Realising the Benefits The IAPT Programme At Full Roll Out James Seward National IAPT Programme Director

1. Realising the Benefits The IAPT Programme At Full Roll Out James Seward National IAPT Programme Director

2. Vision & definition of IAPT at full roll out after 2011 Establishes IAPT Quality Standards to complement the KPIs Commissions the NHS to develop IAPT Delivery Plans by 1 April to: Implement IAPT in every PCT in 2010/11 Identify & plan to Move to Full Roll Out 2011> Enhances the leadership role of the NHS

3. Updating IAPT Implementation Plan (Feb �08) to reflect new context: Financial environment New policies (NICE, New Horizons, QIPP) Service coverage further forward General election Govt commitment reaffirmed in NHS 2010-2015: From Good to Great (Dec �09): Full coverage gap analysis Deliver waiting times standard Offer choice Employment support in every service

4. On 26 Nov, SoS committed the Govt to: Completing the roll out of IAPT: Training programme Universal equitable access Delivering quality standards, inc Choice & Clinical Leadership Sustainability of existing services Supporting NHS to make the case for further local investment

5. IAPT services will be: Integral to and enabling of the wider MH care pathway NICE-compliant and offer choice Sustainable by delivering and demonstrating that gains health & wellbeing and positive impact on efficiencies (Health/Social care & Employment)

6. We are on target��.

7. Local plans for delivery of: 900,000 people will have accessed IAPT services in the 3 years to 2011 Recovery rates rising to 50% for those who complete treatment 3,600 newly trained psychological therapists 25,000 people helped off sick pay and benefits over the same period At least 50% of the population have access to IAPT services In addition, the NHS has also agreed to: Begin to implement IAPT in every PCT Monitor waiting times for accessing services By 2011, each SHA has taken responsibility for delivering its share of the Secretary of State for Health�s IAPT delivery commitments, ensuring: 900,000 more people will have accessed IAPT services in the three years up to and including 2010/11 (with the annual figure rising to 500,000 or 8.3% of total need) Recovery rates rising to 50% for those who complete treatment 3,600 newly trained psychological therapists 25,000 people helped off sick pay and benefits over the same period At least 50% of the population have access to IAPT services In addition, the NHS has also agreed to: Begin to implement IAPT in every PCT with at least one IAPT service in place in every PCT Monitor waiting times for accessing services against agreed best practice standards of 14 days from referral to assessment and 28 days from referral to treatment commencing By 2011, each SHA has taken responsibility for delivering its share of the Secretary of State for Health�s IAPT delivery commitments, ensuring: 900,000 more people will have accessed IAPT services in the three years up to and including 2010/11 (with the annual figure rising to 500,000 or 8.3% of total need) Recovery rates rising to 50% for those who complete treatment 3,600 newly trained psychological therapists 25,000 people helped off sick pay and benefits over the same period At least 50% of the population have access to IAPT services In addition, the NHS has also agreed to: Begin to implement IAPT in every PCT with at least one IAPT service in place in every PCT Monitor waiting times for accessing services against agreed best practice standards of 14 days from referral to assessment and 28 days from referral to treatment commencing

8. Local plans to consider what will be required after 2011 to deliver (by PCT): 900,000 people access IAPT services every year (15% need) Waiting times standards of 14 days for assessment and 28 days for treatment Recovery rates - minimum 50% standard Up to 2,500 further therapists trained Employment support in every service IAPT service coverage = 100% population Quality standards are met, including: Service delivery and the Care Pathway Workforce and education & training Routine outcome monitoring After 2011, each SHA has committed to working with local PCTs to complete the roll out of IAPT by ensuring that: 900,000 people access IAPT services every year (a minimum of 15% of total need) Waiting times standards of 14 days from referral to assessment and 28 days from referral to treatment commencing are achieved Recovery rates for those completing treatment achieve a minimum 50% standard The training programme to generate the new IAPT workforce is completed and maintained, with up to 2,500 further therapists trained Employment support is available in every IAPT service to support people accessing services stay in and return to work IAPT service coverage moves towards 100% population coverage in every PCT IAPT services meet the minimum nationally agreed quality standards, including: Choice of the full range of NICE-approved interventions Care pathway Workforce and training After 2011, each SHA has committed to working with local PCTs to complete the roll out of IAPT by ensuring that: 900,000 people access IAPT services every year (a minimum of 15% of total need) Waiting times standards of 14 days from referral to assessment and 28 days from referral to treatment commencing are achieved Recovery rates for those completing treatment achieve a minimum 50% standard The training programme to generate the new IAPT workforce is completed and maintained, with up to 2,500 further therapists trained Employment support is available in every IAPT service to support people accessing services stay in and return to work IAPT service coverage moves towards 100% population coverage in every PCT IAPT services meet the minimum nationally agreed quality standards, including: Choice of the full range of NICE-approved interventions Care pathway Workforce and training

9. Minimum standards for: Services to deliver effective, NICE-approved care pathways & offer choice Workforce, Education & Training to develop & maintain a competent workforce and complete the training programme Routine Outcome Monitoring to collect evidence of effectiveness and continuous service & professional improvement After 2011, each SHA has committed to working with local PCTs to complete the roll out of IAPT by ensuring that: 900,000 people access IAPT services every year (a minimum of 15% of total need) Waiting times standards of 14 days from referral to assessment and 28 days from referral to treatment commencing are achieved Recovery rates for those completing treatment achieve a minimum 50% standard The training programme to generate the new IAPT workforce is completed and maintained, with up to 2,500 further therapists trained Employment support is available in every IAPT service to support people accessing services stay in and return to work IAPT service coverage moves towards 100% population coverage in every PCT IAPT services meet the minimum nationally agreed quality standards, including: Choice of the full range of NICE-approved interventions Care pathway Workforce and training After 2011, each SHA has committed to working with local PCTs to complete the roll out of IAPT by ensuring that: 900,000 people access IAPT services every year (a minimum of 15% of total need) Waiting times standards of 14 days from referral to assessment and 28 days from referral to treatment commencing are achieved Recovery rates for those completing treatment achieve a minimum 50% standard The training programme to generate the new IAPT workforce is completed and maintained, with up to 2,500 further therapists trained Employment support is available in every IAPT service to support people accessing services stay in and return to work IAPT service coverage moves towards 100% population coverage in every PCT IAPT services meet the minimum nationally agreed quality standards, including: Choice of the full range of NICE-approved interventions Care pathway Workforce and training

10. Regional Clinical Leads Network to oversee by agreeing standards, supporting & sharing best practice Elements: Referral & access criteria Waiting list management Assessment Delivering Stepped care Outcome monitoring & IT systems Integrated care pathways (employment, primary care, MHTs) Discharge & onward referral After 2011, each SHA has committed to working with local PCTs to complete the roll out of IAPT by ensuring that: 900,000 people access IAPT services every year (a minimum of 15% of total need) Waiting times standards of 14 days from referral to assessment and 28 days from referral to treatment commencing are achieved Recovery rates for those completing treatment achieve a minimum 50% standard The training programme to generate the new IAPT workforce is completed and maintained, with up to 2,500 further therapists trained Employment support is available in every IAPT service to support people accessing services stay in and return to work IAPT service coverage moves towards 100% population coverage in every PCT IAPT services meet the minimum nationally agreed quality standards, including: Choice of the full range of NICE-approved interventions Care pathway Workforce and training After 2011, each SHA has committed to working with local PCTs to complete the roll out of IAPT by ensuring that: 900,000 people access IAPT services every year (a minimum of 15% of total need) Waiting times standards of 14 days from referral to assessment and 28 days from referral to treatment commencing are achieved Recovery rates for those completing treatment achieve a minimum 50% standard The training programme to generate the new IAPT workforce is completed and maintained, with up to 2,500 further therapists trained Employment support is available in every IAPT service to support people accessing services stay in and return to work IAPT service coverage moves towards 100% population coverage in every PCT IAPT services meet the minimum nationally agreed quality standards, including: Choice of the full range of NICE-approved interventions Care pathway Workforce and training

11. Multidisciplinary workforce Regular supervision Professional development, staff retention, role development (PWP) & leadership (Advanced Practitioner) Supports: IAPT Competency Framework Top-Up Training Collaborative Care Pathways Leadership competencies (APs) After 2011, each SHA has committed to working with local PCTs to complete the roll out of IAPT by ensuring that: 900,000 people access IAPT services every year (a minimum of 15% of total need) Waiting times standards of 14 days from referral to assessment and 28 days from referral to treatment commencing are achieved Recovery rates for those completing treatment achieve a minimum 50% standard The training programme to generate the new IAPT workforce is completed and maintained, with up to 2,500 further therapists trained Employment support is available in every IAPT service to support people accessing services stay in and return to work IAPT service coverage moves towards 100% population coverage in every PCT IAPT services meet the minimum nationally agreed quality standards, including: Choice of the full range of NICE-approved interventions Care pathway Workforce and training After 2011, each SHA has committed to working with local PCTs to complete the roll out of IAPT by ensuring that: 900,000 people access IAPT services every year (a minimum of 15% of total need) Waiting times standards of 14 days from referral to assessment and 28 days from referral to treatment commencing are achieved Recovery rates for those completing treatment achieve a minimum 50% standard The training programme to generate the new IAPT workforce is completed and maintained, with up to 2,500 further therapists trained Employment support is available in every IAPT service to support people accessing services stay in and return to work IAPT service coverage moves towards 100% population coverage in every PCT IAPT services meet the minimum nationally agreed quality standards, including: Choice of the full range of NICE-approved interventions Care pathway Workforce and training

12. Completing the training programme Local capacity plans to meet need & offer universal coverage Supported by IAPT Workforce Capacity Planning Tool (WCPT) Core PWP/CBT trainees IAPT workforce to deliver the range of NICE-approved interventions Updated NICE Guideline for Depression Integration with existing workforce (Competency Framework) Workforce ranges indicated by NICE recommended (WCPT) After 2011, each SHA has committed to working with local PCTs to complete the roll out of IAPT by ensuring that: 900,000 people access IAPT services every year (a minimum of 15% of total need) Waiting times standards of 14 days from referral to assessment and 28 days from referral to treatment commencing are achieved Recovery rates for those completing treatment achieve a minimum 50% standard The training programme to generate the new IAPT workforce is completed and maintained, with up to 2,500 further therapists trained Employment support is available in every IAPT service to support people accessing services stay in and return to work IAPT service coverage moves towards 100% population coverage in every PCT IAPT services meet the minimum nationally agreed quality standards, including: Choice of the full range of NICE-approved interventions Care pathway Workforce and training After 2011, each SHA has committed to working with local PCTs to complete the roll out of IAPT by ensuring that: 900,000 people access IAPT services every year (a minimum of 15% of total need) Waiting times standards of 14 days from referral to assessment and 28 days from referral to treatment commencing are achieved Recovery rates for those completing treatment achieve a minimum 50% standard The training programme to generate the new IAPT workforce is completed and maintained, with up to 2,500 further therapists trained Employment support is available in every IAPT service to support people accessing services stay in and return to work IAPT service coverage moves towards 100% population coverage in every PCT IAPT services meet the minimum nationally agreed quality standards, including: Choice of the full range of NICE-approved interventions Care pathway Workforce and training

13. IAPT MDS standard sessional clinical & social patient reported outcome measures PHQ9, GAD7 & Disorder Specific Measures 90% cases pre/post treatment clinical data Use of data Patients Clinicians & Supervisors Commissioners & Service Managers After 2011, each SHA has committed to working with local PCTs to complete the roll out of IAPT by ensuring that: 900,000 people access IAPT services every year (a minimum of 15% of total need) Waiting times standards of 14 days from referral to assessment and 28 days from referral to treatment commencing are achieved Recovery rates for those completing treatment achieve a minimum 50% standard The training programme to generate the new IAPT workforce is completed and maintained, with up to 2,500 further therapists trained Employment support is available in every IAPT service to support people accessing services stay in and return to work IAPT service coverage moves towards 100% population coverage in every PCT IAPT services meet the minimum nationally agreed quality standards, including: Choice of the full range of NICE-approved interventions Care pathway Workforce and training After 2011, each SHA has committed to working with local PCTs to complete the roll out of IAPT by ensuring that: 900,000 people access IAPT services every year (a minimum of 15% of total need) Waiting times standards of 14 days from referral to assessment and 28 days from referral to treatment commencing are achieved Recovery rates for those completing treatment achieve a minimum 50% standard The training programme to generate the new IAPT workforce is completed and maintained, with up to 2,500 further therapists trained Employment support is available in every IAPT service to support people accessing services stay in and return to work IAPT service coverage moves towards 100% population coverage in every PCT IAPT services meet the minimum nationally agreed quality standards, including: Choice of the full range of NICE-approved interventions Care pathway Workforce and training

14. Delivery trajectories for 2010/11 Gap analysis (position in Spring 2011 v Full Roll Out) Indicative roll out plans for 2011 and beyond Outline business case to support further local investment Quality assurance arrangements Delivery support requirements Clinical Workforce, education and training Care pathway redesign and improvement Benchmarking and performance reporting Delivery trajectories for 2010/11 for expanding IAPT services and delivering the training programme in accordance with the agreed national delivery commitments Gap analysis setting out where each PCT will be by 31 March 2011 in delivering: Full geographical coverage Full range of NICE-approved therapies Indicative roll out plans for 2011 and beyond outlining how SHAs will: Complete the workforce training programme (by delivering its share of the remaining indicative trainee requirement of approximately 2,500) Training sustainability plans for attrition and turnover Work with each PCT to bridge the identified gaps in delivering full geographical coverage and the range of NICE-approved interventions Outline business case to support further local investment in the expansion of IAPT services, supported by the national IAPT Quality and Productivity Evidence Base (DN: This will be published as an outcome from the Call for Evidence in Jan 10) Delivery support requirements � SHAs may wish to outline the ways in which they will wish to work together with other SHAs and with the co-ordinating support of the national IAPT programme to support local delivery in the following areas: Quality assurance support and advice, including clinical, workforce and education and care pathway redesign and improvement Benchmarking and performance reporting � access to problem solving resources and examples of best practice which may be tailored to offer specific support for challenged local systems Delivery trajectories for 2010/11 for expanding IAPT services and delivering the training programme in accordance with the agreed national delivery commitments Gap analysis setting out where each PCT will be by 31 March 2011 in delivering: Full geographical coverage Full range of NICE-approved therapies Indicative roll out plans for 2011 and beyond outlining how SHAs will: Complete the workforce training programme (by delivering its share of the remaining indicative trainee requirement of approximately 2,500) Training sustainability plans for attrition and turnover Work with each PCT to bridge the identified gaps in delivering full geographical coverage and the range of NICE-approved interventions Outline business case to support further local investment in the expansion of IAPT services, supported by the national IAPT Quality and Productivity Evidence Base (DN: This will be published as an outcome from the Call for Evidence in Jan 10) Delivery support requirements � SHAs may wish to outline the ways in which they will wish to work together with other SHAs and with the co-ordinating support of the national IAPT programme to support local delivery in the following areas: Quality assurance support and advice, including clinical, workforce and education and care pathway redesign and improvement Benchmarking and performance reporting � access to problem solving resources and examples of best practice which may be tailored to offer specific support for challenged local systems