Improving Access to Psychological Therapies, Key Performance Indicators (IAPT KPIs) - Final Q4 2012-13
The IAPT programme is designed to support the NHS in delivering by 2014/2015:
Evidence-based psychological therapies, as approved by the National Institute for Health and Clinical Excellence (NICE), for people with depression and anxiety disorders;
Access to services and treatments by people experiencing depression and anxiety disorders from all communities within the local population;
Increased health and well-being, with at least 50 per cent of those completing treatment moving to recovery and most experiencing a meaningful improvement in their condition;
Patient choice and high levels of satisfaction from people using services and their carers;
Timely access, with people waiting no longer than locally agreed waiting times standards;
Improved employment, benefit, and social inclusion status including help for people to retain employment, return to work, improve their vocational situation, and participate in the activities of daily living.
The vision for the IAPT programme over the next spending review cycle (April 2011 – March 2015) was set out in ‘Talking Therapies: A four-year plan of action’.
IAPT KPI’s will support measurement of the following objectives: 3.2 million people will access IAPT, receiving brief advice or a course of therapy for depression or anxiety disorders;
2.6 million patients will complete a course of treatment;
up to 1.3 million (50 per cent of those treated) will move to measurable recovery;
During 2012/13, IAPT KPIs will also be used to support the NHS Operating Framework. Two IAPT indicators are included in the NHS Operating Framework to measure quarter on quarter improvement in; I. The proportion of people entering treatment against the level of need in the general population (the level of prevalence addressed or ‘captured’ by referral routes), and II. The proportion of people who complete treatment who are moving to recovery The level of need in the general adult population is known as the rate of prevalence, defined by the Psychiatric Morbidity Survey 2000. For common mental health conditions treated in IAPT services, it is expected that a minimum of 15 per cent of those in need would willingly enter treatment if available. Further Guidance http://webarchive.nationalarchives.gov.uk/+/www.dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsStatistics/DH_4019414
259,016 people were referred for psychological therapies;
154,722 people entered treatment;
It is estimated that 6.1 million people suffer from anxiety and depression disorders in England, suggesting that the access rate of people with anxiety or depression orders to IAPT services was 2.5 per cent in quarter 4;
97,107 people completed a minimum of two treatment contacts. Of these:10,699 were not at clinical caseness at the start of their treatment;
86, 408 were at clinical caseness at the start of their treatment, with 40,428 of this number (46.8 per cent) ‘moving to recovery’;
A total of 6,776 people moved off sick pay and benefits.
Note 1: The number of people who completed treatment in the quarter is not a direct subset of the number of people referred in the same quarter, as some may have been referred for treatment in a previous quarter.