Has anyone else heard of this or used it I found it on the internet the other day and my local CCG has a page dedicated to it. It was introduced by last government but obviously not well advertised. It is apparently a fund that can be agreed as a direct payment to pay for medical care. You keep your GP service but all else you pay for out of budget. Supposed to give us patients greater autonomy in our care and more flexiable options for medical care. People eligable need to have long term health conditions. I have tried to contact CCG and they have said they need an assessment by social worker. This is not however direct care payments it is for medical care. I think it could be very useful for us thyroid patients in enableing us to chose and afford a doctor we choose.