Personal health budgets were piloted in English primary care trusts (PCTs) between 2009 and 2012. This evaluation report looks at the early experiences of a small subsample of budget holders and their representatives. It reports in-depth interviews with 58 people from 17 PCTs, around three months after the offer of a personal health budget, about their experiences of personal health budgets so far. Some interviewees had already experienced positive outcomes from their personal health budget. These included being able to access treatments, services or equipment not available through the NHS; having greater choice and control over when their care and support is provided; and being able to employ specialist staff. These outcomes were expected to lead to better health, improved morale and motivation, and enhanced social inclusion.