Personal Health Budgets ‘Staying In Control’ Chris Siviter & Michael Glynn

Initial Process Long Term Conditions Established a Steering Group Emphasis on outcomes and support planning Avoid resource allocation in first phase We chose between 2 options Secured funding We are not experts! W

Pilot Work in Solihull Integrated Teams Community Matrons in 2 areas Identified a group of patients (majority have COPD) Information and initial meetings Approval Group Support Planning

What issues have we faced? Role of the professional (liaison, ideology) Connecting money and health Implications for nature of professional/patient relationship (co-design) Lack of precedence for how to spend the money Deciding what is legitimate expenditure Is ‘x’ health? Can it be funded or provided elsewhere? Health & social care divide

Content of Support Plans What information does the Care Trust need included in the Support Plan? Information about medical condition(s) Which aspects of support/treatment are working & which aren’t Individual goals/outcomes What you plan to spend the budget on How your plans will help your health and well-being How your plans will be managed, including when you are unwell

Support Plan Approval Additionally the Plan should Be individual Be legal Be affordable Be effective Mindful of DH criteria