Publication, Part of Psychological Therapies, Reports on the use of IAPT services
Psychological Therapies: reports on the use of IAPT services, England, April 2022 Final including a report on the IAPT Employment Advisers pilot.
Official statistics, Experimental statistics
Data Set Change
April 22 is the first monthly publication using the new IAPT v2.1 data set.
14 July 2022 09:30 AM
Measures Removed
The following measure has been removed from the Monthly Activity Data file for April 2022. This is due to an inconsistency in the outputs, this issue is currently under investigation.
M237 Count_OffSickPay
14 July 2022 09:30 AM
Measures No Longer Needed
With the change in data set to IAPT v2.1, measures in the IAPT Monthly Activity Data File have been reviewed and 5 measures are no longer included in the report. The removed measures are M279, M280, M281, M282 and M1003.
The Employment Adviser report has also been reviewed and 83 measures are no longer included in the report. The removed measures are EA014 to 17, EA030 to 33, EA042 to 49, EA063 to 82, EA088 to 107, EA109, EA111, EA112 to 126, EA135 and EA141 to 149.
14 July 2022 09:30 AM
Measures Added
With the change in data set to IAPT v2.1, measures in the IAPT Monthly Activity Data File have been reviewed and 4 measures have been added to the report. The added measures are M287, M1018, M1019 and M1020.
The Employment Adviser report has also been reviewed and 9 measures have been added to the report. The added measures are EA276 to EA285.
14 July 2022 09:30 AM
Outcomes
Outcomes in IAPT are measured in terms of three measures:
recovery,
reliable improvement,
and reliable recovery.
Recovery
Recovery in IAPT is measured in terms of ‘caseness’ – a term which means a referral has severe enough symptoms of anxiety or depression to be regarded as a clinical case. A referral has moved to recovery if they were defined as a clinical case at the start of their treatment (‘at caseness’) and not as a clinical case at the end of their treatment, measured by scores from questionnaires tailored to their specific condition.
The Government target is that 50% of eligible referrals to IAPT services should move to recovery.⁶
50.4% of eligible referrals moved to recovery
Reliable improvement
A referral has shown reliable improvement if there is a significant improvement in their condition following a course of treatment, measured by the difference between their first and last scores on questionnaires tailored to their specific condition.
67.3% of referrals finishing a course of treatment showed reliable improvement
Reliable recovery
A referral has reliably recovered if they meet the criteria for both the recovery and reliable improvement measures. That is, they have moved from being a clinical case at the start of treatment to not being a clinical case at the end of treatment, and there has also been a significant improvement in their condition.
47.6% of referrals reliably recovered
The chart below compares recovery, reliable improvement, and reliable recovery rates across a period of thirteen months.
Consistently, a higher proportion show reliable improvement than move to recovery; this is because reliable improvement only looks at the scale of change, and not whether the referral has moved below the clinical caseness threshold.
Reliable recovery, which requires both recovery and reliable improvement, is the most stringent measure and therefore has the lowest rate.
Each quarter, more detailed data are published about recovery, reliable improvement and reliable recovery. The most recent quarterly data, Quarter 4 2021/22, can be found at: Psychological Therapies: reports on the use of IAPT services, England, March 2022 Final including a report on the IAPT Employment Advisers pilot and Quarter 4 2021-22 data - NDRS (digital.nhs.uk).
For an explanation of the terms used and further information about how measures are calculated in IAPT see the 'Guide to IAPT data and publications' at Improving Access to Psychological Therapies (IAPT) data set reports - NHS Digital
⁶ See p16-17 of The Mandate: A mandate from the Government to NHS England: April 2015 to March 2016, available at: https://www.gov.uk/government/uploads/system/uploads/attachment_data/file/386221/NHS_England_Mandate.pdf
Last edited: 8 May 2024 1:14 pm