What can a Personal Health Budget be spent on?

Everyone with a personal health budget can get support to think through how they would like to use their budget to meet their health and wellbeing needs.

It is the responsibility of local NHS teams to advise people, and recommend a range of organisations who can offer local support. This is often described as brokerage.

A personal health budget can be spent on any care or services that are set out in the care and support plan that has been put together with the NHS team or voluntary organisation working with the person - and this needs to be agreed by the CCG (Clinical Commissioning Group).

What it doesn't cover

There are things that it would not be right for the Government to fund such as:

  • Anything illegal
  • Tobacco
  • Gambling
  • Debt repayment
  • Statutory acute services - Purchasing primary care services such as seeing a GP or dental treatment. Other services recommended by a GP, like physiotherapy, could be included
  • Covering urgent or emergency treatment or admissions to hospital – if you had an accident, you would go to A&E like everyone else - you could not use a personal health budget to arrange for it to be x-rayed, set or plastered
  • Employing people in ways which breach employment regulations
  • Purchasing goods or services which do not meet agreed outcomes
  • Health assessments
  • Cognitive Behavioral Therapy (CBT) or counselling
Managing the money

A personal health budget can take three forms:

  • Notional budget – The money is held by Basildon and Brentwood CCG. You find out how much money is available and talk to your nurse or clinical case manager about the different ways to spend that money on meeting your needs. The CCG will make all payments on your behalf in line with your support plan
  • Managed account held by a third party - A different organisation or trust holds the money for you, helps you decide what you need and then buys the services you have chosen.
  • Direct payment - You’ll receive a payment to buy the services you that have been agreed in your support plan. This must be paid into a separate bank account and you have to show what you have spent it on, and keep records of your spending, but you buy and manage services yourself. A personal health budget is not the same as a direct payment
What happens if I don’t spend the money?

We will occasionally look at how you are spending your money and you may be audited on a spot check basis. Towards the end of a year a full audit will be undertaken. Any money you do not use will be returned to Basildon and Brentwood CCG.

Download the full document Basildon and Brentwood Personal Health Budgets (PHB) Local Offer here

Download the full framework for personal health budgets here

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