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BREAKOUT How can we help people make decisions about their personal health budget?

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Presentation on theme: "BREAKOUT How can we help people make decisions about their personal health budget?"— Presentation transcript:

1 BREAKOUT How can we help people make decisions about their personal health budget?

2 Today’s session Introduction (Jo Cole) The national perspective (Alison Austin) Patient carer and case study (Alex) Experiences from social care (Jackie Candlish) What’s happening in Northern England (Riana Nelson) Group work Feedback and close (Jo Cole)

3 Introduction Jo Cole Head of Operations Tees Valley, Durham and North Yorkshire Neurological Alliance

4 The National Perspective Dr Alison Austin Personalisation Lead NHS England

5 www.england.nhs.uk Personal Health Budgets – the national picture 15 October 2014

6 www.england.nhs.uk help people live with their long term conditions and stay out of hospital, change the relationship, enable people to use NHS funding in different ways, not new monies, focus on outcomes, centre around a care plan which is agreed by NHS, are regularly reviewed to ensure needs are being met and money is spent as agreed, are not suitable for all NHS Care 6 Personal health budgets – new for the NHS

7 www.england.nhs.uk The independent evaluation of personal health budgets has shown that they can lead to improved quality of life whilst meeting health needs and being cost effective (even saving money for some)

8 In addition……. The national personal budget survey (POET) involving 195 PHB holders and 117 carers across 12 sites showed that: 73% reported a positive impact on independence 69% reported a positive impact on health 70% carers reported a positive impact on their own quality of life Knowing the budget up front is important A staged approach is being taken to rollout across England

9 www.england.nhs.uk Personal Health Budgets: The Commitments NHS Mandate Objective: “by 2015… more people managing own health… everyone with LTCs including MH, offered a personalised care plan… patients who could benefit have the option to hold a personal health budget… information to make fully informed decisions.” Legal Duties: from October 2014 everyone receiving NHS Continuing Healthcare will have the “right to have” for a personal health budget.

10 www.england.nhs.uk What we know: they work best for those with higher levels of need people with higher levels of need are more likely to need both health and social care support They are applicable to mental and physical health They reduce unplanned care They are not right for all NHS Services 10 What the Mandate means: Who benefits?

11 If you’re going to do it… do it right 11 Evaluation - benefits of personal health budgets depend on how they were introduced. Best results – people know budget up front; advice and support available; choice and flexibility over how to spend budget, choice on how it is managed. Scale-up - challenge of maintaining the integrity of the values. To work well, personal health budgets need good support from all parts of the system co-production with people with direct experience

12 www.england.nhs.uk Meeting the Mandate commitment: Getting ready in NHS Continuing Healthcare Every CCG (211) signed up to support programme Over 170 CCGs have attended the accelerated development programme 188 have accessed small amount of additional funding Markers of Progress – currently being used by over 80%

13 Integrated Personal Commissioning (IPC) Builds on 2 Core elements: Care model: Person-centred care and care planning, combined with an optional personal health and social care budget Financial model: An integrated, “year of care” capitated payment model Aims to: Improves quality of life and increase person-centered care Reduce crisis and unplanned care Increase integration Aimed at: Children and young people with complex needs People with LTCs and complex needs People with learning disabilities with high support needs People with significant mental health needs Joint working NHS England will work in partnership with range partners including: LGA, ADASS, TLAP Monitor, PHE, NHS IQ Voluntary sector including Strategic Partners, & National Voices People with lived experience Programme Board and Governance is being established Core Implementation Group developing plans, working with range partners Timeline IPC announced on 9 July Prospectus published on 4 Sept Applications in by 7 Nov Selection process complete Dec 2014 Models to be operational by April 2015 Evaluation through 2015-17

14 Patient and carer case study Alex

15 Experiences from social care Jackie Candlish Commissioning Policy & Planning Officer Durham County Council

16 Social Care Personal Budgets The Durham Experience ‘Valuing Physical & Mental Health’ 15 October 2014 Jackie Candlish- Commissioning Policy and Planning Officer Personalisation and Change Team

17 What we’ve done? ‘Putting People First - 2007’ Personalisation Project 2008 Increasing Choice & Control – Personal Budgets/Person centred planning Changing processes Process for personal budgets Changing cultures Advice and information Promote Direct Payments Develop options

18 Hurdles/Barriers/Issues Changing culture & practise – time Unpicking & remodelling processes Methods for calculating budgets amounts Reviewing & changing IT processes ‘Letting go’ - risk & responsibilities Providers dependent on council block funding Shrinking budgets

19 Good things & Next Steps Moving away from dependency relying on the council More people choosing different ways to meet their needs Increase in transparency Organisations developing more options Use of IT for Advice & Information Continuity of services for individuals Making it Real/Think Local Act Personal Transformational Change continuing Working with health & childrens services

20 images©Copyright 2006 Photosymbols Ltd. All rights reserved. Further information & Contact Details Durham County Council website page www.durham.gov.uk.yourlifeyourchoice Durham Information Guide www.durham.gov.uk/dig Jackie.candlish@durham.gov.uk Tel: 03000 265675

21 What’s happening in Northern England? Riana Nelson Joint commissioning manager – children North East commissioning support unit

22 Partners in improving local health Unclassified - Slide 22 Personal Health Budgets – A regional Approach By Riana Nelson, Sarah Golightly (Joint Commissioning)

23 Partners in improving local health North of England Commissioning Support (NECS) – Who? Commissioning Support Unit – provide commissioning support to CCGs 13 Clinical Commissioning Groups (CCGs) across the North East and Cumbria Covering a population of over 3.5million - densely populated urban areas and rural communities NHS Confidential / Protect / Unclassified - Slide 23

24 Partners in improving local health Role in Personal Health Budget (PHB) implementation Mandated from all CCGs to support the implementation and roll-out of PHB Tees area – one of the original pilot sites Close links with NHS England Hub and spoke model of delivery – central delivery group, local implementation NHS Confidential / Protect / Unclassified - Slide 24

25 Partners in improving local health Benefit of NECS wide approach? Development of a core PHB offer/Common business model Sharing of best practice, innovation and efficiency – do things once Problem solving and support Close links with national work and NHS England Develop shared ownership across the Commissioning Support Operations (CSO) directorate Maintain momentum Manage and monitor risk Unclassified - Slide 25

26 Partners in improving local health Developments to date Lifespan policy - vision, principles, process and governance in relation to the PHB offer. A practitioners guide for Adults A practitioners guide for Children – including support planning, budget setting, risk management, monitoring and review. Guidance on Personal Health Budgets Safeguarding and The Mental Capacity Act Guidance on Delegation of health tasks to Skilled Non Clinical Staff (SNCS) NHS Confidential / Protect / Unclassified - Slide 26

27 Partners in improving local health Communications Strategy is in final draft – this will be adapted locally. PHB patient information – leaflet, website and posters (final draft) General Awareness Training and Practitioners training Close working with Long Term Condition (LTC) national lead and development of LTC pathway Setting up regional wide PHB team – develop appropriate support planning system and personalisation champions NHS Confidential / Protect / Unclassified - Slide 27 Developments to date (cont.)

28 Partners in improving local health PHB & LTC – what this could look like………………. NHS Confidential / Protect / Unclassified - Slide 28

29 Partners in improving local health What next? Finalise Communication Strategy and supporting documents Local development and implementation of LTC pathway/model Action PHB team/delivery model Continue to support local implementation Further roll out of General awareness training Voluntary & Community Sector engagement Patient involvement NHS Confidential / Protect / Unclassified - Slide 29

30 Partners in improving local health Local links Areacontact Teeskirsty.freeman1@nhs.net yvonne.fagg@nhs.net Darlingtonjeremy.cook1@nhs.net Durhamjeremy.cook1@nhs.net Newburn – South Tyneside, North- Tyneside, Gateshead, Newcastle and Northumberland sarahgolightly@nhs.net riana.nelson@nhs.net Cumbriarosalind.berry@nhs.net NHS Confidential / Protect / Unclassified - Slide 30

31 Partners in improving local health Questions, thoughts, ideas?

32 Group work

33 In table groups (20 minutes): What are the barriers and fears? What is happening/needs to happen locally? What good examples and case studies do we know about? How do people want information to be delivered locally?

34 Feedback and close Jo Cole Head of Operations Tees Valley, Durham and North Yorkshire Neurological Alliance


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