The Improving Access to Psychological Therapies (IAPT) Pathway for People with Long-term Physical Health Conditions and Medically Unexplained Symptoms

NHS England, March 2018

From April 2018 all CCGs are expected to expand IAPT by commissioning IAPT services integrated into physical healthcare pathways. This document supports this expansion by setting out the treatment pathway that underpins the access and waiting time standards, which all services should seek to measure themselves against. The guidance also provides evidence on what works, as well as local case studies of service-led examples that describe how to make IAPT-LTC services a reality.

Click here to view the full report.

Developing an outcomes-based payment approach for Improving Access to Psychological Therapies (IAPT) services: detailed guidance

NHS Confederation, January 2017

NHS Improvement and NHS England have published detailed guidance on the new outcomes based payment approach for IAPT services. This follows NHS Improvement’s publication of the 2017/19 National Tariff Payment System (2017/19 NTPS). Within this, rule 8 mandates the use of an outcomes-based payment model for IAPT services from 1 April 2018. The IAPT outcomes-based payment approach intends to balance the need to pay for activity, taking into account case complexity and severity as a driver of cost, with the need to incentivise good outcomes.

Click here to view the guidance.

Psychological Therapies: Annual Report on the use of IAPT services, 2015-16

NHS Digital, October 2016

This report published by NHS Digital, examines activity, waiting times and outcomes for the Improving Access to Psychological Therapies (IAPT) programme run by the NHS in England.

It found a strong relationship between deprivation levels and whether patients recover from mental illness after “talking” therapies such as counselling, CBT and peer support. Over 200,000 referrals were received from the most deprived 10% of areas, compared with under 92,000 from the least deprived areas. Whilst 55% of patients from the least-deprived areas recovered, only 35% of those in the most deprived areas did so.

The report also found recovery rates differed with gender and ethnicity. Recovery rates were higher amongst white ethnicities compared to all other ethnicities.

Click here to view the full report.

Hidden in plain sight: the unmet mental health needs of older people

Age UK, October 2016

This report finds that the current availability of mental health services does not meet the increasingly high demand from our ageing population.Currently 3 million people in the UK over the age of 60 are living with depression and this figure is set to rise to 4.3 million in the next 15 years due to the growing number of older people in our society.  The report found that over a third of Mental Health Trusts in England have no policies for providing integrated care for people over 65 with both mental and physical health needs.

Click here to view the full report.

Psychological Therapies, Annual Report on the use of IAPT services – England, 2014-15

Health and Social Care Information Centre, December 2015

Between 1 April 2014 and 31 March 2015 1,267,193 referrals were received with over a third of these being self referrals. The average waiting time between referral as start of treatment was 32 days.

Click here for further information.

Learning Disabilities: IAPT Positive Practice Guide

Mental Health Foundation, September 2015

This Positive Practice Guide, which is written by experts in learning disabilities, summarises the needs of people with learning disabilities and clearly outlines the reasonable adjustments that are recommended to ensure that people with learning disabilities get the maximum benefit from treatment within an IAPT service.

Click here to download the guide.

Guidance to support the introduction of access and waiting time standards for Mental Health services in 2015/16

NHS England, 13 February 2015

NHS England has set out guidance for how new access and waiting time standards for mental health services are to be introduced.

In October, NHS England and the Department of Health announced the measures in the report Improving better access to mental health services by 2020.

NHS England’s guidance explains the case for change in four areas and sets out the expectations of local commissioners for delivery during the year ahead working with providers and other partners.

It sets out how commissioners and providers can begin to prepare for implementation of the new early intervention in psychosis and liasion mental health standards.  It says plans need to be submitted about how local commissioners will meet the new IAPT standard for people with depression and anxiety disorders.  It updates on funding for eating disorders.

Click here for further information and to download the report.