Notional Personal Health Budgets

What is a Notional Budget?

A Notional Personal Health Budget is where the NHS holds and manages the budget on your behalf. You are still involved in decisions about your care, including the support you need and how it is delivered, but you do not receive/manage the money directly.

Instead, the NHS arranges services with approved providers and oversees all payments, contracts, and delivery of care. This option offers a simple, fully managed approach, with clear structure and oversight, while keeping you at the centre of care planning.

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 Notional Budget?

- No responsibility for managing money or staff

- Care is fully arranged and managed for you

- Clear structure with NHS oversight in place

- Reduced administrative and financial burden

Things to consider with a Notional Budget

- Less flexibility in how care is delivered

- Limited choice of providers and staff

- Changes may take longer to arrange

- Managed within NHS processes and pathways

Komplex Health works alongside NHS teams to support the safe and structured delivery of Notional Personal Health Budgets.

While the NHS manages the budget, care can be delivered through Komplex Care or Komplex Community, our CQC-rated ‘Good’ providers. This ensures care is clinically led, consistent, and aligned to the agreed care plan.

We maintain clear communication with commissioners, families, and care teams to support continuity, oversight, and quality of care.

With a Notional budget choice may be more limited compared to other PHB options, as services are arranged through NHS-approved providers.

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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