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Kevin Jarman

National IAPT Operations, Delivery &


Finance Lead
Update on the National IAPT Programme
NHS Midlands & East Conference
Leicester
22nd March 2013
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
Initial Roll Out
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
Progress: achievements so far
Since October 2008 nationally:
An IAPT service in every PCT
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 2014-15 target prevalence,
highest 67% (Q2 2012/13)
(latest verified figures to 31 December 2012)
Access Rates
Recovery Rates
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
2011 - 2015
children and young people

Improve access for older people and


BME communities
Develop models of care for:
Long Term Conditions
Medically Unexplained Symptoms
Completing the Roll Out
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 2400 new psychological therapists
Equalities
Need to ensure that access and outcomes by
those with protected characteristics are in line
with total population
Advisory group to monitor and give independent
advice on how to take forward
Funding to DH Strategic Partners to work to
increase IAPT access for socially excluded
groups
Internal critique of IAPT programme to address
equality gaps
Data collection refined to capture information
Older people
Key area of priority for new Secretary of State
for Health
Only 5% of IAPT service users are 65 and over,
should to be 18% to reflect population and need
Curriculum development for training of IAPT
therapists to work better with older people
Online CBT for carers of people with dementia
Advertising campaign delivered through Age UK
and Carers UK to ensure older people are aware
that IAPT is for them.
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

2012/13 303 500 114 76 50 149 1192

2013/14 278 425 111 61 57 70 1002


Total 2980 3214 345 227 209 377 7352
Children & Young Peoples IAPT
Service transformation project embedding
IAPT quality markers of:
evidence based therapy,
session by session outcome monitoring,
close supervision
with partnership with children and young
people in existing CAMHS
CYP IAPT does not create new services, but
works within current systems to improve
access to psychological therapies
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 LTCs are up to 7
time more likely to have depression
12-18% of expenditure on LTCs is linked to poor
mental health and wellbeing
LTC/MUS Pathfinders
15 Pathfinder sites selected across England covering a
range of LTC and MUS care pathways using 2million of
central funding, further 1.8million available for 2013/14
Pathfinder Project runs from April 2012 March 2013
Final data submission from Pathfinder sites to evaluation
agency April 2013
Pathfinder report with findings - Autumn 2013
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?
Severe Mental Illness
Over 1.1million invested in 6 SMI
demonstration sites that started in
November 2012
Competency Frameworks for Psychosis,
Bi-Polar Disorder and Personality Disorder
developed, need to develop into curricula
and training materials
A provisional data set for SMI in
development
SMI Demonstration Sites
Demonstrate improved access to evidence
based, NICE recommended psychological
therapies for SMI
Provided 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
Payment by Results
Aim: to develop a national outcome based
currency for use in commissioning of IAPT
services
22 pilots to develop and test draft currency
model started on 1st April 2012 and end on 31st
March 2013
Final data submission for analysis during
January with report in March 2013
Plan to extend the current currency development
pilot in an increased number of IAPT sites in
2013/14
Map showing PCT with IAPT Services & Projects

KEY

No IAPT Service
IAPT Service
IAPT Service + PBR
IAPT Service + LTC/MUS
IAPT Service + CYP
IAPT Service + SMI
IAPT Service + PBR + CYP
IAPT Service + PBR + SMI
IAPT Service + CYP + SMI
IAPT Service + CYP + LTC/MUS
IAPT Service + PBR + LTC/MUS + CYP
IAPT Service + LTC/MUS + CYP + SMI
Risks & Opportunities
Mandate & Outcomes Framework
Commissioning Structures & Transition
Information Standard Notice Implementation
Payment By Results
Any Qualified Provider
Quality Innovation Productivity & Prevention
Education & Service Commissioning
IAPT in 2013/14
Smaller national team sited in Improving
Quality Directorate of the NHS
Commissioning Board
Clinical Networks at regional level linked to
national team
Focus of future work: CYP IAPT, Data
LTC/MUS, SMI, PbR, Equalities.
Further Information & Contact Details
IAPT website: www.iapt.nhs.uk
E-mail: kevin.jarman@dh.gsi.gov.uk
Telephone: 0207 972 1617
Mobile: 07824 569291