Personal Health Budget Support for NHS Teams
Helping NHS teams plan, implement and sustain safe, workable care arrangements
Personal Health Budgets offer opportunities for greater choice and control over how care is arranged.
However, translating an agreed care package into a safe, workable and sustainable arrangement can present practical challenges.
NHS teams must consider more than eligibility and funding. Care planning, budgets, workforce arrangements, employer responsibilities, clinical oversight and implementation all need to work together.
Thrive Care Solutions provides specialist support to NHS teams responsible for Personal Health Budgets, Direct Payments and complex care arrangements.
Combining lived experience of managing complex care with NHS and clinical expertise, we help identify delivery challenges, develop practical solutions and support implementation.
Whether you need assistance with an individual care package, a transition between delivery arrangements or improvements across your PHB pathway, we can provide focused, proportionate support.
How we can support you
PHB Delivery Support
Practical support to strengthen the planning, implementation and sustainability of Personal Health Budgets.
Personal Health Budgets need more than an agreed care plan and budget. They require practical arrangements that meet assessed needs, reflect individual circumstances and remain workable for everyone involved.
Thrive supports NHS teams with individual care package challenges and wider PHB delivery improvements.
Our support can include:
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Reviewing care planning and implementation requirements.
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Assessing budget assumptions and workforce viability.
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Identifying employer readiness and practical delivery risks.
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Reviewing existing care arrangements experiencing operational difficulties.
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Identifying gaps in responsibilities, governance and coordination.
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Supporting improvements to PHB and Direct Payment pathways.
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Developing practical recommendations and implementation plans.
Assignments can range from a focused review of an individual care package to wider work supporting an ICB's PHB delivery arrangements.
Where appropriate, our Discover → Transform → Scale approach provides a structured framework for identifying challenges, implementing improvements and embedding sustainable practice.
Agency to Direct Payment Transitions
Support for establishing sustainable Direct Payment arrangements
Moving from agency-delivered care to a Direct Payment requires careful planning and coordination.
Thrive supports NHS teams and families through the practical stages of transition, including budget and workforce planning, employer preparation, recruitment, coordination of clinical requirements and operational readiness.
Our structured approach helps establish clear responsibilities, realistic timescales and continuity of care throughout the transition.
Each assignment is tailored to the existing care arrangements and the support required.
Training & PHB Delivery Framework
Build confidence in how Direct Payments work in practice
Policies and guidance provide the framework for Personal Health Budgets.
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.
Training can be delivered through focused workshops, team learning sessions or tailored professional development, covering areas such as care planning, budget and workforce considerations, employer responsibilities, clinical governance and the practical implementation of Direct Payments.
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.