Personal Health Budgets for Adults


Personal Health Budgets for Adults with a Continuing Healthcare needs

NHS Portsmouth Clinical Commissioning Group currently offers Personal Health Budgets (PHB's)  to any adult receiving 'NHS continuing healthcare'. This is for people over 18 years of age who need support to maintain their health and wellbeing but do not need to be in hospital.  You can receive NHS continuing healthcare in any setting, including your own home or in a care home. Traditionally for example, the NHS has paid for services such as support from a community nurse or specialist therapist, plus associated social care needs (e.g. personal care and domestic tasks, help with bathing, dressing, food preparation and shopping).

The benefits of using a Personal Health Budget

A PHB will put control of your care and support in your hands and is intended to be used in a more flexible range of ways to meet your needs, increase your confidence and help you to manage your own condition.

How can a Personal Health Budget be managed?

A personal health budget can be managed in three ways:

  1. Direct Payments - the money is paid to you or your representative direct in place of services so you can purchase the care and support needed, though evidence will be required to show what the money has been spent on.
  2. Notional budget - the NHS or local authority holds the money and buys or provides the goods or services you have chosen to meet your needs.
  3. Third party budget - the money is paid to an organisation or trust that holds the money on your behalf and helps you to decide your needs.

How much will the Personal Health Budget be?

The amount of payment will vary from person to person and will be calculated taking into account your assessed health and wellbeing need. However, you should always be told how much money is available before you start planning how to spend your personal budget.

What can a Personal Health Budget buy?

You can use your personal health budget to pay for anything that is in your support plan. This can include equipment, therapies, personal care, respite care and social activities. You must use the budget legally and only on things agreed in your support plan. You don't have to change your healthcare and support if it is working well for you.

Personal Health Budget responsibilities

You will need to keep receipts of what you spend on services and any equipment. Some people choose to employ personal assistants (PAs) with some of their personal health budget. If you employ a PA you will have the responsibility of being an employer. This involves keeping wage records, paying tax and national insurance and other statutory duties. 

How to apply for a personal health budget

Your Care Co-ordinator or Support Advisor will help and guide you through the assessment and support planning process. Only you know what is best for you, so together with your care co-ordinator you can decide if a personal health budget is right for you, and work to create your plan.  Your care co-ordinator will give you the information, advice and support you need, when you need it.

To apply for a PHB contact the Continuing Healthcare Team at the details below:

Continuing Healthcare / Section 117 Team

Tel: 02392 437970

Fax: 02392 606047



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