Deepdive presentation on work ongoing to address challenges to local IAPT services

1. Deep Dive GBAF250 Risk:
Mental Health Services capacity – Increasing
access to psychological therapies (IAPT) in adult
Services- Update on progress
Jacki Wilkes
Associative Director of Commissioning
January 2018

2. Performance targets- nationally reported
• Access target
2017/18 - 16.8% of the affected population (20,532) = 288 people per month
2018/19 - 19% of the affected population (20,658) = 327 people per month
This target will rise to 25% by 2020/21.
• Referral to Treatment (75%)
Those who start treatment within 6 weeks of referral
• Referral to treatment (95%)
Those who start treatment within 18 weeks of referral
• Recovery (50%)
People achieve improvement on their stated outcomes (GAD scores)

3. Current performance against reportable
standards- Dec 17
0.00%
0.20%
0.40%
0.60%
0.80%
1.00%
1.20%
1.40%
1.60%
1.80%
ECCCG- IAPT Access
Access (Mth) Access (Std)
0.00%
10.00%
20.00%
30.00%
40.00%
50.00%
60.00%
ECCCG- IAPT Recovery
Recovery (Mth) Recovery (Std)
0.00%
20.00%
40.00%
60.00%
80.00%
100.00%
ECCCG- IAPT EnteredtoComplete - 6wks
(Headline)
6 Wks (Mth) 6 Wks (Std)
75.00%
80.00%
85.00%
90.00%
95.00%
100.00%
ECCCG- IAPT Entered toComplete - 18wks
(Headline)
18 Wks (Mth) 18 Wks (Std)

4. Note: Many people present with more than
one issue to resolve.
Step one referral data- Dec 17

5. Current performance against non reportable
standards – Jan 18
**Assessment of need /goal setting is counted as ‘first treatment’
The CCG analyses the PTL
(Patient Tracking List) for each
step within the IAPT service, on
a weekly basis. This enables us
to track, over a rolling 8 week
period, any “spikes” in waits
within a particular grouping.
For example, an increase in the
12-17 week waiters may
preclude compliance with the
18 week Enter to Complete
standard. This analysis gives
the CCG the opportunity to
work proactively with the
Provider to manage a cohort of
patients more effectively.
This analysis of the Step 3 waits shows a rise in the 12-
17 week waits as @25/01/18 but decreased numbers in
the Wk_06-11 and 18-24 categories.
**NB: The “wait” is determined from the latest PTL date to last booked
contact. If there is no booked contact, the referral date is used instead.

6. Recovery plan –key actions and impact
Building Capacity
• agency staff: limited impact
• recruit to vacancies: step 2 successful ongoing improvement expected
• skill mix changes and role reviews: successful with therapists undertaking goal setting
Choice and Innovation
• online supported self directed interventions: successful
• group interventions (counselling/ mindfulness): successful two groups per week
• top up CBT rather than full courses for previous clients: successful
•
Monitoring
• regular reporting in line with improvement trajectory
• review of patients waiting to determine changing needs
• transfer patients requiring more complex care to step 4

7. Next Steps
• external review of services to determine additional steps that
could be taken to improve current and future performance
• capacity modelling against delivery of the Five Year Forward
View (MH) improvement trajectory and development of
business case
• explore opportunities for joint commissioning of services