Index

What is a personal budget?

A personal budget is a sum of money that may be available for eligible children and young people who need extra help above that available to most children and young people through universal and targeted services. It can be used flexibly to support the identified needs of the child or young person following an assessment.

The personal budget is not all the resources that are available to support a child or young person, just the amount that can be used flexibly by the family or young person to support the additional needs of the child /young person/carer. This money may come from Social Care, Education, or in some cases from the NHS. If you receive funding from the NHS this is known as a personal health budget. Please see the health section for further information about Personal Health Budgets.

Requesting a personal budget

Personal Budgets are available to families, following an assessment of need which results in:

  • Education, Health and Care (EHC) Plan
  • Continuing Care Package of Support
  • Short break Package of Support

Personal budgets for EHC plans

Once we have confirmed that we will prepare a draft EHC plan, young people and parents of children have a right to request a Personal Budget for any of the special educational provision in the EHC Plan.

You may also request a personal budget during the Annual Review of an existing EHC Plan. An Annual Review may be called early to consider requests for a personal budget.

They may also be considered at other times for aspects, such as a Child in Need meetings or a Team Around the Family meetings.

We will consider each request for a Personal Budget on an assessment of need and prepare a Personal Budget in each case unless the sum is part of a larger amount and:

  • Separating the funds for a Personal Budget would have an adverse impact on services provided or arranged by the council for other EHC plan holders.
  • Where it would not be an efficient use of the council’s resources.

An example of the above is services such as Physiotherapy or Speech and Language Therapy, which are currently part of ongoing contractual arrangements and the full budget is committed to the contract.

How we provide a personal budget

There are four ways we might provide a personal budget:

  • Direct payments – a mechanism to receive a Personal Budget to contract, purchase and manage services themselves. This is paid via a prepayment card.
  • An arrangement – where the council, school or college holds the funds and commissions the support specified in the plan (these are sometimes called notional budgets).
  • Third party arrangements – where funds (Direct Payments) are paid to and managed by an individual or organisation on behalf of the child’s parent or the young person.
  • A combination of the above.

What’s included in a personal budget?

Depending on the needs of the child the budget will vary.

A personal budget may consist of elements of funding from education, health and social care. In the main this will be for:

Personal education budgets

  • Children and young people in school

Mainstream schools and colleges receive funding to support children and young people as follows:

  • Element 1 – this is the standard cost for a placement. A Personal Budget cannot be used to purchase the cost of standard placement funding
  • Element 2 – this is an amount of money to provide up to £6,000 of extra individual help for lower-level needs. This is called the notional budget.
  • Element 3 (Targeted) – the amount of money provided by the council to meet higher level individual needs above Element 2.

Element 3 funding may be made available for use as a Personal Education Budget, but only with the agreement of the school and the council.

It is not always possible for a school to release element 3 funding into a Personal Education Budget because it may be part of the existing overall education provision.

At the discretion of the headteacher a Personal Budget could also include all or parts of element 2 funding.

If a parent / young person wishes to employ staff to work and support their child within a school or college environment they would have to have the school or college permission.

A Personal Budget cannot be made in respect of provision which will take place in a school, post 16 institution or early years setting without the written consent of the head teacher.

Children and young people not in school

Where a child or young person is not being educated in a school or college and is Educated Other Than At School, a Personal Education Budget may be allocated to the family to manage.

This amount of funding and what it can be used for will be agreed by the SEND Panel. The person identified as being responsible for managing the Personal Education Budget will be asked to complete a Personal Education Budget Agreement and provide evidence of how the money has been spent.

The money will usually be allocated in advance of the academic year or term.

For further information please contact the EHC caseworker on 01925 442978 or at [email protected]

Personal care budgets

A personal care budget is available for:

  • Short breaks – daytime.
  • Short breaks - overnights in the home.
  • Aids and adaptations- where families want to contribute to a more expensive piece of equipment than that identified to meet need.
  • Costs of items associated with the delivery of a Personal Budget support plan, agreed on a case-by-case basis as being critical to the delivery of a support plan.

For short breaks the Family Support Worker will complete the Short Breaks Allocation Tool to determine the level of support which will be offered. This will be considered by Panel who will award the level of support. The personal budget is usually paid by a direct payment on a pre-paid card.

There are two options available to families:

Option 1: You can identify their own personal assistant. This can be a friend, family member or PA identified via the family. This could be via school / sensory centre etc.

Option 2: Referral can be made to Warrington Disability Partnership who can support families to find a PA. They support with job adverts and developing job descriptions.

To get help from Warrington Disability Partnership, please contact Direct Payments from Warrington Disability Partnership.

Commissioned packages of support

There are times when Warrington Disability Partnership are unable to find a PA for a family. When this happens, the Council’s commissioning team can try and find a PA from a care agency. This can be more expensive and so the Direct Payment awarded to the family does not cover all the costs and there can be a shortfall that needs to be met.

Option 1: Commissioned provider can be funded by a personal budget (which is money put onto a card, for family to pay for this care).

Option 2: Commissioned provider can be funded directly by the Local Authority if agreed

Option 3: Commissioned provider can be funded jointly by parents using a direct payment and topping this up with their own money.

Personal budgets for equipment and adaptations are offered following an assessment by an occupational therapist. The amount paid will be consistent with the value of the product offered by the Council. Parents will be able to ‘top-up’ the value from their own resources if this is their preference.

Personal health budgets

A Personal Health Budget (PHB) is an allocation of funding made to a person with an established health need. The purpose of the budget is to ensure the person can call upon a predefined level of resources and use these flexibly to meet their identified health needs and outcomes. 

Personal Health Budgets are available for:

  • Continuing Care - short breaks care
  • Specialist assessments or interventions based upon assessed needs which cannot be met through local arrangements
  • Continence Services (budget would be based upon existing contracted prices)
  • Aids and adaptations where families want a more expensive piece of equipment than that identified to meet need.

There are three ways that a personal health budget can be managed:

A notional budget

Notional budgets could be an option for individuals who want more choice and control over their healthcare but who do not feel able or willing to manage a budget. The individual is aware of the amount of funding that is available to them and co-develops their agreed health outcomes and the solutions for achieving them. It is the NHS that still commissions services and manages contracts on their behalf. Where someone chooses a notional budget it is important to note that they will not be able to employ Personal Assistants directly.

A third-party arrangement

An organisation legally independent of the individual and the NHS (for example, an independent user trust or a voluntary organisation) holds the money on the individuals behalf and buys or provides the goods and services chosen.

A direct payment for health care

The money is transferred directly to the individual, and they buy the goods and services agreed in their support plan. Direct Payment support organisations exist to act as an agent and help them manage the Direct Payment.

From April 2014 people receiving continuing healthcare support from the NHS have the right to ask for a Personal Health Budget and from October 2014 there will be a right to have a Personal Health Budget.

To be eligible to receive a Personal Health Budget, the individual must reside and be GP registered in Warrington and must be assessed as eligible for NHS Continuing Care for Children and Young People.

Individuals can request or may be offered a Personal Health Budget, but there is no obligation for an individual to accept the offer.

Declining involvement should not disadvantage the individual as in those cases normal routes to provision of a care package will apply. Should the individual wish to accept a Personal Health Budget they are free to choose to resume a traditional care package at any time.

Managing your personal budget

Where a child or young person is eligible for a Personal Budget, support will be offered by the person involved in the assessment of needs and/or supporting the family and child.

All allocated money within a Personal Budget must be used to meet the agreed outcomes within the relevant plan and be consistent with the Personal Budget Support Plan.

A formal Personal Budget Agreement will be completed prior to any allocation of funds. This agreement represents a formal contract between the Council and the recipient regarding the use of the Personal Budget and how the Direct Payment will be processed and managed.

Cheshire Centre for Independent Living (CCIL) has been identified by WCCG to support individuals in obtaining and managing their Personal Health Budget. To receive a Personal Health Budget, the child or young person needs to be eligible for NHS Continuing Care. This is established through an assessment and multi-agency panel agreement. If the individual feels that their needs may be better met with the use of a Personal Health Budget, CCIL will offer information, advice and support around how to access and utilise it. They will complete a support plan with the individual and agree how the Personal Health Budget will be managed (see previous section). Personal Health Budgets are agreed at the Continuing Care Panel and reviewed each year by CCIL. Audits of any bank accounts will take place on an annual basis.

Agreeing a personal budget

Once a decision has been made to progress with a Personal Budget the relevant professionals will use their judgement to determine the resources required to meet the needs identified.  The decision-making processes will vary depending upon the pathway being followed.

A potential budget, also known as an indicative budget, is shared with the family so that detailed discussions can take place to plan the provision required to meet the individual outcomes identified

Administration and support

When a Personal Budget has been agreed and where the family opts to utilise their Budget to directly employee carers/personal assistants, a member of staff from Warrington Disability Partnership will visit the family to explain how the Direct Payments work and what support is available. If the family decide to proceed, various forms are completed and the payments are administered by the Direct Payments Officer in Neighbourhood and Community Services.

If families require help to find a Personal Assistant, support can be provided by Warrington Disability Partnership. Your Family Support Worker or Social Worker may also be able to help you.

A payroll service is also provided by Warrington Disability Partnership and most families opt into this support. Advice on employment issues is also provided.

Monitoring and reviewing personal budgets

Your Family Support Worker or Social Worker will monitor the support package in place to ensure it is meeting the needs of the child, young person and their family. The use of the Personal Budgets will be directly linked to the outcomes identified in the assessment and short break tool. This should be made available for review by the Children and Families Practitioner /Social Worker at any time. If families experience any difficulties in arranging the services to meet the needs identified, they must refer to their worker for further advice and support.

In relation to Direct Payments expenditure will be monitored through access to the on-line records and also periodic audits of the family’s account to ensure the Direct Payments are being used in accordance with the agreement. Any issues arising from the monitoring arrangements are referred to the relevant Manager for review and if necessary, liaison with the family will be undertaken.

Management reserve the right to suspend or stop a Direct Payment if the agreement is not followed. Whenever a Personal Budget is reduced or stopped, Warrington Council will ensure that the person receiving the Direct Payment is given four weeks’ notice, and an explanation regarding the reasons for the decision, in writing.

Reviews

The Personal Budget will be reviewed formally within three months of the person receiving a Direct Payment; and then when conducting a review or a re-assessment of an EHC Plan usually at the Annual Review. If Warrington Council and or WCCG become aware, or are notified, that the person’s circumstances or needs have changed, they will consider whether it is appropriate to carry out a review of the Personal Budget Support Plan to ensure the individual’s needs are still being met. If necessary, new or updated assessments will be undertaken. Similarly, if they become aware, or are notified that the Direct Payment has been insufficient to purchase the services agreed in the Personal Budget Support Plan, a review will be carried out as soon as possible.

Purpose of a review

The review will be a mechanism to consider whether:

  • the agreed provision should continue to be secured by means of a Direct Payment
  • the Personal Budget adequately provides for the assessed needs of the person and the agreed outcomes are being met
  • the direct payments have been used effectively and appropriately
  • the amount continues to be sufficient to secure the agreed provision
  • the conditions set out are being met
  • progress is being made against the agreed outcomes

The review is also an opportunity to consider whether their needs have changed, and if so, whether a new assessment is required and also whether the Personal Budget Support Plan is still appropriate.

Transition to adult services

Transition from Children’s Services into the Adult Services occurs when a young person reaches their 18th birthday. As part of the transition planning arrangements, a transition referral will have been made to the Transition Social Worker who will arrange for assessments to determine eligibility for Adult’s Social Care.

If the young person meets the criteria for continuing healthcare, a referral will also be made prior to the young person turning 18 to establish eligibility for Adult’s Continuing Care. As these assessments are undertaken and updated, the EHC Plan, including the Personal Budgets section will be updated accordingly.

Complaints and appeals

Wherever possible Warrington Borough Council and/or Health Commissioners will try and resolve issues or areas of disagreement by meeting and talking with those involved in supporting children and young people with special educational needs and/or disabilities. This includes not only the parents and carers but also the children and young people themselves.

The Council will consider each request for a Personal Budget on its individual merits. A Personal Budget will be prepared in each case, unless the sum is part of a larger amount and:

  • separation of the funds for the Personal Budget would have an adverse impact on services provided or arranged by the local authority for other EHC plan holders, or
  • where it should not be an efficient use of the local authority’s resources.
    • Your relevant team officer or manager

The council will inform the child’s parent or the young person of the reasons it is unable to identify a sum of money and work with them to ensure that services are personalised through other means.

Before proceeding it should be clear if it is a complaint or an appeal. Where it is a complaint the Warrington Council Complaints Procedure must be followed or the Warrington Clinical Commissioning Group Complaints Procedure. If you are unsure as to whether you need to follow the ‘Complaint’ or an ‘Appeal’ process then we would advise you speak, in the first instance, with:

Parents, carers, and Young People will have the right of appeal against the decision in regards to the decisions of where:

  • A personal budget has not been offered.
  • The amount of money in the Budget is not felt sufficient to cover the needs of the child/young person.
  • Limitation of choice in how a Personal Budget can be spent
  • Decision to refuse, stop or reduce a Direct Payment - If the Council refuses stops or reduces a Direct Payment, the explanation of this decision will have been sent in writing. This decision can be challenged through this appeal procedure. (If the refusal concerns the Personal Health part of the plan, then the explanation concerning the refusal must be sent out by the ICB (who are the health organisation responsible for the decision.) or a combination of both the council and the ICB.

However, it would be best to avoid an appeal process if the issue can be easily resolved and the relevant team officers/Keyworkers will be required to apply their existing knowledge and experience to resolve any issues as they arise.

Complaints

Warrington Borough Council is committed to dealing with all complaints fairly and impartially and to providing a high quality service to those who make them. Complaints are important to us so that we can put things right where they have gone wrong, learn from complaints to improve our services and stop the same thing happening again.  If you feel we have let you down then please tell us about it.

How to complain

The council encourages any customer who is unhappy with any aspect of a service provided by the council to raise their concerns with a member of staff in the service area first, to see if it can be resolved another way before escalating concerns to a complaint. If you then wish to make a complaint then please contact us using one of the methods below:

19 November 2024