Personal budgets don’t work. So why are we ignoring the evidence?

The recent report on personal budgets by the National Audit Office (NAO) has created a stir, not least because it was published as official enthusiasm for the budgets seems to be accelerating. Already available in the NHS for people with long-term conditions, personal maternity care budgets are now being proposed as a route for choice in child birth. Yet if there is one thing the NAO report confirms, it is that the evidence base for personal budgets in both health and social care is uncertain.