Evidence and case studies

The evidence base for personalised care continues to grow, demonstrating a positive impact on people, the system and professionals. Shared decision making between people and clinicians about their tests, treatments and support options leads to more realistic expectations, a better match between individuals’ values and treatment choices, and fewer unnecessary interventions.

Personalised care also has a positive impact on health inequalities, taking account of different backgrounds and preferences, with people from lower socioeconomic groups able to benefit the most from personalised care.

The original personal health budget (PHB) independent 2012 evaluation, led by the Personal Social Services Research Unit at the University of Kent, showed improved quality of life and reduced people’s reliance on unplanned care eg A&E admissions, as well as overall savings of £3100 per person per year for CHC PHB holders. This included changes to direct and indirect costs and the majority of people were living in their own home.

Other recent highlights include:

  • In a recent independent survey, 86% of people with a personal health budget said that they had achieved what they wanted with their PHB and 77% of people would recommend PHBs to others
  • PHBs in NHS Continuing Healthcare (CHC) have also been shown to achieve an average 17% saving on the direct cost of home care packages. Whilst we do not expect this 17% saving to be repeated in a system operating at scale, it creates a compelling case to change the approach to delivering CHC home care.  (Published on the PHB learning network).
  • From tracking over 9,000 people with long-term conditions across a health and care system, evidence has shown that people who are more confident and able to manage their health conditions (that is, people with higher levels of activation) have 18% fewer GP contacts and 38% fewer emergency admissions than people with the least confidence.
  •  A literature review of over 1,000 research studies found peer support can help people feel more knowledgeable, confident and happy, and less isolated and alone.
  • A recent systematic review of 73 studies of personal budgets in health and social care across the globe found “positive effects on overall satisfaction, with some evidence also of improvements in quality of life and sense of security. There may also be fewer adverse effects. Despite implementation challenges, recipients generally prefer this intervention to traditional supports”.

Quarterly personal health budget figures

At the end of Quarter 3 (end December 2018) 40,344 Personal Health Budgets have been delivered across the country, meeting the target for this year and continuing to build towards the Next Steps target of 50-100,000 PHBs by 2020-21.

Case studies

See Universal Personalised Care Case Studies for more case studies.