Primary Care

Strategic Health Authorities each have a Primary Care lead with a special interest in what IAPT can achieve for patients in primary care settings.

GPs warmly welcome IAPT services as they extend the range of interventions and the choices available to their patients.

Close links between GP practices and IAPT services are valued in the pilot sites and a number of resources are in development to support Practice Based Commissioning and supporting New Ways of Working in Primary Care.

Practiced Based commissioning to improve primary care mental health delivery

On 10 October 2007, the Secretary of State for Health, Alan Johnson, announced new funding of £170 million to develop Improved Access to Psychological Therapies (IAPT).

As part of that announcement, he said that this money would be used to train 3,600 new therapists, treat 900,000 people with common mental health problems, and that, for those primary care trusts covered by the developing service, it would allow open access to GP referral.

In July 2008, the Department of Health published the final report of the Next Stage Review of the NHS, which included the development of primary and community services. At the heart of the policy is the development of World-Class Commissioning and Practice-Based Commissioning.

Primary care professionals know that the provision of high-quality psychological therapies is essential for the delivery of holistic care for people with a range of problems, from depression and anxiety disorders, through to those with medically unexplained symptoms and long-term conditions such as diabetes and ischaemic heart disease.

This collection of documents, templates, presentations, research papers and good practice examples provides the practice-based commissioner with all the information needed to commission an IAPT service for their community. It will allow the practice-based commissioner to develop a service specific to their local area, which will deliver a psychological therapy service that is in line with best evidence-based practice, as described by the National Institute for Health and Clinical Excellence and set out in the IAPT commissioning guide.

It provides the background information, including the published references to support the programme, and a template for the business plan that the commissioner will need to submit to their primary care trust. It also provides a tool to commission services for people with medically unexplained symptoms, as well as some proposals for good clinical practice based on published evidence.

Foreword by David Colin-Thomé OBE National Clinical Director for Primary Care

Background for IAPT and evidence
Whats in IAPT for GPs and Primary Care Staff
Long Term Conditions and Positive Practice Guide
Reducing Hospitalisation

Pratice Based Commissioning for IAPT
A business case for IAPT

Economic Calculator- This spreadsheet will allow you to estimate the numbers of patients suffering with medically unexplained symptoms, the cost, and potential cost offset offered by detecting and treating the patients

Medically Unexplained Symptoms
A guide to choosing psychological therapies in Ealing
Ealing Directory of Counselling Services
Ealing primary care mental health and wellbeing Referral Form
Dorset Stepped Care referal guide

Looking forwards Options to support recovery from mental health problems A resource for you and your health professional. Manchester NHS Primary Care Trust

The PHQ9 and GAD7 clinical assessment tools are available for download below in the following languages:

If you have further alternative languages for any of the clinical assessment tools and you are willing to share them, please send them to iapt@dh.gsi.gov.uk

Medically Unexplained Symptoms