Personal Health Budgets Neil Francis PHB Project Manager NHS - - PDF document

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Personal Health Budgets

Neil Francis PHB Project Manager NHS Brighton & Hove CCG Feb 15

∗ 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

Introduction

02/03/2015 2 ∗ 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

What are Personal Health budgets?

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

Exclusions

02/03/2015 3 ∗ All adults and children eligible for Continuing Healthcare have the ‘right to have’ a PHB from 1st 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

Who can have PHBs?

∗ Isolation/socialisation ∗ Exercise ∗ Diet ∗ Environment ∗ Integration

PHBs Address Health & Wellbeing

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∗ 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

Implementing PHBs

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

Benefits

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∗ Counter cultural ∗ Austerity ∗ Evidence/measuring impact ∗ Time

Key Challenges

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

Policy Framework

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∗ Care Planning ∗ Information ∗ Advice /Advocacy ∗ Personal Health Budgets ∗ Self Care (Expert patient programmes, peer

support, Tele-health)

∗ Integrated/coordinated community based services

Key Features of Personalisation Personalisation

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• 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

CCG Commissioning Intentions 2015-16

∗ Promotion/Information

NHS England Gearing Up programme (FED/FFT)

∗ Brokerage/3rd Party Management ∗ Direct service provision

Opportunities for voluntary/user led sector