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Personal Health Budgets ‘Staying In Control’
Chris Siviter & Michael Glynn
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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
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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
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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
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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
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Support Plan Approval Additionally the Plan should Be individual
Be legal Be affordable Be effective Mindful of DH criteria
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