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Government launches consultation on extending personal budgets

Government proposes increasing patient groups who could benefit from personal health and integrated personal budgets

Published on 23rd April 2018

A consultation which proposes extending the group of people who could benefit from personal health and integrated personal budgets has been launched by the government.

The Department for Health and Social Care and NHS England are consulting on extending the patient groups who could benefit from personalisation.

“The evidence for personal health budgets is strong. They have been shown to improve individual outcomes and increase satisfaction, in a cost-effective manner aligned to supporting a financially sustainable NHS. They can also help to support a move from unplanned, emergency care to planned care, in a location that people want and that is best for them,” said the consultation document.

Currently, the only people who have a specific ‘right to have’ a personal health budget, are adults in receipt of NHS continuing healthcare or children receiving continuing care. However, the government suggests that given the clear benefits, they believe there are now a number of other groups who could benefit from this approach. As a result, they are proposing to extend this right to other groups, to ensure that for people who want a personal health budget and/or an integrated personal budget to address their needs, and if deemed clinically appropriate, the system is in place to ensure they can receive one.

The government has identified patient groups who could benefit from personal health and integrated personal budgets as the following:

  • People with ongoing social care needs, who also make regular and ongoing use of relevant NHS services.
  • People eligible for Section 117 aftercare services, and people of all ages with ongoing mental health needs who make regular and ongoing use of community based NHS mental health services.
  • People leaving the Armed Forces, who are eligible for ongoing NHS services.
  • People with a learning disability, autism or both, who are eligible for ongoing NHS care.
  • People who access wheelchair services whose posture and mobility needs impact their wider health and social care needs.

A person with an integrated personal budget will have all their health and social care needs considered during one, single assessment, will have a single personalised care and support plan designed with them, not for them, and one, integrated budget that meets their needs. The overall aim of the integrated personal budget is to enable the person and their carers to exercise greater choice and control over how their needs are met and achieve better outcomes, whilst avoiding the need for multiple assessments and managing separate budgets.

Within the document, are proposals where the government believes an explicit right to receiving a personal health budget or integrated personal budget via a direct payment, would benefit certain groups. The document outlines that this does not mean the direct payment method is the only method available but they want to ensure that the system is in place to deliver a personal budget in that way for those groups who direct payments will benefit, if they so wish.

The consultation is asking for views on:

  • Whether you agree that the groups identified should be prioritised;
  • Whether you believe these groups would benefit from a personal health budget and/or an integrated personal budget or not; and
  • Whether there are other groups, or areas of the system that we have not identified, who you believe a personal health budget and/or an integrated personal budget could benefit.

“It is our belief that integrated personal budgets could be used to support people to have better lives, through providing the opportunity to incorporate additional funding streams linked to health and wellbeing into the individual’s budget. The budget would then be based around a single, holistic assessment and plan, focussing purely on that individual’s holistic needs. We would also welcome your views therefore on whether there are other funding streams that could be incorporated into integrated personal budgets,” the consultation concludes.

The consultation closes on 8 June 2018.

 

 

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