PHBs and the End of Life Pathway

Research shows that whilst most people wish to die at home, more than half will die in the unfamiliar surroundings of a hospital. This costs on average £23,000 more per person for the last year of care than dying elsewhere.

In 2016, third sector organisations and NHS commissioners explored how they could support a person’s End of Life choices, improve quality of life and experience of care whilst saving the NHS money. 

The result is a new framework which helps individual’s access a Personal Health Budget (PHB) and supports End of Life conversations and a person’s personal choices so they can have a ‘good death’ in their preferred place. 

A PHB is money identified and awarded by the NHS so people can have more choice and flexibility over how they manage their health care.

The organisations behind the innovative framework are:

•Crawley CCG and Horsham & Mid Sussex CCG, who commissioned the project with NHS England’s support

•Independent Lives, a charity supporting disabled people, people with complex health and experts in personalised care and planning 

•Helen Sanderson Associates a social enterprise that creates person-centred plans and toolkits with third sector organisations

•Living Well, Dying Well - End of Life care professionals.

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