The Nuffield TrustA l H lth St t S it 2011Annual Health Strategy Summit 2011

Choice and SharedChoice and Shared Decision Making

Stuart LanePersonal Health Budgets Pilot

• A clear direction hasA clear direction has been set out placing patients and the public at the heart of the NHS.

• To allow people more control over their health care whereverhealth care wherever possible.

Personal Health BudgetsPersonal Health Budgets

Have the potential to improve the lives of ppatients, their families and carers, by enabling them to choose the care and services which bestservices which best suit their needs.

Together?Together?

Drive for greater integration and gpartnership working betweenworking between the NHS and Local AuthoritiesLocal Authorities

Opportunity to LearnOpportunity to Learn

There is much for the NHS tofor the NHS to learn from the experiences of personalisation pin Social Care.

Opportunity to do things differently!Opportunity to do things differently!

There are clear opportunities to develop new ways ofThere are clear opportunities to develop new ways of thinking around the delivery of public services.

For example taking co-production into mainstream by:For example, taking co-production into mainstream by:• Recognising people as assets• Building on people’s existing capabilities• Promoting mutuality and reciprocity• Developing peer support networks• Breaking down barriers between professionals and recipientsg p p• Facilitating rather than delivering

NESTA, 2010

Personal Health Budgets EvaluationPersonal Health Budgets Evaluation

The independent evaluation team led by the Personal Social Services Research

Unit at the University of Kent ill report at inter als o er 3 ears to incl dewill report at intervals over 3 years, to include:

Health,wellbeing,

Variation by condition & Financial

I t

Effect on NHS

Practical –what works,

h tImpact on

t ff

Final report produced October 2012

experience & access

background Impact Services what doesn’t?

staff

p p

Scope of EvaluationMaternity

Neurological ConditionsEnd of Life care

NHS continuing healthcareM t l h lthMental health

COPDStrokeStroke

Diabetes

“To be honest, ourTo be honest, our personal budget has opened the door to a better world. The professional help for A it h t lAnita has not only dramatically improved her life I feel it hasher life, I feel it has also saved mine”

“To be honest, ourTo be honest, our personal budget has opened the door to a better world. The professional help for A it h t lAnita has not only dramatically improved her life I feel it hasher life, I feel it has also saved mine”

Direct Payments for HealthDirect Payments for Health

Multiple Sclerosis.pPrevious Direct Payments via Local Authority.Employed own PA.Qualified NHS CHC.PA support disruptedPA support disrupted.Reduced control over own end of life care.Use of Direct Payments for health care – promote t i i t lstaying in control.

Could we ?Could we…?

Palliative Care.Palliative Care.

SurgerySurgery &Chemotherapy.

Quality time with loved ones.o ed o es

Who’s Choice???Who s Choice???

Time for a different conversation?Time for a different conversation?

• Making decisions as gclose to the individual as possible.D l i T t• Developing Trust.

• Promoting Well Being and Prevention, notand Prevention, not responding to illness.

• Patient not service led.• Positive attitudes towards

RISK.

Citizenship ModelCitizenship Model

Challenges• Cultural change necessary in

commissioning, providing and i i h lthreceiving healthcare.

• Developing new robust, evidence demonstratingevidence - demonstrating effectiveness, efficiencies and improved productivityimproved productivity.

Stuart LaneProject Manager

Personal Health Budgets PilotCity Health Care Partnership CIC

www.personalhealthbudgets.dh.gov.uk