02/03/2015 Personal Health Budgets Neil Francis PHB Project Manager NHS Brighton & Hove CCG Feb 15 Introduction ∗ What are Personal Health Budgets? ∗ How they fit into the wider context of personalised care ∗ How the CCG is currently implementing Personal Health Budgets locally ∗ The opportunities for the voluntary/user-led sector to become involved 1
02/03/2015 What are Personal Health budgets? ∗ An allocation of NHS money to support a persons health and wellbeing needs ∗ Use of the money planned and agreed between person and NHS team ∗ Aim = Greater choice, flexibility and control over care and support they receive Exclusions The following cannot be purchased with a PHB; ∗ Emergency or acute services ∗ The majority of primary care services (These services accessed universally in usual way) ∗ Alcohol and Tobacco ∗ Gambling ∗ Anything illegal 2
02/03/2015 Who can have PHBs? ∗ All adults and children eligible for Continuing Healthcare have the ‘right to have’ a PHB from 1 st October 2014 ∗ People with long term conditions who could benefit should have the option for a personal health budget – from April 2015 ∗ Voluntary – decision of individual PHBs Address Health & Wellbeing ∗ Isolation/socialisation ∗ Exercise ∗ Diet ∗ Environment ∗ Integration 3
02/03/2015 Implementing PHBs ∗ Support Plan Co-design ∗ Budget Setting Budget reflects identified need The person knows how much money they have upfront NHS funds all the care agreed in PHB plan ∗ Budget Management Direct payment, Third party, NHS ∗ Brokerage support Benefits National Evaluation (2013): ∗ Positive impact on quality of life: ∗ Improved Psychological wellbeing (control/motivation/design of their care plan ∗ Greater Choice (Choose the health and wellbeing outcomes they want to achieve, in a dialogue with health professionals) ∗ Flexibility of care (Able to spend the money in ways and at times that make sense to them, as agreed in their care plan.) ∗ No significant improvement in clinical outcomes 4
02/03/2015 Key Challenges ∗ Counter cultural ∗ Austerity ∗ Evidence/measuring impact ∗ Time Policy Framework Emphasis on personalisation; more power in hand of people with health and social care needs, and their carers: ∗ Health & Social Care Act 2012 ∗ Care Act 2014 ∗ Children & Families Act 2014 ∗ NHS 5 year forward view ∗ Better Care Fund Programme 5
02/03/2015 Key Features of Personalisation ∗ Care Planning ∗ Information ∗ Advice /Advocacy ∗ Personal Health Budgets ∗ Self Care (Expert patient programmes, peer support, Tele-health) ∗ Integrated/coordinated community based services Personalisation 6
02/03/2015 CCG Commissioning Intentions 2015-16 • NHS Brighton and Hove CCG Focus for PHBs in 15-16: ∗ Continuing Healthcare ∗ Intermediate care / Rehabilitation ∗ Homeless ∗ Leaning Disability ∗ Children with Complex Needs • Better Care Programme • Joint commissioning = joint budgets Opportunities for voluntary/user led sector ∗ Promotion/Information NHS England Gearing Up programme (FED/FFT) ∗ Brokerage/3rd Party Management ∗ Direct service provision 7
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