Kevin MullinsNational IAPT Director

The Aspirations of the IAPT Programme

November 2011

IntroductionProgramme Aims

– complete the roll out of IAPT services – expand access to IAPT in specific areas of need

Deliverables– an appropriately trained workforce, – specific quality standards ie NICE compliance, equitable access, integrated employment

options– session by session outcome measures, – stepped care model relying on flexible referral routes

 Extended Scope– children and young people,  – those with physical health long-term conditions and mental health issues,– those with medically unexplained symptoms and – those with severe mental illness

Outcomes– improved access to evidence-based psychological treatments; – improved mental health and wellbeing;– more people with lived experience of these situations involved in leading the changes– more people able to resume or start normal working lives

Benefits of £400m investment– over £700 million savings healthcare, tax and welfare gains – further 1.2 million people able to access therapies with effective services available across

the country – of these, 0.5 million helped to move to recovery or measurable improvement.

Start Point & Planning Assumptions

Service TargetsSHA

Regional Allocation

Prevalence2015 Referrals

East of England 10.26% 684,797 92,509

East Midlands 8.13% 448,652 75,619

London 15.86% 1,018,112 137,683

North East 5.59% 330,385 51,179

North West 14.83% 1,004,581 133,390

South Central 6.96% 384,730 61,432

South East Coast 7.90% 430.321 70,020

South West 9.59% 613,546 86,310

West Midlands 10.75% 568,463 97,363Yorkshire & Humber 10.12% 630,658 94,495

Totals 100.00% 6,114,245 900,000

Performance Management

• NHS Operating Framework for 11/12 – Access - The proportion of people entering treatment

against the level of need in the general population, and – Conversion - The proportion of those entering treatment

against the number referred• Performance Focus

– Incomplete KPI data is returned – Access numbers below trajectories – Treatment completers falls below 66% of those entering – Recovery rates fail to improve– Waiting lists increase

Performance – Q1 11/12 Entering Treatment

121,608

331,025

500,540

730,485

900,540

310,603

89,77583,94675,17961,703

100,00088,857

300,000

92,682 116,735

17,40126,39123,074 21,991

0100,000200,000300,000400,000500,000600,000700,000800,000900,000

1,000,000

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Treatment Completed

5,099 8,092 11,320 13,942 28,775 38,833 50,446

200,000

64,402 74,498 75,345

214,245

382,307432,208

648,974

179,510

61,45666,66738,453

050,000

100,000150,000200,000250,000300,000350,000400,000450,000500,000550,000600,000650,000

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Yr 3 Projecte

d460k

Yr 3 Projecte

d300k

Moving to Recovery

862 2284 3896 457611618 8390

13849 1729121139

60669

2239925966 28502

76867

149,154

0

20000

40000

60000

80000

100000

120000

140000

160000

People moving off sick pay and benefits

128 440 832 9562,356 2,778 1,929 2,525 3,179 3,975

11,608

8,333

4,241 4,927 5,001

14,16911,036

28,133

22,147

0

5,000

10,000

15,000

20,000

25,000

30,000

Performance – Q1 11/12 Yr 3 Projecte

d20k

Yr 3 Projecte

d100k

Recovery Rates

16.9%28.2%

34.4%39.6% 33.8%41.8%39.3%

50.0%39.6%39.4%42.8%40.6%

50.0%

0.0%

38.8%38.9%50.0%

32.2%

0.0%

20.0%

40.0%

60.0%

80.0%

100.0%

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Waited More than 28 Days

9650 12458 13671 1504050819 60525 66429 71938 67089

265981

67903 69373 91599

228875

545,675

0

100000

200000

300000

400000

500000

600000

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2011/1

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Performance – Q1 11/12

National Training Summary Table 2011/12

Type MPET Assumptions

Planned Deficit

CBT (High Intensity) 559 387 -172

PWP (Low Intensity) 567 464 -103

Counselling for Depression

Interpersonal Psychotherapy (IPT)

Dynamic Interpersonal Therapy (DIT)

Couples Therapy for Depression

67

66

66

66

73

133

49

45

+6

+67

-17

-21

Supervision Training 260 463 +203

TOTAL 1,651 1,614 -37

Resources AvailablePolicy 2011/12 2012/13 2013/14 2014/15

Completing roll out 43 88 133 133

Children & Young People Pilots

8 8 8 8

MUS/LTC Pilots 2 tbc tbc tbc

Total 53 96 141 141

Assumptions for 11/12:•Further training & education commissions - £32m•PCT costs associated with employment support - £11m

SHA “bundle”:•IAPT Central Team Costs - £1.5m •SHA IAPT Team & other costs - £3.5m

Governance – MH StrategyCabinet sub-Committee

on Public Health

Mental Health StrategyMinisterial Advisory Group

Cabinet Committee on Social Justice

Ministerial Advisory Group on Equality in mental health

Departmental Co-ordinating group

Mental Health Strategy work streams

OffendersEqualities e.g. BME age physical and

mental health

Public Mental HealthSuicide Prevention

DH Equality and Diversity Council

Mental Health Strategy Advisory Group

Health and Criminal Justice Board (DH

and MoJ) chaired by David Behan

Other work streams

Expert Reference Group

Outcomes & Evaluation Task & Finish Group

Outcomes & Informatics Group

PbR Working Group

SMI Working GroupEducation &

Training

Psychological Therapies Programme Board

NHS Commissioning Board

Service Re-design

IAPT Programme Governance 2011/12

Programme Management Group

Mental Health Oversight Board

Workforce & Education Working Group

LTC/MUS Working Group

SHA Regional Leads

Risks & Opportunities• Mandate & Operating Framework• Commissioning Structures• ISN Implementation• PBR• AQP• QIPP• Education & Service Commissioning