What are Personal Health Budgets

A personal health budget is an amount of money given to support a person’s assessed health and wellbeing needs. These need to be assessed and agreed between the person and their local NHS team.

The vision for personal health budgets is to enable people with long term conditions and disabilities to have greater choice, flexibility and control over their health care and the support they receive.

Personal health budgets offer the opportunity for people to work in equal partnership with the NHS about how their health and wellbeing needs can best be met for them.

Personal health budgets are part of the drive to personalise public services, particularly health services

The essential parts of a personal health budget

The person with the personal health budget (or their representative) will:

  • be able to choose the health and wellbeing outcomes they want to achieve, in agreement with a healthcare professional;
  • know how much money they have for their health care and support;
  • be enabled to create their own care plan, with enough support and information to make informed decisions about how their care plan can best work for them;
  • be able to choose how their budget is held and managed, including the right to ask for a direct payment;
  • be able to spend the money in ways and at times that make sense to them, as agreed in their plan.


Care planning

  • At the heart of a personal health budget is a care plan.
  • This is developed by an individual in partnership with their healthcare professional.
  • The care plan sets out how a person’s budget will be spent to enable them to reach their health and wellbeing goals.


Spending the budget

  • An individual with a personal health budget will be able to spend it on a range of things to help them to meet their goals;
  • These can include things like therapies, personal care and equipment.
  • People will not be able to pay for emergency care and care they normally get from a family doctor.
  • People are not allowed to spend the money on gambling, debt repayment, alcohol or tobacco, or anything unlawful.


Governance and risk

  • The personal health budgets partnership combines the professional’s vital clinical expertise and knowledge, with the person’s expertise about their own condition and needs.
  • Clinical governance should support flexibility and innovation where possible, so people can try new approaches to achieving their health goals.
  • Health care professionals will continue to be focused on securing the best health outcomes for people. Personal health budgets may provide alternative ways of achieving these, with people able to explore a wider range of options in their care plan.


If you need advice about personal health budgets please call Jas or Michelle on 020 8519 6369 option 2.