Unfortunately, your browser is too old to work on this website. Please upgrade your browser
Skip to main content

Key points

  • The amount of high quality research available to guide policy and practice is limited.
  • Personal budgets are implemented differently in various countries:
    • sometimes people are given cash payments to spend as they wish
    • alternatively, organisations keep responsibility for making payments but service users state what they want purchased on their behalf.
  • Evidence about impacts on health outcomes and service use is mixed.
  • There is limited information about value for money, largely because there are few rigorous effectiveness studies.
  • There seem to be differences in implementation across the four countries of the UK.
  • To be successful, personal budgets need to offer adequate infrastructure, staff training and signposting, and support to service users.
  • Older people may be more likely to find managing their own budget a burden.

This evidence scan collates more than 60 articles about personal health and social care budgets in the UK and internationally. The purpose is to provide a brief synopsis of evidence to help gauge the level of research in this field so far.

Personal health budgets encourage people to purchase and manage their own care, within a set budget. The aim is to increase choice and reduce overall costs.

Further reading

You might also like...

Kjell-bubble-diagramArtboard 101 copy

Get social

Follow us on Twitter
Kjell-bubble-diagramArtboard 101

Work with us

We look for talented and passionate individuals as everyone at the Health Foundation has an important role to play.

View current vacancies
Artboard 101 copy 2

The Q community

Q is an initiative connecting people with improvement expertise across the UK.

Find out more