One year into the project in East Lancashire there continues to be strong support from GPs and the local community for personal health budgets in end of life care.
Their work has focussed on supporting people who due to their isolated location have encountered difficulty accessing the right support at home.
Working closely together, local commissioners and community staff are using a local, multi-agency advance care planning framework to generate support plans for personal health budgets, with community nurses acting as budget holders.
Advance care planning discussions are now taking place earlier in the care pathway, with all GP practices involved in identifying people who are in the last 12 months of their life for the initiative, through Gold Standards Framework meetings.
At the end of the first year, progress has been made to change local working practices, with better recording of support plans in GP systems, and a focus on identifying people’s strengths and using an asset-based approach in care planning conversations, rather than focusing on deficits.
A recurring theme in the type of health and wellbeing outcomes people wish to achieve through personal health budgets has been ways to address issues of isolation and having an opportunity to socialise.