What is a personal health budget?
- A personal health budget is an amount of money to support your health and wellbeing needs, which is planned and agreed between you (or someone who represents you), and your local NHS team. It is not new money, but it may mean spending money differently so that you can get the care that you need.
- A personal health budget allows you to manage your healthcare and support such as treatments, equipment and personal care, in a way that suits you. It works in a similar way to personal budgets, which allow people to manage and pay for their social care needs.
Who can get it?
The right to have a personal health budget applies to people who are:
- Adults receiving NHS continuing healthcare (NHS-funded long-term health and personal care provided outside hospital)
- children receiving NHS continuing healthcare
- people who are referred and meet the eligibility criteria of their local wheelchair service and people who are already registered with the wheelchair service when they need a new wheelchair or specialist buggy, either because of a change in clinical needs or the condition of the current chair. These people will be eligible for a personal wheelchair budget.
What is a direct payment?
A direct payment is when the council gives you your Personal Budget and you arrange / purchase your own care and support needs. This may include hiring a personal assistant (PA). If you decide to have a direct payment to hire (employ) a PA, then you need to be aware that there are some other tasks in relation to employing a person that you or your nominated or authorised person will need to take responsibility for.
What is the difference between a nominated person and an authorised person?
A nominated person is someone you choose to help you manage your direct payment. This could be a friend or family member. If you nominate someone to manage the direct payment on your behalf, you still maintain the legal responsibilities that go with it.
For example, Mrs smith is 92 years of age. She feels that she will have difficulty paying her personal assistant and fully understanding the contracts that are involved. With his agreement, she ‘nominates’ her son to manage the financial and legal aspects on her behalf.
An authorised person, is someone who manages the direct payment on your behalf, because you are not mentally able to do so. This might be because you have a mental health illness. This could be a friend or family member. If you have an authorised person managing your direct payment, then they become legally responsible for everything that goes with it.
For example: Mr Toms has a cognitive impairment and deemed to lack capacity regarding his finances and care needs in his most recent assessment. He responds well with a private carer which improves his quality of life. Mrs Toms will act in her husband’s best interest to manage the finances and legalities of the direct payment to improve his quality of life.
Read MoreWhat is hospice care?
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Who is eligible for hospice care?
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How long can I receive Hospice care?
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Where is Hospice care provided?
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How long will I need to stay?
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What should I bring with me?
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Is there a private room available and is there an extra charge?
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How long will I need to stay?
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Are there rules about family visits?
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How much will it cost and will insurance or Medicare cover my stay?
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