What is a personal health budget?
A personal health budget is an amount of money to support your identified healthcare and wellbeing needs, planned and agreed between you, or your representative, and your local NHS and social care team.
At the centre of your personal health budget is your care plan. This plan helps you decide your health and wellbeing goals, together with the local NHS and social care team who support you. The plan sets out how your budget will be spent to enable you to reach your goals and keep healthy and safe.
Can I have a personal health budget?
Since April 2014, people eligible for NHS Continuing Health Care, which is NHS-funded long-term health and personal care provided outside hospital, can apply for a personal health budget. This includes both children and adults.
Since September 2016, HMR CCG is looking to further develop personal health budgets and extend this offer. You can apply for a PHB if you are:
- An adult with learning disabilities or autism, and high support needs
- The parent or carer of a child with learning disabilities or autism, and high support needs
- An adult with a long term neurological condition such as Parkinson's, Huntington's, Acquired brain injury, multiple sclerosis, motor neurone disease, muscular atrophies, spinal injuries or neuro-oncology grade IV and above brain & spinal cord cancer.
Over the next few years, the CCG would like to extend its offer of PHBs to the following groups:
- People who have high levels of need but who are not eligible for NHS Continuing Healthcare, and have health needs which would be suitable;
- Children with education, health and care plans, who could benefit from a joint budget including money from the NHS;
- People who make ongoing use of mental health services;
- People with long-term conditions for whom current services don’t work, so end up accessing acute services more
- People who need high cost, longer term rehabilitation e.g. mental health recovery.
What do I do if I want a personal health budget?
Talk to your local NHS and social care team who help you most often with your care - this might be a care manager or a health professional, and they will discuss personal health budgets with you and the CCG. Even if a personal health budget is not right for you, you can talk to them about other ways to make sure that you get the healthcare and support that works best for you.
If you are able to have a personal health budget:
- There will be an assessment of your care needs to establish what support you will need and how this can be arranged.
- You will be able to use it for a range of things to help you meet your goals, for example, therapies, personal care and equipment.
- You will not be able to pay for emergency care and care you normally get from a family doctor.
- PHBs must not be spent on gambling, debt repayment, alcohol or tobacco, or anything unlawful.
Working with Rochdale Borough Council
The CCG is working with the Local Authority to streamline the processes for offering Personal Budgets for social care and Personal Health Budgets for healthcare. The ambition is to be able to offer one integrated ‘personal budget’ in the future.
How are they funded?
There are no new resources for Personal Health Budgets so they must be funded within our existing NHS financial resources.
For more information about personal health budgets
- Contact the CCG
- Download the 'understanding personal health budgets' leaflet - also available in an easy read version
- Go to the personal health budgets page on the NHS Choices website
- If you want to share experiences, advice and support with other people who have a personal health budget, their carers and families, you can visit the peoplehub website