David, from Nottingham, receives a personal health budget as a direct payment for health care. He has T5 paraplegia from the chest down, and needs dressings on his legs changed daily.

DavidDavid explains how, with his budget, he was able to arrange training for his personal assistants to do this. Their flexible schedule means he can go to work when he needs to instead of waiting for the district nurse, who now comes for a weekly check.