Personal Health Budgets for children

From 1st April 2016, City and Hackney CCG will be working with patients and health professionals, to expand our offer of Personal Health Budgets.

Currently, adults and children in receipt of continuing care packages have the right to ask for a Personal Health Budget, through which they may receive more personalised care, to meet the outcomes agreed between themselves and their health professionals. Personal Health Budgets are now established for a number of children and adults in City and Hackney.

We will explore how we can  extend this offer, initially to:

  • children and young people with a health component of an Education and Health Care Plan
  • people with a Learning Disability

In order to do this, we need to hear the thoughts of patients and families, and will be arranging a number of events and feedback opportunities, details of which will be posted here.

Changing how we commission services to offer more personalised care, whilst not destabilising services for others,  is a complex challenge, and the CCG will publish further details of pilot arrangements following consultation.

Frequently asked questions

What is a personal health budget?

Personal health budgets have been introduced to enable people to play an active role in managing their health and to work with health professionals as an equal partner to achieve their healthcare goals and aspirations. They give children, young people and their families the opportunity to use the budgets in innovative ways rather than from a traditional NHS service.

A PHB for example, can be used on a range of services from government or independent agencies, or from the voluntary sector. The budget can also be used to employ a personal carer in the home.

Visit the personal health budgets website for case studies and personal stories.

Who is eligible?

To be eligible to receive a personal health budget a child or young person must be registered with a GP in Hackney or the City of London  and have been assessed as being eligible for NHS Continuing Care funding.

How does it work?

Firstly, the child or young person’s needs will be assessed and an estimate of the budget will be provided by a local support team. The support team will help the family to write a support plan which sets out how the budget will be used. Once the plan is agreed the budget will be available to use.


What are the options?

There are three options to choose from. They include:

  1. Direct payments

Money will be paid into a dedicated Personal Health Budget bank account. This will enable the parent or carer to buy services or equipment agreed as part of the child’s support plan. They will need to keep financial records and receipts to show how they have spent the budget.

  1. A third party holds the budget for you

The family can nominate someone else – either an organisation, a family member or another person they trust - to look after the child’s health budget.

  1. The NHS holds your budget

Things stay as they are now and NHS staff will continue to arrange and pay for the services and support needed.


Or a combination of these options, for example:

A family may wish for the agency they had chosen to hold the budget as a third party for some of their care needs and the remainder of the budget to stay within the NHS as a notional budget for their nursing care needs.

What can a personal health budget be spent on?

A personal health budget can be used for any services, activities or equipment that have been identified in the support plan. These could include:

  • employing carers or personal assistants to support the child in the home
  • paying for activities which help the child be more active in the community
  • aids, adaptations and equipment to help manage day-to-day tasks.

A PHB cannot be spent on any illegal activities, alcohol, tobacco, gambling or day-to-day household expenses.

Allocation of a personal health budget will not affect any benefits that a child or their family is receiving, as it is not classed as additional income.

How can I find out more?

Contact the local NHS Personal Health Budget Support Team by email on or by phone on 020 3688 1000 who will be happy to talk to you about the service.