Kevin JarmanDeputy Director - Adults

IAPT National TeamUpdate on the National IAPT Programme

Information Tools for IAPT Services London

27 September 2013

Progress: achievements so far

Since October 2008 nationally:• An IAPT service in every PCT• 4,670 new trainees in first four academic years • 1,732,732 have entered treatment• 1,057,740 have completed treatment• 399,884 have reached recovery• 70,612 have moved off of sick pay and benefits• Current Recovery rate 46.8%, highest rate since

KPIs started• Meeting 68% of 2014-15 target prevalence,

highest rate since KPIs started(latest verified figures to 31 March 2013)

Access Performance to Q4 12/13

Recovery Performance to Q4 12/13

Performance to Q4 12/13

• Improve access for older people and BME communities

• Complete roll-out of services for adults

• Initiate stand – alone programme for children and young people

Talking Therapies: four – year plan of action

• Improve access to psychological therapies for people with Psychosis, Bipolar Disorder, Personality DisorderTalking

Therapies

2011 - 2015

Develop models of care for:• Long Term Conditions• Medically Unexplained Symptoms

Completing the Roll Out

• 15% of prevalence (over 900,000 people per year) entering treatment

• Recovery rates of 50% minimum• 25,000 off sick pay and benefits per year,

achieved in 2012/13• Equitable access for all, especially for older

people and BME communities• Train 2400 new psychological therapists

Equalities

• Need to ensure that access and outcomes by those with protected characteristics as defined by the Equality Act 2010 are in line with total population

• Funding to DH Strategic Partners to work to increase IAPT access from BME communities, faith communities, gypsies and travellers, older people, lesbian and gay people

• Data collection refined to capture equalities information• National data currently available for referrals only• From Q1 2013/14 national reports available for those

entering and completing treatment.

Children & Young Peoples IAPT

• Service transformation project embedding IAPT quality markers of in existing CAMHS Services:

• evidence based therapy, • session by session outcome monitoring, • close supervision • with partnership with children and young people in existing CAMHS• Wave 3 bids received, decision by late June / early July• Wave 1 sites staff training in Interpersonal Psychotherapy (IPT) and

Systemic Family Practice (SFP)• Aim to provide 60% of 0 -19 year olds with access to a transformed

CAMHS service by April 2015. • In addition, the Multi Systemic Therapy Programme (MST) is

undertaking research and increasing the capacity of childrens services to provide evidence based treatment packages for very difficult children and their families in conjunction with the Department for Education

LTC/MUS Pathfinders• 15 Pathfinder sites selected across England covering a range of

LTC and MUS care pathways using £2million of central funding in 2012/13

• Phase 1 Pathfinder Project ran from April 2012 – March 2013• Final data submission from Pathfinder sites to evaluation agency in

April 2013• Pathfinder report with findings - Autumn 2013• Extending the majority of pathfinders into 2013/14 using further

£1.8million of central funding. Pathfinders looking to test: • Is there an optimal stepped care pathway?• What core therapy competencies, experience and training required?• How potentially cost-effective and efficient are the different models

of care?

IAPT for SMI

• Looking to transform existing mental health services to be better able to provide NICE approved and evidence based psychological therapies to people with bipolar disorder, personality disorders and psychosis

• No new workforce, focus on competence, education and training of existing workforce

• Demonstrate that the provision of psychological therapies can support positive outcomes for patients, staff, the NHS and the economy as a whole

• Six Demonstration sites underway

• Competency Frameworks available via link on IAPT website

Payment by Results

• Aim: to develop a national outcome based currency for use in commissioning of IAPT services

• 23 commissioned IAPT services to develop and test the feasibility of a draft currency model started on 1st April 2012 with initial phase ended on 31st March 2013

• Final data submission for analysis provided in January with final feasibility report published by June 2013

• Plan to extend the current currency development pilot in an increased number of IAPT sites in 2013/14 with view to road testing the currency from April 2015

IAPT Data Standard• IAPT Data Standard used for national reporting of KPIs since in

April 2013. First report for Q1 2013/14 due on 17th October 2013

• Analysis of Q4 2012/13 data by the HSCIC shows discrepancies between what is reported via Omnibus and the IAPT Data Standard. Work is underway to understand the discrepancies and what is causing them to occur. This work will result a better understanding of data flows and improvements in data quality

• Version 1.5 Data Change Notice which incorporate changes to allow clock pauses in presently going through the ISB process. It is expected that an Information standards notice will be issued in December 2013 for implementation by July 2014

Further Information & Contact Details

• IAPT website: www.iapt.nhs.uk• E-mail: kevin.jarman@NHSIQ.nhs.uk• Telephone: 0207 972 1617• Mobile: 07824 569291