www.england.nhs.uk

• Andy Wright, IAPT Clinical Advisor and Sarah Boul, Quality Improvement Manager

• andywright1@nhs.net and sarah.boul@nhs.net

• Twitter: @YHSCN_MHDN #yhmentalhealth

• May 2018

Yorkshire and the Humber

Mental Health Network

IAPT Providers Network

2 May 2018

www.england.nhs.uk

@YHSCN_MHDN

#yhmentalhealth

Housekeeping:

www.england.nhs.uk

Yorkshire and the Humber

IAPT Providers Network

Welcome

Andy Wright, IAPT Advisor, Yorkshire and

the Humber Clinical Networks

www.england.nhs.uk

Yorkshire and the Humber

IAPT Providers Network

Minutes from Last Meeting (07.02.18)

and

Matters Arising

www.england.nhs.uk

Actions from Meeting 07.02.18 No. Action Owner

1 Regarding CASPER Plus training places a small number of additional places are

available. Please email sarah.boul@nhs.net to express your interest in places.

All/Sarah

Boul 2 Sarah Boul to collate the Senior PWP table top discussion notes for distribution. Sarah Boul

3 Sarah Boul to collate the IAPT Data table top discussion notes for distribution. Sarah Boul

4 Sarah Boul to share a link to the planning guidance for 2018/19. Sarah Boul

5 Clinical Network to consider developing a shared dialogue/narrative to support

services in working with their commissioners to discuss a trajectory around

what could be achieved with available funding.

Andy

Wright/Sarah

Boul

6 All Providers’ to review the Older Adults toolkit and send feedback to

gthrippleton@nhs.net.

All

7 Georgie Thrippleton to include the CCG information in the quality premium

spreadsheet by STP/ACS footprint.

Georgie

Thrippleton 8 Sarah Boul to share the draft spreadsheet with the Network to ensure services

know which CCGs are signed up.

Sarah Boul

9 Sarah Boul to ask services to submit their issues around clustering and submit

this to the NHS England DCO team to raise with NHS Digital.

All/Sarah

Boul

10 Any suggestions on subjects or issues that could be covered at the IAPT

Providers’ Network to be emailed to sarah.boul@nhs.net

All

11 If anyone has strong views on a formalisation process of access to IAPT for IAPT

staff please email sarah.boul@nhs.net.

All

www.england.nhs.uk

Yorkshire and the Humber

IAPT Providers Network

HEI Update

Steve Kellett, IAPT Programme Director, University of Sheffield

IAPT; update from the HEI perspective on current training

demands and also future commissioning intentions

Stephen Kellett Consultant Clinical Psychologist and Psychotherapist,

Sheffield H & SC NHS Trust IAPT Programme Director, University of Sheffield

Objectives for the talk

• To give you a sense of the currents numbers that we are training

• To give you a sense of where we are at with the planning for future LTC/MUS cohorts

• To tell you about the commissioning intentions and key timelines for the 2018-19 cohorts and the next two years following

• Inform you of any quality improvement changes to course content

What do your trainees get?

• Both PWP and HIT courses are accredited with the BPS and BABCP

• Courses won the University Senate Award for teaching excellence in 2013-14

• Course staff also regularly contribute to the evidence base for PWP and CBT work – research integrated into teaching

• Access to top up LTC/MUS national curriculum training for PWPs and HIT – 2 courses have been developed, two cohorts completed and an evaluation report delivered to the commissioner

Key commissioning changes

• LTC/MUS top up training in commissioning plan

• In 2018/19 CCGs responsible for funding and commissioning trainee places

• Salary support funded from CCG baselines

• Replacement and expansion PWP and HIT trainees – target of 4,500 additions in Primary Care

So in Y & H what this means …. 2018/19 2019/20 2020/21

PWP 92 92 84

HIPI 90 90 79

Proposed figures for Yorkshire & Humber recruitment from the HEE

commissioner.

These include baseline (replacement) figures of 50 PWPs and 15 HIPIs.

Sheffield will continue to cover this demand for training with an October

and March cohort.

With respect to the proposed numbers we have agreed to take maximum

of 50 PWPs and 25 HIPIs per intake – some swopping possible

Collaboration

• We need to expand the staff team for HIT – support for secondments

• You need to have HIT supervisors ready to go

• Recruitment needs to be planned from a long way out (given it May already!)

• Relationships with CCGs?

• If you have not had the email – please contact us …

Flow chart and timeline

for guiding the demand

assessment and

commissioning of IAPT

programmes within the

North of England

What should have happened

• Received the invitation to respond to the commissioner in terms of your proposed training places

• The response needs to be completed by the 11th May 2018 – this covers routine IAPT and also LTC/MUS plans

October IAPT service attendees

March IAPT service attendees

LTC service attendees

Recent improvements to the standard PWP course

• Full fidelity to the new national curriculum

• Using validated models and measures of low intensity assessment and treatment competencies

• Small group clinical skills and SP/SR in the PM

• Treatment competency assessed via accessing sessions from routine practice

• Telephone triage input increased

• Diversity management assessed via case study

Recent improvements to the standard HIT course

• Outcome measurement addition to the Practice Portfolio

• Emphasis on disorder specific measures and measures of the therapeutic alliance in the case studies within the Practice Portfolio

• CTS-R days

Thank you!

• Any questions or reflections from you?

www.england.nhs.uk

Yorkshire and the Humber

IAPT Providers Network

IAPT PRN Research Projects and

Findings Update

Jaime Delgadillo, Clinical Psychology Unit

University of Sheffield

Jaime Delgadillo, PhD

Clinical Psychology Unit

University of Sheffield

Improving psychological

treatment outcomes using

prediction and feedback methods

The effectiveness of psychological care

• Psychological treatments for depression and anxiety are effective.

Meta-analyses of trials show NNT = 2.6

(e.g. Cuijpers et al, 2013; Hofmann & Smits, 2008)

• Average recovery rate in IAPT psychological services is 50.1%

(http://www.content.digital.nhs.uk/catalogue/PUB23831)

• Up to 10% of patients deteriorate during therapy

(Lambert & Ogles, 2004)

• KEY POINT: There is considerable room for improvement

Clinical prognosis

How good are therapists at assessing their patients’ prognosis?

Hannan et al 2005, J Clin Psychol 61: 1-9

Outcome feedback technology

Finch et al 2001, Clin Psychol Psychother 8: 231-242

Outcome feedback

• Expected Treatment Response (ETR) curves for depression (PHQ-9) and

anxiety (GAD-7) symptoms

• Left panel: A case that is ‘On Track’

• Right panel: A case that is ‘Not On Track’

Evidence base

Kendrick et al, 2016, Cochrane Library: C0D11119

IAPT Outcome Feedback Trial

Design

• Multi-site cluster RCT across 8 NHS Trusts

• Therapists randomised to OF group (N=39) or usual care control (N=38)

• OF technology alerted therapists to review NOT in clinical supervision

• Compared depression (PHQ-9) and anxiety (GAD-7) measures between groups

using MLM, controlling for therapist effects

CONSORT diagram

Total Sample:

2233 patients

within

77 therapists

Sample characteristics

Results

• NOT cases had lower post-treatment symptom scores in the OF group (d = .19 to .23, p < 0.05)

• Control cases had greater odds of reliable deterioration (OR = 1.73, p < 0.01)

Discussion

Strengths

• Largest multi-service trial to date

• Powered to detect small effect size and to test group * signal interaction

• Conducted in routine care conditions

• Controlled for therapist effects

Limitations

• Lack of independent outcome measurement

• Short-term outcomes

• Did not assess adherence to feedback model

Discussion

Conclusions

• Outcome feedback can help to

identify and to address obstacles

to improvement

• Feedback helps to prevent

deterioration in cases that are

prone to poor response to

treatment

www.england.nhs.uk

Yorkshire and the Humber

IAPT Providers Network

Time for a break?

15 minutes only please!

www.england.nhs.uk

Yorkshire and the Humber

IAPT Providers Network

Training IAPT Staff to Deliver

Mindfulness Based Cognitive Therapy

Dr Paul Bernard, Consultant Psychiatrist, TEWV Trust Mindfulness

Lead, Associate Oxford Mindfulness Centre

MBCT Teacher Training for IAPT

Services 2018-2019

Yorkshire and the Humber IAPT Providers’ Network

Dr Paul Bernard, Consultant Psychiatrist, Trust Mindfulness

Lead, Associate Oxford Mindfulness Centre

• Mindfulness Based Cognitive Therapy (MBCT)

– Development

– Evidence

• MBCT implementation milestones

• The IAPT training

• Discussion

Present moment awareness with interest

and kindness

Cognitive therapy

Aaron Beck

47

John Teasdale, Zindel Segal & Mark Williams

48

Marsha Linehan

49

Jon Kabat-Zinn

Mindfulness Based Stress Reduction

50

Mindfulness Based Cognitive Therapy

Segal, Williams & Teasdale, 2002

51

From MBSR

• Structure of programme

• Practices

• Skills & Attitudes

• Teaching from experience

From cognitive science

• Cognitive formulation of depression

• Cognitive- behavioural elements of programme

• Psycho-education

• Clinical practice

52

Develop greater levels of meta-awareness and move towards observing thoughts as transient mental phenomena, rather than as facts or accurate descriptions of reality Bring a less judgemental and more compassionate attitude to the flow of thoughts, feelings and sensations that are experienced

Increasingly recognise habitual maladaptive cognitive processes, such as depressive rumination Become more skilled at disengaging from these unhelpful processes, for example by re-directing attention to present moment experience

MBCT – the course

• 9 consecutive weeks

• 8 x 2¼ hour classes – Practices

– Discussion

– CBT elements

• Homework ++

• CDs / app

• (One longer session)

• Commitment ++

Lancet, 2016

Effectiveness and Cost-effectiveness of Mindfulness-Based Cognitive Therapy compared with maintenance anti-depressant treatment in the prevention of depressive relapse.

Kuyken et al (2016). Efficacy and moderators of mindfulness-based cognitive therapy (MBCT) in prevention of depressive relapse: An individual patient data meta-analysis from randomized trials. JAMA Psychiatry.

58

MBCT vs active controls (892 patients; 385 relapses)

Hazard Ratio = 0.79 (0.64 – 0.97)

59

Van Aalderen et al (2012) The efficacy of mindfulness-based cognitive therapy in recurrent depressed patients with and without a current depressive episode: a randomized controlled trial. Psychological Medicine. Van Aalderen et al (2015) Long-Term Outcome Of Mindfulness-Based Cognitive Therapy In Recurrently Depressed Patients With And Without A Depressive Episode At Baseline. Depression and Anxiety.

60

MBCT can effectively reduce depressive symptoms Even when people are within an episode at baseline Stable during f/u period

61

Van Aalderen et al (2012)

Geschwind et al (2012). Efficacy of mindfulness-based cognitive therapy in relation to prior history of depression: randomised controlled trial. British Journal of Psychiatry.

62

MBCT – significant reduction (~ 35%) of depressive symptoms No significant difference between those with 1- 2 episodes and those with ≥ 3 episodes TAU reduction ~ 10%

Geschwind et al (2012)

63

*

* *

Severity

Response

Remission

MBCT & other areas

• Particular groups

– Eg during pregnancy

• Other mental health conditions

– eg health anxiety, medically unexplained symptoms

• Developmental life stages

– eg adolescents

• Medically ill groups

– eg cancer, diabetes

66

"Even if a psychosocial intervention has compelling aims, has been shown to work, has a clear theory-driven mechanism of action, is cost-effective and is recommended by a government advisory body, its value is determined by how widely available it is in the health service."

UK Mindfulness Centres Collaboration

One training site per HEE Region. TEWV = site for Northern Region

In collaboration with Oxford Mindfulness Centre and Bangor Centre for Mindfulness Research and Practice

Training for:

• CBT therapists working in IAPT with at least 1 year post-qualification experience

• Pre-existing interest in mindfulness, including personal practice

• Prior participation in MBCT group

Bassetlaw Insight - Joanne

Blackpool Bradford

Calderdale Insight - Kelly

Cheshire & Wirral Partnership

Gateshead

Halton

Hartlepool and East Durham MIND

Leeds – Ross & Lorraine

Manchester – Graham and Pete

Middlesbrough Insight - Sam

Navigo (Grimsby) Newcastle - Naomi TEWV (North Yorkshire) Northumberland - Linda

Pennine Care - Sophie

Salford

South Tyneside - Rob

Trafford

Tyne & Wear Insight Wigan - Pip

TEWV (York & Selby) 34 (22) 12 (10)

Training outline – 10 days in Leeds

• 1 day: overview of MBCT and underpinning theory

• 4 x 2days: Exploring the MBCT curriculum in depth. Focus on experiential learning, guiding practices and enquiries etc

• 1 day: assessment, inclusion criteria, safety, orientation, outcome monitoring

Followed by…

• a 5-day residential retreat

• ‘Supervised practice’ - 2 x MBCT courses

• Submit video recording of 2nd course to Oxford for MBI-TAC assessment

• Course ends 31st March 2019

Questions?

Comments?

Thanks

paul.bernard@nhs.net

www.england.nhs.uk

Yorkshire and the Humber

IAPT Providers Network

A Strategic Vision for Workforce

Wellbeing in IAPT Services:

Table Top Discussion

All

www.england.nhs.uk

On your tables please spend 25 minutes discussing the

following questions. Please use the templates provided to

write down the key points discussed.

1. What are you doing to support wellbeing in

your services?

2. How do you manage your own wellbeing as

managers and senior clinicians?

3. How do you support the wellbeing of your

staff?

4. What could the Network do to support you?

Questions to consider

www.england.nhs.uk

Time for some lunch?

www.england.nhs.uk

Yorkshire and the Humber

IAPT Providers Network

Provider Presentation:

Kirklees and Calderdale IAPT

John Butler, Laura Firth and Nichola Hartshorne,

Kirklees IAPT

John Butler, Team Manager Step 2

Laura Firth, Data Quality Lead,

Nichola Hartshorne, Clinical Lead

We make up part of the leadership team

Kirklees IAPT is funded by a block contract

Calderdale is funded by an AQP arrangement.

Both services sit under the umbrella of the South West Yorkshire Partnership NHS Foundation Trust, under the community arm of the Business delivery unit providing predominantly secondary care mental health.

For the purposes of this presentation we will focus on Kirklees IAPT.

Kirklees IAPT reports to two CCG’s

◦ Greater Huddersfield

◦ North Kirklees

We report separately and then add the two together to achieve an overall figure

Greater Huddersfield ◦ Prevalence population of 28,330

◦ With an access target of 397 a month

North Kirklees ◦ Prevalence population of 22,493

◦ Which gives an access target of 315 a month

Kirklees (combined) 50,823 and 712 a month

I joined the service in September 2016, my role was to manage the HI therapists.

Currently already in service was John who was employed part-time and was responsible for managing step 2 and another service within the organisation.

2 senior PWP’s, 1 was on maternity leave and the other was part time.

Previous to this there had been no consistent management structure.

We also had a clinical system that didn’t really work for us as an IAPT service

It was difficult to use clinically

Getting data reports were very difficult

We were working blind without up-to-date data

Except for our Access target…….

0.86%

1.19% 1.20%

1.30%

1.16%

1.00%

1.59%

1.47%

1.01%

1.50%

1.24%

1.04%

0.60%

0.80%

1.00%

1.20%

1.40%

1.60%

1.80%

Apr-

17

May-17

Jun-17

Jul-

17

Aug-1

7

Sep

-1

7

Oct-

17

Nov-1

7

Dec-17

Jan-1

8

Feb

-18

Mar-

18

Kirklees IAPT - % Prevalence

% Target % Prevalence / Access

Handing leaflets out in supermarkets, as well as all the usual places. G.P’s surgeries, chemists, leaflets included in bounty packs

Talking to local business’s

Providing workshops for local business’s

Attending team meetings with colleagues in the Trust

Designed a new website

Assessing some of the referrals that came into our secondary mental health Team (SPA)

This target became our world,

We had by this time increased the leadership team to include: ◦ A CBT Lead Team lead

◦ 2 full time Senior PWP’s

◦ A Long Term Conditions Manager

◦ A Data Quality Lead

The general manager of the BDU and her deputy were enlisted to help!

The team met weekly to scrutinise the figures,

We increased the number of PWP Assessment appointments we offered

We had been chosen as part of the wave 1 LTC project, we worked with our colleagues in physical health to promote mental health

It was at this point the Intensive support team contacted the Trust and asked permission to became involved in order to support us to offer a solution

People had different responses to this offer

I think it’s safe to say the three of us welcomed the idea

And work began on providing detailed information on figures, narratives, case studies etc.etc

All of this was done before the visit

A meeting was held with the providers, the CCG and the IST, where more questions were asked and more information provided.

It felt for us as a service a very validating and supportive experience

The outcome in terms of our access target, revealed we didn’t have the required number of staff to achieve the access target!

…..so we are in the process of looking at this with the CCG and working out how best to proceed.

The moral of the story for me, is that it’s imperative the CCG understands the service and works with providers.

Recovery figures

We’ve worked hard as a service on our recovery target.

My experience coming in to the service was some clinicians didn’t really understand this target and weren’t always working in a recovery focused way.

We organised a CPD event around recovery and the use of the MDS where there were a few light bulb moments for staff.

We tried to set the context for the recovery target

Explored ways in which to incorporate the MDS into sessions, not something to be filled in and not looked at again.

We delivered further in house clinical training, to support staff to work in a more recovery focused way with more psychologically complex clients

There is still more work to do around this, in order to support staff to fulfil the agenda around the Five Year forward view

But we’re getting there…

In our push to hit our access target our waiting times obviously grew

By increasing our staffing we hope this will really help with our waits

Everyone on the HI waiting list has been written to and offered group work or silver cloud.

We’ve developed our offer of groups at Step 3 and are in the process of developing the offer at step 2.

The counsellors are offering:

Confidence building – 6 weeks

Mindfulness - 6 weeks

Living with loss – 6 weeks

CBT are offering an introduction to CBT course

Which comprises of a 4 week workshop looking at what is CBT , Depression, Anxiety and stress people can attend all 4 sessions or just two.

We also offer a 12 week skills group which is based on CBT principles but offers a variety of therapeutic interventions, such as interpersonal therapy mindfulness and ACT.

A GAD (General Anxiety Disorder) group

A managing emotions group 6 weeks

By attending groups it open’s up choices for people

People feel less isolated though peer support and understand ‘they are not going mad.’

Can put their difficulties in perspective

We reduce the need for 1:1 for everyone, may reduce the number of sessions clients entering 1:1 therapy may need.

Data Analyst, Clinical Lead, Step 2 Team Manager, 2 senior PWP’s, CBT lead, Counselling Lead, LTC team manager, Admin lead

And we are just about to go PCMIS….

15 PWPs (8 of which are trainees)

CBT – 2 therapists in training 11 qualified

Counselling 4 qualified therapists

◦ IPT – 1 qualified, sees a mixture of IPT and CfD

◦ Couples therapy -2 therapists in training

◦ EMDR - 6 therapists in training

Now Laura has a life other than access targets

Staff have monthly access to their contribution to the KPI’s

So they receive their individual data around , contacts offered, contacts seen, DNA’s, CNA’s, recovery rate based on how many discharges they have had.

This is discussed in monthly line management

Staff wellbeing is something John and I are passionate about

And yet there is a real tension in IAPT because of the focus on outcome measures:

As we mentioned earlier we have tried to bring a context to the outcome measures, rather than people seeing them as just numbers!

Team Culture ◦ Isolated staff

◦ Disengaged staff

◦ Staff in fear of change

◦ Lack of team cohesion

◦ Low levels of wellbeing

Team objectives explored and agreed

Individual appraisal objectives linked to team objectives

Improved information sharing

Influx of new staff

New office / Agile working

Buddy system

Team away days

Improved communication

Joint decision making

Understanding of team goals

Commitment to achieving team goals

Listening and responding to staff concerns

Explain rationale for changes ◦ Eg increasing assessments

Offered increased support and leadership ◦ Increased clinical supervision from HI

◦ New Senior PWP recruited

Developed a culture of collaboration

Addressing this became a major team objective

Recent Team Away day focused on wellbeing

Individual wellbeing pledges

Increased peer support

www.england.nhs.uk

Yorkshire and the Humber

IAPT Providers Network

Time for a break?

15 minutes only please!

www.england.nhs.uk

Yorkshire and the Humber

IAPT Providers Network

Senior PWP Network Update

Heather Stonebank, Lead PWP Advisor,

Yorkshire and the Humber Clinical Network

www.england.nhs.uk

SPWP Network Meeting agenda

• Raising self - awareness and wellbeing

• Promoting the PWP role: Video Selfies!

• Provider presentation – York and Selby Improving

Access to Psychological Therapies

• IAPT LTC service presentation

• Promoting resilience and self-reflection

• Feedback from the IAPT Providers’ Network

www.england.nhs.uk

www.england.nhs.uk

www.england.nhs.uk

www.england.nhs.uk

Choose your future!

Challenges and difficulties will

happen.

It is about how you respond/react

www.england.nhs.uk

www.england.nhs.uk

www.england.nhs.uk

York and Selby service presentation by

Jasmine Turnbull and Lorraine Fourie

• Useful insight into:

• Where they were

• Changes – service improvement

• Where they are now

• Data and SWOT analysis

• What next

Key messages – good team work, service

improvement - enthusiastic SPWPs committed to

quality improvement

www.england.nhs.uk

Sheffield IAPT - LTC presentation by Liz

Ruth

• Useful insight and reflections on setting up a wave 2

site

• Overview

• Outcomes and feedback

• Case study

• The future opportunities and challenges

Key messages – passion and enthusiastic SPWP,

committed to supporting patients, sharing best

practice and improving services

www.england.nhs.uk

Feedback from IAPT Providers

Network

• Thank you

• Supporting/encouraging integration of learning from

SPWP network into services

• Supporting leadership development opportunities

• Continue to support communication between

networks

www.england.nhs.uk

Next steps

• Wellbeing

• Leadership

• Service presentation and best practice examples

• Integration of learning into services – best practice examples

• University update and feedback

www.england.nhs.uk

Reflections

• Great attendance - new and familiar faces

• Valuable self-reflection to support development in the

role

• Great participation and involvement

• Enthusiasm and commitment

www.england.nhs.uk

Feedback • Thank you - look forward to the next one.

• Very good - thank you!

• Really valuable day!Great again, I am taking a lot away from today :-)

• Thank you for inviting us. Great day, lots of useful information.

• Always great to get information from other services and to share good practice.

• Great day! Excellent job! Great networking and conversations - thank you!

• Thank you for invite, very helpful insight which will support establishing similar network in the West Midlands.

• Really enjoyed the day, informative and interesting - thank you.

www.england.nhs.uk

www.england.nhs.uk

www.england.nhs.uk

Yorkshire and the Humber

Senior PWP Network

Thank you for listening!

www.england.nhs.uk

Yorkshire and the Humber

IAPT Providers Network

Feedback from CASPER Plus Training

and Improving Access for Older Adults:

Table Top Discussion

Sarah Boul, Quality Improvement Manager,

Yorkshire and the Humber Clinical Networks

www.england.nhs.uk

• 3x full day CASPER Plus training sessions held across Yorkshire and the Humber – 90 PWPs/Senior PWPs trained in:

• Collaborative Care (CC)

• Behavioural activation (BA) - working with long term health conditions & older adults

• Functional Equivalence

• Using Functional Equivalence to accommodate long term conditions and role changes

• Staying well

Follow up work with the University of York is also being undertaken – watch this space!

CASPER Plus Training

www.england.nhs.uk

On your tables please spend 15 minutes discussing the

following questions. Please use the templates provided to

write down the key points discussed.

1. What are you doing in your service to support

increased access for older adults?

2. What are you doing in terms of training for

your staff to work with older adults?

3. What could the Network do to support you with

working with older adults?

Questions to consider

www.england.nhs.uk

Yorkshire and the Humber

IAPT Providers Network

Feedback from the National Team

BIT, Yammer, NHS Choices and

Service User Involvement: Offer from the

National IAPT Team

Sarah Boul, Quality Improvement Manager,

Yorkshire and the Humber Clinical Networks

www.england.nhs.uk

• NHS England is collaborating with Behavioural Insights Team (BIT) and the Equality and Human Rights Commission (EHRC) to examine how behavioural insights could be used to increase access IAPT services for underrepresented groups.

• The project will explore inequalities in access to IAPT, particularly by age, gender and race.

• BIT will conduct a review of the behavioural literature, undertake qualitative research for 2 identified population groups, and use the findings to consider how best to increase IAPT usage in the identified groups. A final report will summarise the findings, providing suggestions for behaviourally-informed interventions and how these could be evaluated. We hope that, if feasible, this project will lead to a rigorous trial of one or more of our suggested behavioural interventions to test their effectiveness.

• BIT and the EHRC have agreed the project will focus on BAME groups and older adults.

• BIT are currently in the explore phase and would like to interview staff working in IAPT and service users from the two focus groups. If you want to be involved in this project please email: victoria.fussey@bi.team

Feedback from the National

Team - BIT

www.england.nhs.uk

• We have been experiencing some technical difficulties on Yammer due to the move from the nhs.net server. Some members with an @nhs.net email address were no longer able to access Yammer. This has included members of the IAPT national team and the only solution for this problem is to be re-approved using an email address other than x@nhs.net. If you have experienced this problem please let us know by contacting england.mentalheath@nhs.net.

• In order to re-access Yammer, you will need to be added with an alternate email address to an @nhs.net account. For NHS England colleagues the @england.nhs.uk can be used, or for provider colleagues an @[trust].nhs.uk email address will suffice. Please email england.mentalhealth@nhs.net with the new email address to receive a new invite to join the IAPT Yammer network.

• So in short, the IAPT Yammer network is still in use. We apologise for any inconvenience and we hope for the issue to be resolved soon.

Feedback from the National

Team - Yammer

www.england.nhs.uk

• The National IAPT Programme are working with Ros Hewitt who is

the product manager for the mental health project focussing on

improving IAPT self-referral on NHS Choices / NHS.UK.

• The work is currently underway and is set to run for 8 weeks during

which there will be redesign work, updating content and a “beta”

testing of the web pages.

• Ros is looking for a few providers (clinical leads, clinicians, data leads

or admin) who would be interested in reviewing and testing the

pages.

• Would you like to be involved and is your service information

correct?

Feedback from the National

Team – NHS Choices

www.england.nhs.uk

• In March 2018 the National IAPT Programme held a

Service User Workshop in Bristol to seek views from

those who have used IAPT services to help shape the

programme going forwards.

• The National IAPT Team are keen to understand what

areas are doing to engage with their service users.

• The National IAPT Team are also keen to offer services a

visit by which the national team could engage directly with

your service users.

Would you like a visit from the national team?

Feedback from the National Team

– Service User Involvement

www.england.nhs.uk

Yorkshire and the Humber

IAPT Providers Network

Reflections on the Day

www.england.nhs.uk

Yorkshire and the Humber

IAPT Providers Network

Thank you for Attending!

Please remember to fill out your

evaluation forms!