Professor David Clark, National Clinical Lead for IAPT at NHS England shared an update on the progress and performance of the IAPT programme, based on national data.
David shared the characteristics that were common across services with higher recovery rates:
- Their average number of sessions per referral is higher than the national average
- They use stepped care appropriately
- They have a core of experienced staff
- They offer NICE compliant treatment
- They have high problem descriptor (ICD-10 code) completeness
- They have high paired outcome completeness rates
- Their DNA rates are low
- They have shorter wait times
Around the topic of NICE compliant treatment, David shared that deviations from NICE guidance were associated with lower recovery rates, e.g.
Self help: Guided 50% vs pure 36% (p<.0001)
GAD: CBT 54.7%, guided self-help 59.9% vs counselling 45.7% (ps<.0001)
There were also some consistent themes across services with high recovery rates.
- Service leadership focuses on recovery and reliable improvement data in an inquisitive and staff supportive manner
- Staff receive personal feedback which is benchmarked against the service’s average or against the performance of other therapists
- Staff have personalised continuing professional development (CPD) programmes
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