19.000 19.000 32.000 70.000 295.000 85.000 50.000 Demented elderly people Elderly people with somatic disorders Disabled people People with psychiatric disorders Both Personal budgets Care in kind Target groups
  • IV. Less satisfactory developments
    • Intermediary agencies
    • Fraud
    • Inappropriate use: personal budgets as an unintentional choice
  • V. Necessary interventions to make the system future-proof
    • Re-thinking target groups
    • Temporary stop growth, expansion, personal budgets second half 2010
  •  
  • AWBZ in historic perspective 1 Exclusief kosten voor beheer en subsidies AWBZ. Bronnen: VWS-begroting 2008 1998 1968 12,15% 9,60% 0,41 % Premium AWBZ Circa 600.000 Circa 900.000 Circa 500.000 (excl. GGZ-extramural) Circa 55.000 Number of clients € 20,5 € 12,8 < € 1 Costs AWBZ-care 1 (billion €’s)
  • VI. Upcoming developments
    • Reduction of target groups
    • Person budget ideology will influence regular “care-in-kind”
    • Personal remarks