Personal health budgets in NHS Continuing Healthcare (CHC)

Read about how PHBs are supporting people in receipt of CHC funding.

Adults who are eligible for NHS Continuing Healthcare (CHC) funding have had a legal right to have a personal health budget since October 2014.NHS England and NHS Improvement expects that unless there are exceptional circumstances, everyone living in their own home who is in receipt of NHS Continuing Healthcare funding will have a personal health budget. More information about the support available for professionals introducing personal health budgets is available on the support and resources for professionals webpage.

People who become eligible for NHS Continuing Healthcare funding under the Fast Track Pathway also have a legal right to have a personal health budget. People may choose to receive their end of life care and support as a personal health budget, however there is no expectation from NHS England and NHS Improvement that this should be the case for everyone in receipt of Fast Track funding.

There are many examples of how personal health budgets can improve people’s experiences of care, and help people get the care and support that is right for them, as well as being more cost-effective for the NHS.

The independently evaluated personal health budgets pilot (published in 2012) showed that adults in receipt of NHS Continuing Healthcare, living in their own home were amongst those who benefited the most.

The national framework for NHS Continuing Healthcare

The process of providing personal health budgets in NHS Continuing Healthcare fits well with the case management approach, as set out in the National framework for NHS Continuing Healthcare and NHS-funded nursing care. This is explained in this animated film, which was developed by the national team to help professionals working in this area:

A range of other support and guidance is also available for professionals working in this area: