NHS Oldham CCG

NHS Oldham CCG – Personal Health Budget Local Offer

What is a personal health budget?

A personal health budget (PHB) is an amount of money to support a person’s identified health and wellbeing needs, planned and agreed between the person and their local NHS Team. At the centre of the personal health budget is a care and support plan. This sets out the agreed health and wellbeing outcomes that the patient wants to achieve and how the budget will be spent to help the individual.

More choice and control

The aim of a personal health budget is to give individuals more choice and control over the money spent on meeting their health and wellbeing needs.

PHBs support the vision of a more personalised and patient-focused NHS.

Who can have a Personal Health Budget?

  • Since April 2014, those patients eligible for NHS Continuing Healthcare and Children and Young People eligible for a Continuing Care package have the right to have a personal health budget. Therefore, Oldham CCG will continue to provide PHBs for adults eligible for NHS Continuing Healthcare and Children & Young People eligible for Children’s Continuing Care.
  • Since September 2014, Children with special educational needs and disabilities (SEND) as part of their Educational Health and Care (EHC) plans have been able to request a PHB.
  • Since April 2015, children with complex health needs and long term conditions have had the right to request a PHB.

From April 2016, NHS Oldham CCG is looking to further develop personal health budgets and extend this offer to the following groups:

  • Adults with a Learning Disability and / or Autism in line with the plans for ‘Transforming Care’ for People with Learning Disabilities in Oldham, including all those in inpatient care and those living in the community but at risk of being admitted to inpatient care. This also includes adults with learning disabilities placed in care out of borough.
  • Those individuals with a Learning Disability and / or Autism who are presently in receipt of a joint health and social care package of care

During the next 5 years the Local Offer is likely to be expanded to include those individuals with a range of long-term conditions and may include mental health.

Children and Young people

For children and young people with special educational needs and disabilities (SEND), the personal health budget is likely to form part of their Personal Budget for their Education, Health and Care (EHC) Plan.

More information is available on the Oldham Council website:

http://www.oldham.gov.uk/info/200368/children_with_disabilities

What can a personal health budget be spent on?

Everyone with a personal health budget can get support to think through how they would like to use their budget to meet their health and wellbeing needs.

It is the responsibility of local NHS Teams to advise people, and recommend a range of organisations who can offer local support. This is often described as brokerage.

A personal health budget can be spent on any care or services that are set out in the care and support plan that has been put together with the NHS Team or Voluntary Organisation working with the person - and this needs to be agreed by the CCG (clinical commissioning group).

What it doesn't cover

There are things that it would not be right for the Government to fund such as alcohol, tobacco, gambling or debt repayment, or anything that is illegal.

A personal health budget cannot be used to buy Emergency Care - for example if someone in receipt of a personal health budget had an accident, they would go to A&E like everyone else - they would not use their personal health budget to arrange for example an x-ray or plaster a broken arm.

A personal health budget also cannot buy Primary Care Services such as seeing a GP or Dental Treatment.

Co-production and changing the conversation

One of the central aims of personal health budgets is to enable people to play an active role in managing their health. This can be described as Co-Production - working together with health professionals as an equal partner, deciding together how best to achieve goals.

This may lead to people using their budgets in innovative ways rather than relying on services that the NHS would normally provide.

I am interested in a PHB – what should I do?

The first step is to talk to your NHS Professional about your request or telephone Oldham Clinical Commissioning Group 0161 622 6525.

You can share your views with NHS Oldham anytime via: phb.queries@nhs.net

Alternatively, you can write to:

NHS Continuing Healthcare Team
Ellen House
Waddington Street
Oldham
OL9 6EE

Working with the Local Authority

The CCG is working with the Local Authority to streamline the process to enable a smooth transition for people who have a personal budget from the council who move from social care to health funding. This will enable people to have a better experience.

In addition the CCG and Local Authority are working towards extending the offer over the next 5 years to include Integrated Commissioning Budgets (ICP). These are Health and Social Care Budgets and may benefit those people who frequently access health services, enabling more choice, flexibility and control over the health care & support they receive.

The CCG are aiming to work in collaboration to co-produce our local offer by working with our patients, partners and staff in Oldham throughout 2016/17.

Personal Health Budgets frequently asked questions

Brokerage and Payroll approved providers list

Expressions of interests form

Personal Health Budget Support Plan