1. The Nuffield Trust
Annual Health St t
A l H lth Strategy Summit 2011
S it
Choice and Shared
Decision Making
Stuart Lane
Personal Health Budgets Pilot

2. • A clear direction has
been set out placing
patients and the
public at the heart of
the NHS.
• To allow people more
control over their
health care wherever
possible.

3. Personal Health Budgets
Have the potential to
improve the lives of
p
patients, their families
and carers, by
enabling them to
choose the care and
services which best
suit their needs.

4. Together?
Drive for greater
integration and
g
partnership
working between
the NHS and
Local Authorities

5. Opportunity to Learn
There is much
for the NHS to
learn from the
experiences of
p
personalisation
in Social Care.

6. Opportunity to do things differently!
There are clear opportunities to develop new ways of
thinking around the delivery of public services.
For example, taking co-production into mainstream by:
example
• Recognising people as assets
• Building on people’s existing capabilities
• Promoting mutuality and reciprocity
• Developing peer support networks
• Breaking down barriers between p
g professionals and recipients
p
• Facilitating rather than delivering
NESTA, 2010

7. Personal Health Budgets Evaluation
The independent evaluation team
led by the Personal Social Services Research
Unit at the University of Kent
will report at inter als o er 3 years, to incl de
ill intervals over ears include:
Health, Practical –
Variation by Effect on
wellbeing, Financial what works, Impact on
condition & NHS
experience Impact
I t what
h t staff
t ff
background Services
& access doesn’t?
Final report p
p produced October 2012

8. Scope of Evaluation
Maternity
Neurological Conditions
End of Life care
NHS continuing healthcare
Mental health
M t l h lth
COPD
Stroke
Diabetes

9. “To be honest, our
To
personal budget has
opened the door to a
better world. The
professional help for
Anita has t l
A it h not only
dramatically improved
her life I feel it has
life,
also saved mine”

10. “To be honest, our
To
personal budget has
opened the door to a
better world. The
professional help for
Anita has t l
A it h not only
dramatically improved
her life I feel it has
life,
also saved mine”

11. Direct Payments for Health
Multiple Sclerosis.
p
Previous Direct Payments
via Local Authority.
Employed own PA.
Qualified NHS CHC.
PA support disrupted.
disrupted
Reduced control over
own end of life care.
Use of Direct Payments
for health care – promote
staying i control.
t i in t l

12. Could we ?
we…?
Palliative Care.
Surgery
&Chemotherapy.
Quality time with
loved ones.
o ed o es
Who s
Who’s Choice???

13. Time for a different conversation?
• Making decisions as
g
close to the individual as
possible.
• D
Developing T t
l i Trust.
• Promoting Well Being
and Prevention, not
responding to illness.
• Patient not service led.
• Positive attitudes towards
RISK.

14. Citizenship Model

15. Challenges
• Cultural change necessary in
commissioning, providing and
receiving h lth
i i healthcare.
• Developing new robust,
evidence - demonstrating
effectiveness, efficiencies and
improved productivity
productivity.

16. Stuart Lane
Project Manager
Personal Health Budgets Pilot
City Health Care Partnership CIC
www.personalhealthbudgets.dh.gov.uk