There are some temporary changes to how adult social care services are paid for during the COVID-19 pandemic. You can see the details on our Adults COVID-19 page
Personal Budgets and Direct Payments
This guidance is for people who have already had a social care assessment and a financial assessment and are eligible for council funded care and support.
For more information about financial assessment and paying for care, please visit the Paying for your care at home page.
What is a personal budget?
A personal budget is an amount of council funding made available to meet your social care and support needs, following a care and support assessment.
Your care and support plan is used to calculate a weekly amount of money to be used towards meeting the cost of your care.
Your personal budget may be used to:
arrange a care agency to provide you with care and support at home with things like getting dressed, preparing a meal, washing and toileting
arrange day activities
arrange and pay for respite care - to give you and your carers a short break
pay for any support you may need when your carer takes a break.
You can choose how to spend your personal budget, provided that it meets your eligible social care needs and helps to meet the outcomes agreed and outlined in your care and support plan. You can choose to take your personal budget as a Direct Payment.
Coronavirus (COVID-19): guidance for people receiving direct payments
Advice for people who buy care and support through a direct payment, as well as local authorities, clinical commissioning groups and those who provide care and support.
View the GOV.UK website for more information.
What is a Direct Payment?
If you are assessed as being eligible for some council funding toward the cost of your care, you can choose to take this funding as cash payment. This is called a Direct Payment.
Am I eligible?
Direct Payments are available to people who qualify for support from us and who are either:
- aged 16 or over with a physical disability, learning disability, visual impairment, HIV Aids, mental health issues, or within the Autistic spectrum
- people over 65
- parent/carers of disabled children (find out more about Direct Payments for children in Cambridgeshire and Direct Payments for children in Peterborough)
We will carry out an assessment, then find out what you want to achieve. We will then look woith you at the ways your needs could be best supported. This will be written down in a document called a support plan. We will allocate you a level of budget that is calculated be enough to meet your level of needs, this is referred to as a Personal Budget. Your Personal Budget will be made up of the amount we financially assess you as being able to cover yourself plus any contribution the council might make. You can take some, or all of your council contribution to your personal budget as a Direct Payment to organise services yourself. If you are unable to do this you can ask us to arrange services for you.
How do you work out my personal budget?
We will ask you to complete a financial assessment. We will work out the likely cost of your assessed needs and how much we can provide towards it. This is called a personal budget.
How can I use Direct Payments?
You must use Direct Payments to meet the needs and things you want to achieve written down in your support plan. You must spend your Direct Payments lawfully and in a cost-effective way.
Direct Payments cannot be used for:
- anything not agreed in your support plan
- paying a family member or partner living at the same address
- purchasing any local authority in-house services, including transport
- purchasing equipment or services provided by health services
- purchasing any housing service or residential care
The law allows the council to ask you to repay Direct Payments if they have been used for any of the five items above.
Who can advise and support me?
In Peterborough, Peterborough Council for Voluntary Services (PCVS) is contracted by the council to provide a Direct Payments support service. In Cambridgeshire this is People Plus Group.
They will meet with you and provide a free Direct Payments information and advice visit and can help you with:
- financial management and record keeping.
- effective use of banking facilities.
- financial monitoring requirements.
- help with the legal and practical issues of hiring a Personal Assistant.
- advice in setting up emergency procedures and back-up cover.
PCVS/People Plus Group can also assist you with recruitment and employment issues.
You can arrange to have your Direct Payments paid into a Third Party Supported Account managed by PCVS/People Plus Group on your behalf. This means PCVS/People Plus Group carries out financial transactions on your instructions, pays wages directly into your care or support workers’ bank accounts and provides you with a monthly statement of your account. There is an administration charge for payroll services and Third Party Supported Accounts. If you have been assessed as needing support to manage your Direct Payments account the charge can be paid from your Direct Payments money.
Using Direct Payments to employ personal assistants
Some people use Direct Payments to pay their own staff (personal assistants) to provide care and support. We highly recommend you seek independent advice on how to use your Direct Payments. PCVS, PeoplePlus or another Direct Payments Support Service will be able to assist you with arranging a personal assistant and any issues related with this.
They can help you with parts of your support plan such as:
- personal care (e.g. washing and dressing)
- household tasks
- activities outside the home, such as taking you to appointments and community events.
If you wish to employ your own care or support worker, PCVS/People Plus Group can assist you with recruitment and all employment issues.
If you choose to manage this yourself, it is your responsibility to be aware of, and adhere to current employment laws and register with HMRC as an employer.
If you fail to meet your obligations as an employer, your Direct Payments may be ended. Some people prefer to use private care agencies as this provides some control without the added responsibilities of employing staff. You must be certain that the amount of Direct Payments you receive covers agency fees or be willing to make up the difference yourself.
We do not encourage using Direct Payments to pay self-employed carers but many people recommend the flexibility and continuity that being an employer can bring, when supported by the relevant Direct Payment Support Service:
Telephone: 01733 342683 or 01733 311016
People Plus Group
Telephone: 0330 123 2815
Using Direct Payments to buy support from companies
Independent providers are companies that provide services such as home care, respite care or day care.
This option means that you get to choose which company will provide you with care and support, rather than us choosing the company for you. You can also have more control over when your care is provided.
If you use your Direct Payments to pay a provider, we will always want to be sure that you are using a provider who offers a good standard of care and is registered with the Care Quality Commission. Your Key Worker can tell you about the range of providers in your area or you can find care services on NHS Choices.
Direct Payments for equipment
Your assessment may show that you need a further assessment by an Occupational Therapist to identify what sort of equipment will help you live more independently. Direct Payments for this equipment is a separate one-off payment.
Planning for emergencies
If you receive Direct Payments, it is vital that you make arrangements to meet any emergencies; for example, if one of your personal assistants/support workers can't work.
Your Key Worker will discuss your emergency arrangements before your Direct Payments are agreed and can give you a list of agencies who can help you in an emergency.
If your emergency plans break down, the council is responsible for arranging services for you to cover the emergency. You should contact your Key Worker or Adult Early Help.
How do I apply for Direct Payments?
If you would like to try Direct Payments, you should talk it over with your Key Worker and with PCVS/People Plus Group.
Authorised person to consent and manage Direct Payments
People who lack the mental capacity to express their wishes or preferences about the support they receive, can arrange for their personal budget to be paid to a suitable authorised person. This is a trusted person who will make decisions about how Direct Payments are best used. This can be especially useful for people with severe learning disabilities, head injuries or dementia.
Other options allow individuals to nominate an authorised person to manage payments on their behalf, or to request that the local authority continues to manage the money in accordance with the support plan.
We must be sure that it would be in their best interests to have Direct Payments and that the authorised person will act properly.
Exclusions for Direct Payments
Some people are excluded from receiving Direct Payments by legislation. This includes people who are subject to compulsory measures of care under mental health and criminal justice legislation.
Setting up your Direct Payments
You will be required to sign an agreement that outlines the terms and conditions of Direct Payments.
You will need a separate bank account specifically for your Direct Payments. This is so that you can easily show how the money is being used and that it is in line with your agreed support plan.
Your Key Worker can explain your agreement to you to make sure that you understand it before you sign it and explain more about setting up a bank account or you can use our contracted Direct Payments support service, PCVS/People Plus Group.
Receiving Direct Payments - prepaid card
Your Direct Payment can now be loaded onto a prepaid card.
A prepaid card is like a debit card, but you use it to receive and spend your Direct Payments. You will not normally be able to withdraw cash. If you need to make a contribution towards the cost of your care, you can also easily pay this on to a prepaid card.
Prepaid cards have several benefits:
- you will not need to set up a separate bank account to receive your Direct Payment.
- you can get a prepaid card even if you don't have a bank account, or have a poor credit history
- you can access your account online at any time
- most prepaid card users do not need to provide monitoring information such as receipts or bank statement
- there is less risk of fraud, or you having to repay money because you have lost a receipt
In Peterborough you can get help and advice with your Direct Payments from Peterborough Council for Voluntary Services (PCVS).
Prepaid cards - EML cardholders
Our contract with EML will end soon. We will be moving to Allpay Limited cards instead.
Allpay Limited needs us to verify the identity of everyone who has a card on their system. For us to order you a new card we need you to send us proof of identification and address, just like the sort of identification you would need to provide when opening a new account with any high street bank or financial body.
We will write to everyone who has an EML card.
Step by step guide to moving from EML to Allpay Limited
The new prepaid card provider needs us to verify the identity of everyone who has a card on their system. For us to order you a new card we need you to send us proof of identification and address, just like the sort of identification you would need to provide when opening a new account with any high street bank or financial body.
Please be assured that no credit check will be undertaken and this information will be held by Cambridgeshire County Council and only shared with Allpay Limited should they request it as part of their audit process.
We are happy for this information to be supplied to us as a photograph taken on a mobile device, a scanned pdf or a photocopy, as there is no need to supply original documents. The list of possible ID documents is listed below. You can send this to us via email or post, to the details below.
Proof of your National Insurance Number - this can be on a benefits letter or a photo of your plastic national insurance card, or from a pay slip
plus one of:
- Current Photocard Driving Licence,
- Passport – current and valid,
- Birth/Adoption Certificate, or
- Current Biometric Residence Permit
and one of:
- Council Tax Bill (no more than 12 months old),
- Utility Bill (no more than 3 months old),
- Bank Statement (no more than 3 months old), or
- Benefit Statement (no more than 3 months old)
Any queries with any of the above please phone 01733 207218 or email us at Daniel.Witherington@peterborough.gov.uk
Once we have received all of the above identification information, we can order your new card.
Once you receive the card, please follow the instructions which will accompany it to activate the card and set up your online account.
If you have any standing orders or direct debits set up on your current prepaid card you will need to create these again on your new Allpay card, we cannot do this for you.
Once your new card is on its way to you, we will cancel your existing card and transfer all the remaining funds over to your new Allpay card for you.
Before you use the card, please check your new online account to see if the funds have been transferred.
We will have staff working additional hours to get this transfer completed as soon as possible after we request your new card, but please be patient.
Once you see your funds transferred over, your transition is complete and you can continue to use your card as usual.
If you need any additional help with the setting up of your new online account or activating your card you can get in touch with Allpay themselves as we now have the use of their contact centre to help you.
Their contact number is: 0330 135 9515 or you can e-mail email@example.com
What are ISFs?
ISFs were formally introduced in the Care Act 2014, as an option for commissioning self- directed support.
The Care Act guidance states (s11.30 Care Act Guidance):
“There are three main ways in which a personal budget can be deployed:
- as a managed account held by the local authority with support provided in line with the persons wishes
- as a direct payment
- as a managed account held by a third party (often called an individual service fund or ISF) with support provided in line with the persons wishes”
- Direct payments have high levels of choice and control, and high levels of responsibility
- Local Authority managed services can have lower levels of choice and control for the individual. Cambridgeshire County Council will have most ongoing management responsibilities
- ISFs provide a middle option for choice and control
How ISFs work
In Peterborough, ISFs are due to become available for some people from December 2021. Your social worker will inform you if this option is available to you.
If ISFs are an option for you, a suitable organisation will be asked to manage your personal budget on your behalf. Your family, advocate or carer could also help you. You would work with the organisation to plan support services and activities to help achieve the outcomes identified in your care and support plan.
ISFs can be used for a range of different purchases as long as they demonstrate that they are achieving positive outcomes for you. The services and activities must help meet your assessed needs.
The organisation managing your ISF can:
- provide services for you, if it offers these
- commission other providers or buy sessional support. For example massage therapy, swimming lessons or yoga classes
- purchase and maintain equipment such as assistive technology (where this is not already available through the local authority or NHS)
- co-ordinate and support if you choose to pool and share your financial resources and support with other individuals
Case study - Trudy
Trudy is a confident 63 year old with learning difficulties. She moved from a residential care home, to a supported living setting with an ISF. Support staff help Trudy to be more independent. They have provided Trudy with a personal alarm, and a medication dispenser, and help her to prepare her own food.
With a simple colour coded grid, Trudy chooses how to spend her budget each week. She decided that she didn’t want to go to day services any more. She is now more active in the community and she has taken on an allotment. She has also found a volunteer to help her at a local stables. By changing the support colours on her grid, Trudy makes her own decisions on her life and independence.
What is a personal health budget?
A personal health budget is an amount of money to support your health and wellbeing needs, which is planned and agreed between you (or someone who represents you), and your local NHS team. You can find out more about personal health budgets on NHS.Uk website.