IAPT to Talking Therapies Kevin Jarman, IAPT Programme

1
IAPT to Talking Therapies

• Kevin Jarman, IAPT Programme Operations
  Delivery Lead

2
Introduction

• Progress since 2006/07
• Policy priority moving forward
• Talking Therapies Four-Year Plan of Action
• Moving forward

3
Progress achievements so far

• CSR 07 173 m ( PCT investment)
• Since October 2008 nationally
• 147 PCTs have started IAPT service
• 3,660 trainees
• Over 490,987 people started treatment
• Over 282,000 completed treatment
• Over 94,000 reaching recovery
• More than 18,000 moved off sick pay and benefits
• (latest verified figures)

4
Progress in the South West

• Fabulous response from the South West
• A service in every PCT
• 354 new therapists
• Over 68,000 entering treatment
• Over 39,000 completing treatment
• Over 13,000 moving to recovery
• Over 2,000 off of sick pay benefits

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A Ministerial priority

• The Coalition Programme for Government MAY 10
• 70m confirmed JUNE 10
• 2010 Spending Review health settlement OCT 10
• Public Health White Paper Healthy Lives, Healthy
  People NOV 10
• Ministerial keynote speech DEC 10
• 400m in No health without mental health FEB 11
• Supported by Talking Therapies A four-year plan
  of action

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Talking Therapies four-year plan

• Complete roll-out of services for adults
• Ensure older people have proper access
• Initiate stand-along programme for children and
  young people
• Develop models of care for
• People with Long Term Physical Health Conditions
• People with Medically Unexplained Symptoms
• People with Severe and Enduring Mental Illness

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Completing the IAPT roll out

• Investment of 400m will mean that from 2011-15
• 3.2m people will access IAPT
• 2.6m of them will complete treatment
• Up to 1.3 m (50 of those treated) will move to
  recovery
• 75,000 of these people will get or retain a job,
  education, training or volunteering
• Older people will be properly represented among
  those accessing and receiving treatment
• 100 geographical coverage 15 prevalence 50
  recovery rates

8
Children Young People A Service Change
Programme

• Ambition to make same step forward in access for
  CYP as IAPT for adults, but tailored to CYP.
• First wave Depression, anxiety, conduct
  disorders CAMHS
• Evidence shows NICE approved and evidence based
  talking therapies are effective, but such
  therapies are not always available in routine
  CAMHS
• CYP IAPT Interweaving Elements
• Workforce education training programme
• Data, outcomes supervision
• Service pathway design
• Young Minds leadership and CYP input into all
  elements of programme

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LTCs, MUS depression/anxiety disorders

• LTCs (diabetes, CVD COPD) 3-4 times D/AD
  prevalence poorer health outcomes inc costs
• MUS (physical symptoms, mental distress) - 25
  OPs 8 INPs 5 A E cost 3bn a year
• Elements
• Commissioners Cost Calculator
• RCGP training IAPT Commissioning Fellows
• Collaborative Care Pathways

10
SEMI

• Rethink - 51 of people with schizophrenia or
  bipolar disorder offered NICE-recommended talking
  therapy
• 84 MHTs IAPT has not helped improve access
• Elements
• Review workforce training education
• Consider capacity constraints
• Develop new care pathways

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The QIPP gains Talking Therapies impact
assessment

• Cost over 4 years 400m
• Cautious estimate of savings over 6 years 272m
  for NHS 704m for whole economy
• Layard estimate saves at least as much as cost
  for NHS same again for rest of economy
• Post Script
• NHS Operating Framework PCTs early plans in
  line with expectations

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Moving forward

• PCTs and GPCCs to identify resources based on
  QIPP gains from IAPT
• SHAs (via MPET SLA) to continue training
  programme
• NHSOF access KPIs and SHA exception reporting
• Engaging new GPCC Pathfinders, RCGP Commissioning
  Champions focus on QIPP gains