1. www.traffordccg.nhs.uk RIGHT CARE RIGHT TIME Personalisation Programme Briefing Offering Patients more choice and control in Trafford Merry, Head of Personalised Care, Trafford CCG

2. www.traffordccg.nhs.uk Its not about handing money over to people………… And its not just about…….. Personal Health Budgets Its about creating a culture where Patients are empowered to plan and purchase their health support safely and with informed choice. This requires a whole system approach.

3. Why? Building the NHS of the Five Year Forward View - NHS England Business Plan 2015-2016 Our 2015/16 commitments for supporting patient and public participation: By October 2015 all CCGs supported to develop their local Personal Health Budgets (PHBs) offer to patients beyond NHS Continuing Healthcare. www.traffordccg.nhs.uk

4. What does progress look like? CCGs have the flexibility to plan to introduce personal health budgets at a pace and scale that meets their local circumstances. However the independent evaluation of the pilot programme and wider learning showed that people with higher levels of need benefit more from personal health budgets. This could equate to between one and two in 1,000 people (0.1 - 0.2 percent of the population) over the next three to five years. This scale of rollout would represent major progress. NHS England – Introducing personal health budgets beyond CHC – February 2015 www.traffordccg.nhs.uk

5. Who? The Personal Health Budget offer is now available to any Patient who is eligible for CCG funded services. This may include; people receiving NHS Continuing Healthcare or children’s continuing care, who already have a right to have a personal health budget; people who have high levels of need but are not NHS Continuing Healthcare, but who have health needs which would be suitable; children with education, health and care plans, who could benefit from a joint budget including money from the NHS; people with learning disabilities or autism and high support needs ( www.traffordccg.nhs.uk

6. Who?…. people who make ongoing use of mental health services; people with long-term conditions for whom current services don’t work, so end up accessing acute services more; and people who need high cost, longer term rehabilitation e.g. people with an acquired brain injury, spinal injury or mental health recovery. www.traffordccg.nhs.uk

7. How? o o A personal health budget (PHB) is an amount of money to support the identified healthcare and wellbeing needs of an individual, o o Planned and agreed between the individual, or their representative, and the local clinical commissioning group o o Not new money, but a different way of spending health funding to meet the needs of a individual. o o The Support Plan plan helps people to identify their health and wellbeing goals, o o Sets out how the budget will be spent to enable them to reach their outcomes and maintain or improve their health. www.traffordccg.nhs.uk

8. Money…. www.traffordccg.nhs.uk 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. 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.

9. Process? 1. 1.Patient is accessed by Community Health Practitioner (SaLT, Physio, Specialist Nurse, LD Nurse, MH Nurse…..) or GP. 2. 2.Offers the choice of PHB or commissioned service. 3. 3.Starts the Support Planning Document 4. 4.Offers the support of a Support Planning Broker. 5. 5.Support Plan in final draft stage. 6. 6.Resource Allocation System (RAS) applied and indicative budget amount discussed the Patient/Representative. 7. 7.Discussion with Patient regarding method and schedule of payment. 8. 8.Support Plan presented to CCG Joint Resource Allocation Panel. 9. 9.Final RAS agreed and Patient receives letter confirming arrangements 10. 10.PHB is monitored and reviewed by Community Health Practitioner. www.traffordccg.nhs.uk

10. Trafford Patients Comments “Everything was well explained, and the nurse was knowledgeable and helpful” “The budget has been invaluable and life changing! “It means she is getting consistent care she needs from people she knows.” “Because care is provided by people who are close to her, this is flexible and is extended beyond the funded hours” “Having the broker was helpful as it was someone else who knew what was required.” The PHB has helped the whole family; it has relieved a lot of the pressure we felt, we now have a healthier balanced lifestyle.” “Having good support for my child has allowed me to go back to work” “We have had brilliant support” www.traffordccg.nhs.uk

11. You said; We did www.traffordccg.nhs.uk Training for Providers - -Training Brokerage Project - -Identification of workforce training needs Planning to meet need together - -Working collaboratively via the Mychoice group and the Brokerage Forum - -Delivery of a second Providers event Monitoring Quality - -Brokerage Forum enabling feedback directly to the Commissioners regarding great providers; and gaps in the market Understanding the PHB Process - -Providing a training session January 2016 - -Which details the roles and responsibilities of all involved Training for professionals - Delivery of PHB Process training and Person Centred Planning training

12. Any questions please? www.traffordccg.nhs.uk