With a Personal Health Budget, you do not have to do everything on your own. You and your family or carers will agree a care plan with your NHS team. This will say how you will spend your budget to keep you healthy and safe.
Your NHS team can also let you know about organisations that can assist with employer responsibilities if you choose to employ personal assistants. These organisations can help with payroll, tax responsibilities and insurance etc. and their fees will be included in your personal health budget allowance.