Tag Archives: personal health budgets

NHS Long Term Plan signals expansion of personalised care

NHS England has today (7 January 2019) launched its Long Term Plan which includes a commitment to rolling out personalised care to five million people over the next ten years.

The plans will ensure that many more people have choice and control over their mental and physical health.

This includes the expansion of personal health budgets with 200,000 people set to benefit from one in the next five years. Around 750,000 people with a long term health condition will also receive a written personalised care and support plan to manage their condition.

Social prescribing also features significantly in the Plan and 1,000 link workers will be recruited for GP practices this year and up to 900,000 people will benefit from social prescribing and community-based interventions by 2024.

Personalised care has been made a priority in the Long Term Plan following a decade of evidence based research working with patient and community groups. Evidence shows that personalised care improves people’s health and wellbeing, joins up care in local communities, reduces pressure on stretched NHS services and helps the health and care system to be more efficient.

Anna Severwright, co-chair of C4CC commenting on the Plan, said: “It is very encouraging to see personalised care feature strongly in the Long Term Plan. As someone with multiple long-term health conditions I know the huge difference it can make when care is personalised and when you are genuinely listened to and recognised as an expert in your own condition – and your own life.

“We now have a fantastic opportunity to make personalised care a reality for many more and ensure that people get the same choice and control in their healthcare as they would expect in every other part of their lives.”

Read Anna’s blog post.

Nigel Mathers, co-chair of C4CC added: “The C4CC partnership has championed personalised care for many years and we are pleased to see the NHS Long Term Plan includes a commitment to its expansion.

“Great progress has already been made and growing evidence supports a personalised approach to healthcare but there is much more to be done to realise the ambitions set out in the Long Term Plan. The success of these plans will require support across the sector, and many organisations and groups, including professional bodies, health organisations and the community and voluntary sector have an important role to play in helping to make personalised care ‘business as usual’ for the NHS.

“C4CC and our partners are looking forward to supporting the NHS with these exciting but challenging plans.”

James Sanderson, Director of Personalised Care, NHS England said: “A one-size-fits-all health and care system simply cannot meet the increasing complexity of people’s needs and expectations. Evidence shows that people will have better experiences and improved health and wellbeing if they have the opportunity to actively shape their care and support. As local health and care organisations work together more closely than ever before, we are also seeing that individuals can be the best integrators of their own care.”

The NHS Long Term Plan can be downloaded here.

A blog post from James Sanderson highlighting how the Long Term Plan puts people at the heart of the system can be read here.

A case study highlighting how Dylan has used a personal wheelchair budget to live independently for the first time in his life can be viewed here.

C4CC supports extending personal health budgets

C4CC co-chairs have welcomed the announcement yesterday that the Government is to back NHS England plans to make Personal Health Budgets (PHBs) more widely available as part of its Integrated Personal Commissioning (IPC) programme.

A formal consultation to extend legal rights to PHBs, which are currently restricted to people receiving NHS Continuing Health Care and children receiving continuing care, will be launched later this month, managed by the Department of Health.

Key C4CC partners have long pressed for people to be treated as equal partners and to have more control over their own health, care and support and believes PHBs are a key element in delivering better outcomes for people with long-terms conditions.

“PHBs can play a vital role in providing person-centred care to fit the needs of the individual and enable them to access resources that are available to them in their own community, ” said C4CC director Catherine Wilton.

“This proposed extension of PHBs aligns with our current work programme, which is focused on our ‘Three Cs’ of better conversations between patients and their care providers, co-production of health through better partnerships and the involvement of community resources in supporting people with long-term conditions.

“We will be liaising with our partners to provide our collective input into the consultation with the hope that our recommendations are fully taken into account when the plans are finalised.”

The consultation announced today will consider extending the legal right to PHBs to people who access wheelchair services; people with a learning disability or autism; armed forces personnel discharged from the service under medical grounds and people eligible for Section 117 aftercare services with ongoing mental health needs.

C4CC co-chair Anna Severwright said: “As somebody with multiple long-term conditions I warmly welcome the announcement yesterday to increase the number of personal health budgets.

“PHBs give people more choice and control over their care, allowing them to select the support that works best for them and to be able to live the life they want.”

Paula Fairweather, a member of the C4CC co-production team, said a PHB helped change her life and wants others to benefit.

“My PHB meant I was able to access different support in a way that worked for me, buying equipment for physio specific to my needs and improving my health and helping me be more independent.”

“I have also seen PHBs make a huge difference in many other people’s lives, improving their health and quality of life. For example enabling someone previously housebound to volunteer and help others in the community.”

C4CC helped develop the IPC programme, which aims to integrate health and social care to better meet the needs of the individual and empower people to play a more active role in their own health and wellbeing.

Our co-chair Nigel Mathers commented: “I am pleased with this announcement endorsing the roll out of IPC and PHBs and the forthcoming consultation on extending the legal right to have a PHB.”

“C4CC has been a supporter of PHBs since their inception and the rolling out of IPC will strengthen the voice of people with long-term conditions in the NHS. “