Presentation on theme: "Improving Access to Psychological Therapies (IAPT) in London"— Presentation transcript:
1 Improving Access to Psychological Therapies (IAPT) in London Judy Leibowitz: Camden Clinical LeadRob Hardy: LHP IAPT Team and Mental Health Strategy
2 AgendaWelcome and IntroductionsAimsWhat is IAPT?The Programme in LondonChallenges, Opportunities and Discussion
3 AimsGreater understanding of the IAPT programme and what it is trying to achieveHow the programme has been rolled out, specific challenges for London and further work to be done by 2014Where IAPT might sit in the new commissioning landscapeHow IAPT can fit in to wider primary care strategies including further engagement with primary careWhat IAPT can offer local authorities and Health and Wellbeing Boards?
4 What is IAPT?National programme - implement NICE recommended psychological therapies for anxiety and depression.First phase ( ) - £400,000,000 to train 3600 new therapists to treat a total of 900,000 peopleSecond phase ( ) - £400,000,000 to train 2400 new therapists, treating 1,000,000 people a year(15% need).Outcome monitoring - sessional measures - key indicators access, recovery, moving off sick pay/ benefitsPopulation approach - assessing need and developing services and a workforce with the relevant competencies to meet that need.Increase capacity - specific curricula developed for extensive training programme to train a new workforce - LI and HI staffA ‘full’ service consists of around 40 clinicians for a population of 250,000.Performance managed against 2012/13 NHS Operating Framework15% need with 50% recovery rates by 2014.
5 Key Features of IAPT services Stepped care - least intrusive, most effective treatment is offered firstRange of evidence-based interventionsEasy access - self referralsTarget under-represented groups – BME, older peopleLinks to employment supportIntegrated with primary careIntegration with other parts of mental health system
7 The IAPT Programme in London The IAPT programme in London has been one of graduated rollout and focussed on areas of highest deprivation first - this means that most of inner London has good coverage - outer London generally has less capacity and is less well resourced. Despite having an IAPT service in every PCT only about 60% geographical/population coverage.
8 The IAPT Programme in London Services vary hugely in size with a large number unable to meet the needs of the local populations due to limited capacity and investment. The ability to meet need ranges from 0.23% to 11.42% and London as a whole is meeting 6.5% need.London currently has a workforce of around 1000 psychological therapists with well over half of these being trained and funded directly by the programme. The majority of this workforce is concentrated in central London.
9 Challenges and Opportunities Developing role in LTCsIncreased risk of MH problems / impact on physical health outcomesLink to developing LTC pathwaysTraining for staff - balance between specialist skills and generic skillsDeveloping work with primary care teamsMUS – joint managementCollaborative care models – depression and LTCs/ MUSBalance between close working with PC and efficient, centralised modelsBalance between GP preference for more inclusive service and maximising recovery rates.Developing public health approachPrevention/ mental health promotionTargeting specific groups to improve accessLinks with physical health programmesLinks with social care/LAsImpact of welfare reformsEmployment – best way of providing this supportChildren’s centres/ housing
10 Challenges and Opportunities Make it local - integration with existing mental servicesEnsuring coherent services with multiple providersWho will be key players in decisions about commissioning IAPT services?CCGsHWBsPublic HealthCommissioning Board
11 You can find further information about the IAPT programme at: For further information about the IAPT in London programme please contact Rob Hardy:Camden Psychological Therapies Clinical Lead: