What IAPT means for Leeds

1
What IAPT means for Leeds

• Jane Wood
• Strategic Development Manager
• NHS Leeds

2
History of IAPT in Leeds

• Need for service long recognised
• Primary practice mental health nurses and
  counsellors in primary care(1996)
• Primary Care Mental Health Service (2000)
• NICE Depression guidelines (2004)
• Development of the Common Mental Health Pathway
  (2006)
• National IAPT programme (2008)

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Stepped Care Model

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Leeds Integrated Common Mental Health Pathway
Patient visits GP for help with A common mental
health problem
Self Referral
Recommends Primary Care Mental Health Team
Attends for screening appt
High risk and /or complex case Management refer
to CMHT (step 4/5)
Discharge
Attends for brief psychological intervention
step 2)
Attends for high intensity intervention (step 3)
Referred to secondary care (step 4/5)
psychology/psychotherapy/community mental health
team or other specialist service
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National IAPT

• Leeds PCT is one of 4 PCTs in our region that has
  been given funding to become an IAPT expansion
  site from this year (08/09).
• Funding is to train and pay for new low and high
  intensity workforce
• We want to build on the success of what we have,
  whilst building in the requirements of the
  national IAPT programme

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The vision for the common mental health
pathway/IAPT service is

• to have comprehensive coverage across the city
  over layered with some more focussed provision
  that will help ensure equal access to some harder
  to reach groups in the community

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We will need to

• Maintain the concept of a single point of access
  to the system
• Ensure that there is a cohesive shared identity
  for all providers commissioned to deliver
  services within the pathway
• That providers work together cooperatively and
  flexibly to ensure service users needs are met
  appropriately and in a timely manner
• Choices are available for service users

8
Communities of interest

• Prisoners in Leeds Prison and Wealstun Prison
• Deaf people who have British sign language as a
  first language
• Black and Minority Ethnic Groups African -
  Caribbean community, Pakistani community and
  Irish Community.
• Young people aged 17 21

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Additional high intensity workers

• Champions with a special interest
• Offenders, Veterans, People with Learning
  Disabilities, Older People and People from Black,
  Minority and Ethnic communities and people living
  in 10 bottom SOAs (Super output Areas).

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Potential Provider Models

• Consortium model
• Individual Contracts
• Lead agency - sub contractor
• Individual contracts offered and then a lead
  coordinating agency chosen.

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timeline
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Challenges

• Highly prescriptive
• CBT focus
• Data collection requirements
• Performance targets
• Workforce
• Timescales