NHS: The Improving Access to Psychological Therapies Manual, June 2018

Is the idea that IAPT is going to be commissioned by Clinical Commissioning Groups?

https://www.england.nhs.uk/ccgs/

Clinical Commissioning Groups (CCGs)

Clinical Commissioning Groups (CCGs) commission most of the hospital and community NHS services in the local areas for which they are responsible.

Commissioning involves deciding what services are needed for diverse local populations, and ensuring that they are provided.

CCGs are assured by NHS England, which retains responsibility for commissioning primary care services such as GP and dental services, as well as some specialised hospital services. Many GP services are now co-commissioned with CCGs.

All GP practices now belong to a CCG, but CCGs also include other health professionals, such as nurses.

Services CCGs commission include:

  • most planned hospital care
  • rehabilitative care
  • urgent and emergency care (including out-of-hours)
  • most community health services
  • mental health and learning disability services.
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Why would a CCG want to spend money on IAPT for me when they don't have the budget for crisis care? In my area, until recently there was a grand total of 0 pediatric in-patient mental health beds. This is the kind of thing that local newspapers publicise and cause a fuss about. Mothers travelling hundreds of miles to see their child twice a week. The kind of thing that should be a priority.

I think there are good targets for advocacy and providing information about IAPT to, including local councilors, trade unions, CCG's, local healthcare workers, etc.
 
CCGs have been commissioning IAPT services for some time. National roll-out of IAPT apparently began in 2008. CCGs "replaced" PCTs in 2013. The Secretary of State mandated the NHS for three consecutive years commencing 2014/15 to deliver "timely access to services" to a minimum of "15% of adults with relevant disorders." CCGs commissioning IAPT are incentivised to meet national standards with IAPT Quality Premiums.

By April 2018 all CCGs are required to offer "IAPT services integrated with physical healthcare pathways." An outcomes-based payment system to be implemented by commissioners and providers was mandated to take effect from 1 April 2018.
 
Luther Blissett said:
Why would a CCG want to spend money on IAPT for me when they don't have the budget for crisis care?
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As Sarah says, simply because the rule is they have to tick a box in a certain time so a cheap 'service' that gets patients out of the hands of doctors is ideal. It is a complete scam.

And if you engineer it that everyone can be scored to be a bit better you are 'value for money'.
 
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