| Reference | FOI 2026/1768 |
|---|---|
| Description | Personal health budgets and direct payments for Adult and Children's services |
| Date Requested | 18/05/2026 |
| Date Replied | 16/06/2026 |
| Category | Continuing Health Care (CHC) |
Please may I make the following FOI request for adult and children’s services:
NHS Greater Manchester consists of the following 10 Greater Manchester Localities: Bolton, Bury, Heywood, Middleton and Rochdale, Manchester, Oldham, Salford, Stockport, Tameside, Trafford, and Wigan (former Clinical Commissioning Groups), who currently all have their own processes/systems for recording their Continuing Healthcare (CHC) activity.
| Locality | |
| Bolton | Bolton ICB do not partner with any other private or public sector organisations to deliver our Personal Health Budgets (PHB’s). Bolton ICB commission PHB brokers to produce individual PHB support plans and costings, see Q13. |
| Bury | Bury locality request patients instruct an independent brokerage service. Brokerage provide all support required for those who hold a PHB or who are may considering one. |
| HMR | Some of HMRs PHB holders choose to use a Brokerage Service to assist them with the management of their budgets such as Kaleidoscope, Instream, Monetta. |
| Manchester | · Disability Positive – brokerage.
· Abuka – training |
| Oldham | · Instream Partnerships, payroll and back-office functions
· SICA Support – end to end service, including, recruiting, training, DBS, Insurance, Care planning in association with a clinical training company, PA Support, supervision and debriefing · ILBP – As above (Same as SICA) · YM payroll services Ltd, payroll, back-office functions, some training (online) |
| Salford | Salford locailty partner with Bluesky Brokerage to provide managed accounts for direct payments via the Salford LA contract |
| Stockport | No |
| Tameside | Health Your Way (Direct Payment)
Solo Support Services and Info My Support (3rd Party) Services provided are PA recruitment, HR, staff training and competencies and salaries. Bank account management |
| Trafford | Trafford locality, uses private sector for third party and direct payments
· Kaleidoscope · SICA · ILBP · Key Care and Support · Michael Russell & Company |
| Wigan | Wigan locality work collaboratively with Wigan Council Direct Payment Advisors to provide support and advice for patients. The advocacy service is commissioned via Wigan Welfare that patients can access for advice in relation to PHBs. For 3rd Party PHBs My Life. |
Email contact – gm.icp@nhs.net (please mark for the attention of Katherine Sheerin, Chief Commissioning Officer in the subject field).
Manisha Kumar is responsible for delivery of the wider PHB targets i.e. Section 117
Email contact – gm.icp@nhs.net (please mark for the attention of Katherine Sheerin, Chief Commissioning Officer in the subject field).
Personalised Care operations lead – Associate Directors, Individualised Commissioning.
Email contact – gm.icp@nhs.net (please mark for the attention of the job title of the colleague you wish to contact in the subject field).
NHS GM does hold the names of individual colleagues; however, this information is exempt from disclosure under section 40 (2) of the Freedom of Information Act 2000 as it constitutes personal data where disclosure would be in breach of the Data Protection Act 2018.
To assist you, please find below links to their websites with information about how to make a Freedom of Information request.
Bolton NHS Foundation Trust – Freedom of information – Bolton NHS FT (boltonft.nhs.uk)
Northern Care Alliance NHS Foundation Trust – Freedom of Information Requests :: Northern Care Alliance
Manchester University NHS Foundation Trust – Freedom of Information – Manchester University NHS Foundation Trust (mft.nhs.uk)
Stockport NHS Foundation Trust – Freedom of information – Stockport NHS Foundation Trust
Tameside and Glossop Integrated Care NHS Foundation Trust – Freedom of Information Requests :: Tameside and Glossop Integrated Care (tamesideandglossopicft.nhs.uk)
Wrightington, Wigan and Leigh Teaching Hospitals NHS Foundation Trust – WWL Teaching Hospitals NHS Foundation Trust | FOI Disclosure Log
The Christie NHS Foundation Trust – Freedom of information disclosure logs (christie.nhs.uk)
Pennine Care NHS Foundation Trust – Freedom of Information :: Pennine Care NHS Foundation Trust
Greater Manchester Mental Health NHS Foundation Trust – Freedom of Information | Greater Manchester Mental Health NHS FT (gmmh.nhs.uk)
| Locality | |
| Bolton | 83 Adults awarded Continuing Healthcare which includes individuals choosing care in a 24-hour placement or care at home. 8 Children awarded CCC in the last financial year up to April 2026. 33 adults and <5 Children have taken a managed PHB. There are also an additional 16 individuals who have chosen a notional PHB. |
| Bury | In 2025/26 there were a total of 70 patients newly awarded Continuing Healthcare/Children’s Continuing Care. From those, 14 have taken a PHB. |
| HMR | 740 total of all eligible in financial year 25/26. 487 total of all that moved on to a PHB in 25/26. (cumulative figures from statutory data returns). |
| Manchester | 14 |
| Oldham | Children total – 7
PHB – 7 Adult – 573 PHB – 343 |
| Salford | 67 |
| Stockport | In the year 2025/26, 196 adults awarded CHC, 74 have a PHB, <5 children awarded CC, <5 have a PHB |
| Tameside | Awarded Children’s Continuing Care – 2025/2026 – <5
Of those taken up a PHB – 0
Total awarded Adult Continuing Healthcare – 2025/2026 = 51 / 20 in their own home Of those taken up a PHB – 6 (in their own home) – converted to PHB 7 (in their own home) – RIP during PHB process 7 (in their own home) – currently in process of converting to PHB
Remaining 31 are in 24hr care placements
Awarded FT – 351 Of those taken up a PHB – 0. Any FT’s that have gone through the re-eligibility process and converted to CHC and then taken a PHB are counted above |
| Trafford | 49
32 |
| Wigan | There were 73 newly eligible adult CHC patients in 25/26 however, there were only 29 of these that resided at home and were able to take up a PHB all patients have either a notional or direct payment PHB. This data does not include Fast Track patients or existing patients that may have taken up a PHB. |
NHS Greater Manchester (NHS GM) does hold the information requested however, due to the low numbers involved (where patient data is 5 or less <5) we consider this to be exempt under section 40(2) of the Freedom of Information Act 2000 as the disclosure of this information may lead to the identification of individuals. This exemption is not subject to the public interest test.
Personal Health Budgets – NHS England Digital
9.
| Locality | |
| Bolton | Direct payments into an individual’s bank account or via a PHB broker bank account. |
| Bury | Direct into allocated bank accounts. |
| HMR | Direct Payments are made in to dedicated bank accounts only to be used for PHB monies. |
| Manchester | Into accounts specifically set up for the budget holder |
| Oldham | Bank Transfers |
| Salford | Via IPF payments to brokerage company |
| Stockport | Into bank accounts |
| Tameside | Bank Accounts |
| Trafford | Bank accounts |
| Wigan | Direct payments are made into dedicated bank accounts only to be used for PHB monies. |
13.
| Locality | |
| Bolton | Bolton locality commission PHB broker services from:
· Disability Positive · SICA · Health Your Way · Penderel’s Trust · Ask Jules |
| Bury | No |
| HMR | Do not brokerage services
· Kaleidoscope · Instream · Monetta. |
| Manchester | No |
| Oldham | No |
| Salford | · Penderel’s Trust, The Old Town Hall 5 Irwell Place Eccles Salford M30 0FN
· Bluesky Brokerage, The Disability Syndicate Ground Floor, 12 Pride Point Drive, Pride Park, Derby, DE24 8BX |
| Stockport | No |
| Tameside | No |
| Trafford | · Kaleidoscope
· SICA · ILBP · Key Care and Support · Michael Russell & Company |
| Wigan | Please refer to response to Q1 |
Section 12(1) does not oblige a public authority to comply with a request for information if the authority estimates that the cost of complying with the request would exceed the appropriate limit.
The Freedom of Information Act allows Public Authorities to decline to answer FOI requests when we estimate it would cost us more than £450 (equivalent to 18 hours, calculated at £25 per hour) to identify, locate, extract, and then provide the information that has been asked for.
NHS Greater Manchester (NHS GM) consists of the 10 Greater Manchester localities, Bolton, Bury, Heywood, Middleton and Rochdale, Manchester, Oldham, Salford, Stockport, Tameside, Trafford and Wigan (former Clinical Commissioning Groups), and therefore documents are held on various data bases. As such a manual search of records would be required. It is estimated a search of each file would take approximately 15 mins and NHS GM holds hundreds of files across the 10 localities. Therefore, due to the volume and complexity of the data involved, it would require a disproportionate amount of time and resources to locate extract and collate the data, and therefore, on this occasion it is with regret NHS GM are not able to process this section of your request further.
Although we cannot answer your request, we might be able to answer a refined request within the cost limit. Therefore, you may wish to restrict your request to consider specifying a specific locality and reducing the time period. However, as explained above the results may be inaccurate, because the information requested is not consistently recorded. Please also be aware that we cannot guarantee at this stage that a refined request will fall within the cost limit, but NHS GM would do our upmost to assist you.