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Personal Health Budgets presentation to the London SDS Forum 2 October 2015 Steven Pruner PHB Regional Lead (London)

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More about the case for change Clear links to other programmes Strategy and vison sharing learning

Tools and templates to start this thinking

Communication strategy Tools and templates to start this thinking

Engagement plans Tools and templates for local engagement

Working with key stakeholders including VCS

Develop what stakeholders are telling us into actions and plans about who can have a budget

Details of a local offer PHB pathways

Tools to think through principles and details of local offer

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Evidence of PHBs being a more effective use of resources

Working with sites to develop more evidence

Clear financial framework including setting budgets

Day 3 & 4 will focus on finance frameworks

Strategic Business Case Working with sites to develop business cases Day 5

Commissioning for change tariff costs, negotiating with providers etc.

Days 3 & 4 will focus on developing new commissioning strategies

Information Governance problem solving

National programme of webinars to support specific learning

Reviewing how well we are doing - evaluation

POET / CCG Assurance etc.

Ctd.

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More network opportunities Events like today supported by

regional network events Buddy schemes PHB regional leads and days

like today to organise More examples and good practice forums

Regional networks and more examples on the learning network

Webinars and other support Programme of national webinars to support this programme

More of these published on the PHB learning network

More films and stories More of these published on the PHB learning network and NHS You Tube

Ctd.

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Provides clear answers to questions such as: Who can get a personal health budget? Which organisations are involved ? How can professionals and the public can find out more information? How can people apply for a personal health budget?

Should be: Developed together with people with direct experience, and providers. Agreed by the health and wellbeing board and published. Linked into the commissioning and contracting cycle. Backed up by a plan to make change a reality.

What is a Local Offer?

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Day 1 What do you want to be different? Starting to think about a vision and strategy. Day 2 Designing your local offer. What will the vision and strategy look like on the ground for people? Day 3 & 4 Understanding costs and commissioning for change practical examples of how other CCGs have approached this. Day 5 Learning from experience bringing together learning so far into a business case.

5 days over the next 12 months

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Programme of support for CCGs to develop a local personal health budget offer and underlying business case. Series of five events over 2015/16. Supported by:

Tailored regional support; Regional action learning sets; Series of national webinars; Rapid access events; Hear experiences from other places; Practical examples, tools and templates;

What are the events all about?

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Opportunity to develop a clear strategy and vision for personal health budgets. Access to tools, templates and examples. A robust sustainable business case to support the introduction of personal health budgets. Engagement with people who can help to do this well. Networking with other people. Increased confidence.

What does the programme offer?

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Why personal health budgets?

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The Challenges facing the NHS

1. Increasing number of people living with more than one LTC increasing demand on services.

2. Safety Francis, Berwick & Winterbourne. 3. Facing a decade without

any increase in spending, unprecedented in NHS history, set against rising demand (4% pressure p/a).

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Personal health budgets are part of the solution. They:

Radically change the relationship between the health professional and patient to a much more equal one. Centre around a care plan and focus on outcomes. Deliver integration at an individual level and higher quality care. Work well for people with the highest support needs. Enable a wider range of possible solutions than traditionally commissioned services. Promote self-management and reduce reliance on NHS services.

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5 Year Forward View: Sets out how the health service needs to change, arguing for a new relationship with patients and communities. Makes a specific commitment to do more to support people with long term conditions to manage their own health and care.

Sets the expectation that people will be given more choice and control, including personal budgets. Introduces the concept of New Models of Care. Signals the need for significant investment in evidence-based approaches such as group based self-management education courses for people with specific conditions, as well as encouraging independent peer-to-peer communities to emerge.

   

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Personal health budgets are part of mainstream NHS:

Continuing healthcare: since Oct 2014 people receiving NHS continuing healthcare have had the right to have a personal health budget. Children and Families Act 2014: children who have special educational needs should have a single assessment, an Educational, Health and Care Plan and the option of a personal budget. The NHS Mandate: from April 2015 people with long term conditions who could benefit should have the option of a personal health budget. The 2015/16 Planning Guidance:

expanding personal health budgets within their published local Joint

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PHBs: Forward View into Action: Planning for 2015/16

should engage widely and fully with their local communities and patients, including with their local Healthwatch, and include clear goals on expanding personal health budgets within their published local Joint Health and Wellbeing Strategy

CCGs have the flexibility to set out their own plans, informed by local demographics, current understanding of groups who may benefit and by knowledge of where they may have the most benefit locally. All offers should include:

those eligible for adults NHS continuing healthcare &

children with special educational needs and disabilities; Adults and children with learning disabilities.

Numbers will vary depending on local demographics.

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Links to other policies and programmes of work

Special Educational Needs and Disabilities reforms. Learning Disabilities Transformation Programme. Ambitions for Palliative and End of Life Care. Integrated Personal Commissioning Demonstrator Programme. New Models of Care/Vanguards. Integration Pioneers. Person centered care and support planning for people. living with long term conditions.

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Measuring progress Markers of Progress POET© (Personal Outcomes Evaluation Tool) CHC data collection Assurance process - special category for Q4 Has the CCG identified an action plan to implement PHBs and which service areas have been prioritised for where an expansion of personal health budgets would add most benefit? What additional support is needed to expand PHBs within the CCG?

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Thank you.

Questions?