Improving Access to Psychological Therapies (IAPT) IAPT Implementation: National Guidelines for Regional Delivery Welfare to Work Conference 2008 Matt Fossey National Policy Lead

IAPT Implementation: National Guidelines for Regional Delivery 2 Workshop - Overview What is IAPT Policy Background Implementation Challenges Q&A Discussion

IAPT Implementation: National Guidelines for Regional Delivery 3 Background to Programme Policy Background Cross government initiatives Imminent publication of Dame Carol Black’s review

IAPT Implementation: National Guidelines for Regional Delivery 4 Update 26 February 2008 – Launch of National Implementation Plan for the IAPT programme

IAPT Implementation: National Guidelines for Regional Delivery 5 Introduction Provides guidance to SHAs/PCTs Describes how the CSR07 funds will be used to roll- out IAPT (i.e. £33m, £103, £173m over next 3 years) Describes: A major Training Programme Expansion of NICE-compliant Psychological Therapy Services Every PCT improving its services SHA/PCT actions: Tender and select Training Providers Select PCTs to become IAPT site Both to ‘go live’ by Sept 08

IAPT Implementation: National Guidelines for Regional Delivery 6 Characteristics of an IAPT service Teams of therapists Each PCT will have (or access to) a service Equality of access Referral via primary care or self Delivering NICE-compliant treatment Stepped Care system: Low intensity <7 sessions, CCBT, phone, brief face-to-face High intensity <20 sessions face-to-face Routine outcome monitoring Clinical and service indicators 90% coverage Right workforce 6:4 high intensity to low intensity therapist ratio Supervision requires a minimum of a third are fully trained in each service

IAPT Implementation: National Guidelines for Regional Delivery 7 Moving the system forward The new funds will buy: Expanding number of training places Accredited Training Providers A proportion of the trained staff to lead the new service Supervision training for trained staff Expanding number of IAPT services providing access and training grounds

IAPT Implementation: National Guidelines for Regional Delivery 8 Workforce principles for the future Ensure that the current workforce is used most effectively- match the skills of the practitioner to the needs of the person, which requires changing practice Extend practice beyond initial professional scope of practice for some Bring new people in to the workforce into new assistant and practitioner roles Move towards a workforce based on competence rather than profession “New Ways of Working for Everyone” Progress Report, launched April

IAPT Implementation: National Guidelines for Regional Delivery 9 Establishing IAPT services in 08/09 Some PCTs will need to run ahead to make this work! 20 new services At least 2 PCTs per SHA (Probably) not more than 4 SHAs select PCTs based on defined criteria: Sufficient therapists (low/high) to meet local needs Minimum 1/3 therapists (low/high) will be trained Appropriate training location By 2010/11 (Y3), SHAs should be halfway to full service coverage

IAPT Implementation: National Guidelines for Regional Delivery 10 Funding 2008/09 Resources will be pooled for and on behalf of SHAs by the DH £33m notionally allocated to SHAs Oversight to be provided by the National IAPT Programme Board (co-chaired by Ivan Lewis) SHAs will plan use of notional allocations for: Training costs – establishing regional training providers Service costs - establishing and maintaining new services Funds allocated by DH to PCTs indicated by SHAs Local/national reporting arrangements tbc

IAPT Implementation: National Guidelines for Regional Delivery 11 Current work with CMP Strategic Lead from CMP as part of Workforce Reference Group Asked local sites to make links with CMPs Developed competencies for Low Intensity Identified the need to have staff on the team with special skills and competencies regarding work Recognised that different models will work in different areas Advisors in GP surgeries “Well-notes”