There are three kinds of Personal Health Budget:
A notional budget – No money changes hands. You find out how much money is available and talk to your local NHS team about the different ways to spend that money to meet your needs. The NHS will then arrange the agreed care and support with an appropriate care agency. You may choose to keep your existing services exactly as they are, subject to a review of your current care needs.
A third party budget – this is where an organisation independent of both you and the NHS holds the money for you, arranges and pays for the care and support agreed in your care plan.
Direct payments – You receive a weekly budget to purchase care and support you and your NHS team agree you need. You must show what you have spent it on, but you, or your representative, buy and manage services yourself.
You can use your budget for a range of things to help you meet your goals, including therapies, personal care and equipment. You may wish to become an employer of your own team of Personal Assistants
Whatever form of personal health budget is used, the assessment and review process for continuing healthcare remains as it is now.