Direct payments for healthcare – A consultation on updated policy for regulations

Closed 26 Apr 2013

Opened 1 Mar 2013


One way of managing a personal health budget is a direct payment for healthcare, where money is given directly to an individual for the management of their NHS care. They are currently only lawful within DH-approved pilot sites. The Government's intention is to roll out personal health budgets, including extending the use of direct payments, by updating the regulations so that they can be offered across England. A new public consultation is consulting on the details of the changes. This is an opportunity to have your say – so please let us know your views.

The consultation proposes some changes to the regulations based on learning from the recent pilot programme and discussions with personal health budget holders, healthcare professionals and other organisations. It discusses what services will be excluded, for example acute and unplanned care and GP services. It also asks for views on issues including eligibility, paying family members for carrying out administrative functions, allowing local authorities to make direct payments for healthcare and separate bank accounts.

An impact assessment and easy read version of the consultation have also been published online. The consultation is open for anyone to respond, from individuals to organisations. The closing date is 26 April.



Why We Are Consulting

This consultation will inform the content of the updated 'National Health Service (Direct Payments) Regulations 2010'.


  • Voluntary groups
  • Community groups
  • Charities
  • Civil society
  • Advocacy or support organisations
  • GPs
  • Nurses
  • Health visitors
  • Clinicians
  • Managers
  • Commissioners
  • Directors of Public Health
  • Pharmacists
  • Doctors
  • Midwives
  • Healthcare scientists
  • Paramedics
  • Dentists
  • Art therapists
  • Dramatherapists
  • Music therapists
  • Chiropodists/ podiatrists
  • Dieticians
  • Occupational therapists
  • Orthotists
  • Orthopists
  • Prosthetists
  • Physiotherapists
  • Diagnostic radiographers
  • Therapeutic radiographers
  • Speech and language therapists
  • Childcare providers
  • Allied Health Professionals
  • Care-Givers
  • Ophthalmic Practitioners
  • Responsible Officers
  • Foundation Trusts
  • NHS Commissioning Board
  • Clinical Commissioning Groups
  • Regulatory body
  • Academic/ Professional institution
  • Employer representatives
  • Employee representatives
  • Trade union
  • Royal Colleges
  • Local authority
  • Social care provider
  • Directors of Adult Social Care Services
  • Members of the public
  • Patients
  • Patients
  • Carers
  • Service users
  • PCT Cluster CEs
  • NHS Trust CEs
  • SHA Cluster CEs
  • Directors of PH
  • Local Authority CEs
  • Businesses
  • Public Health Organisations
  • Academics
  • Members of the Public


  • Personal health budgets