what your organisation needs to know about personal health budgets, communications and marketing
DESCRIPTION
Jaimee Lewis, Think Local, Act Personal Changing the game: positioning your charity to succeed in the new health service market conference www.charitycomms.org.uk/eventsTRANSCRIPT
What do you need to know
about personal health
budgets? Jaimee Lewis with Martin Routledge
November 2012
Personal health budgets
• Where do they come from?
• How do they work?
• What happens next?
• Communicating PHBs
Personalisation - context
Personal health budgets are part of the broader drive to
personalise public services
Personalised
care
planning
Personal
health
budgets
Right to
Control
pilots
Special
Educational
Needs &
Disabilities
(SEND) pilots
Choice: of
provider, GP,
treatment and
Choose &
Book
Self-
directed
support
Social
care
personal
budgets
Context
PHB pilot programme
• Pilot programme ran until October 2012
• Over 2,700 people in the pilot
• A key group was people in receipt of NHS Continuing Healthcare but other groups were also included
• Independent evaluation results - imminent.
• In-depth study with twenty of the pilot sites explored how
best to implement personal health budgets, and who will
benefit most
• Five interim evaluation reports - by University of Kent
focused on early experiences of pilot project managers,
practitioners and budget holders and set-up costs
How does it work?
• Clinical staff and people planning together
• People and their PHBs
• The process
When might personal health budgets be useful
and how might people find out about them?
Care planning together
Thinking about personal solutions
Pete’s PHB
Pete has autism and type 1 diabetes. The move from
children’s to adult services was made easier for him
because of an integrated personal budget for health,
social care and education. Pete and his mum
Michelle chose carers that he has known since
childhood. His blood sugar levels need frequent
testing so his carer attends college with him to do
this, enabling him to continue his education. Pete has
also been able to stay living at home rather than
entering residential care, has more opportunities for
social interaction and is a happier young man.
Roger’s PHB
Then there’s Roger who has chronic obstructive
pulmonary disease. His breathing problems required
him to be admitted to hospital regularly, he is on
steroid medication and needs oxygen support
indoors. His personal health budget helps him
manage his condition better. He has purchased a
portable nebuliser so he can lead a normal life and
manage any attack as it happens. He is rehabilitating
through exercise, attending a local gym, using a Wii
Fit at home and gardening as he breathes better
outdoors. His health has greatly improved and he is
able to take less medication.
A bit of detail
Steps of the personal health
budgets process
Planning and managing the money
Spending the budget
• An individual with a personal health budget will be able
to spend it on a range of things to help them meet their
goals
• For example therapies, personal care and equipment
• People will not be able to pay for emergency care and
care they normally get from a family doctor
• Not allowed to spend the money on gambling, debt
repayment, alcohol or tobacco, or anything unlawful
Governance and risk
• The PHB partnership combines the professional’s vital
clinical expertise and knowledge, with the person’s
expertise in their condition and needs
• Clinical governance should support flexibility and
innovation where possible, so people can try new
approaches to achieving their health goals
• Health care professionals will continue to be focused on
securing the best health outcomes for people. Personal
health budgets can provide alternative ways of achieving
these, with people able to explore a wider range of
options in their care plan
Government is committed to
national rollout
National rollout from
2013-14 (an objective for the
NHSCB)
Right to ask for a
personal health budget
in NHS Continuing
Healthcare
(from April 2014)
Pilot
evaluation
(October
2012)
A wider right
to ask for a
personal
health
budget, for
those who
would
benefit
2012-13 2013-14 2014-15 […] longer-term aim
Next steps
• Department of Health has identified £1.5 million to support the first stage of rollout
• The funding will be used to support personal health budgets until April 2013.
• DH delivery team will support areas willing to “go further, faster”, along with wider implementation – active learning network
– regional events and networks: some hosted by SHAs, others by former pilot sites
• After this date, responsibility will transfer to the NHS Commissioning Board
PHB – the Communications
Challenge
• It’s the end of the NHS as we know it
• People will waste the money on treatments with no evidence
• It’s a foot in the door for vouchers and top-ups
• People don’t want to choose or control their health care –
they just want good local services and clinicians
• There is no market of different things for people to buy
• Its irresponsible placing extra burdens on people when they
are sick
• Doctors and nurses train for years for a reason
Exercise
• In pairs
• A challenge
• A positive response
• A question
Good practice toolkit • “Personal health budgets: Learning from the pilot
programme”
• Brings together learning from the DH’s personal health budgets pilot programme, and shows how personal health budgets can be implemented well
• For people working in the NHS or working with personal health budgets more widely, and people eligible for a personal health budget and their families
• Some parts of the toolkit aimed at particular groups such as frontline healthcare practitioners, or finance managers.
• Includes a communications toolkit with key messages & templates
www.personalhealthbudgets.dh.gov.uk/toolkit
More information
• Learning Network
www.dh.gov.uk/personalhealthbudgets
• NHS Choices
www.nhs.uk/personalhealthbudgets
• Peoplehub
http://www.peoplehub.org.uk/