NHS managers are spending over £1m on the drive to get CCGs to offer more people personal health budgets despite ongoing concerns about how they will affect the health service, Pulse has learnt.

NHS England’s personal health budgets delivery plan for this year – obtained through a Freedom of Information request – detailed spends, totalling £1.18m, on various initiatives that included a round of workshops for CCGs and a pilot for developing business cases at 12 sites.

GP leaders questioned why managers were spending this figure on rolling out personal health budgets (PHBs) at a time when the NHS is running a huge deficit – and warned the Government’s long-term agenda was to use PHBs to cut services.

The delivery plan is part of NHS England’s drive to widen access to the budgets under the ‘Five Year Forward View’, which outlined that CCGs should ‘lead a major expansion’ of PHBs in 2015/16 and ‘include clear goals on expanding PHBs’ as part of their strategy.

CCGs have been expected to offer PHBs to patients receiving NHS Continuing Healthcare since last October, while NHS England also set out a commitment to extend the offer to anyone with a long-term condition who can benefit from April this year.

In addition, this year over 10,000 ‘high-need’ patients – including elderly people with long-term conditions, and people with serious mental illness – are being given a combined personal budget, covering both their health and social care services.

NHS England boss Simon Stevens has said over five million people could be using such budgets for their NHS care by 2018.

Among the range of initiatives, the delivery plan included:

  • £235,000 to support CCGs to develop a local offer for PHBs beyond continuing care, including series of five-day events across England;
  • £176,000 for 12 sites to develop business cases and commissioning models for PHBs;
  • £370,000 to develop a training programme for personal assistants;
  • £80,000 to train up the voluntary care sector to offer support and advice on PHBs;
  • £50,000 to publicise stories from people with PHBs to help learning.

This comes despite concerns about the drive to continue rolling out personal budgets, after Pulse revealed that they were being used in some cases to buy non-evidenced based care such as aromatherapy, holidays and pedalo boating while existing, long-established servicesare being cut in order to set them up.

The BMA has callled for a review of the budgets as a result, while the chief executive of NICE has also said they need further evaluation before being rolled out more widely across the NHS.

Dr Richard Vautrey, deputy chair of the GPC, said the delivery plan raised questions about ’this agenda and the clear pressure to expand [personal health budgets]’.

Dr Vautrey said: ‘At a time when the NHS has a £30bn deficit people should ask whether the reason the Government and NHS England are so keen on this is fundamentally about cutting costs, rather than truly empowering and improving services to patients. ‘

He added that while the budgets ’might be superficially attractive to patients and carers, ultimately it’s a way of containing social and other costs associated with care in a way that may be less easy for NHS England to do under the current arrangements’.

Dr Vautrey said: ’People need to be aware of what that hidden agenda is – ultimately it means they can cut services that patients normally expect, but all of a sudden when they ask for them find they are no longer there’.

NHS England refused to comment on the figures, but responded that patient Kevin Shergold said his budget was ’not a pot of money I’ve been given to spend however I see fit’ but ’is agreed, accounted for and monitored by medical professionals’, while the budgets give patients ’freedom to live our lives as we choose – in a way that’s sensible and cost effective’.

Personal health budgets delivery plan – where the money is going

  • Supporting CCGs to develop a local offer for PHBs beyond continuing care, including series of five-day events across England – £235,000
  • Finance and commissioning support for 12 sites to develop business cases and commissioning models for PHBS – £56,000 (and up to £120,000 direct funding to sites)
  • Support to ensure successful delivery of PHBS to adults and children on NHS continuing healthcare / continuing care – £120,000
  • Develop learning materials and information on good practice – £10,000
  • Develop training programme for Personal Assistants – £370,000
  • Train up voluntary care sector to offer support and advice on PHBs – £80,000
  • Publish stories and blogs from people with PHBs to help support local and national development of PHBs – £50,000
  • Support for CCGs to offer people with learning disabilities PHBs (or joint budget) – £100,000
  • Support CCGs to deliver PHBs in line with relevant national policy, regulations and best practice – £10,000
  • Measuring progress – £30,000

At HomeCareDirect we’re passionate about the personalisation of care, and for over 12 years we’ve been supporting the rights of people to take control over their support at home. We offer an innovative third party support service to help people direct their own support via a personal health budget. We will employ the chosen personal assistants on an individual’s behalf, giving the same choice and control to individuals without the responsibility (and sometimes the hassles!) of being an employer.

We have worked with many people who have had great success through using personal health budget funding in innovative and creative ways. Good, person-centred care and support planning is at the very heart of making personal health budgets work well. The plan sets out how a person’s budget will be spent to enable them to reach their health and wellbeing goals about how to meet their identified outcomes. We feel that not only do personal health budgets give someone the ability to choose care and long term treatments to suit them so they can live more independently, they generally save money in the long term because people are less dependent on NHS services.

If you’d like to hear more about our services, please get in touch with us or visit our website here.