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Publication, Part of

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

Official statistics, Experimental statistics

Data Quality Report - April 2022 Primary

Please note the Data Quality Report - April 2022 Primary file is not currently available. This is due to later submission window end date for the April primary data. The file will be made available as soon as available.
The April 2022 Primary Data Quality Report is now published, as of 22/06/2022.

9 June 2022 09:30 AM

IAPT Quarterly Activity Data

Please also note that the Quarterly Activity Data files have have been amended and they no longer include any supressed values. The core data is unaffected and there is no impact to the Interactive Dashboard. The new structure of the quarterly data files will be used in all future quarterly publications.

9 June 2022 09:30 AM

Measure removed

The following measure has been removed from the Employment Adviser file for March 2022. This is due to an inconsistency in the outputs, this issue is currently under investigation. 

EA140 Mean_WaitEmploymentSupport

9 June 2022 09:30 AM

Page contents

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

51.0% of eligible referrals moved to recovery

Calculating Recovery rates

In March 2022, the calculation to calculate the recovery rate is performed as below:

Count_Recovery / (Count_FinishedCourseTreatment - NotAtCaseness) * 100

28,753 / (59,797 - 3,443) * 100 = 51.0%

Sub-national recovery rates are published in the Monthly Activity Data File as column ‘Percentage_Recovery’.

NOTE: due to improvements to the denominator calculation, some December 2020 provider-level figures that were suppressed in the previous publication are now available in this publication's data file.


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.

66.8% of referrals finishing a course of treatment showed reliable improvement

Calculating improvement rates

In March 2022, the calculation is performed as below:

Count_Improvement / Count_FinishedCourseTreatment *100

39,925 / 59,797 * 100 = 66.8%

Sub-national reliable improvement rates are published in the Monthly Activity Data File as column ‘Percentage_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.

47.9% of referrals reliably recovered

Calculating reliable recovery rates

In March 2022, this calculation is performed as follows:

Count_ReliableRecovery / (Count_FinishedCourseTreatment - Count_NotAtCaseness) * 100

26,971 / (59,797 - 3,443) * 100 = 47.9%

Sub-national reliable recovery rates are published in the Monthly Activity Data File as column ‘Percentage_ReliableRecovery’.


The chart below compares recovery, reliable improvement, and reliable recovery rates across a period of thirteen months.


The chart below shows a further breakdown of the referrals that finished a course of treatment in Quarter 4 2021/22.


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, is available.

 

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.

  

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: 21 September 2023 5:21 pm