How are estimated Personal Health Budgets calculated?

Continuing Healthcare: We have spent the last 10 years developing and refining an algorithm which provides the most accurate budgetary estimates available for adults eligible for support through Social Care or Continuing Healthcare. A single algorithm approach means commonality in the way estimated budgets are arrived at, regardless of who is providing the funding, enabling a smooth and clear transition between these services. Importantly though, the tool completed to inform the calculation has some key differences when used in Continuing Healthcare – enabling information from the national Decision Support Tool to be pre-populated to ensure a person’s specific health needs are factored into the calculation.

Fast Track: A new tool and algorithm which generates PHB estimates specifically for people found eligible for CHC Fast Track funding is now available. This is a brief tool due to the nature of the Fast Track process and can be used to promote choice and control in the latter stages of a person’s life.

Continuing Care: A separate algorithm we’ve developed for children and young people over the last six years enables calculation of estimated budgets for Social Care, Continuing Care and Education Top-up Funding. The Health and Social Care elements of the algorithm are used together to calculate budgetary estimates for children and young people eligible for Continuing Care.

Section 117: More recently, we’ve developed an additional tool and algorithm which is specific to adults with Section 117 Aftercare needs. An overall estimated budget is calculated together with a suggested funding split between the Local Authority and the CCG.

Within our digital platform, estimated amounts for PHBs are generated literally at the click of a button once the relevant information on needs, outcomes and family support has been captured.