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Newcastle Gateshead Clinical Commisioning Group

Newcastle Gateshead Clinical Commisioning Group

Personal health budgets

Personal Health Budgets – getting the healthcare you need.

What is a personal health budget? A personal health budget is an amount of money which is used by people with specific health and wellbeing needs to get the healthcare they need. It is planned and agreed by you and/or your representative and the NHS.

Who can apply for a personal health budget? If you or someone you know has one or more of the conditions listed below, a personal health budget may be a way to receive care and support that better suits individual needs. Both adults and children are eligible for a personal health budget.

A personal health budget may have benefit if you or someone you know who:

  • Is an adult who receives NHS continuing healthcare support.
  • Is a parent of a child who receives children and young people’s NHS continuing healthcare support.
  • Is an adult or child with learning disabilities and/or autism who have complex health needs.
  • Is a child or young person with an education, health and care plan.

If this is you or someone you know, talk to the NHS member of staff who helps you most often, about whether or not a personal health budget could be of benefit. This might be your GP, nurse or care manager.

We understand that personal health budgets will not be for everyone but they are a good way for some people to access more individual care and support that’s right for them.

You don’t have to change the healthcare and support you receive now, but a personal health budget allows to you think about anything that could help you in a better way and gives you more control over decisions about your care.

How does a personal health budget work? Personal health budgets may not work for everyone but they are a good way for some people to get the more individual care and support they need. To decide whether a personal budget could be of benefit, we’ve pulled together information  that may help you:

  • A personal health budget is an amount of money to support individual healthcare and wellbeing needs which is planned and agreed between you and/or your representative and your local NHS.
  • If you receive a personal health budget, you will know how much money there is and a care plan will be jointly developed. This will show how you and your care team will spend the budget and how it will help improve your health and wellbeing. The plan is regularly updated and reviewed to make sure it continues to meet your needs.
  • You can use your personal health budget to help you reach your health and wellbeing goals and this may include equipment, therapies, respite and personal care.
  • A personal health budget can only be spent on this to help you manage your health conditions. It can’t be used to pay for emergency care or additional support from your GP.
  • A personal health budget is not means-tested which means it will cover all the agreed costs to meet your healthcare and wellbeing needs.
  • If you apply for a personal health budget but it is turned down, you will be told why this is the case. You will be able to appeal the decision and the process on how to do this will be explained to you by your Case Manager. If you remain unhappy with the decision, you will then be able to follow the NHS complaints procedure if you wish to do so.

How is a personal health budget different to other support you receive?  You may receive funding from other organisations to help support your health, social and wellbeing needs and it can be difficult to know what each one is.

Personal Health Budgets are different from a personal budget, an individual budget and a direct payment:

  • A personal health budget is for your NHS healthcare and support needs.
  • A personal budget is for your social care and support needs
  • An individual budget includes your social care and support needs plus other funding, like independent living.

Want to find out more? Talk to the NHS member of staff who helps you most often about whether or not a personal health budget could be of benefit. This might be your GP, nurse or care manager. Or you can contact us at:

by email at: ngccg.enquiries@nhs.net.

You can also write to us at:

NHS Newcastle Gateshead Clinical Commissioning Group Goldcrest Way Newburn Riverside (Business Park) Newcastle upon Tyne NE15 8NY.

Or give us a call on 0191 217 2996