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Personal Health Budgets

Personal health budgets for children and young people

Personal Health Budgets (PHBs) were made available to adults in continuing care in April 2014 and they are now available to eligible children and young people in continuing care.

A fact sheet for parents and carers can be found and printed from the downloads section to the side of this page.

Frequently asked questions:

What is a personal health budget?

Personal health budgets have been introduced to enable people to play an active role in managing their health and to work with health professionals as an equal partner to achieve their healthcare goals and aspirations.  They give children, young people and their families the opportunity to use the budgets in innovative ways rather than from a traditional NHS service. 


A Personal Health Budget can be used on a range of services from:

  • government agencies
  • independent agencies
  • voluntary sector providers 

The budget could also be used to employ a personal carer in the home.


Visit the personal health budgets website for case studies and personal stories.

Who can get a personal health budget?

To be eligible to receive a personal health budget in Hackney a child or young person must be registered with a GP in Hackney or The City of London and have been assessed as being eligible for NHS Continuing Care funding.

How does it work?

Firstly, the child or young person’s needs will be assessed and an estimate of the budget will be provided by a local support team.  The support team will help the family to write a support plan which sets out how the budget will be used.  Once the plan is agreed the budget will be available to use.


What are the options?

There are three options to choose from. They include:

Direct payments:

Money will be paid into a dedicated Personal Health Budget bank account.  This will enable the parent or carer to buy services or equipment agreed as part of the child’s support plan. They will need to keep financial records and receipts to show how they have spent the budget.

A third party holds the budget for you:

The family can nominate someone else – either an organisation, a family member or another person they trust - to look after the child’s health budget.

The NHS holds your budget:

Things stay as they are now and NHS staff will continue to arrange and pay for the services and support needed.

Or a combination of these options, for example:

A family may wish for the agency they had chosen to hold the budget as a third party for some of their care needs and the remainder of the budget to stay within the NHS as a notional or managed budget for their nursing care needs.

What can a personal health budget be spent on?

A personal health budget can be used for any services, activities or equipment that have been identified in the support plan. These could include:

  • employing carers or personal assistants to support the child in the home
  • paying for activities which help you to be more active in the community
  • aids, adaptations and equipment to help manage day-to-day tasks.


A Personal Health Budget cannot be spent on:

  • illegal activities
  • alcohol
  • tobacco
  • gambling
  • day-to-day household expenses

Having a personal health budget will not affect any benefits that a child or their family may be receiving because it is for care needs and is not classed as additional income.

How can I find out more?

Contact the local NHS Personal Health Budget Support Team by email on or by phone on 020 3688 1000 who will be happy to talk to you about the service.          


If you are aged 0-18 and have been assessed as eligible for Continuing Health Care and a Personal Health Budget contact The Community Children’s Nursing Team (CCNT)

City and Hackney Children’s Community Nursing Service

This team is made up highly skilled nurses who care for children in Hackney and the City of London. The service is based at Hackney Ark and supports families to manage health conditions at home preventing hospital admission. It also helps children or young people get home from hospital stays more quickly and helps support them at home so they can enjoy family life and being more independent.          

This service enables children to be cared for in their home preventing hospital admission and/or facilitating early discharge home, thereby allowing them to enjoy a normal family life.

You can also contact the local NHS Personal Budgets Support Team:

020 3688 1000


For young people 18 – 25 plus please contact:

Adult Community Nursing Team


Hackney’s Social Care Information and Assessment Team


Hackney’s Learning Disabilities Service

Useful information on Personal Health Budgets:


City and Hackney’s CCG page on personal health budgets


City and Hackney CCG have produced this booklet on Personal Health Budgets 


NHS Choices Personal Budgets page

Also see…


Independent Supporters from SENDIAGS


Independent Supporters from KIDS




Other useful organisations:


Preparing for adulthood


In control


NHS choices personal budgets page






Related pages…

What is a Personal Budget?


Personal Budgets for Education


Personal Budgets for children’s social care


Personal Budgets from Adult Social Care


Personal Budgets for Transport

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