Improving Access to Psychological Therapies, Key Performance Indicators (IAPT KPIs) - Final Q3 2012-13 and provisional 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’. 1
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% of those in need would willingly enter treatment if available. Further Guidance http://www.dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsPolicyAndGuidance/DH_123759
Please note that the machine readable data file for Q3 final 2012/13 was replaced on the 9th January 2014 to correct an error whereby not all PCTs had been included. Rows for the formerly missing PCTs have been added but the original figures remain unchanged.
- 258,143 people were referred for psychological therapies (an increase of 2.1% from Q3);
- 154,254 people entered treatment (increasing 6.1% from Q3 and 3.7% over 2011/12 Q4 final data);
- 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% in quarter 4;
- 96,474 people completed a minimum of two treatment contacts. Of these:
- 10,618 were not at clinical caseness at the start of their treatment;
85,856 were at clinical caseness at the start of their treatment, with 40,213 of this number (46.8%) ‘moving to recovery’;
• A total of 6,746 people moved off sick pay and benefits (an increase of 224 or 3.4% since Q3).