Skip to main content
Language Translation
Language Translation requires Additional Cookies enabled

How to embed Personal Health Budgets


What are PHBs?

(This information has been abridged from the NHSE Continuing Healthcare Delivery Model and the NHS England website NHS England » Personal health budgets in NHS Continuing Healthcare (CHC)

Personal Health Budgets enable people to have greater choice, flexibility and control over the healthcare and support they receive.

A Personal Health Budget is an amount of money to support a person's identified health and wellbeing needs, planned and agreed between the person and their local NHS team or healthcare professional. It is not new money, but a different way of spending health funding to meet a person's identified needs. Adults who are eligible for NHS Continuing Healthcare (CHC) funding have had a legal right to have a personal health budget since October 2014.

NHS England expects that unless there are exceptional circumstances, everyone living in their own home who is in receipt of NHS Continuing Healthcare funding will have a personal health budget.

Hear Claire and Joe's story, and how Joe's PHB is supporting him to live as fulfilling a life as he can:

Hear how Peter Bradbury manages his quadraplegia with a PHB - and how he doesn't let much stop him, including taking on the fastest zip line in the UK!


How are PHBs managed?

Personal Health Budgets can be managed in one of three ways, or a combination of these:

Notional budget: The NHS holds the money on behalf of the individual. The person knows how much their budget is and discusses with the NHS the care and support they require to meet their needs. The NHS purchases the agreed care and support.

A third party budget: An organisation independent of the individual and the NHS holds the budget and makes the arrangements for the agreed care and support. If the budget is used to employ personal assistants, it is the organisation holding the budget who is their registered employer.

A direct payment: Money is paid directly into the individual's (or their representative's) bank account and they can directly purchase the care and support required in line with the agreed personalised care and support plan.

How to do it

A series of e-learning modules have been launched to support the implementation and delivery of personal health budgets. The modules are available through E-Learning for Health.

The Personal Health Budgets programme is also available to NHS healthcare staff via the Electronic Staff Record (ESR). Accessing this e-Learning via ESR means that your completions will transfer with you throughout your NHS career.

Who manages PHBs in Coventry and Warwickshire's health and care system?

For PHBs mananged under Continuing Health Care, the Leads are:

Kelly Harris

Jan Legg


Training, development, case studies and best practice resources: