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PHB Direct Payment Delivery Framework

Delivering Safe, Sustainable Direct Payments with Confidence

The PHB Direct Payment Delivery Framework™ is Thrive Care Solutions' flagship training programme for Personal Health Budget, Children's Continuing Care and NHS Continuing Healthcare professionals.

Personal Health Budget Training

Personal Health Budget (PHB) Direct Payments have the potential to improve outcomes for children, young people and families, increase workforce stability and make better use of NHS resources.

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Yet many organisations face the same questions.

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  • How can we support our PHB teams to understand effective and successful Direct Payments?

  • How do we deliver PHB Direct Payments safely?

  • How do we manage clinical governance and risk?

  • How do we support families without increasing workload?

  • How do we achieve financial sustainability while maintaining high-quality care?​

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The PHB Direct Payment Delivery Framework™ has been developed to answer these questions.

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Drawing on more than 40 years of combined clinical and lived experience, this practical webinar introduces a structured approach to delivering PHB Direct Payments that are safe, sustainable and person-centred.

 

​Delivered by a parent with more than 10 years' experience managing a highly complex Children's Continuing Care Direct Payment arrangement, alongside a children's complex care Registered Nurse specialist with over 30 years' NHS experience, the session combines strategic thinking, lived-experience with practical delivery.

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Rather than focusing solely on policy or theory, the webinar explores what successful PHB Direct Payment delivery looks like in practice, why some packages succeed while others struggle, and how NHS teams can strengthen their systems while reducing risk and improving value.​

Why It Matters?

If your organisation is looking to strengthen its approach to PHB Direct Payments, these sessions will help you:

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  • Understand the practical elements that underpin safe and sustainable PHB Direct Payment delivery.

  • Gain practical insights from combining NHS clinical expertise with parental lived experience.

  • Understand the wider factors that contribute to successful PHB Direct Payment arrangements.

  • Explore how well-supported PHB Direct Payments can improve workforce stability and reduce reliance on agency care.

  • Understand where effective PHB Direct Payment delivery may contribute to better use of NHS resources and improved value for money.

  • Strengthen collaboration between families, clinicians and commissioners.

  • Take away practical ideas that can support service development within your own organisation.

Who Are We?

Thrive Care Solutions was created by people who have worked on both sides of PHB delivery.
 

We understand the operational reality of commissioning complex care, alongside the practical challenges of delivering Personal Health Budgets in real settings.
 

Our work combines real-world experience of managing complex Personal Health Budgets for children and young people with clinical expertise in community and children’s continuing care. This focus informs our approach to care planning, workforce readiness, and Direct Payment delivery for complex paediatric packages.

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Founder - PHB Delivery Insight, Lived Experience (Complex Paediatric Care)

Ed Kemp

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Registered Nurse, Children’s Complex Needs & SEND

Michelle Racey

The PHB Direct Payment Delivery Framework

The session introduces 5 key areas that support effective PHB Direct Payment delivery.

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Clinical Safety

Understanding clinical governance, delegation, competency, supervision and managing risk.

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Workforce

Understanding the workforce models, employer responsibilities and support systems that contribute to sustainable PHB Direct Payment arrangements.

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Governance

Developing consistent approaches to decision making, oversight, quality assurance and risk management.

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Financial Stability

Understanding financial governance, monitoring, proportional assurance and value for money.

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Partnership

Strengthening collaborative working between families, clinicians, commissioners and support services.

You'll leave with practical ideas to help you:

  • Build greater confidence in delivering and supporting PHB Direct Payments.

  • Understand when a Direct Payment may offer a suitable alternative to agency-delivered care, and the practical requirements for making that arrangement work.

  • Recognise where PHB Direct Payments may improve workforce stability and retention.

  • Apply practical approaches to governance that support safe, person-centred care.

  • Strengthen partnership working between NHS teams, families and providers.

  • Recognise the characteristics of successful PHB Direct Payment arrangements and where additional support may be beneficial.

  • Explore where improved PHB Direct Payment delivery may contribute to better use of NHS resources and value for money.

Who should attend?

This session is suitable for:

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  • Personal Health Budget Teams

  • Children's Continuing Care Teams

  • NHS Continuing Healthcare Teams

  • Commissioners

  • Personalised Care Leads

  • Clinical Leads

  • Community Children's Nursing Teams

  • Case Managers

  • Finance and Contracting Teams

  • Transformation Leads

  • Integrated Care Boards

  • NHS providers supporting complex care

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Training Format & Investment

The PHB Direct Payment Delivery Framework is delivered as a tailored online training session for NHS teams involved in Personal Health Budgets and Direct Payments.

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Sessions typically last 60–90 minutes and combine practical learning, real-world examples, interactive discussion and opportunities to explore the challenges facing your team.

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Training can be adapted to the experience and responsibilities of participants, from an introduction to the Framework through to more focused discussions about workforce planning, clinical governance, financial considerations and operational delivery.

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Our aim is to help professionals connect PHB policy with practical implementation, strengthening understanding, confidence and consistency across teams.

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Pricing: Enquire for a quote

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The cost will depend on the training requirements, level of tailoring and agreed format.

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© 2026 by Thrive Care Solutions Ltd

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