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What your organisation needs to know about personal health budgets, communications and marketing

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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/events

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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 Right to Personalised Control pilots Self- care directed planning support Social Personal care health personal budgets budgets Special Choice: of Educational provider, GP, Needs & treatment and Disabilities Choose & (SEND) pilots Book
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 2012-13 2013-14 2014-15 […] longer-term aim Pilot National rollout from evaluation A wider right 2013-14 (an objective for the (October to ask for a NHSCB) 2012) personal health budget, for Right to ask for a those who personal health budget would in NHS Continuing benefit Healthcare (from April 2014)
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/

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What your organisation needs to know about personal health budgets, communications and marketing

  • 1. What do you need to know about personal health budgets? Jaimee Lewis with Martin Routledge November 2012
  • 2. Personal health budgets • Where do they come from? • How do they work? • What happens next? • Communicating PHBs
  • 3. Personalisation - context Personal health budgets are part of the broader drive to personalise public services Right to Personalised Control pilots Self- care directed planning support Social Personal care health personal budgets budgets Special Choice: of Educational provider, GP, Needs & treatment and Disabilities Choose & (SEND) pilots Book
  • 5. 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
  • 6. How does it work? • Clinical staff and people planning together • People and their PHBs • The process
  • 7. When might personal health budgets be useful and how might people find out about them?
  • 10. 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.
  • 11. 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.
  • 12. A bit of detail
  • 13. Steps of the personal health budgets process
  • 15. 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
  • 16. 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
  • 17. Government is committed to national rollout 2012-13 2013-14 2014-15 […] longer-term aim Pilot National rollout from evaluation A wider right 2013-14 (an objective for the (October to ask for a NHSCB) 2012) personal health budget, for Right to ask for a those who personal health budget would in NHS Continuing benefit Healthcare (from April 2014)
  • 18. 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
  • 19. 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
  • 20. Exercise • In pairs • A challenge • A positive response • A question
  • 21. 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
  • 22. More information • Learning Network www.dh.gov.uk/personalhealthbudgets • NHS Choices www.nhs.uk/personalhealthbudgets • Peoplehub http://www.peoplehub.org.uk/