Direct Payment Personal Health Budgets

What is a Direct Payment PHB?

A Direct Payment Personal Health Budget is where the NHS provides the funding directly to you, or your representative, to manage your care.

You are responsible for arranging and managing your support, including choosing providers, organising care, and overseeing how the budget is used. This option offers the highest level of control and flexibility over how care is delivered.

Personal Health Budgets (PHBs) Direct Payments Third Party Managed Budgets Notional Budgets Care Planning Clinical Oversight Workforce Management Recruitment & Staffing Payroll & Employment Support Training & Competency Safeguarding & Risk Management Financial Management Budget Monitoring & Reporting Compliance & Governance Outcome-Focused Care Person-Centred Support Family Support & Guidance Complex Care Packages Continuing Healthcare (CHC) ICB Partnership Working Personal Health Budgets (PHBs) Direct Payments Third Party Managed Budgets Notional Budgets Care Planning Clinical Oversight Workforce Management Recruitment & Staffing Payroll & Employment Support Training & Competency Safeguarding & Risk Management Financial Management Budget Monitoring & Reporting Compliance & Governance Outcome-Focused Care Person-Centred Support Family Support & Guidance Complex Care Packages Continuing Healthcare (CHC) ICB Partnership Working

What are the benefits of a Direct Pyament PHB?

- Full choice and control over your care

-Flexibility to tailor support around your life

- Ability to choose who supports you and how

- Greater independence in how care is arranged

Things to consider with a Direct Payment PHB

- It comes with responsibility and can feel demanding

- You are accountable for how the budget is used

- Managing staff and admin can take time

- You may need support with key processes

Komplex Health provides structured support to individuals managing Direct Payments, helping reduce the complexity of day-to-day responsibilities while maintaining control.

Support can include payroll, recruitment, clinical training, and governance guidance, ensuring care is delivered safely and in line with agreed plans.

Yes. A Direct Payment gives you full control over how your care is arranged, including who provides it and how it is delivered.

You are responsible for managing the budget, employing staff if required, and ensuring care is delivered safely and in line with agreed plans.

Yes. Many individuals choose to have support with things like payroll, recruitment, and training, allowing them to keep control while reducing the workload.

Notional Budgets

Commissioner-managed budget with limited control.

Third Party Budgets

A managed service handling your budget effectively.

Direct Payments

Full control of your budget and care decisions, with flexibility.

Need support or have a question?

Whether you’re a commissioner, individual or family member, our team is here to help. Get in touch today!


Komplex Health supports individuals and families to deliver safe, compliant care through Personal Health Budgets, with structured governance, oversight and control.

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