• 13Mar

    10,000 high-need services users gain control of their own integrated health and social care budgets

    NHS England and the Local Government Association have announced the first eight sites that will combine comprehensive health and social care funding for individuals and allow them to take control of how it is used.

    The first wave of the Integrated Personal Commissioning (IPC) programme will go live on 1 April 2015, providing some 10,000 people with complex needs with greater power to decide how their own combined health and social care budget is spent. The start of the programme is a key first stage in the delivery of the NHS Five Year Forward View that was set out in October 2014.

    Four groups of high need individuals – older people with long term conditions, children with disabilities and their families, people with learning disabilities, and people living with serious mental illness – will be able to take control of their budget to deliver an agreed care plan. As part of the programme, local voluntary organisations will help patients with personal care planning and advocacy.

    The successful sites are now working on refining their project plans ahead of the launch in April. Further demonstrator sites will be identified later this year.

    Successful demonstrator sites include:

    • Barnsley: partners will be working together to develop the IPC model to support people with complex diabetes. This new approach will help people who have lots of contact with services, especially acute services, to take more control of their own health and wellbeing.
    • Cheshire West and Cheshire: the focus will be on people with learning disabilities, including those who have mental health problems or autism. The programme will focus on people who have high support needs, are in institutional settings or at risk of being placed in these settings, and/or are children and young people aged 14 and with complex/learning disability needs. Working together, the local NHS, council, voluntary sector and families will ensure more people with learning disabilities in Cheshire can be supported to live more independently in the community.
    • Luton: through the development of the IPC model, people with dementia will be offered more choices about their care with the goal of being able to stay independent for longer. Local leaders estimate enhanced personalised care plans will be in place for 60 per cent of dementia sufferers, with local support and treatment services better aligned to the needs of individuals and their carers.
    • Stockton on Tees: organisations will work with older people with long-term conditions. Their aim is to develop a model for the management of long-term conditions for the older people. Effective promotion of self-management will be at the heart of their new care model.
    • Tower Hamlets: partners aim to expand the offer of personal health budgets to include: people with long-term conditions, particularly adults and children with more complex health needs including significant mental health problems; and people eligible for jointly funded continuing healthcare, for whom providing a seamless service aligned with the local authority is important.
    • Hampshire: partners will work with children and young people in transition (14-25 years old) with complex needs such as learning disability, mental health problems and physical conditions, as well as adults with a learning disability, including those in, or at risk of entering, an institutional setting.
    • Portsmouth: this area will be supporting older people with multiple long-term conditions who are most at risk of avoidable hospital admissions. Pooled health and social care budgets and the increased use of personal health budgets will enable Portsmouth to continue to breakdown organisational barriers between health and social care and provide more joined up personalised care for older people.
    • South West Consortium: partners in this large consortium will be working to improve care for people with a range of multiple long-term conditions; including mental health issues; learning disabilities and children with complex needs. The focus will be on embedding the culture change needed to deliver personalised.

    You can read more about the Integrated Personal Commissioning (IPC) programme here.