Improving Access to Psychological Therapies IAPT Sheffield

1

• Improving Access to Psychological Therapies
  (IAPT) Sheffield
• IAPT in context
• IAPT in Sheffield
• IAPT in SHSC
• IAPT Achievements
• IAPT Objectives 09/10
• Marie Claire Shankland Project Director / Head
  of Service
• Tom Ayers Assistant Service Director

2
IAPT in Context

• National programme led by Department of Health
• Increase in talking therapies for mild to
  moderate depression and anxiety disorders
  (including panic disorder, social phobias,
  obsessive compulsive disorder and post traumatic
  stress disorder)
• Unprecedented national investment of 33m in
  2008/9, rising to 170m by 2011
• Training a new national workforce to deliver NICE
  compliant psychological therapies to over 900 000
  people over the next three years
• Collecting session by session outcome measures
  and monitoring data quality
• Focus on supporting people back into work

3
IAPT in Sheffield

• Additional investment of around 750k in 2008/9,
  rising to just under 3m by 2011- 950,000 of
  this being from NHS Sheffield
• New workforce being trained in collaboration with
  University of Sheffield 26 in 2008/9, rising to
  72 by 2011
• Integrated with existing services from PCT and
  PHS to make one service of around 100 full time
  workers by 2011
• Service led by SHSC, is being delivered in
  partnership with Sheffield PCT, the Voluntary
  Sector Health and Wellbeing Consortium and the
  employment sector
• Service started in November 2008

4
IAPT in SHSC

• Delivered as a stand alone programme
• PCT Mental Health Managers report to Project
  Director
• Governance structure in place
• Trainee workforce all employed by SHSC
• Professional leadership from PHS

5
IAPT Achievements in first Six Months

• 1,904 people have entered treatment by March 31st
  2009, exceeding target by 124
• Full stepped care in place in 43 practices in
  the city, 39 have high or low intensity plus
  counselling and under 20 with only counselling
• Integrated leadership arrangements
• Relationship developed with Employment Sector
• Data Quality for clinical outcome measures 95 T1
  79 T2
• 19 people returned to work (9 vs. 2 target)
• Developing good relationships with secondary care
  teams

6
Objectives for 2009/10

• Complete coverage of GP Practices
• Provide the facility for self referral and
  referral from other sectors
• Improve employment outcomes for IAPT users
• Deliver IAPT services from voluntary sector
  organisations
• Improve access to psychological therapies for
  people from BME communities
• Establish IAPT premises to deliver services from
• Continue to build a skilled workforce by
  recruiting 28 IAPT trainees in 2009/10