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Personal health budgets: a mechanism to encourage service integration?

Welch, Elizabeth, Jones, Karen C., Fox, Diane, Caiels, James (2022) Personal health budgets: a mechanism to encourage service integration? Journal of Integrated Care, 30 (3). pp. 251-262. ISSN 1476-9018. E-ISSN 1476-9018. (doi:10.1108/JICA-07-2021-0038) (KAR id:94086)

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Official URL:
https://doi.org/10.1108/JICA-07-2021-0038

Abstract

Purpose

Integrated care continues to be a central aim within health and social care policy in England. Personal budgets and personal health budgets aim to place service users at the centre of decision-making and are part of a wider long-term initiative working towards personalised and integrated care. Personal budgets began in social care with the national pilot programme of individual budgets, which aimed to incorporate several funding streams into one budget, but in practice local authorities limited these to social care expenditure. Personal budgets then moved into the health care sector with the introduction of a three-year personal health budgets pilot programme that started in 2009. The purpose of the paper is to explore the post-pilot implementation of personal health budgets and explore their role in facilitating service integration. We examine this through the RE-AIM framework.

Design/methodology/approach

During 2015 and 2016, eight organisational representatives, 23 personal health budget holders and three service providers were interviewed, 42 personal health budget support plans were collected and 14 service providers completed an online survey.

Findings

Overall, personal health budgets continued to be viewed positively but progress in implementation was slower than expected. Effective leadership, clear communication and longer-term implementation were seen as vital ingredients in ensuring personal health budgets are fully embedded and contribute to wider service integration.

Originality/value

The paper highlights the importance of policy implementation over the longer-term, while illustrating how the venture of personal health budgets in England could be a mechanism for implementing service integration. The findings can serve to guide future policy initiatives on person-centred care and service integration.

Item Type: Article
DOI/Identification number: 10.1108/JICA-07-2021-0038
Projects: Evaluation of the personal health budgets pilots
Uncontrolled keywords: Personal health budgets, personalisation, integration, health and social policy implementation, change management
Subjects: H Social Sciences
Divisions: Divisions > Division for the Study of Law, Society and Social Justice > School of Social Policy, Sociology and Social Research
Divisions > Division for the Study of Law, Society and Social Justice > School of Social Policy, Sociology and Social Research > Personal Social Services Research Unit
Depositing User: Elizabeth Woodward
Date Deposited: 17 May 2022 10:31 UTC
Last Modified: 21 Jun 2022 12:06 UTC
Resource URI: https://kar.kent.ac.uk/id/eprint/94086 (The current URI for this page, for reference purposes)
Welch, Elizabeth: https://orcid.org/0000-0002-4284-6501
Jones, Karen C.: https://orcid.org/0000-0003-0851-8341
Fox, Diane: https://orcid.org/0000-0001-9144-3883
Caiels, James: https://orcid.org/0000-0001-5299-4682
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