Please use this identifier to cite or link to this item: http://hdl.handle.net/1893/24919
Appears in Collections:Faculty of Social Sciences Journal Articles
Peer Review Status: Refereed
Title: Implementing personal health budgets in England: A user-led approach to substance misuse
Authors: Welch, Elizabeth
Jones, Karen
Caiels, James
Windle, Karen
Bass, Rosalyn
Contact Email: k.l.windle@stir.ac.uk
Keywords: health and social care policy
implementation
personal health budgets (PHBs)
personalisation
substance misuse
Issue Date: Sep-2017
Citation: Welch E, Jones K, Caiels J, Windle K & Bass R (2017) Implementing personal health budgets in England: A user-led approach to substance misuse, Health and Social Care in the Community, 25 (5), pp. 1634-1643.
Abstract: Personal health budgets (PHBs) in England have been viewed as a vehicle for developing a personalised patient-based strategy within the substance misuse care pathway. In 2009, the Department of Health announced a 3-year pilot programme of PHBs to explore opportunities offered by this new initiative across a number of long-term health conditions, and commissioned an independent evaluation to run alongside as well as a separate study involving two pilot sites that were implementing PHBs within the substance misuse service. The study included a quantitative and qualitative strand. The qualitative strand involved 20 semi-structured interviews among organisational representatives at two time points (10 at each time point) between 2011 and 2012 which are the focus for this current paper. Overall, organisational representatives believed that PHBs had a positive impact on budget-holders with a drug and/or alcohol misuse problem, their families and the health and social care system. However, a number of concerns were discussed, many of which seemed to stem from the initial change management process during the early implementation stage of the pilot programme. This study provides guidance on how to implement and offer PHBs within the substance misuse care pathway: individuals potentially would benefit from receiving their PHB post-detox rather than at a crisis point; PHBs have the potential to improve the link to after-care services, and direct payments can provide greater choice and control, but sufficient protocols are required.
DOI Link: http://dx.doi.org/10.1111/hsc.12396
Rights: © 2016 The Authors. Health and Social Care in the Community Published by John Wiley & Sons Ltd. This is an open access article under the terms of the Creative Commons Attribution-NonCommercial-NoDerivs License, which permits use and distribution in any medium, provided the original work is properly cited, the use is non-commercial and no modifications or adaptations are made.

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