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Personal Budgets and Direct Payments

Guidance for parents, carers and young people, for children and young people with an Education, Health and Care Plan

Purpose: This policy explains what a Personal Budget is, how it may be managed, how to request one, how Torbay Council will make decisions, and the responsibilities attached to direct payments.

What is a Personal Budget?

A Personal Budget is an amount of money identified by Torbay Council to secure particular provision set out in an Education, Health and Care Plan (EHCP). It gives the parent or young person an opportunity to be involved in deciding how that provision is arranged. It is not a separate entitlement to additional provision and does not replace the provision specified in the EHCP.

A Personal Budget may include funding for education, health and social care provision. The availability and management of each element is governed by the law and decision-making arrangements that apply to the service responsible for that provision. In this policy, the term “Personal Budget” is used as an umbrella term for all four ways in which an agreed budget may be managed.

How the budget is managed

National arrangement

  • What this means - Torbay Council, a school or college holds the funding and commissions or arranges the agreed support. No money is paid to the family or young person.

Direct payment

  • What this means - Money is paid to the parent, young person or an agreed nominee so that they can arrange and pay for agreed provision.

Third-party arrangement

  • What this means - An individual or organisation independent of the parent, young person and Council manages the funding and arranges the agreed support.

Combination arrangement

  • What this means - Two or more of the above approaches are used together. For example, part may be held notionally by the Council and part provided as a direct payment.

Important distinction: A Personal Budget identifies funding available for agreed provision. A direct payment is one way of receiving and managing some or all of that budget.

For education, a Personal Budget must be linked clearly to special educational provision specified, or proposed to be specified, in Section F of the EHCP and to the outcomes in the plan. It must be an appropriate, safe and effective way of securing that provision.

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Legal framework and Torbay Council’s duty

Under section 49 of the Children and Families Act 2014 and the Special Educational Needs (Personal Budgets) Regulations 2014, a child’s parent or a young person may request a Personal Budget, including a request for direct payments, while a draft EHCP is being prepared or when an EHCP is being reviewed or re-assessed. Torbay Council must consider a request for direct payments.

Where Torbay Council maintains an EHCP, section 42 of the Children and Families Act 2014 requires the Council to secure the special educational provision specified in Section F. A Personal Budget is a means of arranging agreed provision. It does not, by itself, transfer or remove the Council’s statutory responsibility.

If a Personal Budget or direct payment is not agreed, is declined, or is later amended, suspended or stopped, Torbay Council will consider what arrangements are required to continue securing the special educational provision in Section F, unless the EHCP is amended or ceased through the statutory process.

Section 42 safeguard: A change to the way funding is managed should not create an avoidable gap in the special educational provision specified in the EHCP.

The Council must be satisfied, on the available evidence, that a proposed direct payment is an appropriate way to secure the agreed provision and that the legal conditions for making a direct payment are met. The Council may therefore request proportionate information about safeguarding, qualifications, insurance, quality assurance, financial management and delivery arrangements.

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Who can request a Personal Budget?

  • A parent of a child for whom Torbay Council is preparing or maintaining an EHCP
  •  A young person over compulsory school age for whom Torbay Council is preparing or maintaining an EHCP.
  • An agreed nominee may receive and manage a direct payment on behalf of the parent or young person, subject to the statutory conditions.

A request may be made while a draft EHCP is being prepared or when an EHCP is being reviewed or re-assessed. A request made at another point will be considered where it is appropriate to bring forward an EHCP review or re-assessment.

What may be included?

The Personal Budget must be connected to provision specified, or proposed to be specified, in the EHCP. For the education element, this means special educational provision in Section F. Examples may include:

  • specialist tuition or targeted support clearly described in Section F;
  • an agreed element of an Education Otherwise Than At School (EOTAS) package;
  • equipment, resources or services necessary to deliver specified special educational provision; and
  • other provision agreed by the responsible education, health or social care service and included in the EHCP.

A Personal Budget does not create an entitlement to receive all funding associated with a child or young person’s support as a cash payment. Some funding may be retained and managed notionally where provision is commissioned collectively or where an individual amount cannot reasonably be separated.

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When a payment cannot be made

A direct payment cannot be used to fund a place at a school or post-16 institution. In addition, a direct payment cannot be made for goods or services that are already being provided through a school or post-16 institution unless the institution’s written agreement has been obtained.

Where a Personal Budget is requested, Torbay Council will identify the provision for which a budget may be available. Funding may be excluded where the amount attributable to the child or young person cannot be disaggregated from funding used to provide services for a wider group, without adversely affecting those services or the efficient use of resources.

A direct payment will not be agreed where the statutory conditions are not met. This may include circumstances where:

  • making the direct payment would have an adverse impact on services provided or arranged for other children or young people;
  •  it would be incompatible with the efficient use of the Council’s resources;
  •  the proposed recipient or nominee is not able to manage the payment, either alone or with available support;
  • the proposed arrangements would not secure the agreed provision or cannot be made safe, lawful and suitable; or
  • required consent from a school, college or other institution has not been obtained.

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How to request a Personal Budget or direct payment

  1. Tell the allocated SEND Officer that you wish to request a Personal Budget and whether you would like the Council to consider a direct payment.
  2.  Explain which provision in the EHCP you want the request to cover, why the proposed arrangement would support the agreed outcomes, and how you would like the budget to be managed.Provide available details of the proposed provider or arrangement, including costs, timetable, qualifications, safeguarding, insurance and how progress will be evidenced. The SEND Officer will explain which information is proportionate to the request.
  3. Torbay Council will identify the relevant funding, seek any necessary agreement from education, health or social care partners, and consider the request under the statutory tests.
  4.  The decision and reasons will be provided in writing. If agreed, the Council will set out the amount, agreed provision, payment arrangements, monitoring requirements and review date before payments begin.

Support with a request: Families and young people may ask for advice and support from SENDIASS.

How Torbay Council will make a decision

Each request will be considered on its individual circumstances. Torbay Council will consider:

  •  the provision and outcomes specified or proposed in the EHCP;
  •  whether the proposed arrangement is capable of securing theagreed provision;
  • whether a direct payment is an appropriate way to secure that provision;
  • whether the recipient or nominee can manage the payment, with support where available;
  • safeguarding, suitability, qualifications, insurance and quality assurance;
  • cost, value for money and compatibility with the efficient use of public resources;
  • any impact on services provided or arranged for other children and young people;
  • any consent required from a school, college or other institution; and
  • how delivery, attendance where relevant, progress, outcomes and expenditure will be evidenced and reviewed.

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Decision outcomes and next steps

What happens next

Agreed - The Council issues written confirmation and a direct payment agreement, where applicable. This will identify the agreed provision, amount, payment schedule, permitted expenditure, records required, monitoring arrangements and review date. Provision and payments begin only after the agreement is completed and any required checks are satisfied.

Further information needed - The Council explains what information is missing and why it is required. The request remains under consideration while relevant information is gathered.

Partly agreed - The Council explains which elements are agreed and which are not, with reasons. It also explains how any provision not managed through the Personal Budget will be secured.

Not agreed - The Council gives its decision and reasons in writing and explains how the provision in the EHCP will be secured. The letter will identify available review, complaint and impartial advice routes.

Direct payment agreement and responsibilities

Before a direct payment is made, the recipient or nominee must agree to the conditions attached to it. The agreement will be proportionate to the arrangement and consistent with the Special Educational Needs (Personal Budgets) Regulations 2014.

What you or your nominee must do

  • Use the payment only for the agreed provision and comply with the written agreement.
  • Keep invoices, receipts and any other requested records, and make them available for monitoring.
  • Arrange suitable providers and complete any responsibilities identified in the agreement. Where applicable, this includes employment, tax, insurance and contractual responsibilities.
  • Tell the Council promptly about any changes to:
    • the provider
    • costs
    • the timetable
    • delivery of the provision
    • safeguarding
    • attendance
    • the child or young person's needs
  • Repay any money that is unspent or used outside the agreement, where required.

What Torbay Council will do

  • Set out the agreed provision, amount, payment frequency and conditions in writing.
  • Make payments in accordance with the agreement and provide a named contact.
  • Explain the monitoring and review arrangements. The Council will only request information that is relevant and proportionate.
  • Monitor whether the agreed provision is delivered and whether the funds are used for the agreed purpose.
  • Work with the family or young person to address concerns and consider how Section F provision will continue to be secured if arrangements change.

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Monitoring, review and changes

Torbay Council will take a supportive and proportionate approach. A concern will not automatically end a Personal Budget or direct payment. The first response will normally be to understand the issue and agree reasonable improvement action, unless an urgent safeguarding, legal or financial concern requires immediate action.

Areas considered

Delivery and engagement

  • Evidence may include - Provider records, attendance or engagement information where relevant, and evidence that agreed sessions or support occurred.
  • Possible response - Support plan, reasonable adjustments, provider action or an early review.

Quality and suitability

  • Evidence may include - Qualifications, safeguarding information, observations, reports and evidence that Section F provision is being delivered.
  • Possible response - Improvement action, additional assurance, replacement provision or change of delivery model.

Progress and outcomes

  • Evidence may include - Progress reports, learning evidence, accreditation and progress towards EHCP outcomes.
  • Possible response - Revised targets, additional review or consideration of amended provision.

Use of funds

  • Evidence may include - Invoices, receipts, account records and compliance with the agreement.
  • Possible response - Clarification, recovery of unspent or misused funds, revised conditions, suspension or cessation where lawful and necessary.

The Council may review direct payments whenever it considers this necessary and will review them at the intervals required by the Regulations. Following review, the Council may continue, increase, reduce, suspend or cease a direct payment, subject to the applicable legal requirements and written notice.

If the Council proposes to reduce, suspend or cease a direct payment, it will explain the reasons and consider representations from the recipient. Where advance notice would be inappropriate because of an urgent safeguarding concern or suspected misuse of public funds, the Council may act immediately where permitted by law and will provide written reasons.

Any change to a direct payment will be considered separately from any decision to amend or cease the EHCP. Torbay Council will continue to consider how the special educational provision in Section F is to be secured.

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Where the child or young person is on roll

Where a Personal Budget is used alongside attendance at a school or college, the education setting will normally coordinate the annual review in accordance with the statutory process. Torbay Council remains responsible for maintaining the EHCP and for decisions following the annual review.

A direct payment for provision that will be delivered on the premises of a school or post-16 institution, or that replaces provision the institution is already arranging, requires the institution’s written agreement. Day-to-day responsibilities will be recorded clearly so that the family, provider, setting and Council understand their respective roles.

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Personal Budgets and EOTAS

Where section 61 of the Children and Families Act 2014 applies and special educational provision is arranged otherwise than in a school or post-16 institution, a Personal Budget may be considered for an agreed element of the EOTAS package. The EHCP should specify the provision to be secured and the arrangements must form a coherent educational package.

For a child or young person who is not on roll and whose education is provided through an EOTAS package, Torbay Council will identify the lead arrangements for oversight and EHCP review. Monitoring will be proportionate and may include delivery, engagement, progress, safeguarding, provider quality and use of funds.

Transport is considered separately under the applicable home-to-school or post-16 transport policy and legislation. Agreement to a Personal Budget or direct payment neither automatically creates nor removes an entitlement to transport assistance.

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If you disagree with a decision

If a request is not agreed, is only partly agreed, or a direct payment is changed or stopped, Torbay Council will provide the decision and reasons in writing. The communication will explain how to ask for the decision to be reviewed and how to provide further information or make representations.

Families and young people may also use the Council’s complaints procedure and seek impartial advice from SENDIASS. Rights of appeal to the First-tier Tribunal relate to specified decisions about the EHCP. The decision letter will explain any relevant statutory rights and sources of advice.

Contact and advice

Service contact details

Key legislation and guidance

  • Children and Families Act 2014, including sections 42, 49 and 61.
  • The Special Educational Needs (Personal Budgets) Regulations 2014.
  • Special educational needs and disability code of practice: 0 to 25 years,
  • including paragraphs 3.38 to 3.41 and the section on Personal Budgets in Chapter 9.
  •  Mental Capacity Act 2005, where relevant to decision-making for a young person.

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