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Personal Health Budgets Nov 2017


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Personal Budgets, Personal Health Budgets and Integrated Personal Commissioning - what does this all mean and what are the opportunities?

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Personal Health Budgets Nov 2017

  1. 1. Personal Budgets, Personal Health Budgets and Integrated Personal Commissioning– what does this all mean and what are the opportunities? Lilian Beasant- Integrated Personal Commissioning Team
  2. 2. Integrated Personal Commissioning • Jointly managed by Herts Valleys and East & North Herts Clinical Commissioning Groups and Hertfordshire County Council • Sponsored by NHS England until March 2018 - combining resources across health, social care and beyond • Putting patients and carers at the centre of decision making by supporting people to become active participants in their communities • IPC can help to reduce unplanned and emergency care • Supports the whole health system to be more sustainable. • All Age Personalisation Steering Group
  3. 3. An integrated, whole population approach to personalised care 3
  4. 4. Five key shifts
  5. 5. What is a Personal Health Budget NHS England definition A personal health budget (PHB) is an amount of money to support the identified healthcare and wellbeing needs of an individual, which is planned and agreed between the individual, or their representative, and the local clinical commissioning group (CCG). It isn’t new money, but a different way of spending health funding to meet the needs of a individual. Personal health budgets are one way to give people with long term health conditions and disabilities more choice and control over the money spent on meeting their health and wellbeing needs.
  6. 6. Characteristics of a PHB The person with a personal health budget (or their representative) should: 1. Be central in developing their personalised care and support plan and agree who is involved 2. Be able to agree the health and wellbeing outcomes* they want to achieve, together with relevant health, education and social care professionals 3. Get an upfront indication of how much money they have available for healthcare and support 4. Have enough money in the budget to meet the health and wellbeing needs and outcomes* agreed in the personalised care and support plan 5. Have the option to manage the money as a direct payment, a notional budget, a third party budget or a mix of these approaches 6. Be able to use the money to meet their outcomes in ways and at times that make sense to them, as agreed in their personalised care and support plan. *And learning outcomes for children and young people with education, health and care plans.
  7. 7. Personal Health Budgets and Personal Budgets Adults and Children eligible for social care funding have the right to have a Personal Budget. As of October 2014 Adults eligible for NHS Continuing Healthcare and Children eligible for Continuing Care have the right to have a Personal Health Budget. People have a choice as to how they receive their PHB or PB: • Notional Budget • Direct Payment • Third Party Management Why do people choose to have a PB or PHB? • To have more choice, control and flexibility • To employ personal assistants directly • Consistency of staff • Maintain support through transition
  8. 8. Types of PHBs
  9. 9. Personal Health Budgets and Personal Budgets
  10. 10. What’s Missing? How can voluntary sector and community organisations support?
  11. 11. Support to develop a PHB • Information, Advice and Guidance (IAG) • Signposting and triage • Support Planning • Specialist “Brokerage” Sourcing
  12. 12. Support to maintain a PHB • Recruiting Carers and Personal Assistants • Payroll • Managed account services
  13. 13. Services, resources and activities for budget holders and self funders to buy Training for Carers and Personal Assistants Technology Personal Training Singing lessons Drumming lessons Carer/ PA support Hydrotherapy Zoo memberships Counselling Club/ group memberships
  14. 14. What next? • Scope services you currently offer that could be bought by budget holders. • Identify unit costs. • Scope new services/ resources that could be offered. • Build a plan for sustainability. • Marketing • Prepare to receive funds directly from budget holders.
  15. 15. IPC Herts Valley Case study – Age UK “She put me at ease. She spoke to me on the same level. I wasn't talked down to and she treated me as though I was a person, rather than an object. That happens to me quite a lot these days – people speak to you like you don't know anything or don’t know your own mind, but I can still function on an intellectual level. That’s what was different: she made me feel like a person and she listened to what I was going to say and I found that very, very encouraging. It made think more about what I needed and wanted to do.” Client
  16. 16. The key features of the Age UK PICP model
  17. 17. Improved Welbeing •Wellbeing has been improved by: Helping older people to become aware of their own needs and fostering agency – empowering clients to make purposeful choices and to be in control Enabling independence and wellbeing through practical support Reducing isolation and raising ambition by motivating clients to re- engage with interests and become more socially connected Providing an ‘extra arm’ of support for older people
  18. 18. < than 4% of referrals: Home and garden services, other VCS I&A, advocacy and support services, Private Sector personal home care services, Age UK volunteering, Home aids and advice (non-local authority support), Personal alarms and telehealth, Dementia specific groups, Energy advice, Unwanted calls and mail blocking services, Home safety checks, Podiatry) Snap-shot of where clients are ’signposted’ or supported to help them achieve their goals
  19. 19. NHS < than 1% of NHS referrals: • NHS Helpline for advice on health costs • Speech and Language Therapy • Community Continence Team • Integrated Care Team • NHS Choices • NHS Prescription Services • Smoking cessation service
  20. 20. Other (unspecified)
  21. 21. Di’s Diamonds Redbridge Barking and Havering • One of the emerging needs for people with multiple long term conditions has been to reduce loneliness and isolation cause by poor health and diminished social circles of support. • Di Diamonds • This was established by two volunteers in Havering who set up a programme of activities and outings for older people including coffee mornings, knitting group, bowling, Irish Dancing, theatre and museum outings, daytrips, restaurant outings, etc. This has grown in the last 3-4 years and it currently has a reach of 400 older people mainly living in Havering. • Programme of activities includes: • Two Coffee mornings every month one at the Bravo Café in Romford and one at the Queen’s Theatre in Hornchuch • A knitting group at the Queen’s Theatre • One Bowling group in Romford on the first Tuesday of every month • Irish Dancing in Forest Gate on the first Thursday on the month. • Several outing to theatre, concerts, museums, gardens, walks each month.