National expansion plan

The personal health budgets and Integrated Personal Commissioning national expansion plan sets out how the NHS plans to achieve the Mandate commitment that by March 2021 between 50,000 and 100,000 people will be benefiting from a personal health budget or integrated personal budget.

Integrated Personal Commissioning and personal health budgets empower people to take an active role in their health and wellbeing with greater choice and control over the care they need. For some people, this will include the option of taking control over the money that is spent on their care through a direct payment.

Integrated Personal Commissioning and personal health budgets have the potential to:

  • radically change the relationship between health professionals and patients, to a much more equal one;
  • deliver integration at an individual level;
  • enable a wider range of possible solutions to meet people’s needs than traditionally commissioned services;
  • support self management and reduced reliance on the NHS.

Personal health budgets have been shown to be cost effective, improve quality of life and reduce the need for unplanned care of those living in their own home. Since 1 October 2014, adults receiving NHS Continuing Healthcare and children and young people receiving continuing care have had a right to have a personal health budget.

The ambition set out in the NHS Mandate is that by March 2021, at least 50,000 people will have a personal health budget or integrated personal budget. NHS operational planning and contracting guidance required all CCGs to submit trajectories. The objective set was to deliver 50,000 personal health budgets or integrated personal budgets by 2019, two years earlier than the Mandate ambition.

Integrated Personal Commissioning will become a mainstream model for integrating care for up to 5% of the local population, in place across half of England by 2021, aligned to the spread of new care models.

Key documents