Personal Health Budgets – Blackpool CCG local offer

The NHS Mandate sets the expectation that from April 2015 CCGs will lead on a major expansion of PHBs, offering them to people with long-term conditions who could benefit. NHS England’s Forward view into action: planning for 2015/16, requires CCGs to develop their plans for introducing PHBs beyond NHS Continuing healthcare, stating that:

CCG’s lead a major expansion in 2015/16 in the offer and delivery of PHBs to people, where evidence indicates they could benefit

PHBs or integrated personal budgets across health and social care should be an option for people with a learning difficulties by April 2016

Local joint Health and Wellbeing Strategies should include clear goals on expanding PHBs.

CCG’s will need to continue to work alongside Local Authorities and schools on the implementation of integrated education, health and care plans, and the offer of a PHB for children with educational needs.

This is a new way of offering people more choice, flexibility and control over their care and support and it will take time to develop and expand. The way in which services are commissioned means that funding is tied up in block contracts and any changes must be implemented in line with commissioning and contracting cycles – this takes time. There isn’t any new money to expand this.

Frequently Asked Questions

For more on Personal Health Budgets see here

Who can get a personal health budget?

While the planning guidance specifically mentions children and people with learning disabilities, the expansion of personal health budgets is not restricted to these groups. As a CCG we need to consider other groups, pay due regard to meeting our legal duties with regard to equality and health inequalities and consult widely as we develop our local plans. The independent evaluation and wider learning from the pilot and early roll out has provided a lot of information on who could benefit from personal health budgets. Benefit is linked to the level of need rather than a particular diagnosis or having a particular condition. The groups of people can be summarised as:

  • People receiving NHS Continuing Healthcare (CHC) or children’s CHC, who already have a right to have a personal health budget
  • People who have high levels of need (not NHS CHC) including health needs that would be suitable
  • Children with education, health and care plans, who could benefit from a joint budget including money from the NHS
  • People with learning disabilities or autism and high support needs
  • People who make ongoing use of mental health services
  • People with long-term conditions for whom current services do not work and therefore may end up accessing acute services more frequently; and
  • People who need high cost, longer term rehabilitation e.g. people with an acquired brain injury, spinal injury or mental health recovery

PHBs are a way of enabling people with long-term conditions and disabilities who use health services a lot to have greater choice, flexibility and control over the healthcare and support they receive, and to be more involved in discussions and decisions about their care.

Which organisations are involved in delivering personal health budgets locally?

This can be the NHS or Independent providers or family members who are employed by the cared for.

How can professionals and the public find out more information? 

For more information please contact Alix Driver – Personal Health Budget Lead on 01253 476831 or by emailing alix.driver@blackpool.gov.uk

How can people apply for a personal health budget?

It is the CCG’s intention is to extend the offer and availability of PHBs to more people in the future, but this will take time. To apply for a PHB please contact the PHB Lead as above.

Current Position

  • There are several forums for the discussion on the roll out of PHB; CCG Personal Health Budgets Group, Joint Health and Social Care SEND PHB Group and as part of the LD Transformation Fast Track action planning group to develop PHB for more challenging complex service users. For more information please click here
  • There are currently 17 CHC patients in receipt of PHB, many End of Life Fast track patients are also offered PHB in order for them to die in their preferred place of death.
  • We also commission PHB through the carers centre to provide respite in the form of carers’ breaks payments.

NHS Blackpool Clinical Commissioning Group would like to ensure that their information is fair and accessible to all sections of our local communities. To request this information in an alternative accessible format or language please contact: ccgcomments@blackpool.nhs.uk