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Thousands of patients to get personalised NHS budgets

(5 Posts)
railman Mon 16-Apr-18 10:50:50

Is this proof that the UK Government is insane.

Just read this story in the paper:

Thousands of patients to get personalised NHS budgets

Who would suggest that people with learning difficulties, or those with dementia, alzheimers, or other mental health issues could manage a budget for their own healthcare. Is the UK Government - I'm not pointing fingers at Jeremy Hunt or Simon Stevens! - asking people who are frail to choose which is the best NHS treatment for them, and then arrange to pay the bills out of the budget that they have been allocated by the "Government" to cover those costs.
Is the Government going to offer training to carers or parents? Or is it just going to be an opportunity for the "third parties" to make revenue out of offering services and advice - for a fee - to the people in society who may not be best placed to manage those budgets.

Sorry about the rant, but this just strikes me as yet another example of Hunt & Co absolving themselves of responsibility and not doing the work for which we all pay them a handsome salary.

janeainsworth Mon 16-Apr-18 11:16:04

railman I think this is part of the process of integrating health and social care.
The principle that outcomes are better when patients are involved in the clinical decision-making process is well established.
People with dementia or who otherwise lack capacity to make informed consent, will have people, usually family, acting on their behalf.
I know a young man who has a personal budget for his social care and it has worked well for him and his family, as they feel they are in control and not subject to the whims of social services.
Don’t rubbish something just because the Tories thought of it.

railman Mon 16-Apr-18 11:24:24

I don't disagree at all janeainsworth with the principle of the clinicians and health and social care staff being involved - in my experience that's exactly what they have been doing for years.

The Tories however have an established track record of underfunding the NHS and Social Care - this just seems to me to be yet another experiment aimed at absolving ministers of their responsibility and increasing privatisation.

Jane10 Mon 16-Apr-18 11:37:29

I don't think 'direct payments' which is what they are called up here anyway are a new thing. Some people I know like them but others find the admin around managing them difficult. It's a lot of responsibility for some families but I know several organisations have been set up to do this for them. All seems unnecessarily complex.

SueDonim Mon 16-Apr-18 13:26:19

I think it's a good idea. I know two people with adult children with complex disabilies including learning disorders and these budgets have allowed them to arrange tailor made care for their children. Otherwise, they'd have to put up with the 'bog-standard' care offered by their local NHS/Social services, which, given their complexities, wouldn't be at all adequate.

As a general tenet, families of patients know best what they need, not the NHS, because they live with them all the time.