Personal health budgets
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NHS England  
Survey of personal health budget holders’ experiences
NHS England commissioned Quality Health to run an independent survey of people with a personal health budget to understand their experience of it. The survey was ran between February and April 2018, and there were 390 responses.

The findings show that:

  • 89% said that their personalised care and support plan reflected what mattered to them, to some extent or completely.
  • 86% said that they had achieved what they wanted because of their plan, to some extent or completely.
  • 77% said they were likely or extremely likely to recommend a personal health budget /IPB to someone else.
The report also showed scope for improving support to patients, including:

  • Better information for those who are interested in a personal health budget - 41% said that it was quite difficult or very difficult to find more information about personal health budgets/IPBs once they decided they wanted this.
  • More clarity on what the budget can and cannot be spent on.
  • Improving both the time taken to approve and set up a personal health budget and communication with people during this period - 60% said that the overall time taken between starting the process of getting a personal health budget /IPB and having the budget up and running was too slow.
  • Improved support in recruiting, training and employing personal assistants
Jo Fitzgerald, Senior Manager, Personalised Care (Lived Experience), has written a blog, outlining some of the ways in which NHS England will learn from this report and work to improve people’s experience of personal health budgets

Personal health budget survey to plan support for next year
As NHS England start to design the personal health budget support offer for next year, your feedback on the support that you have found most useful in progressing personal health budgets in your local service, and any areas that we haven’t covered that you feel would be helpful.

Please complete this short survey to provide us with this feedback. This will give specific information about the national personal health budget delivery support offer, which will complement your feedback on demonstrators’ delivery support offer, closing date Friday 7 December 2018.

Section 117 update
The first stage of our s117 Development Programme ended on a high note on 22 November with a lively workshop attended by 13 sites and people with lived experience who work in co-production with the sites.

  • We finalised the first draft of the self-assessment, developed with the sites, which supports organisations to assess where they are in relation to developing their s117 offer
  • We asked each site to give us a commitment as to how they would start implementing or expanding their offer and;
  • We committed to the second stage of the programme.
This second stage, ‘s117 - Sharing the Learning’, will run from January to March 2019, and we will be co-producing events within STP sites through it.  At these events we will be sharing more widely both the self-assessment framework for s117 and the resources and tools embedded within it.

We have invited sites who attended stage 1 to share what they are doing in one or more of the themes covered by the self-assessment - Policy, Process, Information, Personalised Care and Support Planning, Governance and Workforce.

The resources and tools embedded within the self-assessment have policies, processes and case studies from sites, including the one from Tameside and Glossop below. The self-assessment and all  the resources will be available to access through the Learning Network Mental Health page from mid-December 2018.

For more information contact, 07702 405 636

Section 117 case study from Tameside and Glossop
A local man had received 18 months’ therapy as a Mental Health inpatient. When he was discharged, the services offered to him were psychology on discharge, including a referral for a community assessment and a psychology course.

The standard, traditional offer could not meet his needs and placed him at significant risk of relapse and loss of his investment in getting better, along with risking the CCG’s investment in enabling him to access services to get better.  He and his family were very worried about him leaving hospital and, whilst wanting this, they did not want him to be placed at risk.

Together with the multi-disciplinary team (MDT), his care co-ordinator and his family, he developed his section 117 PHB package, which has two elements:

  • Weekly psychological support from an independent practitioner of his choice
  • Occupational Therapy to provide a structure to access wellbeing activities, practice coping strategies and develop skills.
This person is now 12 months post discharge. He is living safely at home with his family, with the support he needs. This is being reviewed regularly to ensure it continues to meet his needs and will be reduced when clinically appropriate for him to stay well and safe without this support. This is anticipated to be in place for another 12 months.

Personal health budgets in NHS continuing healthcare (CHC)
Attached to this newsletter are details of additional support  we are offering to CCGs as they work to meet the default personal health budget expectations. 

These include:

  • Recovery planning support – bespoke half or full day workshops for CCG personal health budget or CHC leads
  • CHC masterclass – bespoke, full day, for CCGs collaborating across an STP/ICS footprint
  • Webinars and podcasts – still in development
To register your interest or request further information about any elements of this support programme, please contact your regional lead.

NHS England events to support local transition to Personal Wheelchair Budgets
NHS England is providing four free events to support CCGs to transition to PWBs as part of the local personal health budget offer.

These will provide practical support and will be delivered primarily by PWB mentors, including commissioners, personal health budget leads, clinicians and contract leads.

Dates and venues:

Digital technology in the delivery of personalised care
On Thursday 1 November 2018, over 100 people attended an event run by NHS England for local NHS organisations and vendors of specialist solutions looking at how digital technology can support the effective delivery of personalised care.

Access a copy of the presentations from the day, including sessions from NHS England digital teams as well as suppliers of various software solutions which can provide support for personalised care programmes in localities.

Latest advice on sleep-in carer pay
Following the court of appeal’s judgment in the joined cases of Mencap v Tomlinson Blake and Shannon v Rampersad ([2018] EWCA civ 1641), the government has recently updated its guidance on sleep-in shifts in the document entitled “calculating the minimum wage”  

The court of appeal judgment overturned the prevailing law and means that employers are not required to pay the national minimum wage for “sleep-in” shifts as previously defined. The guidance also contains further information to support the NHS and las on decisions regarding who should be paid minimum wage for a “sleep-in” shift.

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Personal health budgets delivery team
NHS England, Skipton House, 80 London Road, London SE1 6LH

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