Personal Health Budgets. Kent County Council and NHS Eastern and Coastal Kent Presentation by Project Manager Georgina Walton

1. Individual Empowerment in Kent Georgina Walton Personal Health Budgets Project Manager Kent County Council and NHS Eastern and Coastal Kent

2. Individual Empowerment in Kent 1. Kent: Overview 2. Transforming Health and Social Care 3. Personalisation within Kent Adult Social Services 4. Kent Card 5. Personal Health Budgets

3. Individual Empowerment in Kent

5. Variations of Deprivation

6. Challenge of Ageing Population: By 2026it is expected: People aged 85+ to increase by 100% People 75+ to increase by over 60% People 65+ to increase by over 30% In Kent it is expected: 85+ 2,900 new dementia cases 65+ 8,310 new dementia cases

7. Individual Empowerment in Kent Health and Social Care in Kent 2 Primary Care Commissioning Trust 3 Acute NHS Hospital Trusts 1 joint NHS & Social Care Mental Health Trust 1 Ambulance Trust, 1 Fire Service, 1 Police Service 1 Adult Social Care Services On a typical day….. 20,000 people see their Doctor 50,000 prescription items are dispensed 32,000 people are supported to live independently 60,000+ people work in the health & social care sector

8. Individual Empowerment in Kent 1. Kent: Overview 2. Transforming Health and Social Care 3. Personalisation within Kent Adult Social Services 4. Kent Card 5. Personal Health Budgets

10. The first legislation allowing Direct Payments for social care was passed in 1996, in the Community Care (Direct Payments) Act.

12. Individual Empowerment in Kent

14. Carers assessments and support

18. Private or voluntary provider

19. Individual as a Direct PaymentMust be used on meeting assessed social care needs

23. A system was needed for people who have been excluded in the past from having a direct payment

26. Reduce the complexity around direct payments: - Kent Card removes the need to negotiate the opening of a bank account - Each card is pre loaded with an agreed amount Flexibility, Freedom, Choice and Control

27. Individual Empowerment in Kent Application Form RBS Cardholder detail spreadsheet Crediting How the card works…..CARD ISSUING & LOADING Monthly Statements & Daily Web-access Within 9 Working Days Funds Loaded - Day 3/4

29. Cash facility is automatically restricted

30. Monthly statements

31. Detailed management and audit information reporting

32. KCC 24hr helpline

33. Personal Assistants can be paid via Kent Card

35. Users of direct payments is set to increase

36. Providers are added to a list of UK suppliers that accept VISA

37. Providers are added to the Kent County Council website showing that they accept Kent Card

39. Individual Empowerment in Kent

40. Individual Empowerment in Kent 1. Kent: Overview 2. Transforming Health and Social Care 3. Personalisation within Kent Adult Social Services 4. Kent Card 5. Personal Health Budgets

41. Individual Empowerment in Kent Backdrop “ You have the right to make choices about your NHS care and to information to support these choices. The options available to you will develop over time and depend on your individual needs.” (Section 2a of the NHS Constitution)

43. money in budget

44. What goods and services will be bought and the cost of theseMonitoring and Review

45. Individual Empowerment in Kent Different ways of delivering a personal health budget Notional individual budget Already legallypossible Personal care plans More direct control to individuals Real budget held on the individual’s behalf Direct payment – cash held by patient

47. Agreed care plan with agreed health and wellbeing objectives

49. Quality is key!

50. Tackling inequalities and protecting equality

51. Personal health budgets are voluntary

52. Decision making close to the individual

54. End of Life Care with 4 patients

55. Maternity with 30 women

56. Carers

57. Mental Health with 20 individuals

60. Increasing health outcomes

61. Integration of health and social care

63. Individual Empowerment in Kent Programme timeline Summer 2010First interim report published March 2010Regulation in place 2012End of pilots and evaluation Mid-2010Direct payments allowed in pilots (subject to regulation) April 2010Recruitment to evaluation cohort starts

65. Embedding Personal Health Budgets at the heart of the NHS

67. One of a number of different forms of personalisation being explored across the welfare state

68. Future link all publicly funded support

69. Integration and joint processes

71. Hydrotherapy

72. Complimentary therapy e.g. acupuncture

73. Air conditioning

74. Activities and classes instead of traditional mental health services

75. Alternative respite arrangementsIndividual Empowerment in Kent

76. Individual Empowerment in Kent Case Study: How Personal Health Budgets work in Kent

78. Cultural Shift

79. Support Systems are Essential

80. Development of Provider Market

82. Individual Empowerment in Kent