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Personal Health Budgets

Welcome to our section on Personal Health Budgets

This section is aimed to be a resource for anyone who uses NHS Services in Knowsley, carers and all professionals working in Healthcare services.



Did you know?

From April 2014, everyone receiving NHS Continuing Healthcare will have the right to ask for a personal health budget, including a direct payment. This includes a duty to inform people that they are eligible and provide information, advice and support. For example; what is the eligibility criteria, local offer, process and support available.  Click on the brochure for more details 




From 1 October 2014 this will be strengthened and this group will benefit from a ‘right to have’ a personal health budget. Knowsley CCG has legal duties relating to NHS Continuing Healthcare rights and personal health budgets.  These include having a duty to arrange for the provision of a personal health budget, including a direct payment, a duty to publicise and promote them, a duty to provide information, advice and support, and a duty to consider requests for personal health budgets.

What is a Personal Health Budget?

A Personal Health Budget an amount of money to support the identified healthcare and wellbeing needs of an individual, which is planned and agreed between the individual, or their representative, and the Knowsley clinical commissioning group (CCG).

At the centre of a personal health budget is the care and support plan. This plan helps people to identify their health and wellbeing goals, together with their local NHS team, and set out how the budget will be spent to enable them to reach their goals and keep healthy and safe.

How can a personal health budget be paid?

Once a care and support plan has been agreed, the money in a personal health budget can be managed in a number of different ways:

1. Notional budget.  No money changes hands.  The individual is informed how much money is available and talks to their local NHS team about the different ways to spend that money on meeting their needs.  The NHS team will then arrange the agreed care and support.

2. Real budget held by a third party. A different organisation or trust holds the money for the individual and supports them to decide what they need.  After this has been agreed with the individual and their local CCG, the organisation then buys the care and support.  KDC offers a Managed Accounts service and will be able to provide this arrangement.

3. Direct payment for healthcare. The individual receives the money directly to buy the care and support that they have decided they need, in agreement with their local NHS team.  They have to show what the money has been spent on, but the individual, or their representative, buys and manages the services themselves. KDC provides the Direct Payments support service in Knowsley

What about personal budgets for children and families?

Following the introduction of the Children & Families Act 2014 we now have Education, Health and Care (EHC) plans, which will replace special educational needs statements and Learning Difficulty Assessments (LDAs).  These plans form part of a new approach (Special Educational Needs and Disability Reforms) that seeks to join up support across education, health and care.

From September 2014 children and young people assessed as needing an EHC plan will have the option of a personal budget that will bring together money from education, health and social care into a single budget.  Not all children will be eligible for direct payments and you should consult with your health and/or care representative to find out if your child is eligible.

For more information on the SEND reforms in Knowsley click here.


For more information about Personal Health Budgets, contact Andy Gilbert at KDC on 0151 480 8873.  Andy can talk to you over the telephone, send you information by post, email or come out and visit you for further discussion

Keep coming back for updates!

Three Years on: Stories from the pilot programme


Norman Lamb talks about personal health budgets




View peoples personal stories

‘This is not a story of suffering, it is a story of triumph’

Mary’s story from the personal health budgets pilot

Roger’s story from the personal health budgets pilot

Anita and Trevor’s story from the personal health budgets pilot

David from Tees – his story from the personal health budgets pilot

Dan’s story from the personal health budgets pilot

Nikki’s story from the personal health budgets pilot


Useful Guidance and publications

Gearing Up for Personal Health Budgets – Evaluation Report by In Control & NHS England October 2015 

Easy read guide for Personal Health Budgets

Guidance on the “right to have ” a Personal Health Budget in Adult NHS Continuing Healthcare and children and Young People’s Continuing Care

Guidance on Direct Payments for Healthcare: Understanding the Regulations

NHS PHB Guide: Options for Managing the money

Think local act personal – PHB: including people with learning disabilities

NHS PHB guide; Budget setting for NHS Continuing Healthcare

Personal Assistants – Delegation, Training and Accountability

NHS PHB guide: ensuring equal access

PHB Guide: Third party budgets



Links to Useful Websites

NHS England Personal Health Budgets Website provides useful links to people’s stories and the PHB toolkit. http://www.personalhealthbudgets.england.nhs.uk/Topics/Toolkit/


SPEAK Knowsley is a ‘not for profit’ support group run by parents of children with additional needs in Knowsley.  This link will take you to the information page about SEN(D) reforms and the Education, Health Care Plans. 
SPEAK Knowsley website


Peoplehub is a personal health budgets network.  A national network working to develop personal health budgets in the health and care sectors.  It is a network of people who have direct experience of Personal Health Budgets.  There is specific experience in peer networks locally and nationally. http://www.peoplehub.org.uk/


In-Control is a national charity which operates as an extensive community network that is working for change and to provide people with the knowledge, power and tools to control their support.  A range of on-line resources, webinars and materials is available.  In-Control carries out the annual Personal Outcome Evaluation Tool (POET) Survey for PHBs. http://www.in-control.org.uk/


Think Local Act Personal (TLAP) is a national partnership of 30 organisations transforming health and care through personalisation and community-based support. TLAP supports a range of projects and events as well as helpful resources.  http://www.thinklocalactpersonal.org.uk/


Disability tax guide is a website that provides resources and information for those in receipt of direct payments who operate a payroll for their care workers and personal assistants.  http://disabilitytaxguide.org.uk/



Disability Rights UK aims to promote “meaningful” independent living for disabled people as well as providing support for carers.  They produce a range of fact sheets and information.  http://www.disabilityrightsuk.org/


Skills for Care produce a helpful toolkit on Employing a Personal Assistant which is available on line. http://www.kdc-connections.org.uk/toolkit/