Book contents
- Frontmatter
- Contents
- List of tables and figures
- Acknowledgements
- Prologue: Stephen’s story
- Introduction
- Section 1 Introducing personal health budgets
- Section 2 Implementing personal health budgets
- Section 3 Personal health budgets and organisational change in the NHS
- Conclusion
- Epilogue: Jonathan’s story
- References
- Index
one - Personalisation across public services
Published online by Cambridge University Press: 03 February 2022
- Frontmatter
- Contents
- List of tables and figures
- Acknowledgements
- Prologue: Stephen’s story
- Introduction
- Section 1 Introducing personal health budgets
- Section 2 Implementing personal health budgets
- Section 3 Personal health budgets and organisational change in the NHS
- Conclusion
- Epilogue: Jonathan’s story
- References
- Index
Summary
The purpose of this book is to set out the objectives underpinning the roll-out of personal health budgets in the National Health Service (NHS); to provide an overview of how PHBs can be implemented to best deliver on those objectives; and to identify some of the barriers to implementation and how they can be overcome. Within the NHS, PHBs are highly innovative and present new challenges to commissioners, clinicians and individuals. But just as they have a shared history with personal budgets in social care (discussed in Chapter 3), they are also part of a set of new initiatives that are driving personalisation across public services. At the heart of each initiative is a common set of principles, a similar design and a common delivery mechanism – an individual budget and a personalised plan for how the individual budget can best be deployed to help people achieve their goals. This chapter puts PHBs in the NHS into their wider context and looks at the spread of personalisation across public services.
The principles underpinning personalisation across public services
• A new relationship between the citizen and the state based on co-production.
• Self-determination expressed through informed choice, control and accountability for the individual – do less to people and more with them.
• Government should step back, making space for individuals to lead their lives as they choose.
• A more preventative approach with support provided in a timely way.
• The ability for individuals to use resources in new ways.
• Making full use of the expertise of the voluntary and private sectors, disabled people's organisations and peer support.
• Affordable and sustainable support, with transition costs grounded in austerity measures.
• Local freedom and accountability, with Whitehall as adviser.
Source: Adapted from an Office for Disability Issues workshop facilitated by the author, August 2011
From personalisation to open public services
As discussed later in Chapter 3, the concept of personalisation arose out of a complex interaction between the disabled people's movement for independent living and the work of think tanks and policymakers. By 2007, it had become a central idea within public service reform under the then Labour government and the governing idea in adult social care.
- Type
- Chapter
- Information
- Delivering Personal Health BudgetsA Guide to Policy and Practice, pp. 13 - 20Publisher: Bristol University PressPrint publication year: 2014