Government launches pilots offering patients real personal budgets

Patients will be given cash to purchase their own NHS care for the first time under a new Government scheme.

The direct payments pilot, announced by health minister Paul Burstow, is to be rolled out across eight PCTs, who will directly hand patients the money for their care, allowing them to decide how, where and from whom they receive treatment.

Real personal budgets are already available to patients to purchase some forms of social care, but until now, personal health budgets have only been obtainable via PCTs or third parties.

The pilot scheme, which will run until 2012, is being developed to help patients with long term conditions such as diabetes, stroke, heart disease, end of life care and mental health conditions.

But the BMA has expressed concerns over the potential for the funding to be used to pay for ‘inappropriate and/or non-evidence based services or treatments’, including complementary therapies such as homeopathy.
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Care services minister Paul Burstow said the scheme had ‘real potential to improve the lives of individuals with long-term health needs’.

He said: ‘There is strong evidence from the social care sector that direct payments help achieve better outcomes, and give people more choice and control over the care they receive. It also encourages a more preventative approach. It is a step away from the rigidity of PCTs deciding what services a patient will receive.

‘Direct payments will not work for everyone or for all patient groups or services, but we want to identify whether, for whom and how they could offer an opportunity to help achieve the best health and wellbeing outcomes. That is why we are developing this pilot programme.

‘It will stop healthcare from slipping back to the days of one-dimensional, like-it-or-lump-it services.’