1. Kevin Jarman Deputy Director - Adults National IAPT Programme
Update on the National IAPT Programme
Improving Access to Psychological Therapies: Evidence and experience of supporting People with Learning Disabilities.
Kendal, Cumbria
24th May 2013

2. IAPT – a groundbreaking initiative
Original Aim – to provide a universal primary care psychological therapy service for people with depression & anxiety disorders
Use of NICE approved and evidence based therapies within a stepped care model
Collection of outcome data at every session
Provided by a trained & supervised workforce
Focus on employment

3. Initial Roll Out October 08 – September 11
3,600 trained new psychological therapists
900,000 people entering treatment in first three years
50% of those completing treatment reaching clinical recovery
25,000 people moving off or sick pay & benefits in first three years

4. Talking Therapies: four – year plan of action
Complete roll-out of services for adults
Improve access to psychological therapies for people with Psychosis, Bipolar Disorder, Personality Disorder
Talking Therapies
Initiate stand – alone programme for children and young people
Improve access for older people and BME communities
Develop models of care for:
Long Term Conditions
Medically Unexplained Symptoms

5. Completing the Roll Out October 11 to March 15
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
Equitable access for all, especially for older people and BME communities
Train further 2400 new psychological therapists

6. Progress: achievements so far
Since October 2008 nationally:
An IAPT service in every PCT
4,670 new trainees in first four academic years
1,577,220 have entered treatment
959,621 have completed treatment
358,833 have reached recovery
63,653 have moved off of sick pay and benefits
Current Recovery rate 44.4%, highest 46.1% (Q1 2012/13)
Meeting 63% of target prevalence, highest 67% (Q2 2012/13)
(latest verified figures to 31 December 2012)

7. Access Performance to Q3 12/13

8. Recovery Performance to Q3 12/13

9. Performance to Q3 12/13

10. IAPT Training YEAR HIT PWP CfD CTfD DIT IPT Total 2008/09 487 510 997
2009/10
1004
727
1731
2010/11
623
517 52 44 69 76
1381
2011/12
285
535 68 46 33 82
1049
2012/13
327
511
141
100 61
159
1299
2726
2800
261
190
163
317
6457

11. IAPT in 2013/14
Small national team sited in Improving Quality Directorate in NHS England
Clinical Networks at regional level linked to national team.
North West Collaborative meeting 23rd July
Focus of future work: CYP IAPT, Data LTC/MUS, SMI, PbR, Equalities.

12. 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 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

13. LTC/MUS
Aims to extend the benefits of improved access to NICE recommended psychological therapies for anxiety and depression to people with long-term physical conditions and/or medically unexplained symptoms.
People with one LTC are 2-3 times more likely to develop depression
People with more than one LTC are up to 7 time more likely to have depression
12-18% of expenditure on LTCs is linked to poor mental health and wellbeing

14. 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?

15. Severe Mental Illness
Over £1million invested in 6 SMI demonstration sites that started in November 2012
Demonstrate improved access to NICE recommended & evidence based psychological therapies for SMI
Developing a provisional data set for SMI
Competency Frameworks for Psychosis, Bi-Polar Disorder and Personality Disorder available via link from IAPT website
Need to create cirricula and training materials in line with Competency Frameworks

16. SMI Demonstration Sites
Providing surgeries and workshops on a regular basis promoting best practice to visiting services
Interrogate and provide good quality historic data on health utilization, clinical and patient reported outcomes
Provide information on their workforce profile, supervision, education and training structure
Champion psychological therapies for SMI
Forthcoming Demonstration Site event in North West
Lancashire Early Intervention Service – 4th June – Blackpool
Halliwick Personality Disorder Service – 22nd July - Preston

17. 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

18. 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, 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.

19. Older people
Key area of priority for new Secretary of State for Health
Only 6% of IAPT service users are 65 and over, should to be 18% to reflect population and need
Curriculum for training of IAPT therapists to work better with older people available
Online CBT for carers of people with dementia
Advertising campaign delivered through Age UK to ensure older people are aware that IAPT is for them

20. IAPT for people with learning difficulties
In January 2009 IAPT published a Positive Practice Guide for IAPT services encouraging them to provide appropriate treatment for people with learning difficulties
In Q2 2012/13 1,270 people with Learning Difficulties were referred for IAPT assessment and treatment. This number increased in Q3 to 1,414
From September 2013 this will allow the IAPT central team to track progress of people with learning difficulties through IAPT services. We will be able to see if IAPT services are providing people with learning difficulties with IAPT treatments and what outcomes they are getting following completion of treatment
Things are happening elsewhere, this afternoon there is a meeting of an IAPT Advisory Group in London organised by the Foundation for People with Learning Difficulties
IAPT central team will look to join up these initiatives and use information from today to inform the updating of the Positive Practice Guide

21. Further Information & Contact Details
IAPT website:
Telephone:
Mobile: