improving access to psychological therapies (iapt) iapt implementation: national guidelines for...
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Improving Access to Psychological Improving Access to Psychological Therapies (IAPT)Therapies (IAPT)
IAPT Implementation: National Guidelines for Regional Delivery
Welfare to Work Conference 2008
Matt FosseyNational Policy [email protected]
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Workshop - Overview
What is IAPTPolicy BackgroundImplementationChallengesQ&ADiscussion
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Background to Programme
Policy BackgroundCross government initiativesImminent publication of Dame Carol
Black’s review
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Update
26 February 2008 – Launch of National Implementation Plan for the IAPT programme
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Introduction
Provides guidance to SHAs/PCTs Describes how the CSR07 funds will be used to roll-
out IAPT (i.e. £33m, £103, £173m over next 3 years) Describes:
A major Training Programme Expansion of NICE-compliant Psychological Therapy
Services Every PCT improving its services
SHA/PCT actions: Tender and select Training Providers Select PCTs to become IAPT site Both to ‘go live’ by Sept 08
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Characteristics of an IAPT service
Teams of therapists Each PCT will have (or access to) a service
Equality of access Referral via primary care or self
Delivering NICE-compliant treatment Stepped Care system:
Low intensity <7 sessions, CCBT, phone, brief face-to-face High intensity <20 sessions face-to-face
Routine outcome monitoring Clinical and service indicators 90% coverage
Right workforce 6:4 high intensity to low intensity therapist ratio Supervision requires a minimum of a third are fully trained in each
service
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Moving the system forward
The new funds will buy:Expanding number of training placesAccredited Training ProvidersA proportion of the trained staff to lead the
new serviceSupervision training for trained staffExpanding number of IAPT services
providing access and training grounds
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Workforce principles for the future
Ensure that the current workforce is used most effectively- match the skills of the practitioner to the needs of the person, which requires changing practice
Extend practice beyond initial professional scope of practice for some
Bring new people in to the workforce into new assistant and practitioner roles
Move towards a workforce based on competence rather than profession
“New Ways of Working for Everyone” Progress Report, launched April 25 2007
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Establishing IAPT services in 08/09
Some PCTs will need to run ahead to make this work!
20 new services At least 2 PCTs per SHA (Probably) not more than 4
SHAs select PCTs based on defined criteria: Sufficient therapists (low/high) to meet local needs Minimum 1/3 therapists (low/high) will be trained Appropriate training location
By 2010/11 (Y3), SHAs should be halfway to full service coverage
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Funding 2008/09
Resources will be pooled for and on behalf of SHAs by the DH
£33m notionally allocated to SHAs Oversight to be provided by the National IAPT
Programme Board (co-chaired by Ivan Lewis) SHAs will plan use of notional allocations for:
Training costs – establishing regional training providers Service costs - establishing and maintaining new services
Funds allocated by DH to PCTs indicated by SHAs Local/national reporting arrangements tbc
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Current work with CMP
Strategic Lead from CMP as part of Workforce Reference Group
Asked local sites to make links with CMPs Developed competencies for Low Intensity Identified the need to have staff on the team
with special skills and competencies regarding work
Recognised that different models will work in different areas
Advisors in GP surgeries “Well-notes”