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Personal Health Budget Support for NHS Teams

Helping NHS teams turn Personal Health Budget policy into practical delivery

Personal Health Budgets can offer people greater choice and control over how their care is arranged.

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But delivering them well can be challenging.

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Care and support plans need to translate assessed needs into workable arrangements. Direct Payments need appropriate governance, budgets and workforce arrangements. Families need enough information and support to make informed choices. And NHS teams need processes that are practical, consistent and sustainable.

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Thrive Care Solutions works with NHS teams to help bridge the gap between PHB policy and operational delivery.

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Our work combines practical experience of managing complex care through a Personal Health Budget with clinical, operational and NHS delivery expertise.

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How we can support you

PHB Delivery Support

Strengthen the foundations of PHB delivery

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Support for teams looking at how Personal Health Budgets are planned, implemented and managed in practice.

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This can include:​

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  • Care and support planning for people with complex needs

  • Reviewing PHB and Direct Payment pathways

  • Identifying operational barriers and inconsistencies

  • Reviewing governance and responsibilities

  • Workforce and delegated healthcare considerations

  • Improving the information and support available to families

  • Exploring opportunities to improve sustainability and efficiency
     

Support can focus on an individual area of delivery or form part of a wider review.

 

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Agency to Direct Payment Transitions

Support for establishing sustainable Direct Payment arrangements

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For some complex care packages, agency delivery may no longer provide the flexibility, continuity or sustainability required.

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Thrive can support NHS teams and families through a structured transition from agency provision to a Direct Payment where this is appropriate and agreed.

 

Support can include:

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  • Assessing the existing care arrangement

  • Budget and workforce planning

  • Employer readiness

  • Support planning

  • Governance and delegated healthcare arrangements

  • Recruitment and implementation planning

  • Go-live readiness

  • Stabilisation following transition
     

The aim is not simply to establish a Direct Payment, but to help create a care arrangement that can work safely and sustainably over the longer term.

 

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Training & PHB Delivery Framework

Build confidence in how Direct Payments work in practice

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Policies and guidance provide the framework for Personal Health Budgets.

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Teams also need to understand what successful delivery looks like operationally.

 

Thrive provides training and practical learning for NHS teams involved in Personal Health Budgets and Direct Payments, drawing on real-world experience of establishing and managing complex packages.

 

Our PHB Direct Payment Delivery Framework provides a structured way to explore the practical components required to make Direct Payments work.

 

Training can support PHB and Continuing Care teams, commissioners, finance teams, operational leads, clinical teams and professionals supporting families considering Direct Payments.

 

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A different perspective on PHB delivery

Thrive was founded from lived experience of managing complex care through a Personal Health Budget.
 

For more than a decade, our founder's family has experienced both agency-delivered care and the practical realities of employing and managing a complex care team through Direct Payments.


That perspective is combined with clinical expertise and experience working alongside families and NHS teams.


It means our work considers PHB delivery from both sides:


What does the NHS need in place to deliver Personal Health Budgets safely and consistently?


What does a family actually need for the arrangement to work at home?


Bringing those perspectives together can help identify practical problems that policy or process alone may not reveal.

Not sure where to start?

You don't need to know which Thrive service you need before contacting us.

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Tell us about the challenge you're trying to address and we'll explore whether and how we may be able to support you.

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© 2026 by Thrive Care Solutions Ltd

Thrive Care Solutions Logo - a tree, with a supportive hand and the words Support, Empower, Succeed arched over the tree
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