Choice and Control


Islington Clinical Commissioning Group is committed to ensuring local residents get the personalised care and support that suits them. Choice and Control is a service that gives people more of a say over their care. It is part of a national NHS England programme called Integrated Personal Commissioning, which is supporting services across the country to develop new ways of offering more personalised healthcare and better integration of health, social care, education, and the voluntary and community sector.

The programme aims to ensure that services are tailored to people’s individual needs, building on learning from personal budgets in social care. Choice and Control supports people with a range of long-term conditions and disabilities, their carers and families to take a more active role in their health and wellbeing. They have better access to support in the community, and greater choice and control over their care.

Who can benefit from Choice and Control?

Two groups currently benefit from Choice and Control:

  • adults with long-term conditions, mental health needs and social care needs
  • children who are looked after and who have – or are at risk of developing – mental health problems

What is going to change?

Islington CCG is taking five steps to ensure people can be offered more personalised support:

  • identifying people who could benefit
  • linking people up with support in their communities, including peer support
  • having conversations with people about health and care focused on what ‘s important to each person in personalised care and support planning
  • moving across resources currently available to people through personal budgets
  • ensuring people can access a wider range of care and support options tailored to individual needs and preferences through personalised commissioning, contracting and payment.

What is a personal health budget and how does it work?

A personal health budget (PHB) is money allocated to help you with your health and wellbeing needs, planned and agreed between you and your local NHS team. They are a way of giving people with long-term conditions and disabilities greater choice and control over the healthcare and support they receive.

PHBs work in a similar way to social care personal budgets already widely used in care services, which many people use to manage and pay for their care needs. With your NHS team, you develop a care plan, which sets out your personal health and wellbeing needs, the outcomes you want to achieve, the amount of money in the budget and how you are going to spend it. 

You can use a PHB to pay for a wide range of items and services, including therapies, personal care and equipment, as long as these are agreed with your local NHS team. PHBs are being rolled out in a phased implementation to patient groups one at a time. For more information click here for NHS Choices website.

Extra information

Here are some useful links: 

  • NHS England’s PHB website
  • In Control, a charity which played a key role in the introduction of social care personal budgets and PHBs in England.
  • Peoplehub is a national organisation run by and for people with PHBs and can put you in touch with other people with PHBs