NHS West Kent Clinical Commissioning Group IAPT – PRIMARY CARE PSYCHOLOGICAL THERAPIES James de Pury, Commissioning Manager

NHS West Kent Clinical Commissioning Group Prior to IAPT Poor rates of diagnosis of depression and anxiety disorders by GPs and health staff Medication (anti-depressants) the standard response for those who were diagnosed Many people receiving no treatment at all Postcode lottery for availability of psychological therapies, many areas had no free NHS provision, private therapists available at a cost to the individual Many who were dispensing therapies in the NHS and privately were not trained to do so

NHS West Kent Clinical Commissioning Group IAPT – a groundbreaking initiative Original aim – to provide a universal primary care psychological therapy service for people with depression and anxiety disorders Use of NICE approved and evidence based therapies within a stepped care model Collection of outcome data at every session Therapy provided by trained and supervised workforce Focus on employment

NHS West Kent Clinical Commissioning Group Development of local services October 2009 PCPTS (IAPT) services launched across Kent and Medway Summer 2012 services selected by Primary Care Trust as AQP service Autumn 2012 start of AQP contract (up to 10 providers selected across Kent and Medway) including: KCA, KMPT, MHCO (Insight), Get Stable, Counselling Team, Faversham Counselling, DGS Mind, Psicon Ltd, Dover Counselling Team, Mental Health (Talking) Matters

NHS West Kent Clinical Commissioning Group Development of local services November 2013 West Kent CCG decision to increase number of providers June new services accredited: - Psychology On Line Ltd - Healthshare (Moving Minds) - Sleepstation (Newcastle Upon Tyne Hospitals NHS Foundation Trust) - Healthy Mind in West Kent (Mind in Bexley, working with Sevenoaks and Maidstone Mind)

NHS West Kent Clinical Commissioning Group Progress: achievements so far April 2013 – March people have entered treatment 8954 people have completed treatment 4596 people have reached recovery 585 people have moved off sick pay and benefits Recovery rate in West Kent at end Q4 was 55% (tbc) (2014/5 rate was 52%) Quarterly Access in West Kent rate was 18.4% (tbc) (2014/5 rate was 10%)

NHS West Kent Clinical Commissioning Group Commissioning challenges & priorities Sustained roll out of current services Improve access and choice of NICE approved therapies across local population Commission in line with IAPT Quality Standards, waiting times etc Develop models of service to support people with Long Term Conditions, Medically Unexplained Symptoms and Severe Mental Illnesses Opportunities for CYP IAPT Programme

NHS West Kent Clinical Commissioning Group A World Class Programme 'Professors Layard and Clark (the Dream Team of British Social Science) make a compelling case for a massive injection of resources into the treatment and prevention of mental illness. This is simply the best book on public policy and mental health ever written' Martin Seligman “The IAPT programme represents a world beating standard, thanks to the scale of its implementation and the validation of its treatments” Nature editorial 27 th Sept 2012