1. Improvement and Innovation in Psychological Therapies in Primary Care (InPsyTe) Nicola Wiles and David Kessler, Joint Leads, UoB

2. Focus of HIT Improving uptake of, access to, and outcomes of, psychological therapies for common mental health problems (anxiety/depression) Why anxiety/depression? – Burden of disease (WHO) Leading cause of disability in high income countries by 2030 Only HIV/AIDS and perinatal conditions rank higher for LMI countries Why are psychological therapies important? – Patient preference – Investment in IAPT £300 million for first phase roll-out additional £400 million over the next four years to 2014/15

3. ‘Added value’ of HIT Strong history of collaboration with Bristol MH services (AWP, Bristol CCG & IAPT) large pragmatic trials and service development Links with Commissioners Multi-disciplinary and cross-organisational team Address local priorities Rapid translation of research findings into clinical practice and service delivery

4. HIT Leadership Team HIT Co-Directors: David Kessler & Nicola Wiles AWP: Julian Walker, Director of R&D Bristol City Council: Marvin Rees Bristol CCG: Catherine Wevill, Programme Manager, Mental Health Commissioning Aly Fielden, Mental Health and LD Commissioner UoB: Rachel Churchill, Reader in Psychiatric Epidemiology UWE: Adam Joinson, Professor of Behaviour Change PPI reps:tbc Executive Group: 1 st met November 2014; then quarterly BHP Observers: Lisa Wheatley (BHP Programme Manager) Ailis Campbell (BHP Management Assistant)

5. Partner Organisations and Collaborators North Somerset CCG: Angela Kell, Commissioner and Managerial Lead South Gloucs CCG: Kate Archibald, Commissioner and Managerial Lead Bristol CCG: Katherine Grice, Information Analyst Oasis-Talk (AQP Rep): Vicki Palmer, Clinical and Managing Director Mayden: Chris Eldridge, Director of Operations The Wellbeing Partnership: Viran Patel, Managing Director UWE: Praminda Caleb-Solly, Senior Lecturer in Creative Technologies Alan Tapp, Professor of Social Marketing Lukasz Piwek, Research Fellow in the Behavioural Research Lab Simon Scarle, Senior Lecturer in Games Technology Heidi Williamson, Senior Research Fellow, Centre for Appearance Research, Tim Moss, Associate Professor, Psychology, Yvette Moray, Research Fellow, Bristol Social Marketing Centre Kate Beckett, Researcher UoB: Carol Joinson, Senior Lecturer Kate Button, NSPCR Postdoctoral Fellow

6. AWP Bristol City Council CCGs Bristol CCGS Gloucs CCGN Somerset CCG UoBUWE PPI HIT management team (Executive Group) HIT Directors Working Group 1 Improving Access Working Group 2 Technological Innovation Working Group 3 PPI Bristol Health Partners HIT Team HIT Working Groups

7. PPI PPI representatives part of leadership team Links with – Local Clinical Research Network (MHRN) – Elizabeth Blackwell Institute Public Advisory Group – Knowle West Media Centre - workshops PPI group – Input into designing and implementing service changes – Small group meetings in June

8. Short-term goals Efficiency – increasing number who engage with service 10% Quality improvement – fully informed patient decisions; we are commissioning a short film for patients and doctors using participants from previous research Leading to: Improved patient outcomes – better adherence to treatment Enhanced patient experience

9. Medium-term goals Improvements in performance – implementing evidence from 3 studies REEACT2, REEACT3, TONIC Model of effectiveness in e-therapy Expanding access to psychol services through e- innovation – Self-help app for anxiety – Face IT@home for social anxiety

10. Long-term goals Transforming psychological therapies care pathway New model of delivery of CBT – Integrated therapist and online CBT (PGfAR) Serious gaming Apps as mental health interventions – Activity-tracking for relapse prevention

11. Questions?