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Kevin MullinsNational IAPT Director
The Aspirations of the IAPT Programme
November 2011
IntroductionProgramme Aims
– complete the roll out of IAPT services – expand access to IAPT in specific areas of need
Deliverables– an appropriately trained workforce, – specific quality standards ie NICE compliance, equitable access, integrated employment
options– session by session outcome measures, – stepped care model relying on flexible referral routes
Extended Scope– children and young people, – those with physical health long-term conditions and mental health issues,– those with medically unexplained symptoms and – those with severe mental illness
Outcomes– improved access to evidence-based psychological treatments; – improved mental health and wellbeing;– more people with lived experience of these situations involved in leading the changes– more people able to resume or start normal working lives
Benefits of £400m investment– over £700 million savings healthcare, tax and welfare gains – further 1.2 million people able to access therapies with effective services available across
the country – of these, 0.5 million helped to move to recovery or measurable improvement.
Start Point & Planning Assumptions
Service TargetsSHA
Regional Allocation
Prevalence2015 Referrals
East of England 10.26% 684,797 92,509
East Midlands 8.13% 448,652 75,619
London 15.86% 1,018,112 137,683
North East 5.59% 330,385 51,179
North West 14.83% 1,004,581 133,390
South Central 6.96% 384,730 61,432
South East Coast 7.90% 430.321 70,020
South West 9.59% 613,546 86,310
West Midlands 10.75% 568,463 97,363Yorkshire & Humber 10.12% 630,658 94,495
Totals 100.00% 6,114,245 900,000
Performance Management
• NHS Operating Framework for 11/12 – Access - The proportion of people entering treatment
against the level of need in the general population, and – Conversion - The proportion of those entering treatment
against the number referred• Performance Focus
– Incomplete KPI data is returned – Access numbers below trajectories – Treatment completers falls below 66% of those entering – Recovery rates fail to improve– Waiting lists increase
Performance – Q1 11/12 Entering Treatment
121,608
331,025
500,540
730,485
900,540
310,603
89,77583,94675,17961,703
100,00088,857
300,000
92,682 116,735
17,40126,39123,074 21,991
0100,000200,000300,000400,000500,000600,000700,000800,000900,000
1,000,000
Q3
08
/09
Q4
08
/09
Q1
09
/10
Q2
09
/10
Ye
ar1
Tra
j Yr1
Q3
09
/10
Q4
09
/10
Q1
10
/11
Q2
10
/11
Ye
ar2
Tra
j Yr2
Q3
10
/11
Q4
10
/11
Q1
11
/12
Ye
ar
3 (
to d
ate
)
Tra
j Yr3
Cu
mu
lativ
e T
ota
l
Cu
mu
lativ
e T
raje
cto
ry
(en
d o
f Q2
- 2
01
1/1
2)
Treatment Completed
5,099 8,092 11,320 13,942 28,775 38,833 50,446
200,000
64,402 74,498 75,345
214,245
382,307432,208
648,974
179,510
61,45666,66738,453
050,000
100,000150,000200,000250,000300,000350,000400,000450,000500,000550,000600,000650,000
Q3
08
/09
Q4
08
/09
Q1
09
/10
Q2
09
/10
Ye
ar1
Tra
j Y
r1
Q3
09
/10
Q4
09
/10
Q1
10
/11
Q2
10
/11
Ye
ar2
Tra
j Y
r2
Q3
10
/11
Q4
10
/11
Q1
11
/12
Ye
ar
3 (
to d
ate
)
Tra
j Y
r3
Cu
mu
lative
To
tal
Cu
mu
lative
Tra
jecto
ry
(en
d o
f Q
2 -
20
11
/12
)
Yr 3 Projecte
d460k
Yr 3 Projecte
d300k
Moving to Recovery
862 2284 3896 457611618 8390
13849 1729121139
60669
2239925966 28502
76867
149,154
0
20000
40000
60000
80000
100000
120000
140000
160000
People moving off sick pay and benefits
128 440 832 9562,356 2,778 1,929 2,525 3,179 3,975
11,608
8,333
4,241 4,927 5,001
14,16911,036
28,133
22,147
0
5,000
10,000
15,000
20,000
25,000
30,000
Performance – Q1 11/12 Yr 3 Projecte
d20k
Yr 3 Projecte
d100k
Recovery Rates
16.9%28.2%
34.4%39.6% 33.8%41.8%39.3%
50.0%39.6%39.4%42.8%40.6%
50.0%
0.0%
38.8%38.9%50.0%
32.2%
0.0%
20.0%
40.0%
60.0%
80.0%
100.0%
Q3
08
/09
Q4
08
/09
Q1
09
/10
Q2
09
/10
Ye
ar1
Tra
j Y
r1
Q3
09
/10
Q4
09
/10
Q1
10
/11
Q2
10
/11
Ye
ar2
Tra
j Y
r2
Q3
10
/11
Q4
10
/11
Q1
11
/12
Ye
ar
3 (
to d
ate
)
Tra
j Y
r3
Cu
mu
lative
To
tal
Cu
mu
lative
Tra
jecto
ry (
en
d o
f
Q2
- 2
01
1/1
2)
Waited More than 28 Days
9650 12458 13671 1504050819 60525 66429 71938 67089
265981
67903 69373 91599
228875
545,675
0
100000
200000
300000
400000
500000
600000
Q3 0
8/0
9
Q4 0
8/0
9
Q1 0
9/1
0
Q2 0
9/1
0
Year1
Tra
j Yr1
Q3 0
9/1
0
Q4 0
9/1
0
Q1 1
0/1
1
Q2 1
0/1
1
Year2
Tra
j Yr2
Q3 1
0/1
1
Q4 1
0/1
1
Q1 1
1/1
2
Year
3 (
to d
ate
)
Tra
j Yr3
Cum
ula
tive T
ota
l
Cum
ula
tive T
raje
cto
ry (
end o
f Q
2 -
2011/1
2)
Performance – Q1 11/12
National Training Summary Table 2011/12
Type MPET Assumptions
Planned Deficit
CBT (High Intensity) 559 387 -172
PWP (Low Intensity) 567 464 -103
Counselling for Depression
Interpersonal Psychotherapy (IPT)
Dynamic Interpersonal Therapy (DIT)
Couples Therapy for Depression
67
66
66
66
73
133
49
45
+6
+67
-17
-21
Supervision Training 260 463 +203
TOTAL 1,651 1,614 -37
Resources AvailablePolicy 2011/12 2012/13 2013/14 2014/15
Completing roll out 43 88 133 133
Children & Young People Pilots
8 8 8 8
MUS/LTC Pilots 2 tbc tbc tbc
Total 53 96 141 141
Assumptions for 11/12:•Further training & education commissions - £32m•PCT costs associated with employment support - £11m
SHA “bundle”:•IAPT Central Team Costs - £1.5m •SHA IAPT Team & other costs - £3.5m
Governance – MH StrategyCabinet sub-Committee
on Public Health
Mental Health StrategyMinisterial Advisory Group
Cabinet Committee on Social Justice
Ministerial Advisory Group on Equality in mental health
Departmental Co-ordinating group
Mental Health Strategy work streams
OffendersEqualities e.g. BME age physical and
mental health
Public Mental HealthSuicide Prevention
DH Equality and Diversity Council
Mental Health Strategy Advisory Group
Health and Criminal Justice Board (DH
and MoJ) chaired by David Behan
Other work streams
Expert Reference Group
Outcomes & Evaluation Task & Finish Group
Outcomes & Informatics Group
PbR Working Group
SMI Working GroupEducation &
Training
Psychological Therapies Programme Board
NHS Commissioning Board
Service Re-design
IAPT Programme Governance 2011/12
Programme Management Group
Mental Health Oversight Board
Workforce & Education Working Group
LTC/MUS Working Group
SHA Regional Leads
Risks & Opportunities• Mandate & Operating Framework• Commissioning Structures• ISN Implementation• PBR• AQP• QIPP• Education & Service Commissioning