A healthy choice? Direct payments and healthcare in the English NHS

Jon Glasby, J Le Grand, S Duffy

Research output: Contribution to journalArticle


This article reviews the social care evidence concerning direct payments/personal budgets, before arguing for an extension of these concepts to the National Health Service (NHS). Despite a commitment to inter-agency health and social care, direct payments/personal budgets have only been available for the 'social care' part of people's lives. Moreover, many of the challenges faced by the NHS are precisely those which social care has turned to more individualised funding to help resolve. Against this background, the article speculates as to how such a system might work and seeks to address some popular misconceptions and potential objections.
Original languageEnglish
Pages (from-to)481-497
Number of pages17
JournalPolicy and politics
Issue number4
Publication statusPublished - 1 Jan 2009


  • inter-agency working
  • personalisation
  • direct payments and personal budgets
  • choice and control


Dive into the research topics of 'A healthy choice? Direct payments and healthcare in the English NHS'. Together they form a unique fingerprint.

Cite this