Tom Raines NHSE IPB Foundations Slides V2
                     Integrated Personal Budgets and DFG
Tom Raines, Personalised Care Group
NHS England and NHS Improvement
Universal Personalised Care
• Universal Personalised Care is the delivery plan for personalised care
• It is about implementing the model of personalised care to 2.5m people by 2023/4 and then 
double again before 2028/29.
• Personalised care means people have choice and control over the way their care is planned, and 
delivered, based on what matters to them and their individual strengths, needs and preferences.
• This happens within a system that supports people to stay well for longer and makes the most of 
their expertise, capacity and potential.
• The components are: 
• 1. Shared decision making 
• 2. Personalised care and support planning 
• 3. Enabling choice, including legal rights to choice 
• 4. Social prescribing and community-based support 
• 5. Supported self-management 
• 6. Personal health budgets and integrated personal budgets. 
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Aim of PHBs/Integrated Budgets
• To give people greater choice, flexibility and 
control over the healthcare and support they 
receive
• An opportunity for people to work in equal 
partnership with the NHS and local 
authorities about how their health and 
wellbeing needs can best be met
• Personal health budgets/integrated personal 
budgets are not about new money, but about 
using resources differently 
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PHB and IPB Consultation (2018)
• Extension of legal right to have a PHB 
• Over 400 responses / averages 87% 
positive response rate
• Section 117 After-care and Personal 
Wheelchair Budgets
• Consultation questions regarding IPBs and 
including  wider funding streams
• Clear winner: DFG!
• Links to recommendations of DFG External 
Review 2018, which include: 
 Coordinating housing services with 
health and social care to achieve 
joined-up, person-centred approached, 
and;
 You can view this at:Drawing in funding from other sources
www.bit.ly/PHBconsultatio
n
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An Emerging Policy Area
Exploring:
• Viability of a legal right to IPBs including wider funding 
streams
• Policy and legislative implications
• Opportunities and challenges to the system
• Working with CCGs, local authorities and  others to 
gather their views 
• What are the unintended consequences?
• Develop recommendations and definitions
• Reporting to Treasury, DHSC, DWP and MHCLG
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In an ideal world…
A truly integrated personal budget would involve: 
• One assessment
• One indicative budget
• One set of outcomes
• One person centred care and support plan
• One direct payment
• One process for review and one audit
But there are challenges before we get to an ideal 
world…
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Solutions and work arounds
• Based on good relationships between CCGs and LAs
• Clear communication, personalised care and shared 
decision making with the budget holder at the centre
• Integrated assessments are key – identifying health 
and social outcomes as well as the costings
• Leading to joint commissioning arrangements / re-
charging between organisations to facilitate a single 
direct payment
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Questions
• Do you have examples of IPBs or 
joint commissioning? 
• What is working well?
• What are the challenges?
• Would you like to be involved in our 
work? 
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Contact:
Tom Raines
[email protected]
07702 410098
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