www.england.nhs.uk

Delivering the Five Year Forward

View for IAPT

www.england.nhs.uk

Key Publications

2

www.england.nhs.uk 3

Commitments: Increase access to

1.5m people a year

15.58% 15.80% 16.80%

19%

22%

25%

953 960

1,020 1,160

1,370 1,500

0

200

400

600

800

1,000

1,200

1,400

1,600

1,800

2,000

0%

5%

10%

15%

20%

25%

2015/16 2016/17 2017/18 2018/19 2019/20 2020/21

Nu

mb

er

of

peo

ple

accessin

g

treatm

en

t, t

ho

usan

ds

Access

Projected access rate

People accessing treatment (thousands)

www.england.nhs.uk 4

Commitments: More than double the

number of employment advisors in

IAPT

Around 90 CCGs to take part in extensive

testing of employment advisors in IAPT –

gathering rigorous information for 2020/21

www.england.nhs.uk 5

Commitments: improve quality and

outcomes for the whole population

Quality

Premium

www.england.nhs.uk 6

Commitments: build capacity in the

workforce

210

350 338 338 338 390

650 630 630 630

0

500

1000

1500

2000

2500

3000

3500

4000

4500

5000

0

100

200

300

400

500

600

700

2016/17 2017/18 2018/19 2019/20 2020/21

Cu

lmati

ve t

ota

ls o

f tr

ain

ed

sta

ff

Pro

jecte

d t

rain

ees e

ach

year

Projected trainee numbers

PWP trainees HIT trainees

Culmative total Co-located staff in primary care

www.england.nhs.uk

• Two thirds of expansion to be ‘Integrated

IAPT’ services – integrated with physical

health pathways for people with long term

conditions or distressing and persistent

medically unexplained symptoms.

• In 2016/17 and 2017/18: Early Implementers

supported centrally

• From 2018/19, CCGs to commission

integrated IAPT services

7

Commitments: Integrated IAPT

services

www.england.nhs.uk 8

2016/17 2017/18 2018/19

Outcomes

based tariff Preparation

Shadow

implementation

Full

implementatio

n

Quality

Premium Quality Premium Active

Supporting

productivity

Digital information for

commissioners

published

Further work on promoting digital

uptake

Guidance

Interim

implementation

guidance for

integrated IAPT

Updated guidance

for integrated IAPT.

Updated Core IAPT

guidance published

New

evidence

Commission analysis

of early

implementers

Initial evidence from

analysis

Final evidence

from analysis

Comms

Regular communications on the case for expansion –

including evidence, best practice and fit with system

priorities

Fin

an

cia

l

Inc

en

tive

s

Gu

idan

ce a

nd

bu

ild

ing

evid

en

ce

www.england.nhs.uk 9

Workforce – where are we now?

• Around 6000 WTE therapists in current workforce

• Participation rate higher for CBT than other therapy

modalities

• 427 WTE vacancies

• Leaver rate is 22% for Psychological Wellbeing

Practitioners (PWPs), 9% for High Intensity

Therapists (HITs). Work underway to better

understand these rates.

• Some evidence of poor workforce wellbeing

www.england.nhs.uk 10

www.england.nhs.uk

Ideas for action

• Understand why people leave and where they go, and

how this varies across the country

• Support staff wellbeing – national post and scoping

• Broaden routes into IAPT – explore different

recruitment and training strategies to improve

sustainability and representativeness of IAPT

workforce

• Develop training offer, e.g. CDP for long term

conditions / medically unexplained symptoms

• Networks and peer support

11

Sustainability: how do we build a

sustainable IAPT workforce?

www.england.nhs.uk

Questions and

discussion